Field Support Compliance Assessment

• Assessment Type<br>

  OSHA Walkthrough

  New Station/Facility Opening
• Location
  Address

• Department

  Select GO - Ramp GO - CS GO - Ops Provo GO - Cargo MX - Hangar MX - Line GSE CS&S - Center CS&S - TOPS Flight Ops Inflight HDQ - Main HDQ - TCB HDQ - TOPS Flight Sims

  • GO - Ramp
  • GO - CS
  • GO - Ops
  • Provo
  • GO - Cargo
  • MX - Hangar
  • MX - Line
  • GSE
  • CS&S - Center
  • CS&S - TOPS
  • Flight Ops
  • Inflight
  • HDQ - Main
  • HDQ - TCB
  • HDQ - TOPS
  • Flight Sims

• Accompanied By

• Title

• Field Support Team Representative

  Select Arman Nolcox Brent Askins Jesse Munguia Patrick Mazza Wilberto Alvarado Ryan O'Connor

  • Arman Nolcox
  • Brent Askins
  • Jesse Munguia
  • Patrick Mazza
  • Wilberto Alvarado
  • Ryan O'Connor

• Conducted on

  Date

1. Safety Management Administration

• 1.1. Has the Stations local Facility Emergency Plan been revised within the last twelve months and is available for Employee access and review?

  Yes

  No

  N/A

• 1.2. Is the Southwest Airlines Injury Illness Prevention Plan or Accident Prevention Plan on file in the location Manager's office or easily accessible area (web)?

  Yes

  No

  N/A

• 1.3. Are Safety Committee meetings conducted monthly and documented with meeting minutes?

  Yes

  No

  N/A

• 1.4. Are copies of monthly Safety Committee meeting minutes retained on file at the station for no less then 12-months?

  Yes

  No

  N/A

• 1.5. Are monthly Safety Committee announcements posted in advance of the next Safety Meeting showing the date and time?

  Yes

  No

  N/A

• 1.6. Are monthly Safety Committee meeting minutes posted on a bulletin board so that they are accessible for all Employees to review and distributed to all departments?

  Yes

  No

  N/A

• 1.7. Is Management present at the Safety Committee meeting?

  Yes

  No

  N/A

• 1.8. Is the 2008 version of the North American Emergency Response Guidebook available in Operations?

  Yes

  No

  N/A

2. Medical Services and First Aid

• 2.1. Is there a hospital, clinic, or infirmary for medical care in the proximity of the work place?

  Yes

  No

  N/A

• 2.2. Are first aid stations and kits stocked with adequate quantities of the required first aid supplies and easily identified and accessible to employees?

  Yes

  No

  N/A

• 2.3. If applicable, are Employees trained and currently certified in First Aid/CPR/AED listed on a bulletin board or identified by some other means that allows for Employees needing help to contact one of these individuals?

  Yes

  No

  N/A

• 2.4. Do you have the Advanced First Aid Kit in and Area that is accessible during all operational times and do all Employees know where it is located?

  Yes

  No

  N/A

• 2.5. Is there a means provided for quick drenching or flushing of the eyes and body in areas where corrosive liquids or materials (including lead-acid batteries) are handled?

  Yes

  No

  N/A

• 2.6. Are weekly checks of plumbed eyewash/shower stations conducted and documented on the appropriate tag or logged in a file?

  Yes

  No

  N/A

• 2.7. Are non-plumbed eye wash devices maintained per the manufacturer's recommendations?

  Yes

  No

  N/A

3. Fire Safety

• 3.1. Is a Minimum of 18 inches of clearance is maintained between sprinkler heads and storage below? Minimum of 24 inches in non-sprinkler areas of buildings)?

  Yes

  No

  N/A

• 3.2. Is smoking allowed only in approved, designated areas?

  Yes

  No

  N/A

• 3.3. Are appropriate ash and cigarette receptacles located in designated smoking areas?

  Yes

  No

  N/A

• 3.4. Are portable fire extinguishers provided in adequate number and type?

  Yes

  No

  N/A

• 3.5. Are fire extinguishers available within 75 feet of all Employee work areas?

  Yes

  No

  N/A

• 3.6. Is there a clear and unobstructed access maintained for all fire extinguishers?

