EMS: (TX) Aspects Annual Internal Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• INSTRUCTIONS
  
  1. Answer "Yes", "No", "?" or "n/a on the questions below.
  2. Add photos and notes by clicking on the paperclip icon
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link

STATUS OF PREVIOUS AUDIT FINDINGS

• Have Non-Conformities and Corrective Actions from the last audit been reviewed?

  Yes

  No

  ?

  n/a

• Are Corrective Actions effective for the previous non-conformities raised at the last audit?

  Yes

  No

  ?

  n/a

• Explain:

GENERAL

OPERATIONAL CONTROL

• When was the last Industrial Hygiene Survey?

• Has any NEW equipment, technology, production processes, chemicals, materials and/or activities been added since the last Internal Audit?

  YES

  NO

  ?

• Was the new equipment, technology, production processes, chemicals, materials and/or activities submitted to Corporate EHS for review and evaluation?

  Yes

  No

  ?

  n/a

• Did Corporate EHS add new equipment, technology, production processes, and/or activities to Process Aspect & Impacts Risk Analysis-IFF1.0-02-6.1.2 and evaluate Environmental Aspects & Impacts?

  Yes

  No

  ?

  n/a

• Is the previous Industrial Hygiene Survey still valid?

  Yes

  No

  N/A

  ?

• Have there been any CHANGES in equipment, technology, processes, and/or activities since the last Internal Audit?

  YES

  NO

  ?

• Were these changes submitted to Corporate EHS for review and evaluation?

  Yes

  No

  ?

  n/a

• Did Corporate EHS add changes to Process Aspect & Impacts Risk Analysis-IFF1.0-02-6.1.2 and evaluate Environmental Aspects & Impacts?

  Yes

  No

  ?

  n/a

• Is the previous Industrial Hygiene Survey still valid?

  Yes

  No

  N/A

  ?

HOUSEKEEPING - EXTERIOR

• 1. Facility grounds are free of general trash or other inappropriate debris.

  Select Good Fair Poor N/A

  • Good
  • Fair
  • Poor
  • N/A

• Specify Area

  Select

• 2. Cigarette butt cans are being used and ground is free of butts.

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

• 3. Areas around exits are free from materials, garbage and debris.

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

• 4. Areas around bay doors are free from materials, garbage and debris.

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

• 5. Area around waste water tank is free from materials, garbage and debris.

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

• 6. Items and materials stored outside are neat and orderly.

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

• 7. If items are being stored outside are they organized and in a manner that will prevent personal harm?

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

• 8. Facility storage areas are free of unusable materials and other debris.

  Good

  Fair

  Poor

  N/A

• Specify Area

  Select

HOUSEKEEPING - INTERIOR

• 1. Plant-work areas and floors are orderly and clean (free of trash & debris).

  Good

  Fair

  Poor

  N/A

• Specify Work Area/Station

  Select

• 2. Trash bins are emptied regularly.

  Good

  Fair

  Poor

  N/A

• Specify Work Area/Station

  Select

• 3. Employees are addressing cleanliness issues as they see them?

  Good

  Fair

  Poor

  N/A

• Specify Work Area/Station

  Select

AREA CONTROL

• 1. Only work essentials are in the area to complete the job? (personal items are kept to a bare minimum)

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Are there excess supplies and equipment present?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Are work areas cluttered ( this includes carts, tables and scrap bins in work areas )?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 4. Safe access/egress from work area

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 5. Are electrical panels and circuit breakers free from obstructions?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 6. Are shelves organized (boxes closed, one box open at a time, no trash present)?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 7. Are extension cords being used as permanent powers sources?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 8. Are aisles, exits and fire extinguishers easily accessible and free of obstructions?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 9. Slip/Trip/Fall hazards controlled

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 10. Are pallets and materials laying flat and stacked securely and neatly?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 11. Are pallets that are in use in good condition?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

Emergency Planning and Community Right to Know (EPCRA)

• 1. Tier II assessment completed for existing/new chemicals

  Yes

  No

  ?

  n/a

• 2. Tier II submitted by deadline

  Yes

  No

  ?

  n/a

• 3. Tier II Report Records available for Previous 5 years or since start of operations.

