Field Audit Walk - Through Inspection Report & Covid 19

• Site conducted

  Select

• Date

  Date

• Time

  Date

• Member

• Location
  Address

• Contact

• Activity

• Prepared by

I. Postings

• 1. Are required notices available at job site?

  Yes

  No

  N/A

• 2. If tractors available, is the tractor poster posted?

  Yes

  No

  N/A

• 3. If forklift available, is the forklift poster posted?

  Yes

  No

  N/A

• 4. Is the "new" 4 x 4 company sign posted at filed entrance ?

  Yes

  No

  N/A

• 5. Notice to employee: Labor Code Section 2810.5

  Yes

  No

  N/A

II. First Aid and CPR

• 1. Is supervisor/Foreman current with First Aid/ CPR ? (At least 1 trained worker for every 20 workers?

  Yes

  No

  N/A

• Who? and Expiration Date?

• 2. Are adequate first aid materials available at farm/ranch and on crew buses if applicable?

  Yes

  No

  N/A

• 3. Is there a procedure for replenishment of first aid materials?

  Yes

  No

  N/A

• 4. Is the Doctor Letter of Approval of First Aid Contents available ?

  Yes

  No

  N/A

III. Transportation

• 1. Do labor bus drivers have a valid driver's license?

  Yes

  No

  N/A

• 2. Are trucks and buses used to transport employees equipped with dry-chemical fire extinguishers (not carbon tetrachloride type) of at least 4 pounds?

  Yes

  No

  N/A

IV. Heat Illness Prevention Plan

• 1. Is the Written Heat Illness Prevention Plan (HIPP) available at job site in English and the language that workers understand?

  Yes

  No

  N/A

• 2. Is the HIPP current 2015?

  Yes

  No

  N/A

• 3. Have employees been trained on all the measures?

  Yes

  No

  N/A

• 4. Have the supervisor/foreman been trained on all the Cal/Osha requirements ?

  Yes

  No

  N/A

• 5. Is igloo and valve kept clean ?

  Yes

  No

  N/A

• 6. Is water close and practical to employees?

  Yes

  No

  N/A

• 7. Is potable water provided and placed in locations readily accessible to all workers during working hours?

  Yes

  No

  N/A

• 8. Is the required amount of water available? ( 1/4 gallon per employee per hour )

  Yes

  No

  N/A

• 9. Is potable water for drinking dispensed in single use drinking cups?

  Yes

  No

  N/A

• 10. Is potable water for drinking colorless, odorless, and tasteless?

  Yes

  No

  N/A

• 11. Is potable water for drinking suitable cool?

  Yes

  No

  N/A

• 12. Is shade available at job site?

  Yes

  No

  N/A

• 13. Is the shade enough to accommodate all the employees?

  Yes

  No

  N/A

• 14. Is the shade as close as practicable?

  Yes

  No

  N/A

• 15. Have supervisor/foreman been trained on high heat procedures? (95 degrees F or more)

  Yes

  No

  N/A

V. Other Programs/Training's

• 1. Is the Injury and Illness Prevention Program (IIPP) available at job site in English and the language that workers understand?

  Yes

  No

  N/A

• 2. Are the pesticide postings filled out? (A8 - A9)

  Yes

  No

  N/A

• 3. Is there a written Emergency Action Plan available at the job site in English the language that workers understand?

  Yes

  No

  N/A

• 4. Have all workers been trained for WPS and/or Pesticide Handler?

  Yes

  No

  N/A

• 5. Have all workers been trained on Sexual Harassment Prevention for employees?

  Yes

  No

  N/A

• 6. At remote locations, are provisions made in advance for prompt medical attention?

  Yes

  No

  N/A

• 7. Are maps and address to job site and nearest clinic/hospital available?

  Yes

  No

  N/A

VI. Machinery, Tractor, and Forklift Safety

• 1. Is all agricultural equipment guarded to prevent accidental contact by workers?

  Yes

  No

  N/A

• 2. Are safe practices for operating agricultural equipment, including procedures for cleaning, repairing, servicing, and adjusting, being followed?

  Yes

  No

  N/A

• 3. Is all machinery or equipment capable of movement, required to be de-energized or disengaged and blocked, or locked out during cleaning, servicing, adjusting or setting-up operations?

  Yes

  No

  N/A

• 4. Do machines have guards on them?

  Yes

  No

  N/A

• 5. Have employees been trained how to work safely around machines?

  Yes

  No

  N/A

• 6. Do workers now how to turn off machines in an emergency?

  Yes

  No

  N/A

• 7. Are safe work practices being followed during operation of machinery?

  Yes

  No

  N/A

• 8. Are emergency cut-off switches easily located and identified, and do workers know where they are?

  Yes

  No

  N/A

• 9. Are workers made aware of hazards caused by faulty hand tools?

  Yes

  No

  N/A

• 10. Are portable screw conveyors located seven feet or less above the work level substantially covered or guarded?

  Yes

  No

  N/A

Tractor

• 1. Are all tractor operators current with training?

  Yes

  No

  N/A

• 2. Are employees conducting daily pre-use inspections on tractors?

  Yes

  No

  N/A

• 3. Are there roll over protection structures (ROPS) on all tractors manufactured after October 25, 1976?

  Yes

  No

  N/A

• 4. Are seat belts provided on all equipment with ROPS?

  Yes

  No

  N/A

• 5. Are drivers wearing their seat belt?

  Yes

  No

  N/A

• 6. Is the power take-off (PTO) shaft guarded?

  Yes

  No

  N/A

• 7. Do self-propelled vehicles have an operator at the controls?