  Yes

  No

  N/A

• 3.7. Are fire extinguisher annual inspection tags / records current?

  Yes

  No

  N/A

• 3.8. Are fire extinguisher monthly inspection tags/ records current?

  Yes

  No

  N/A

• 3.9. Are fire extinguishers mounted with the top no higher than 5 ft. above the floor?

  Yes

  No

  N/A

• 3.10. Are fire extinguishers of the appropriate class for their assigned location (A-B-C, Ordinary Combustibles)?

  Yes

  No

  N/A

• 3.11. Is there a 125 pound, wheeled fire extinguisher located at every gate?

  Yes

  No

  N/A

• 3.12. Is there a ten pound fire extinguisher available on all air stairs, deice trucks, air starts, fuel trucks, GPUs, Heater/Air Carts, Lav Truck/Barges?

  Yes

  No

  N/A

• 3.13. Is the maintenance of automatic sprinkler systems assigned to responsible persons or to a sprinkler contractor?

  Yes

  No

  N/A

4. Life Safety

• 4.1. Are Facility maps posted with evacuation routes and assembly areas identified?

  Yes

  No

  N/A

• 4.2. Are Employees aware of the identified means of egress and evacuation assembly areas when they are required to leave the work area due to an emergency?

  Yes

  No

  N/A

• 4.3. Are all emergency exits and means of egress free from obstructions?

  Yes

  No

  N/A

• 4.4. Are primary emergency exits clearly identified with an exit sign that is equipped with an auxiliary illumination device that deploys in the event of a power loss?

  Yes

  No

  N/A

• 4.5. Are exit signs equipped with directional arrows to exit ways when not immediately apparent?

  Yes

  No

  N/A

• 4.6. Are all exits kept free of obstructions that does not compromise the means of egress?

  Yes

  No

  N/A

• 4.7. Are doors, passageways, or stairways which could be mistaken for exits, appropriately marked "NOT AN EXIT", "STOREROOM", etc.?

  Yes

  No

  N/A

• 4.8. Are adequate barriers and warnings provided to prevent employees stepping into the path of traffic where exit doors directly discharge into any area where vehicles may be operated?

  Yes

  No

  N/A

• 4.9. Are special precautions taken to protect employees during construction/renovation projects and repair operations?

  Yes

  No

  N/A

• 4.10. Do exit doors swing in the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

  Yes

  No

  N/A

5. Electrical Safety

• 5.1. Do you specify compliance with OSHA for all contract electrical work?

  Yes

  No

  N/A

• 5.2. Are electrical enclosures such as switches, receptacles, junction boxes, etc., provided with tight-fitting covers or plates?

  Yes

  No

  N/A

• 5.3. Are electrical rooms kept clean and free of combustible material?

  Yes

  No

  N/A

• 5.4. Are all circuit panels unobstructed and accessible to employees? Is the space in front of all circuit panels not less than 36 inches deep and 30 inches wide and free of stored materials?

  Yes

  No

  N/A

• 5.5. Are electrical panels/breaker boxes free from open spaces that could expose a person to an electrical shock hazard? (Live wire cover plates, spaces between breakers, missing plugs or switches, etc.)?

  Yes

  No

  N/A

• 5.6. Are electrical panels/breaker boxes equipped with a cover plate and panel box door with a working door latch?

  Safe

  At Risk

  N/A

• 5.7. Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Yes

  No

  N/A

• 5.8. Do circuit breakers clearly indicate that they are in the “ON” or “OFF” position?

  Yes

  No

  N/A

• 5.9. Are all electrical boxes 600 volts or higher placarded as “HIGH VOLTAGE”?

  Yes

  No

  N/A

• 5.10. Are receptacles located within six feet of a water supply (sink, emergency eyewash station/shower) protected by ground fault circuit interrupters (GFCIs)?

  Yes

  No

  N/A

• 5.11. Work area is free from multi-plug adapters. (Limited use of UL-approved multi-receptacle surge protectors is permitted provided they are not “daisy chained” together.)

  Yes

  No

  N/A

• 5.12. Is permanent wiring in place? (i.e. extension cords used only as a temporary source of transferring power while permanent wiring is being installed?

  Yes

  No

  N/A

• 5.13. Are all flexible extension cords in good condition and free of splices or taps?

