CUDD Facility Evaluation

• District Name

• Business Unit

• Conducted on

  Date

• Auditor

• This audit is to be completed monthly and required to be emailed to safety@cudd.com and kept on file at the district.

Facility Grounds

• Are facility grounds free of trash and debris? [ 29 CFR 1910.22(a), SAF 6027 ]

  Yes

  No

  N/A

• Are muster signs posted in designated areas that match the Emergency Response Plan? [ERP]

  Yes

  No

  N/A

• Facility free of unwanted weeds and overgrowth? [ 29 CFR 1910.176 (a) ]

  Yes

  No

  N/A

• Is exterior lighting functional/suitable?

  Yes

  No

  N/A

• Facility gates and entrances secured to prevent unwanted visitors from entering the facility?

  Yes

  No

  N/A

• Are designated parking area signs posted?

  Yes

  No

  N/A

• Facility gates marked with signs? (Speed Limit, Visitors Must Sign in at Office or Dispatch, Required PPE)

  Yes

  No

  N/A

• Any visible soil contamination observed?

  Yes

  No

• Has an EIR been completed and sent to appropriate personnel?

  Yes

  No

  N/A

• Opened containers stored in secondary containment?

  Yes

  No

  N/A

• Comments:

Office Areas

• Are exits clearly marked, illuminated, and operational? [ 29 CFR 1910.37 (b)(2) & (6) ]

  Yes

  No

  N/A

• Are exits unobstructed? [ 29 CFR 1910.37 (a)(3) ]

  Yes

  No

  N/A

• Are evacuation diagrams posted by each exit? [ ERP ]

  Yes

  No

  N/A

• Are fire extinguishers accessible and marked? [ 29 CFR 1910.157 (c)(1), SAF 6014-1 ]

  Yes

  No

  N/A

• Are fire extinguisher inspections current? [ 29 CFR 1910.157 (e)(1), SAF 6014-1 ]

  Yes

  No

  N/A

• Are smoke detectors installed and operational?

  Yes

  No

  N/A

• Can exit doors be opened in the direction of travel without the use of a key or other means when the building is occupied? [ 29 CFR 1910.36 (d)(1) ]

  Yes

  No

  N/A

• Are non exits clearly marked to prevent confusion? [ 29 CFR 1910.37 (b)(5) ]

  Yes

  No

  N/A

• Do all stairways have handrails? [ 29 CFR 1910.23 (d) ]

  Yes

  No

  N/A

• Is the Emergency Response Plan current and kept at entrance or in dispatch? [ 29 CFR 1910.38, ERP ]<br>( Needs to be present in each building in the district that has offices and personnel present on a daily basis)

  Yes

  No

  N/A

• Is a visitor sign in sheet in use? [ ERP ]

  Yes

  No

  N/A

• Comments:

Shop Area

• Is the shop free of trash and debris? [ 29 CFR 1910.22 (a), SAF 6027 ]

  Yes

  No

  N/A

• Are exits clearly marked, illuminated, and operational? [ 29 CFR 1910.37 (b)(2) & (6) ]

  Yes

  No

  N/A

• Are exits unobstructed? [ 29 CFR 1910.37 (a)(3) ]

  Yes

  No

  N/A

• Are fire extinguishers accessible and marked? [ 29 CFR 1910.157 (c)(1), SAF 6014-1 ]

  Yes

  No

  N/A

• Are fire extinguisher inspections current? [ 29 CFR 1910.157 (e)(1), SAF 6014-1 ]

  Yes

  No

  N/A

• Are smoke and carbon monoxide detectors installed in office areas?

  Yes

  No

  N/A

• Are oxygen and acetylene bottles stored properly to prevent tipping, falling, or rolling? [ 29 CFR 1910.253 (b)(2)(ii) & (b)(4) ]

  Yes

  No

  N/A

• Are oxygen and acetylene bottles stored 20 feet apart with caps installed? [ 29 CFR 1910.253 (b)(2)(iv) & (b)(4)(iii) ]

  Yes

  No

  N/A

• Are flammable liquids stored in a fire resistant container and marked "Flammable"? [ 29 CFR 1910.106 (d)(3)(ii) ]

  Yes

  No

  N/A

• Is universal waste segregated from oily rags / gloves / filters? [ EMS WI 451.4 ]

  Yes

  No

  N/A

• Are all petroleum soaked materials kept in fire resistant, covered containers? [ SAF 6014-1 ]

  Yes

  No

  N/A

• Are "NO SMOKING" signs posted in areas that store flammable materials? [ 29 CFR 1910.106 (f)(6) & (g)(8) ]

  Yes

  No

  N/A

• Are all drums or storage tanks stored in or on secondary containment?

