EHS Area Assessment

• The information contained within this inspection document is attorney-client privileged.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Housekeeping

• Are areas kept clean and orderly, free of accumulated trash?

  Yes

  No

  N/A

• Are aisles and walkways kept unobstructed?<br>- 28" minimum width in production areas<br>- 36" minimum width in main paths to emergency egress

  Yes

  No

  N/A

• Is area free of slip, trip, and fall hazards?<br>- matting, cords, carts, communication boards, etc.

  Yes

  No

  N/A

• Is equipment stored on top of file and storage cabinets where it can be easily knocked off?

  Yes

  No

  N/A

• Is there evidence of food or beverage consumption within labs or machine shops?

  Yes

  No

  N/A

• Is there sufficient clearance for sprinkler systems throughout the area?<br>- minimum 18" clearance

  Yes

  No

  N/A

• Do fall and crush hazards exist within the area?<br>- damaged storage systems, racks, reels, etc.

  Yes

  No

• Do storage racks meet ANSI MH16.1:2008 standards?<br>- any damage?<br>- weight capacities labeled and followed?

  Yes

  No

  N/A

• Are pallet storage and racking inspection logs completed on a regular basis?

  Yes

  No

  N/A

Employees

• Are employees observed wearing required personal protective equipment (PPE)?<br>- safety glasses<br>- chemical resistant gloves while handling chemicals

  Yes

  No

  N/A

• Is personal protective equipment properly stored and accessible?

  Yes

  No

  N/A

• Are employees knowledgeable of how to find a SDS for chemicals they may use?

  Yes

  No

  N/A

• Are employees knowledgeable of the hazards of the chemicals they work with?

  Yes

  No

  N/A

• Are employees knowledgeable of what to do when the fire alarm sounds?

  Yes

  No

  N/A

• Are employees knowledgeable of evacuation routes and assigned assembly area?

  Yes

  No

  N/A

• Are employees knowledgeable of how to report an EHS issue?

  Yes

  No

  N/A

• Are employees knowledgeable of how to report an injury or illness?

  Yes

  No

  N/A

• Are employees familiar with how to make an emergency page (Code 200 or 300)?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Manager/Supervisor

• Is manager/supervisor knowledgeable of how to document an injury or illness?

  Yes

  No

  N/A

• Is manager/supervisor aware of routine and expected safety hazards within department?

  Yes

  No

  N/A

• List:

• Does manager/supervisor conduct periodic EHS walk throughs of assigned areas with subordinate staff?

  Yes

  No

  N/A

• What is looked for from an EHS perspective?

• What is the corrective action process for issues noted?

• Does manager/supervisor or designate conduct department safety topic meetings with subordinate staff?

  Yes

  No

  N/A

• How often?

• What subject matter?

• Is manager/supervisor aware of the most recent incident/illness report within their department?

  Yes

  No

  N/A

• What corrective actions have been taken?

• Does manager/supervisor employ equipment repair and maintenance technicians?

  Yes

  No

  N/A

• Has the Electrical Safety - Qualified Electrical Worker Review by Manager been completed and returned to EHS?

  Yes

  No

  N/A

• Does manager/supervisor maintain an up-to-date evacuation headcount list for assigned employees?

  Yes

  No

  N/A

• Has manager/supervisor been trained on P070 Quality Training Policy for Medtronic Danvers?

  Yes

  No

  N/A

• List 1 - 3 indirect labor employees (process engineers, equipment process technicians, equipment maintenance technicians) and determine if assigned training is current (contact training staff to review). Determine if FM2696 on file with HR for selected employees. Compare assigned duties to assigned training to ensure EHS training consistent with current duties of employee(s).

• Does manager/supervisor's job description list any EHS requirements/responsibilities?<br>-contact HR to review job description on file

  Yes

  No

  N/A

• Does manager/supervisor include EHS staff in routine meetings?

  Yes

  No

  N/A

Emergency Preparedness

• Are exit signs illuminated and/or visible?

  Yes

  No

  N/A

• Are doors not leading to an exit properly labeled "Not an Exit"

  Yes

  No

  N/A

• Are all exit doors operable and not blocked?

  Yes

  No

  N/A

• Is there a clear path to all exit doors?

  Yes

  No

  N/A

• Are emergency phone numbers posted on phones?

  Yes

  No

  N/A

• Are fire extinguishers present and accessible?

  Yes

  No

  N/A

• Are safety showers and eyewash stations present and accessible?

  Yes

  No

  N/A

Chemicals/Hazardous Waste

• Are all chemical containers properly labeled?

  Yes

  No

  N/A

• Are red solvent wipes waste cans properly labeled?

  Yes

  No

  N/A

• Are waste containers overfilled?

  Yes

  No

  N/A

• Are all waste container lids secured closed?

  Yes

  No

  N/A

• Are chemical containers properly stored?<br>- flammables in flammable storage cabinets<br>- corrosives in corrosive storage cabinets

  Yes

  No

  N/A

• Are containers left on bench tops, cabinets, or equipment where they could be easily knocked off?

  Yes

  No

  N/A

• Are inventories posted on chemical storage cabinets?

  Yes

  No

  N/A

Electrical

• Are extension cords used in place of permanent wiring?

  Yes

  No

  N/A

• Are all equipment disconnects, junction boxes, outlets, and switch covers properly labeled?

  Yes

  No

  N/A

• Is there evidence of torn or frayed wiring on equipment and/or tools?

  Yes

  No

  N/A

• Is there 36" of clearance in front of all electrical panel boards?

  Yes

  No

  N/A

• Is there a clear path to all service disconnects?

  Yes

  No

  N/A

• Are covers present and secured on all junction boxes, outlets and circuit breakers?

  Yes

  No

  N/A

• Are cords kept off floors and away from chemical exposures?

  Yes

  No

  N/A

• Are non-approved plug strips used for tooling or daisy chained?

  Yes

  No

  N/A

Process Equipment

• Is equipment that processes or contains chemicals properly labeled?

  Yes

  No

  N/A

• Are all process exhausts equipped with manometer/magnehelic gauges?

  Yes

  No

  N/A

• Are emergency shutoffs accessible and properly labeled?

  Yes

  No

  N/A

• Is there evidence of leaks on equipment that processes chemicals?

  Yes

  No

  N/A

• Are equipped waste containers properly connected and labeled?

  Yes

  No

  N/A

• Are gas cylinders properly secured with chains or straps?

  Yes

  No

  N/A

• All gas, waste, water, and compressed air lines properly labeled?

  Yes

  No

  N/A

• Is machine guarding in place and serviceable?

  Yes

  No

  N/A

Ergonomics

• Are employees observed working in neutral postures?

  Yes

  No

  N/A

• Are there any unusual pinch points, compression, posture, or lifting activities?

  Yes

  No

  N/A

Miscellaneous