  Yes

  No

  N/A

• 5.14. Are extension cords equipped with a grounding pin?

  Yes

  No

  N/A

• 5.15. Are extension cords not “daisy chained” together?

  Yes

  No

  N/A

• 5.16. Are extension cords of the proper gauge for the level of power transfer used?

  Yes

  No

  N/A

• 5.17. Do all extension cords have a grounding conductor? (Limited use of UL-approved multi-receptacle surge protectors is permitted provided they are not “daisy chained” together)?

  Yes

  No

  N/A

• 5.18. Are extension cords used as permanent wiring and fed through walls, ceiling, floors or under carpeting?

  Yes

  No

  N/A

• 5.19. Are portable electrical tools and equipment grounded or of the double insulated type?

  Yes

  No

  N/A

• 5.20. Are electrical appliances such as vacuum cleaners, polishers, vending machines, etc., grounded?

  Yes

  No

  N/A

• 5.21. Are flexible electrical cords or surge protectors installed to provide strain relief tension that from the weight of the cord won't be transmitted to the conductor terminals (i.e. joints and terminal screws of the plug head)?

  Yes

  No

  N/A

• 5.22. Do receptacles installed in a wet location where the product intended to be plugged into it is not attended while in use (for example, sprinkler system controllers, landscape lighting, and holiday lights) have an enclosure that is weatherproof with the attachment plug cap inserted or removed?

  Yes

  No

  N/A

6. Flammable Combustable Material

• 6.1. Are aerosol spray lids securely attached to top of can when not in use?

  Yes

  No

  N/A

• 6.2. Are flammable and combustible liquids stored in approved flammable storage cabinets?

  Yes

  No

  N/A

• 6.3. Are flammable liquid cans/containers stored in Flammable Storage Cabinet? (Cabinets are required to be labeled "Flammable-Keep Fire Away")?

  Yes

  No

  N/A

• 6.4. Are grounding straps used properly on all flammable liquid drums?

  Yes

  No

  N/A

• 6.5. Are the insides of all flammable storage cabinets are clear of cardboard, trash, and other combustible paper product?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 6.7. Are there indications that Employees have been smoking within 25-feet of flammable storage areas?

  Yes

  No

  N/A

• 6.8. Are LP tanks stored in an area away from vehicular traffic, areas where Employees or Customers congregate, external heat sources, and exits?

  Yes

  No

  N/A

• 6.9. Are LP tanks chained or strapped to a wall or in an approved storage cage. (Full and empty LP tanks may be stored together.)?

  Yes

  No

  N/A

• 6.10. Is mechanical ventilation used and functional to control exposures from dust and fumes for painting and grinding operations?

  Yes

  No

  N/A

• 6.11. Are lighting fixtures for spray booths located outside of the booth and the interior lighted through sealed clear panels?

  Yes

  No

  N/A

• 6.12. Is the spray area at least 20 feet from flames, sparks, operating electrical motors, and other ignition sources?

  Yes

  No

  N/A

• 6.13. Are fire protection sprinkler heads kept clean and free of spray residue within paint booths?

  Yes

  No

  N/A

• 6.14. Are “No Smoking” signs posted in spray areas, paint rooms, paint booths, and paint storage areas?

  Yes

  No

  N/A

• 6.15. Are metal waste cans with self-closing lids used for oily and paint-soaked waste?

  Yes

  No

  N/A

7. General Work Environment/Housekeeping

• 7.1. Are all worksites clean and orderly?

  Yes

  No

  N/A

• 7.2. Is ramp apron and surrounding areas kept free from excessive debris, trash, trip hazards and/or material that can damage an aircraft?

  Yes

  No

  N/A

• 7.3. Are all spilled materials or liquids cleaned up immediately?

  Yes

  No

  N/A

• 7.4. Is combustible scrap, debris, and waste stored safely and removed from the worksite promptly?

  Yes

  No

  N/A

• 7.5. Are all work areas adequately illuminated for the activity being performed?

  Yes

  No

  N/A

8. Lockout Tagout Procedures

• 8.10. Are Employees working with conveyors trained regarding the location and use of emergency stopping devices and the proper procedures for conveyor operation?