  Yes

  No

  N/A

• Are SDS' (MSDS) available to all affected employees and do they know how to retrieve them for the chemicals they work with? [ SAF 6002-2 ]

  Yes

  No

  N/A

• Are secondary containers labeled with the product they contain? [ SAF WI 6002-2 ]

  Yes

  No

  N/A

• Are breaker boxes closed and unobstructed 36"? [ 29 CFR 1910.303 (g), SAF 6012-1 ]

  Yes

  No

  N/A

• Are circuit breakers labeled to indicate use or equipment served? [ 29 CFR 1910.303 (e), SAF 6012-1 ]

  Yes

  No

  N/A

• Is Lock Out / Tag Out used? Are tags properly filled out (Name of person and Date)? [ 29 CFR 1910.147, SAF WI 6003-1 and WI 6003-2 ]

  Yes

  No

  N/A

• Are gas lines marked in shop? [ ANSI A13.1-2007 ]

  Yes

  No

  N/A

• Are air lines marked in shop? [ ANSI A13.1-2007 ]

  Yes

  No

  N/A

• Are water lines marked in shop? [ ANSI A13.1-2007 ]

  Yes

  No

  N/A

• Are electrical outlets marked with available voltage? ( This is a best practice and not a requirement )

  Yes

  No

  N/A

• Is the Hand Tool Inventory and Monthly Inspection Form being utilized and kept on file? [ 29 CFR 1910.242 (a), SAF 6012-1 & 6012-2 ]

  Yes

  No

  N/A

• Is the Sling, Wire Rope, and Certified Chain Monthly Inventory Form being utilized and kept on file?

  Yes

  No

  N/A

• Are Overhead Crane Periodic Inspections being preformed and kept on file? [ 29 CFR 1910.179 (j)(1)(ii), MS050 doc ]

  Yes

  No

  N/A

• Are Overhead Crane Annual Inspections up to date? [ 29 CFR 1910.179 (j)(1)(ii) ]

  Yes

  No

  N/A

• Load rating of crane posted on both sides of bridge and legible? [ 29 CFR 1910.179 (b)(5) ]

  Yes

  No

  N/A

• Are used batteries stored in designated areas?

  Yes

  No

  N/A

• Are electrical cords in good working order? ( No cuts, taped areas, or missing ground plugs?) [ 29 CFR 1910.334 (a)(2)(i) ]

  Yes

  No

  N/A

• Are air hoses in good working order?

  Yes

  No

  N/A

• Are portable ladders without defect and used properly? ( Inspect for cracks ) [ 29 CFR 1910.26 (c)(2)(iv) ]

  Yes

  No

  N/A

• Are Eye Wash Stations in required areas and checked monthly? ( If bottle type, check expiration date and replace if needed ) [ ANSI Z358.1 ]

  Yes

  No

  N/A

• Is access to Eye Wash Stations clear? [ ANSI Z358.1 ]

  Yes

  No

  N/A

• Hard piped Eye Wash Stations and Showers functional? [ ANSI Z358.1 ]

  Yes

  No

  N/A

• Are employees exposed to the hazards created by welding, cutting, or brazing operations protected with proper PPE? [ 29 CFR 1910.252 (b)(2) & (b)(3), SAF 6021-1 ]

  Yes

  No

  N/A

• Are welding leads intact with no bare areas or taped repairs? [ 29 CFR 1910.254 (d)(9)(iii) ]

  Yes

  No

  N/A

• Are torch hoses in good working order? ( No cuts, cracking, or burns? ) [ 29 CFR 1910.253 (e)(5)(v) ]

  Yes

  No

  N/A

• Are torches and regulators equipped with back flow preventers? [ 29 CFR 1910.253 (e)(3)(ii)(C)(3) ]

  Yes

  No

  N/A

• Are welding shields in place to prevent exposure of arc flash to other employees? [ 29 CFR 1910.252 (b)(2)(iii) ]

  Yes

  No

  N/A

• Pallet shelves marked with maximum weight limits?

  Yes

  No

  N/A

• Comments:

Personal Protective Equipment

• Are Hard Hats provided and worn where required? [ 29 CFR 1910.132, 1910.135, SAF 6021-1 ]

  Yes

  No

  N/A

• Are Safety Glasses provided and worn where required? [ 29 CFR 1910.132, 1910.133, SAF 6021-1 ]

  Yes

  No

  N/A

• Are Safety Goggles and Face Shields used in required areas? [ 29 CFR 1910.132, 1910.133, SAF 6021-1 ]

  Yes

  No

  N/A

• Is appropriate hand protection worn where required? [ 29 CFR 1910.132, 1910.138, SAF 6021-1 ]

  Yes

  No

  N/A

• Are Steel-Toed Boots worn in required areas? [ 29 CFR 1910.132, 1910.136, SAF 6021-1 ]

  Yes

  No

  N/A

• Is Hearing Protection used in required areas? [29 CFR 1910.95, 1910.132, SAF 6021-1 ]

  Yes

  No

  N/A

• Are Respirators used in required areas? [ 29 CFR 1910.132, 1910.134, SAF 6021-1 ]

  Yes

  No

  N/A

• Is Fall Protection available and used where required? [ SAF 6021-1 ]

  Yes

  No

  N/A

• Are Chemical Gloves, Face Shields, and Aprons used at the Acid Dock or in required areas? [ SAF 6021-1 ]

  Yes

  No

  N/A

• Comments:

General Environmental

• Are all spills reported and cleaned up immediately? [ EMS ]

  Yes

  No

  N/A

• Any leaks observed during inspection?

