Information
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Audit Title
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Pad
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CHK Rep
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Location
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Conducted on
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Contractors Onsite
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Prepared by
HAZCOM
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SDS'S available and accessible at all times
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All containers in work area properly labeled with NFPA and HMIS labels
PPE
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FR clothing worn properly by crew, buttoned, zipped and sleeves down
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Safety glasses with side shields used by crew
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Hard hats used by crew
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Hard toed shoes used by crews
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Hand protection used when necessary
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Hazardous jewelry not worn by crew
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Long hair contained
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Proper PPE worn while handling chemicals, based in SDS/HMIS
HEARING PROTECTION
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High noise areas present and marked
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Proper hearing protection available
LOTO
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LOTO being used
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Locks and tags available to crew
FIRST AID ANID CARDIOPULMONARY RESUSCITATION
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First aid training provided
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First aid supplies available onsite
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Adequate 2-way radio or cell phone communication available
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Emergency phone numbers posted
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Provisions made for workers with known allergies
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Provisions made for prompt medical attention
CHEMICAL, FLAMMABLE AND COMBUSTABLE LIQUIDS/MATERIALS
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When not in use, flammable and combustibles are stored in designed area or cabinets
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All containers are grounded and bonded, conforming to manufacturers specifications when dispensing flammable or combustable liquids
HEAT AND COLD STRESS
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All workers taking precautions for heat and cold
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Heat stress and cold stress training provided
FIRE PROTECTION
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Fire extinguisher available is vehicles and all work areas
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Annual inspection tag present
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Monthly inspection tags present on each extinguisher
ELECTRICAL SAFETY
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Electrical equipment 600V or greater labeled as HIGH VOLTAGE
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Work clearance of 36" maintained in front of electrical equipment
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Fixed equipment and portable equipment connect by cord grounded
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Only 3 wire cords in good condition used onsite
POWERED AIND INDUSTRIAL TRUCKS (FORKLIFTS, HEAVY EQUIPMENT, AND TELEHANDLERS)
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Operators certified and certificate available
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OPERATOR QUALIFICATION
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Seatbelt provided (per manufacturer)
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Backup alarm working
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Auxiliary lighting working
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Horn working
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Rated lifting capacity
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Pre-use inspection checklist completed
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Tires in good condition
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Refueling and hydraulic lines checked with engine off
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No damage to windows or mirrors
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Parked with brake on, key removed and forks grounded
LIFTING AND CARRYING SAFETY
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Proper lifting and carrying techniques being used
WALKING AND WORKING SURFACES
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Any working surfaces above 4' from the ground must be protected by a work platform with guardrails at least 42" above platform, have a mid-rail and toe-boards or personal fall protection
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Fall arrest system must have full body harness, deceleration device and a lifeline
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Anchorage for fall arrest equipment must be capable of supporting 5,000lbs
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All walking/working surfaces are clear of debris and tripping hazards and/or tripping hazards have been identified
LADDER SAFETY
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No wooden ladders allowed onsite
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Metal ladders must have a warning label for electrical caution
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Ends or feet of ladder must be fitted with insulated non-slip material
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Extension ladders must extend 3' past the landing if used to access another working surface and secured
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3 points of contact utilized by workers while on ladder
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Fixed ladders and cellar ladders are inspected and in good condition
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Portable ladders inspected monthly and noted on monthly ladder inspection
BLOOD BORNE PATHOGENS EXPOSURE CONTROL
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Blood borne pathogen kit available onsite
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Blood borne pathogen exposure training complete
PRE JOB SAFETY ASSESSMENT
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Pre PJSA safety tour of site conducted
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Daily safety meeting being conducted
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Accidents, if any, are discussed during safety meetings
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PJSA filled out properly and completely
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Individual contractors conducting JSA to identify task-specific hazards
GENERAL
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Proper incident reporting procedure known and utilized by workers
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Stop Work Authority in use
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Adequate communication between contractors onsite
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Emergency response plan understood
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Smoke point identified outside of gate
Takepoint/Booster Site
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Containment in good condition
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No visible leaks on pumps
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Pumps are manned while running
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Air compressor line secured with whipcheck
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Tires chocked on wheeled units
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Access road in good condition, no dirt/debris left on public roadway
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Temporary fence in place when necessary at impoundment takepoints
ADDITIONAL COMMENTS
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