  Yes

  No

  N/A

• 8.11. Are bag belts sufficiently guarded to prevent Employee exposure to moving parts or pinch points?

  Yes

  No

  N/A

• 8.12. Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shutdown?

  Yes

  No

  N/A

• 8.13. Are employees prohibited from riding on conveyors?

  Yes

  No

  N/A

• 8.1. 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, whenever required?

  Yes

  No

  N/A

• 8.2. Are conveyors equipped with emergency stop controls that require manual resetting resuming conveyor operation?

  Yes

  No

  N/A

• 8.3. Are clearly marked, unobstructed emergency stop buttons or pull cords installed within easy reach of workers?

  Yes

  No

  N/A

• 8.4. Do all controls or power sources accept a lockout/tagout device to allow a safe method to clear bag jams or maintenance operations?

  Yes

  No

  N/A

• 8.5. Are prominent warning signs or lights installed to alert workers to the conveyor operation?

  Yes

  No

  N/A

• 8.6. Are a sufficient number of tags hasps and safety padlocks provided?

  Yes

  No

  N/A

• 8.7. Does the lock-out procedure require that stored energy (mechanical, hydraulic, air, etc.) be released or blocked before equipment is locked-out for repairs?

  Yes

  No

  N/A

• 8.8. Are audible start-up alarms provided for the baggage conveyor?

  Yes

  No

  N/A

• 8.9. Are all emergency stop buttons colored red?

  Yes

  No

  N/A

9. Machine Guarding

• 9.1. Are methods provided to protect the operator and other employees in the machine area from hazards created at the point of operation, in-going nip points, rotating parts, flying chips, and sparks?

  Yes

  No

  N/A

• 9.2. Is equipment and machinery securely placed and anchored, when necessary, to prevent tipping or other movement that could result in personal injury?

  Yes

  No

  N/A

• 9.3. Is all machinery and equipment kept clean and properly maintained?

  Yes

  No

  N/A

• 9.4. Is sufficient clearance provided around and between machines to allow for safe operations, set up and servicing, material handling and waste removal?

  Yes

  No

  N/A

• 9.5. Are all pulleys and belts that are within 7 feet of the floor or working level properly guarded?<br><br>

  Yes

  No

  N/A

• 9.6. Are all moving chains and gears properly guarded?

  Yes

  No

  N/A

• 9.8. Are fan blades protected with a guard having openings no larger than ½ inch, when operating within 7 ft. of the floor?

  Yes

  No

  N/A

• 9.9. Are saws used for ripping equipped with anti-kickback devices and spreaders?

  Yes

  No

  N/A

10. Abrasive Wheel Equipment - Grinder

• 10.6. Is each electrically operated grinder effectively grounded?

  Yes

  No

  N/A

• 10.1. Is the work rest used and kept adjusted to within 1/8 inch of the wheel?

  Yes

  No

  N/A

• 10.2. Is the adjustable tongue on the top side of the grinder used and kept adjusted to within 1/4 inch of the wheel?

  Yes

  No

  N/A

• 10.4. Are bench and pedestal grinders permanently mounted?

  Yes

  No

  N/A

• 10.3. Do side guards cover the spindle, nut and flange and 1/3 of the wheel diameter?

  Yes

  No

  N/A

• 10.5. Are goggles or face shields always worn when grinding?

  Yes

  No

  N/A

11. Hoist and Auxiliary Equipment

• 11.1. Is the rated load of each hoist legibly marked and visible to the operator?

  Yes

  No

  N/A

• 11.2. Do operators look for signs of wear, twist, cracks, distorted links, or excessive stretch in hooks, hoist chains, end connections, and excessive mechanism component wear?

  Yes

  No

  N/A

• 11.3. Are only employees who have been trained in the proper use of hoists designated to operate them?

  Yes

  No

  N/A

• 11.4. Does documentation also include the date of the inspection and an identification of the parts inspected?

  Yes

  No

  N/A

• 11.5. Are only employees who have been trained in the proper use of hoists designated to operate them?

  Yes

  No

  N/A

12. Walking and Working Surfaces

• 12.1. Are walking and working areas free of slip, trip and fall hazards?

  Yes

  No

  N/A

• 12.2. Are holes in the floor, sidewalk, or other walking surface repaired properly, covered, or otherwise made safe?