  Yes

  No

  ?

  n/a

Toxic Release Inventory (TRI) Reporting

• 1. Annual usage of TRI chemicals assessed

  Yes

  No

  ?

  n/a

• 2. TRI report submitted by July 1st deadline, records available for previous 5 years or since start of operations

  Yes

  No

  ?

  n/a

• 3. Pollution Prevention Plan reviewed and summary submitted annually

  Yes

  No

  ?

  n/a

• 4. Pollution Prevention Progress Report submitted by July 1st deadline

  Yes

  No

  ?

  n/a

Resource Conservation and Recovery Act (RCRA)

GENERAL WASTE

• 1. Is there any trash on the ground around containers?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Are there any stains or residue on the ground that may indicate the container is leaking?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Are containers in good physical condition (no excessive rust, holes, etc.)?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

WASTE MANAGEMENT

• 1. Waste profiles and reporting current?

  Yes

  No

  ?

  n/a

• 2. Employee training current and documented?

  Yes

  No

  ?

  n/a

• 3. Waste properly disposed?

  Yes

  No

  ?

  n/a

• 4. "2 signature" and "3 signature" copies of each manifest available, if using manifest?

  Yes

  No

  ?

  n/a

• 5. Shipping manifests or other shipping documentation available for at least 3 years?

  Yes

  No

  ?

  n/a

WASTE STORAGE AREA(S)

• 1. Spill kit accessible

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Spill kit contains absorbents

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Spill kit contains PPE

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 4. Fire Extinguisher accessible

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 5. Fire extinguishers inspected and maintained as required

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 6. Employee readily available or within short distance to respond to emergency situation

  Yes

  No

  ?

  n/a

• 7. Emergency response phone posting at storage areas

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 8. Waste storage area labeled

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 9. Waste stored on impervious surface with 100% containment

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 10. Incompatible wastes are adequately separated

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 11. Storage areas free of spills and/or leaks

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 12. Aisle spacing sufficient

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 13. Accumulation amount within generator quantity

  Yes

  No

  ?

  n/a

WASTE CONTAINER MANAGEMENT & INSPECTION

• 1. Containers (drums, boxes, pails) closed and/ or funnel lids latched

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 2. Containers labeled with the words "Hazardous Waste"

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 3. Container label clearly indicates contents

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 4. Containers labeled with accumulation start dates

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 5. Container tops free of spillage & debris

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 6. Containers are compatible with wastes stored

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 7. Containers are in good condition

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 8. Flammable waste containers properly grounded and bonded

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 9. Inspection records available for at least 3 years

  Yes

  No

  ?

  n/a

SATELLITE ACCUMULATION

• 1. Satellite Accumulation areas do not exceed 55 gallons of storage

  Yes

  No

  ?

  n/a

• 2. Satellite containers stored at point of waste generation

  Yes

  No

  ?

  n/a

• 3. Satellite accumulation containers dated correctly

  Yes

  No

  ?

  n/a

• 4. Spill kit accessible and stocked

  Yes

  No

  ?

  n/a

AEROSOL CAN DISPOSAL

• 1. Is the lever and containment cover in good working condition?

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 2. Are aerosol cans punctured and emptied before disposal?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Are aerosol cans placed in proper disposal bins after cans are punctured and emptied?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 4. Is a Hazardous Waste Label with accumulation start date present on drum?

  Yes

  No

  ?

  n/a

• Specify work station(s)

  Select

• 5. Waste shipped offsite within 1 year of accumulation start date?

  Yes

  No

  ?

  n/a

• 6. Shipping manifests or other shipping documentation available for at least 3 years

  Yes

  No

  ?

  n/a

UNIVERSAL WASTE

Battery Disposal

• 1. Adequate signage to indicate location of disposal?

