EHS LOCATION VISIT - Section 0.23

• Site/ Client:

• Inspection Location:
  Address

• (PIC) Person In Charge:

• Conducted on:

  Date

• Prepared by:

• The following is to be utilized by operational management/supervision as a guide of completing the noted corrective action(s) for each visitation observance. For each compliance alignment that has been recognized; the line item response identifying corrective action(s) taken is a requirement of closure for record.

PREVIOUS INSPECTION DATA

• Have all previous findings been addressed and closed?

  Yes

  N/A

  No

• Identify incomplete items, persons and/ or departments that are responsible for closure and expected closure dates

• 1.0 VISITATION INFORMATION

Supportive Inspection Data

Description of Observance

• Observance Reference:

  Media

• Foundational Pillar Exposures:

  Select Safety and Environmental Adherence Quality Communication Custormer Service

  • Safety and Environmental Adherence
  • Quality
  • Communication
  • Custormer Service

• Asset Exposures:

  Select People Permits

  • People
  • Permits

• Observance: (EHS Professional)

• Corrective Actions/ Improvements Taken (if applicable): (Operations Professional)

• Preventive Plan Forward (if applicable): (Operations Professional)

2.0 HOUSEKEEPING

• Pictures of the area are a requirement of this section

• Area Photograph(s)

  Media

• Comments

3.0 SPECIALITY OR CRITICAL TASK

• Area Photograph(s)

  Media

• Comments

4.0 WORK AREA SAFETY DRIVEN

• O to 5 you have observed behavior and/or questioned personnel and decided the work area is Production Driven. 6-10 is you have observed behavior and/or questioned personnel and decided the work area is Safety Driven

• Does the environment offer a designated area for food and drink consumption outside of the work area and are waste receptacles emptied regularly

  Yes

  No

  N/A

• Are food or beverages consumed only in areas where there is no exposure to toxic material, blood, or other potentially infectious materials

  Yes

  No

  N/A

• Does the approach to work include properly executed JSEA(s), documentation of relevant safety meeting topics, use of Section 0.16 - Project Management Tool (all (3) phases, adequate permitting, BBS available and KPI focused

  Yes

  No

  N/A

• Are pre-use inspections being performed on all Company owned pieces of equipment

  Yes

  No

  N/A

• Are pre-use inspections documented; i.e. leaks (oil, air and water), cleanliness, appearance of signs and logos, safety equipment, lights, tires, etc.

  Yes

  No

  N/A

• If applicable- is the facility equipped with gangways that are in support of the standard (access to vessels 1915.74(a))

  Yes

  No

  N/A

• If applicable- Are all water coolers sealed and labeled with a date of liquid fill

  Yes

  No

  N/A

• Add media

  Media

• Comments

5.0 ACTION ITEMS

• Site Related:

• Management Related:

• Employee Related:

• Safety and/or Environmental Related:

6.0 ONSITE CONVERSATION/ CONCERNS

• Comments

7.0 VISITATION REVIEW SIGNATURES

• (PIC) Person In Charge Name

  Sign

• Name of Facilitator/ EHS Representative

  Sign