  Yes

  No

  N/A

• 12.3. Is there safe clearance for walking in aisles where motorized or mechanical handling equipment is operating?

  Yes

  No

  N/A

• 12.4. Are spilled materials cleaned up immediately?

  Yes

  No

  N/A

• 12.5. Are changes of the elevation of the walking surface common path of travel readily identifiable by caution signage or highlighted pavement markings?

  Yes

  No

  N/A

• 12.6. Are aisles or walkways that pass near moving or operating machinery, welding operations, or similar operations arranged so that Employees will not be subjected to potential hazards?

  Yes

  No

  N/A

• 12.7. Does ice room/freezer floor allow for proper drainage and kept dry and free of ice build-up?

  Yes

  No

  N/A

13. Stairs and Stairways

• 13.1. Are all stairways, aisles and access ways kept clear of trip hazards and not used for storage?

  Yes

  No

  N/A

• 13.2. Are standard stair rails or handrails on all stairways?

  Yes

  No

  N/A

• 13.3. Are step risers on stairs uniform from top to bottom, with no riser spacing greater than 7.5 inches?

  Yes

  No

  N/A

• 13.4. Are steps on stairs and stairways designed or provided with a surface that renders them slip resistant?

  Yes

  No

  N/A

• 13.5. Are stairway handrails capable of withstanding a load of 200 pounds, applied in any direction?

  Yes

  No

  N/A

14. Elevated Work Surfaces

• 14.1. Do elevated storage platforms have approved egress/access and fall protection?

  Yes

  No

  N/A

• 14.2. Is Fall Protection available and used at the Provisioning Dumpster location?

  Yes

  No

  N/A

• 14.3. Is adequate fall protection available on unprotected docks with an elevation greater than 4 feet?

  Yes

  No

  N/A

• 14.4. Is fall protection closures provided for all dock lift units?

  Yes

  No

  N/A

• 14.5. Is fall protection slides/gates not damaged and in good working order?

  Yes

  No

  N/A

• 14.6. Is fall protection on Provo trucks slides/gates in good working order and extended when provisioning an A/C.

  Yes

  No

  N/A

• 14.7. Are mezzanines posted with signs that have the load rating capacity?

  Yes

  No

  N/A

• 14.8. Are open sided floors, platforms and runways having a drop of more than 4 ft. guarded by a standard railing?

  Yes

  No

  N/A

• 14.9. Are all elevated surfaces (beneath which people could be exposed to falling objects) provided with standard 4-inch toeboards?

  Yes

  No

  N/A

15. Personal Protective Equipment and Clothing

• 15.1. Are protective goggles or face shields provided and worn, where there is any danger of flying particles or corrosive materials?

  Yes

  No

  N/A

• 15.2. Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries such as punctures, abrasions or contusions?

  Yes

  No

  N/A

• 15.3. Are approved hearing protection devices available to all Employees who work in high noise level areas?

  Yes

  No

  N/A

• 15.4. Is use of hearing protection enforced when Employees are working in an elevated noise environment?

  Yes

  No

  N/A

• 15.5. Is a Copy of the Hearing Protection Regulation available and a sign posted in the area indicating where that regulation can be found?

  Yes

  No

  N/A

• 15.6. Are protective gloves, aprons, shields, or other means provided to protect against cuts, corrosive liquids, and chemicals enforced and utilized when servicing the aircraft lavatory?

  Yes

  No

  N/A

• 15.7. Are knee protection pads used by Employees who are working in aircraft cargo bins?

  Yes

  No

  N/A

• 15.8. Does each employee working on the ramp have their assigned bin pin?

  Yes

  No

  N/A

• 15.9. Are approved respirators provided for spray painting and for some confined space operations and/or for emergency use where needed?

  Yes

  No

  N/A

• 15.10. Is all protective equipment maintained in a sanitary condition and ready for use?

  Yes

  No

  N/A

• 15.11. Do you have eyewash facilities and a quick drench shower within the work area where employees are exposed to injurious corrosive materials?

  Yes

  No

  N/A

• 15.12. Are adequate work procedures, protective clothing and equipment provided and used when cleaning up spilled toxic or otherwise hazardous materials or liquids?

  Yes

  No

  N/A

16. Material Handling

• 16.1. Are pallet racks in good condition and securely braced to the floor and or wall?