  Yes

  No

  ?

  n/a

• 2. Are batteries (lead acid, rechargeable) properly stored?

  Yes

  No

  ?

  n/a

• 3. Are waste batteries stored in closed container(s)?

  Yes

  No

  ?

  n/a

• 4. Are containers in good physical condition?

  Yes

  No

  ?

  n/a

• 5. Is lid secured to the container(s)?

  Yes

  No

  ?

  n/a

• 6. Is the handle working properly?

  Yes

  No

  ?

  n/a

• 7. Are waste batteries packaged so terminals will not come in contact with each other? (positive ends taped (Scotch) to prevent fire)

  Yes

  No

  ?

  n/a

• 8. Is waste batteries container(s) labeled with a Universal Waste Label?

  Yes

  No

  ?

  n/a

• Accumulation start date indicated on the label?

  Yes

  No

  ?

  n/a

• Waste batteries shipped offsite within 1 year of accumulation start date?

  Yes

  No

  ?

  n/a

• 9. Waste battery shipping documentation available for at least 3 years?

  Yes

  No

  ?

  n/a

• 10. Waste batteries recycled?

  Yes

  No

  ?

  n/a

• 11. Are spill kit(s) accessible and stocked appropriately for waste batteries storage?

  Yes

  No

  ?

  n/a

Waste Lamps / Fluorescent Light Bulbs

• 1. Adequate signage present to indicate location of disposal?

  Yes

  No

  ?

  n/a

• 2. Are broken lamps stored separately in sealed container labeled with contents?

  Yes

  No

  ?

  n/a

• 3. Is container kept closed unless lamps are being added or removed?

  Yes

  No

  ?

  n/a

• 4. Are containers in good physical condition

  Yes

  No

  ?

  n/a

• 5. Is waste lamp(s) container labeled with a Universal Waste Label?

  Yes

  No

  ?

  n/a

• Accumulation start date indicated on the label?

  Yes

  No

  ?

  n/a

• Are waste lamps shipped offsite within 1 year of accumulation start date?

  Yes

  No

  ?

  n/a

• 6. Waste lamp shipping documentation available for at least 3 years?

  Yes

  No

  ?

  n/a

• 7. Waste lamps recycled?

  Yes

  No

  ?

  n/a

• 8. Are spill kit(s) accessible and stocked appropriately for waste lamp storage?

  Yes

  No

  ?

  n/a

E-waste

• 1. Best Management Practices sufficient for current outdoor storage

  Yes

  No

  ?

  n/a

• 2. Employee training current and documented

  Yes

  No

  ?

  n/a

• 3. Waste properly disposed

  Yes

  No

  ?

  n/a

• 4. "2 signature" and "3 signature" copies of each manifest available, if using manifest

  Yes

  No

  ?

  n/a

• 5. Shipping manifests or other shipping documentation available for at least 3 years

  Yes

  No

  ?

  n/a

USED OIL

• 1. Are used oil containers are in good condition?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Are oil containers closed and/or funnel lids are attached unless oil is being added or removed?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Are used oil containers labeled as "Used Oil"

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 4. Are empty oil containers for reuse designated as empty?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 5. Is used oil mixed with other wastes?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 6. Used oil is shipped with registered waste hauler with EPA ID number

  Yes

  No

  ?

  n/a

• 7. Used oil shipping documentation available for at least 3 years

  Yes

  No

  ?

  n/a

• 8. Used oil is recycled

  Yes

  No

  ?

  n/a

• 9. Are spill kit(s) accessible and stocked appropriately for used oil storage?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

Parts Cleaner

• 1. Are waste solvents from all degreasing units stored in covered containers?

  Yes

  No

  ?

  n/a

• 2. Is Standard Work, summarizing how to decrease emissions posted on or near the degreaser ?

  Yes

  No

  ?

  n/a

• 3. Is the unit equipped with a cover which is kept closed when parts are not being handled in the cleaner?

