Croell Plant & Shop Safety Inspection

• Croell Plant / Shop Safety Inspection Form

• Location
  Address

• Conducted on

  Date

• Prepared by

• Document No.

Office / Plant

• Emergency Phone Numbers Posted?

  Yes

  No

  N/A

• Evacuation routes posted and unobstructed.

  Yes

  No

  N/A

• State and Federal Labor Law postings?

  Yes

  No

  N/A

• Handbook

  Yes

  No

  N/A

• Chemical inventory SDS list posted.

  Yes

  No

  N/A

• SDS manual up to date?

  Yes

  No

  N/A

• Check one product and make sure its up to date in manual.

• Environmental Paperwork including Air Permit/Stormwater

  Yes

  No

  N/A

• Incident Report Forms

  Yes

  No

  N/A

• Warning signs posted

  Yes

  No

  N/A

• Man in Drum sign

  Yes

  No

  N/A

• Radio/Phone

  Yes

  No

  N/A

• Returned Concrete (dumping location)

  Yes

  No

  N/A

• First Aid Kit and BBP kit maintained?

  Yes

  No

  N/A

• Fire extinguishers accessible and inspection done.

  Yes

  No

  N/A

• Housekeeping Good?

  Yes

  No

  N/A

• Eyewash station clean and inspected?

  Yes

  No

  N/A

Personal Protective Equipment

• Proper gloves being worn when handling materials?

  Yes

  No

  N/A

• If respirators are used (other than dust masks worn on a voluntary basis) employees are medically qualified, trained and fit tested for respirator use?

  Yes

  No

  N/A

• PPE in use

  Perfect-100% Use

  Good Effort with few exceptions

  Some PPE in use, Improvement Needed

  Little or No PPE Use

• Types of PPE correctly used

  Select Hard Hats Safety Glasses Vests or Hi Vis Work Boots

  • Hard Hats
  • Safety Glasses
  • Vests or Hi Vis
  • Work Boots

• Torching and welding shields.

  Safe

  At Risk

  N/A

Electrical Hazards

• Are GFCI provided on outlets around water and all extension cords?

  Yes

  No

  N/A

• 3 foot clearance around electrical boxes for access?

  Yes

  No

  N/A

• All electrical switches, breakers, etc. labled and warning signs posted around all electrical installations?

  Yes

  No

  N/A

• Are no repairs done to extension cords with the exeception of proper plug replacement?

  Yes

  No

  N/A

• Are permanet splices in cables insulated to the equivalent of the oringinal, strong, and sealed to moisture?

  Yes

  No

  N/A

• Is electrical wiring free of damage and fraying?

  Yes

  No

  N/A

Guards

• Are all belts and pulleys near the ground fully guarded?

  Safe

  At Risk

  N/A

• Are all conveyor systems within 7 foot of walking/working surface equipped with a shut-off cable or guard?

  Yes

  No

  N/A

• Chains, cables, slings, hooks, and hoist in good condition and current inspection?

  Yes

  No

  N/A

• Air compressor

  Safe

  At Risk

  N/A

• Railings, toe boards, stairs in good condition?

  Yes

  No

  N/A

• Guards and shields in place for grinders and hand tools?

  Yes

  No

  N/A

Lockout / Tagout

• Lockout / Tagout manual up to date and being used properly?<br>

  Yes

  No

  N/A

• Valve covers and lockout equipment devices available?

  Yes

  No

  N/A

• Each employee has his own lock?

  Yes

  No

  N/A

• Check lockout/tagout manual

Confined Space

• Confine Space Manual in place and being used properly?

  Yes

  No

  N/A

• Confine Space Monitor being calibrated and logged?

  Yes

  No

  N/A

• Bump Test being performed before each entry and logged?

  Yes

  No

  N/A

• All confined space areas properly labeled?

  Yes

  No

  N/A

• Check Confined Space Manual

Fall Protection/Fall Hazards

• All fall protection in good working condition?

  Yes

  No

  N/A

• Approved anchor point used and no swing fall potential?

  Safe

  At Risk

  N/A

• Ladders being inspected before each use?

  Yes

  No

  N/A

• Check ladders for damage.

• Proper height on all handrails, at least 42"

  Yes

  No

  N/A

• All stairs and walkways in good working condition?

  Yes

  No

  N/A

• Swing Gates on all working platforms?

  Yes

  No

  N/A

• Toe Boards on all Walkways?

  Yes

  No

  N/A

Heavy Equipment

• Take Photo of Loading Area

  Media

• Daily equipment inspections being done?

  Yes

  No

  N/A

• Check one piece of equipment

• Take picture of equipment and unit number

  Media

• Good house keeping in cab of equipment?

  Yes

  No

  N/A

• Take picture of interior

  Media

• Seat and seat belt in good working condition?

  Yes

  No

  N/A

• Wheels chocks in good working condition?

  Yes

  No

  N/A

• Mirror adjusted properly and good working condition?

  Yes

  No

  N/A

• Back up alarm and horn working properly?

  Yes

  No

  N/A

• Access steps and railing in good working condtion?

  Yes

  No

  N/A

• Are parking brakes capable of holding mobile equipment with typical load on max grade?

  Yes

  No

  N/A

• All ramps bermed half the distance of the largest equipment being used on ramps?

  Yes

  No

  N/A

• Rops?

  Yes

  No

  N/A

Fuel/Flammable/Conveyance & Storage of materials under pressure.

• All compressed gas cyclinders secured in safe manner and properly capped when not in use?

  Yes

  No

  N/A

• Are oxygen clyinders stored from flammable materials and at least 25 feet from flammable gas cylinders?

  Yes

  No

  N/A

• Annual inspsection done on all pressure vessels/compressors?

  Yes

  No

  N/A

• Are storage areas for cylinder bottles labeled, Full and Empty?

  Yes

  No

  N/A

• Do all high pressure lines have the approved high pressure clamp? No raditor clamps?

  Yes

  No

  N/A

• Flammable Liquids stored an approved Safety Can and Containers?

  Yes

  No

  N/A

• Are no smoking signs/labels posted around flammable materials?

  Yes

  No

  N/A

• Are all spills cleaned up?

  Yes

  No

  N/A

• Proper labels on containers per GHS?

  Yes

  No

  N/A

• Oil catch basin?

  Yes

  No

  N/A

• Bag houses, pop off valves?

  Yes

  No

  N/A

• Overall how is the safety performance at this location?

• Date and time report completed.

  Date

• Add signature

  Sign