  Yes

  No

  N/A

• 16.2. Is material stored on elevated surfaces piled, stacked, or racked in a manner to prevent it from tipping, falling, collapsing, rolling, or spreading during storage?

  Yes

  No

  N/A

• 16.3. Is product stored above 12’ secured to rack or pallet?

  Yes

  No

  N/A

• 16.4. Is compressed cardboard secured to pallets and stored no more than two pallets high?

  Yes

  No

  N/A

• 16.5. Is there cargo placed on top of covered bag carts or other unsafe places (tug hoods or top) for transport?

  Yes

  No

  N/A

• 16.6. Are dock boards or bridge plates used when transferring materials between truck and docks?

  Yes

  No

  N/A

• 16.7. Are trucks and trailers secured from movement during loading and unloading operations?

  Yes

  No

  N/A

17. Hazard Communication

• 17.1. Are trucks and trailers secured from movement during loading and unloading operations?

  Yes

  No

  N/A

• 17.2. Is MSDS access information available to all Employees? Select a random employee and request they locate MSDS on SWALife

  Yes

  No

  N/A

• 17.3. Are all containers of chemicals labeled to identify their contents and associated hazards?

  Yes

  No

  N/A

• 17.4. Are 3E company phone number labels and posters visibly displayed in all work areas (break rooms, offices, ticket counters and telephone receivers)?

  Yes

  No

  N/A

18. Blood borne Pathogens

• 18.1. Do employees follow universal precautions to prevent contact with blood or other potentially infectious materials?

  Yes

  No

  N/A

• 18.2. Are engineering and work practice controls implemented before personal protective equipment is used?

  Yes

  No

  N/A

• 18.3. Is personal protective equipment such as gloves, gowns, laboratory coats, face shields or masks, and eye protection provided free to persons potentially exposed to bloodborne pathogens?

  Yes

  No

  N/A

• 18.4. Are employees familiar with the location, supplies and disposal procedures for BBP waste?

  Yes

  No

  N/A

• 18.5. Are BBP clean-up kits readily available?

  Yes

  No

  N/A

• 18.6. Are BBP Incident and Exposure checklists readily available in the work area?

  Yes

  No

  N/A

19. Ergonomics

• 19.1. Are proper body mechanics displayed while loading and unloading the aircraft?

  Yes

  No

  N/A

• 19.2. Are "HEAVY" tags available at sky cap locations to identify heavy luggage.

  Yes

  No

  N/A

• 19.3. Do Agents use "HEAVY" tags to notify Ramp Employees of heavy baggage or other objects?

  Yes

  No

  N/A

• 19.4. Is a trash dumping unit available and used at the dumpster site?(Provo Station Only)

  Yes

  No

  N/A

• 19.5. Are anti-fatigue mats located at each fixed position and around carousel as needed?

  Yes

  No

  N/A

• 19.6. Is the carousel or belt height between 29 and 33 inches?

  Yes

  No

  N/A

• 19.7. Are Bag wells two inches higher or the same height as the bag belt?

  Yes

  No

  N/A

• 19.8. Do Agents display proper body positioning while lifting bags or other heavy objects?

  Yes

  No

  N/A

• 19.9. Are keyboards properly positioned in the neutral position and close to the Agent to reduce wrist fatigue?

  Yes

  No

  N/A

• 19.10. Are height adjustable flat panel monitors and keyboard trays adjusted to the appropriate height and neutral position of the agent?

  Yes

  No

  N/A

• 19.11. Are bags stacked to a maximum height of no more than approximately one bag level above the top rail of bag carts?

  Yes

  No

  N/A

• 19.12. Do Agents display proper body positioning while seated at their desk/cubicle?

  Yes

  No

  N/A

• 19.13. Are Personnel Transfer Kits (PTK) available in each jet bridge (or other easily accessible location) for Employee use as a material handling aid when transferring special needs Customers?

  Yes

  No

  N/A

20. Powered Industrial Trucks (PIT)

• 20.1. Has annual SET Training and required Forklift Training been conducted or scheduled for the current year?

  Yes

  No

  N/A

• 20.2. Are forklifts equipped with seatbelts and working horn?