  Yes

  No

  ?

  n/a

Polish Dust

• 1. Any signs of dust being washed off roofs and through down-spouts?

  *YES

  No

  ?

  n/a

• 2. Dust collector appears to be working properly?

  Yes

  No

  ?

  n/a

• 3. Any signs of damage to dust collector

  *YES

  No

  ?

  n/a

• 4. Is there significant polishing dust on the ground?

  *YES

  No

  ?

  n/a

• 5. Does dust appear to be washing away from the immediate area?

  *YES

  No

  ?

  n/a

• 6. Are all dust containers covered?

  Yes

  No

  ?

  n/a

Clean Water Act

WASTEWATER - INDUSTRIAL DISCHARGE

• 1. All waste water discharges evaluated/approved

  Yes

  No

  ?

  n/a

• 2. Discharge Permit current

  Yes

  No

  ?

  n/a

• 3. Reporting current

  Yes

  No

  ?

  n/a

• 4. Sampling current and within limits

  Yes

  No

  ?

  n/a

• 5. Spill/Slug/Total Toxic Organics Plan

  Yes

  No

  ?

  n/a

STORM WATER PREVENTION PLAN (SWPPP)

• 1. No Exposure Certification maintained

  Yes

  No

  ?

  n/a

• 2. Storm water permit current

  Yes

  No

  ?

  n/a

• 3. Pollution Prevention Plan current

  Yes

  No

  ?

  n/a

• 4. Best Management Practices sufficient for current outdoor storage

  Yes

  No

  ?

  n/a

• 5. Inspections/Visual current

  Yes

  No

  ?

  n/a

• 6. Sampling (analytical) current and within limits

  Yes

  No

  ?

  n/a

• 7. Reporting current

  Yes

  No

  ?

  n/a

• 8. Training current

  Yes

  No

  ?

  n/a

• 9. Outdoor area free from process water discharges and drips from haul trucks

  Yes

  No

  ?

  n/a

• 10. Surface waters free of debris

  Yes

  No

  ?

  n/a

Storm Water Run-off & Collection

• 1. Storm water runoff and collection ponds are free of visible pollutants and debris.

  Yes

  No

  ?

  n/a

• Specify Outfall

  Select

• 2. Equipment and other potential pollutants are maintained away from discharge points and drainage paths are protected.

  Yes

  No

  ?

  n/a

• Specify Outfall

  Select

• 3. Outfalls are free and clean of general trash and other inappropriate debris

  Yes

  No

  ?

  n/a

• Specify Outfall

  Select

• 4. Standing, flowing or run-off water present?

  Off

  On

• Is any of the following present: odor, color, solids, foams or oily sheen

  *YES

  No

  ?

  n/a

Die Washer

• Is there a die washer at the facility?

  Off

  On

• 1. Is there any damage to die washer since last inspection?

  Yes

  No

  ?

  n/a

• 2. Are there any leaks/overflow of the "closed-loop" system?

  *YES

  No

  ?

  n/a

• 3. Any damage to the covering to allow rainwater to enter and overflow the system?

  *YES

  No

  ?

  n/a

SPILL PREVENTION, CONTROL & COUNTERMEASURE (SPCC)

Spill Containment for In-Service Drums and/or Pails

• 1. Are all in-service drums stored on a proper secondary containment pad?

  Yes

  No

  ?

  n/a

• Secondary containment is adequate?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• Specify Work Area/Station

  Select

• 2. Are in-service drums in good condition with no leaks?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Are all in-service pails on a proper secondary containment pad?

  Yes

  No

  ?

  n/a

• Secondary containment is adequate?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• Specify Work Area/Station

  Select

• 4. Are in-service pails in good condition with no cracks or leaks?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 5. Are secondary containment pads in good condition? (no leaks, damage, dents

  Yes

  No

  ?

  n/a

• Indicate any issues found during inspection

  Select Possible leakage Dents/Damage Needs Emptying

  • Possible leakage
  • Dents/Damage
  • Needs Emptying

• Specify Work Area/Station

  Select

• 6. Are all secondary containment pads free of other objects that would reduce the containment volume in the event of a spill?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 7. Are spill containment kits available nearby?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 8. Are adequate supplies available in spill kits?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 9. Are spill kits clearly labeled and easily accessible?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

Oil Storage & Spill Containment

• 1. Are any IBC Totes damaged or leaking?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Are drums not in use stored on proper secondary containment pad?