  Yes

  No

  N/A

• Are bulk storage areas clean and free of debris? [ EMS FORM 0015 ]

  Yes

  No

  N/A

• Are bulk storage containers properly marked? [ SAF WI 6002-2 ]

  Yes

  No

  N/A

• Are containment areas free of debris? [ EMS FORM 0015 ]

  Yes

  No

  N/A

• Are containment areas free of liquids? [ EMS FORM 0015 ]

  Yes

  No

  N/A

• Is soil around containment areas free from any evidence of a spill?

  Yes

  No

  N/A

• Storm Water Permit on file? (If Required)

  Yes

  No

  N/A

• Storm Water Pollution Prevention Plan (SWPPP) on file?

  Yes

  No

  N/A

• State Waste Water Permit on file? (If Required)

  Yes

  No

  N/A

• SPCC Plan on file?

  Yes

  No

  N/A

• Is the Water Treatment Area clean and functional? [ EMS FORM 0015 ]

  Yes

  No

  N/A

• Are used oil/filters recycling records on file? Not marked as Hazardous Materials? [ EMS 451.4 ]

  Yes

  No

  N/A

• Comments:

Chemical Storage Area

• Area clean and free of debris? [ 29 CFR 1910.22 (a), SAF 6027 ]

  Yes

  No

  N/A

• Are Hazardous Materials stored in accordance with SDS (MSDS) requirements?

  Yes

  No

  N/A

• Is an Eye Wash Station present and functional? [ ANSI Z358.14 52, 53, 54 ]

  Yes

  No

  N/A

• Is a Chemical Shower present and functional? [ ANSI Z358.15 52, 53, 55 ]

  Yes

  No

  N/A

• Are pathways to Shower and Eye Wash clear? [ ANSI Z358.15 52, 53, 55 ]

  Yes

  No

  N/A

• Are Fire Extinguishers accessible and marked? [ 29 CFR 1910.157 (c)(1), SAF 6014-1 ]

  Yes

  No

  N/A

• Are Fire Extinguisher inspections current? [ 29 CFR 1910.157 (e)(1), SAF 6014-1 ]

  Yes

  No

  N/A

• Are Hazardous Chemicals appropriately labeled? [ SAF WI 6002-2 ]

  Yes

  No

  N/A

• Are SDS' available for the products stored and available to employees? [ SAF WI 6002-1 ]

  Yes

  No

  N/A

• All chemicals properly labeled? [ SAF WI 6002-2 ]

  Yes

  No

  N/A

• Do required chemicals have secondary containment?

  Yes

  No

  N/A

• Are "Authorized Personnel Only" signs posted at entrances to storage area?

  Yes

  No

  N/A

• Comments:

Wash Bay

• Do wash wands have trigger type guns?

  Yes

  No

  N/A

• Are wash pumps guarded to prevent injury? [ 29 CFR 1910.212 ]

  Yes

  No

  N/A

• Are fired steam cleaners properly vented and free of combustible materials?

  Yes

  No

  N/A

• Wash Bay clean of debris? [ 29 CFR 1910.22 (a), SAF 6027 ]

  Yes

  No

  N/A

• Are all electrical boxes protected from water contacting them or of the water proof type?

  Yes

  No

  N/A

• Comments:

Laboratories

• Are Hazardous Chemicals stored in locking cabinets?

  Yes

  No

  N/A

• Are Hazardous Chemicals properly marked?

  Yes

  No

  N/A

• Are any unattended mixing or storage cups properly marked?

  Yes

  No

  N/A

• Does the lab have a full flow Eye Wash Station? [ ANSI Z358.1 ]

  Yes

  No

  N/A

• Are "Authorized Personnel Only" signs posted?

  Yes

  No

  N/A

• Is the lab locked when not in use?

  Yes

  No

  N/A

• Is the refrigerator used for chemical storage only? No food or drinks present?

  Yes

  No

  N/A

• Is glassware stored in a locked cabinet with a check out sheet in use? ( This is a best practice and not a requirement)

  Yes

  No

  N/A

• Comments:

• Stop Work Authority: If SWA was utilized during the Facility Audit, please note with details of action stopped and corrections made.