  Yes

  No

  N/A

• 20.3. Are Employees observed wearing seatbelts while operating forklifts?

  Yes

  No

  N/A

• 20.4. Is there a capacity, operation and maintenance instruction placard on each forklift?

  Yes

  No

  N/A

• 20.5. Parking brake on each forklift is sufficient enough to prevent the vehicle from moving when left unattended?

  Yes

  No

  N/A

• 20.6. Are wheel chocks available for the use of trucks to prevent them from rolling while they are boarded with PITs?

  Yes

  No

  N/A

• 20.7. Are forklifts maintained in a clean condition and free from dust, oil or grease build-up on vital vehicle components?

  Yes

  No

  N/A

• 20.8. Is the laminated Forklift Operator's Daily Checklist attached to each vehicle and clearly indicates that an inspection was completed for that current shift of operation, or at the end of the last shift of operation.

  Yes

  No

  N/A

• 20.9. Are all dock doors closed when not in use or when a truck is parked and unloading?

  Yes

  No

  N/A

21. Sanitation

• 21.1. Are the ice machines cleaned on the inside and outside on a regular basis and those cleanings documented?

  Yes

  No

  N/A

• 21.2. Are signs posted near ice machine directing Employees to wash hands prior to handling or bagging ice?

  Yes

  No

  N/A

• 21.3. Are “NO SMOKING” signs posted near the ice machine lemon/ lime room?

  Yes

  No

  N/A

• 21.4. Are ice bags and scoops stored in a sanitary manner including storage of the ice scoop inside of a bag?

  Yes

  No

  N/A

• 21.5. Are ice machine doors are closed when nobody is dispensing ice from the hopper?

  Yes

  No

  N/A

• 21.6. Are the three-compartment sinks, dishwashers or alternative methods in place to clean utensils when required?

  Yes

  No

  N/A

• 21.7. Are the chemical test strips available and used to measure sanitizing solution concentrations?

  Yes

  No

  N/A

• 21.8. Is there a proper sanitation protocol in place for utensils?

  Yes

  No

  N/A

• 21.9. Are the potable water cabinet doors kept closed and latched when not in use?

  Yes

  No

  N/A

• 21.10. Does potable water cabinet have only stainless steel interiors?

  Yes

  No

  N/A

• 21.11. Are the potable water carts and cabinets labeled “Potable Water” or “Drinking Water” in 3 inch letters?

  Yes

  No

  N/A

• 21.12. Are potable water cabinets clean and not used for any supplemental storage of non-related material?

  Yes

  No

  N/A

• 21.13 Are the potable water hoses stored properly and the caps securely attached when not in use?

  Yes

  No

  N/A

• 21.14. Are the potable water hose connections clean and in good condition?

  Yes

  No

  N/A

• 21.15. Are the potable water hoses equipped with rubber disks or other approved devices to protect the nozzle end from contamination from possible contact with the ground or other foreign objects?

  Yes

  No

  N/A

• 21.16. Are the potable water hoses in good condition and free from signs of alga or other biological growth, discoloration, cracks, and/or cuts?

  Yes

  No

  N/A

• 21.17. Are break rooms maintained in a clean and sanitary condition?

  Yes

  No

  N/A

• 21.18. Are the minimum number of toilets and washing facilities provided?

  Yes

  No

  N/A

• 21.19. Are all toilets and washing facilities clean and sanitary?

  Yes

  No

  N/A

• 21.20. Are all areas free from water and/or sewer leaks?

  Yes

  No

  N/A

• 21.21. Are areas around hot water tanks and plumbing free from signs of leaks?

  Yes

  No

  N/A

22. Welding, Cutting and Brazing

• 22.1. Are Employees exposed to the hazards created by welding, cutting, brazing, or painting operations protected by personal protective equipment?

  Yes

  No

  N/A

• 22.2. Is the gas content of compressed gas cylinders marked with either the chemical or the trade name of the gas?

  Yes

  No

  N/A

• 22.3. Are cylinders stored in assigned places away from radiators, other sources of heat, stairs, and/or places they will not be knocked over or damaged?

  Yes

  No

  N/A

• 22.4. Are valve protection caps in place and hand-tight except when in use or connected for use?

  Yes

  No

  N/A

• 22.5. Are cylinders, cylinder valves, couplings, regulators, hose and apparatus kept in good condition and free from oily or greasy substances?