  Yes

  No

  ?

  n/a

• Secondary containment is adequate?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• Specify Work Area/Station

  Select

• 3. Are any drums damaged or leaking?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 4. Are barrels completely sealed to prevent leakage?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 5. Any leaks or damage to secondary containment and/or coverage?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 6. Are any totes or drums stored outside?

  *YES

  No

  ?

  n/a

• Specify Area

  Select

Above Ground Storage Tanks (USED OIL / WASTE OIL / WASTE WATER)

• 1. Any damage to tank body, footings and/or secondary containment?

  *YES

  No

  ?

  n/a

• 2. Any spills present around storage tank?

  *YES

  No

  ?

  n/a

Process Equipment & Dies

• Leaks can occur from either the service side of tooling (dies) or from the structural seal failure side of the press or machine. In either case contamination can occur from the petroleum based product.

• 1. Are there any significant leaks from equipment containing oil?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Are pads or absorbent materials being used consistently or as the main solution to contain leakage?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 3. Is excessive oil present in the die racks?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 4. Is excessive oil present around presses or equipment?

  *YES

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 5. Are pads or absorbent materials being used to contain leakage and keep the floor dry?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 6. Are hydraulic hoses in good condition with no damage or significant wear?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

Clean Air Act

AIR QUALITY

• No visible air emissions from plant, vehicles and equipment

  Yes

  No

  ?

  n/a

• Dust suppression activities effective in preventing excessive dust

  Yes

  No

  ?

  n/a

AIR PERMITTING

• Does the facility have an Air Permit?

  Off

  On

• 1. Emission units assessed

  Yes

  No

  ?

  n/a

• 2. Air Permit current

  Yes

  No

  ?

  n/a

• 3. Air Permit available onsite

  Yes

  No

  ?

  n/a

• 4. Material usage/emissions record keeping current and within limits

  Yes

  No

  ?

  n/a

• 5. Reporting current

  Yes

  No

  ?

  n/a

• 6. Greenhouse Gas Reporting current, if required

  Yes

  No

  ?

  n/a

• 7. Compliance testing current and within limits

  Yes

  No

  ?

  n/a

• 8. Operating and Maintenance Plan current

  Yes

  No

  ?

  n/a

• 9. Operating requirement: Daily fugitive and visual emission inspections

  Yes

  No

  ?

  n/a

• 10. Operating requirement: Maintain records of equipment maintenance

  Yes

  No

  ?

  n/a

• 11. Operating requirement: Keep equipment functioning to manufacturers specs and perform annual tune-up as specified by the manufacturer.

  Yes

  No

  ?

  n/a

STORAGE OF GASES & CHEMICALS ON-SITE

Compressed Gas Cylinders

• 1. Is the area in and around where compressed gases are stored kept in neat and orderly manner to prevent additional hazards?

  Yes

  No

  ?

  n/a

• Specify Work Area/Station

  Select

• 2. Are Safety Chains utilized across each section?

  Yes

  No

  N/A

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• 3. Are cylinders legibly marked to clearly identify the type of gas?

  Yes

  No

  ?

  n/a

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• 4. Are compressed gas cylinders stored in their marked section of the Compressed Gas Storage Area?

  Yes

  No

  ?

  n/a

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• 5. Are empty cylinders appropriately marked, their valves closed and stored in their marked section of the Compressed Gas Storage Area?

  Yes

  No

  ?

  n/a

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• 6. Are compressed gas cylinders stored in areas protected from external heat sources such as flame impingement, intense radiant heat, electric arcs, or high-temperature lines?