  Yes

  No

  N/A

• 8. Is self-propelled equipment provided with parking breaks?

  Yes

  No

  N/A

• 9. Are headlights and rear lights provided for night work?

  Yes

  No

  N/A

Forklift

• 1. Are all forklift operators current with training?

  Yes

  No

  N/A

• 2. Are employees conducting daily pre-use inspections on forklifts?

  Yes

  No

  N/A

• 3. Does the forklift have a sign showing load capacity?

  Yes

  No

  N/A

• 4. Is there a horn or another warning device?

  Yes

  No

  N/A

• 5. Are employees trained on all other equipment used?

  Yes

  No

  N/A

VII. Personal Protective Equipment

• 1. Are employees required to use PPE ( coverall, gloves, eye protection, respirators, ear plugs, ect.) ?

  Yes

  No

  N/A

• 2. Is PPE provided to employees?

  Yes

  No

  N/A

• 3. Is PPE being used properly?

  Yes

  No

  N/A

• 4. Is PPE the correct ANZI approved?

  Yes

  No

  N/A

• 5. Are multiple sizes of PPE available to fit different workers?

  Yes

  No

  N/A

• 6. If respirators are used, have workers been fit-tested and trained in the elements of the written Respiratory Protection Program?

  Yes

  No

  N/A

• 7. Is PPE cleaned, maintained and stored properly?

  Yes

  No

  N/A

• 8. Have workers using PPE been trained in its proper use?

  Yes

  No

  N/A

VIII. Bathrooms

• 1. Are adequate toilet and hand-washing facilities available? This means that there is a toilet and hand-washing facility for every 20 employees of each sex located with in a quarter mile walk, or, if not feasible, at the closest point of vehicular access?

  Yes

  No

  N/A

• 2. If portable bathrooms, are they labeled properly (Male/Female)?

  Yes

  No

  N/A

• 3. As the bathrooms, kept clean and serviced regularly?

  Yes

  No

  N/A

• 4. Is their hand washing water and labeled properly?

  Yes

  No

  N/A

• 5. Is soap, hand towels, and toilet paper provided?

  Yes

  No

  N/A

• 6. Is the bug screen placed properly?

  Yes

  No

  N/A

• 7. Are door locks available?

  Yes

  No

  N/A

• 8. Are restrooms and shades separated?

  Yes

  No

  N/A

• 9. Is a garbage can available?

  Yes

  No

  N/A

IX. House Keeping, Biological Hazards

• 1. Are all work areas kept clean and orderly ?

  Yes

  No

  N/A

• 2. Are work areas kept dry?

  Yes

  No

  N/A

• 3. Are spilled materials picked up immediately?

  Yes

  No

  N/A

• 4. Is combustible scrap or debris removed from work area?

  Yes

  No

  N/A

• 5. Are employees demonstrating good safety practices, if no? please explain.

  Yes

  No

  N/A

• undefined

• 6. Are there clean eating areas where there is not exposure to toxic substances?

  Yes

  No

  N/A

• 7. Does the employer have a system for employees to communicate their concerns about safety and health matters without fear of reprisal, including concerns about work practices and the safe use of hazardous materials including pesticides, cleaners, and fertilizers?

  Yes

  No

  N/A

X. Department of Labor Requirements

• 1. Are employees taking breaks on time?

  Yes

  No

  N/A

• 2. Did the employee take a 30-minute lunch before 5 hours of work on a 8-hour work shift?

  Yes

  No

  N/A

XI. Supervisors Heat Illness Prevention Plan Verbal Test

• 1. Does the Supervisor know how much is the required amount of water at jobsite?

  Yes

  No

  N/A

• 2. Does the Supervisor know the distance from the crew to the water?

  Yes

  No

  N/A

• 3. Does the Supervisor know the shade requirements?

  Yes

  No

  N/A

• 4. Does the supervisor know the maximum distance from shade to crew?

  Yes

  No

  N/A

• 5. Does the Supervisor know at what temperature does shade needs to be available?

  Yes

  No

  N/A

• 6. Does the Supervisor know what the replenishment procedures for water?

  Yes

  No

  N/A

• 7. Does the Supervisor know at what temperature is consider high heat procedures?

  Yes

  No

  N/A

• 8. Does the Supervisor know the physical address for the jobsite?

  Yes

  No

  N/A

• 9. Does the Supervisor know the procedures when employees are feeling ill?

  Yes

  No

  N/A

• 10. Does the Supervisor know the 2 types of heat illness and the symptoms?

  Yes

  No

  N/A

XII. Covid -19

• 1. Is the written Covid - 19 plan available ?

  Yes

  No

  N/A

• 2. Are sanitation procedures in place ?

  Yes

  No

  N/A

• 3. Have employees received Covid - 19 training ?

  Yes

  No

  N/A

• 4. Are employees wearing face mask / mouth coverings ?

  Yes

  No

  N/A

• 5. Is social distancing of 6ft. being followed?

  Yes

  No

  N/A

XIII. Recommendations

• 1.Recommendations

  Yes

  No

  N/A

• 2. Recommendations

  Yes

  No

  N/A

• 3.Recommendations

  Yes

  No

  N/A

• 4. Recommendations

  Yes

  No

  N/A

• 5.Recommendations

  Yes

  No

  N/A

• 6.Recommendations

  Yes

  No

  N/A

• 7.Recommendations

  Yes

  No

  N/A

• 8.Recommendations

  Yes

  No

  N/A

• 9.Recommendations

  Yes

  No

  N/A

• 10.Recommendations

  Yes

  No

  N/A