  Yes

  No

  N/A

• 22.6. Is care used in handling and storage of cylinders, safety valves, relief valves, etc., to prevent damage?

  Yes

  No

  N/A

• 22.7. Are cylinders kept away from sources of heat?

  Yes

  No

  N/A

• 22.8. Are the cylinders kept away from elevators, stairs, or gangways?

  Yes

  No

  N/A

• 22.9. Are empty cylinders appropriately marked and their valves closed?

  Yes

  No

  N/A

• 22.10. Are signs reading: "DANGER NO SMOKING, MATCHES, OR OPEN LIGHTS," or the equivalent, posted?

  Yes

  No

  N/A

• 22.11. Are cylinders, cylinder valves, couplings, regulators, hoses, and apparatus kept free of oily or greasy substances?

  Yes

  No

  N/A

• 22.12. Unless secured on special trucks, are regulators removed and valve protection caps put in place before moving cylinders?

  Yes

  No

  N/A

• 22.13. Are liquefied gases stored and shipped valve-end up with valve covers in place?

  Yes

  No

  N/A

• 22.14. Are fire watchers assigned when welding or cutting is performed in locations where a serious fire might develop?

  Yes

  No

  N/A

• 22.15. Is it required that eye protection helmets, hand shields, and goggles meet appropriate standards?

  Yes

  No

  N/A

23. Compressed Gas Cylinders

• 23.1. Are cylinders legibly marked to clearly identify the gas contained in them?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 23.3 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

• 23.4. Are cylinders stored or transported in a manner to prevent them from creating a hazard by tipping, falling, or rolling?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 23.6. Compressed air systems have pressure reduced to 30 PSI and are not used<br>for cleaning clothing?<br>

  Yes

  No

  N/A

24. Motor Fleet Safety

• 24.4. Are Equipment Out of Service tags (SAM 449) available to all Employees and used to initiate a repair request?

  Yes

  No

  N/A

• 24.5. Seat belt worn by operator?

  Yes

  No

  N/A

• 24.3. Are all Industrial vehicles inspected once daily to ensure all Safety equipment is operational (every 24-hours) prior to each shift?

  Yes

  No

  N/A

• 24.6. Are only authorized (trained) personnel permitted to operate industrial vehicles?

  Yes

  No

  N/A

• 24.7. Is it prohibited to fuel an internal combustion engine with a flammable liquid while the engine is running?

  Yes

  No

  N/A

• 24.8. Are fueling operations done in such a manner that likelihood of spillage will be minimal?

  Yes

  No

  N/A

• 24.9. Is smoking prohibited in the vicinity of fueling operations?

  Yes

  No

  N/A

• 24.1. Do employees who operate vehicles on public thoroughfares have valid operator's licenses?

  Yes

  No

  N/A

• 24.2. Are vehicles used to transport employees equipped with lamps, brakes, horns, mirrors, windshields, and turn signals in good repair?

  Yes

  No

  N/A

25. Posting Requirements

• 25.1. Are the OSHA or State-required posters, including Worker's Compensation, displayed in common areas within the workplace (i.e., 5-in-1 poster)?

  Yes

  No

  N/A

• 25.2. Is the OSHA 300A SUMMARY form is posted for Employee review from February 1st through May 1st of each year?

  Yes

  No

  N/A

• 25.3. Are Local Emergency contacts and phone numbers current and posted near the telephones?

  Yes

  No

  N/A

• 25.4. Are Safety Reporting System (SRS) postings visible in the workplace and do the Employees understand how to submit an SR if needed?

  Yes

  No

  N/A

• 25.5. Is HAZMAT signage (WN929) posted and visible at the Ticket Counter, Skycap Cargo and gate podiums?

  Yes

  No

  N/A

26. Construction Safety

• 26.1. Are renovation areas in occupied buildings isolated so that dust and debris is confined to the renovation or construction area?

  Yes

  No

  N/A

• 26.2. Have employees been notified at least 24 hours in advance, or promptly in emergency situations, of work to be performed on the building that may introduce air contaminants into their work area?

  Yes

  No

  N/A

27. Asbestos Safety

• 27.1.

  Yes

  No

  N/A

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