  Yes

  No

  ?

  n/a

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• 7. Are cylinders located or stored in areas where they will not be damaged by passing or falling objects or subject to tampering by unauthorized persons?

  Yes

  No

  ?

  n/a

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• 8. Are valve protectors always placed on cylinders when the cylinders are not in use or connected for use?

  Yes

  No

  ?

  n/a

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• 9. Are signs posted reading “DANGER, NO SMOKING, MATCHES, OR OPEN LIGHTS, ” or the equivalent?

  Yes

  No

  ?

  n/a

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• 10. Any corrosion, general distortion, cracks or any other defect to cylinders indicating a weakness or render then unfit for service?

  *YES

  No

  ?

  n/a

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Hazard Communication

• 1. Are all containers such as spray bottles, pails, vats, storage tanks, etc., identified with a GHS Compliant Label?

  Yes

  No

  ?

  n/a

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• 2. Are safety cans used for dispensing flammable or combustible liquids at the point of use?

  Yes

  No

  ?

  n/a

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• 3. Are all flammable liquids kept in closed containers when not in use (e.g., parts cleaning tanks, pans, etc.)?

  Yes

  No

  ?

  n/a

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• 4. Is proper storage practiced to minimize the risk of fire, including spontaneous combustion?

  Yes

  No

  ?

  n/a

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• 5. Is each container for a hazardous substance (i.e., vats, bottles, storage tanks, etc.) labeled with product identity, signal word (i.e. danger) and a hazard pictogram (communication of the specific health hazards and physical hazards)?

  Yes

  No

  ?

  n/a

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• 6. Have all employees been trained on the Global Harmonization System (GHS) per OSHA Standard 1910.1200 Hazard Communication?

  Yes

  No

  ?

  n/a

• 7. Are employees adhering to General Safety Rules when using and storing hazardous materials?

  Yes

  No

  ?

  n/a

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ENVIRONMENTAL PERFORMANCE

Use of Energy

• 1. Any air leaks around production equipment?

  *YES

  No

  ?

  n/a

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• 2. Any air leaks around hand tooling?

  *YES

  No

  ?

  n/a

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• 3. Are lights turned off when not required?

  Yes

  No

  ?

  n/a

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• 3. Any Energy Conservation methods implemented and/or in place?

  Yes

  No

  ?

  n/a

• 4. Are Energy Conservation methods being followed?

  Yes

  No

  ?

  n/a

Scrap Metal Recycling

• 1. Are Scrap Bins stored under some type of covering such as a canopy or carport.

  Yes

  No

  ?

  n/a

• 2. If Scrap Bins are not stored under cover are they tarped or covered to prevent accumulation of rain water?

  Yes

  No

  ?

  n/a

• 3. Any oily residue on Scrap Metal?

  *YES

  No

  ?

  n/a

• 4. Any residue on the ground indicating scrap bins are leaking?

  *YES

  No

  ?

  n/a

Recycling

• Are Recycling Services available and present at plant?

  Off

  On

• Are recycling materials being sorted and containers utilized properly?

  Yes

  No

  ?

  n/a

• Are containers clearly marked and available?

  Yes

  No

  ?

  n/a

• Any improper disposal of recyclable materials in containers?

  *YES

  No

  ?

  n/a

• Recycling used copper tips and properly maintaining containers at collection stations?

  Yes

  No

  ?

  n/a

SECURITY & EMERGENCY

• 1. Are outdoor lights undamaged and in proper working condition?

  Yes

  No

  ?

  n/a

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• 2. Is fencing in good condition (e.g. free of holes, broken posts, large ground clearance gaps)?

  Yes

  No

  ?

  n/a

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• 3. Are gates in good condition and working properly?

  Yes

  No

  ?

  n/a

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• 4. Are all sprinkler system valves in the open position?

  Yes

  No

  ?

  n/a

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• Any errors at the fire alarm system control?

  *YES

  No

  ?

  n/a

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