Information
-
Member Company:
-
Conducted on:
-
Conducted by:
-
Member Company Representative:
General
I. POSTING OF NOTICES (29 CFR 1903 & 1904)
-
1. "Safety and Health Protection on the Job" Poster (1903.2) is posted/on file.
-
2. Current year's OSHA 300 Log and 5 years of previous Summary of Occupational Injuries (1904.5) is on file.
-
3. Current OSHA 300A and 5 years of summary form posted (February-April).
-
4. Emergency phone numbers are accurate and prominently posted.
II. NEW EMPLOYEE ORIENTATION
-
1. Company has a New Employee Orientation Program.
-
2. Documentation of training is available for new seasonal, part-time, full-time, and temp agency employees prior to exposure to job/task related hazards.
-
3. New hire orientation training is documented.
III. ACCIDENT REPORTING (29 CFR 1904)
-
1. Communicated to employees the need to promptly report losses (all types).
-
2. Medcor help line posted for employees to see.
-
3. First aid, CPR/AED training is documented (required when not close to medical facility).
Emergency Planning & Response
IV. EMERGENCY ACTION PLANS (29 CFR 1910.38)
-
1. Facility has a written, updated and current Action Plan.
-
2. Emergency action plan training is documented.
V. EMERGENCY PLANNING AND RESPONSE (PF-1) (29 CFR 1910)
-
1. Company has a written, updated, and current Emergency Response Plan.
-
2. Elements of the plan have been communicated to outside agencies.
-
3. PPE and emergency equipment identified.
-
4. Media coordinator identified.
-
5. Necessary emergency PPE is available (i.e. Emergency respirators, rain gear, eye wash/shower, first aid kit. Etc.).
Hazard Communication
VI. HAZARD COMMUNICATION (29 CFR 1910.1200)
-
1. A written Hazard Communication Program has been implemented.
-
2. A list of chemicals at the facility is available.
-
2A. All employees are trained when a new hazard (chemical) is introduced or when job duties change.
-
3. Safety Data Sheets are available for each chemical on site.
-
4. Contractors are informed about chemicals on site and provide information about chemicals brought on site.
-
5. Hazard Communication training is documented.
PPE & Environmental Health
VII. HAZARD ASSESSMENTS (29 CFR 1910.132)
-
1. Hazard Assessment program has been implemented.
-
2. A PPE Matrix or equivalent is posted for employees to reference.
VIII. INDUSTRIAL HYGIENE MONITORING (29 CFR 1910.94, 1910.95)
-
1. IH testing has been completed for Dust and control measures have been implemented.
-
2. IH testing has been completed for Noise and control measure have been implemented.
-
3. IH testing has been completed for Toxins and control measures have been implemented.
IX. PPE (29 CFR 1910.132 Subpart I)
-
1. PPE is provided to employees.
-
2. Procedures are in place to ensure defective or damaged PPE is not used and replaced.
-
3. Procedures are in place to ensure employee-owned PPE is adequate.
-
4. Personal Protective Equipment training is documented.
X. RESPIRATORY PROTECTION (29 CFR 1910.134)
-
1. When required, respirators are provided for employee use.
-
2. When required, a written Respiratory Protection Program has been implemented.
-
3. Program is reviewed at least annually or when new hazards are identified.
-
4. Medical evaluations on file for applicable employees.
-
5. Fit testing is conducted annually and documented.
XI. Fall Protection (29 CFR 1910.28-29, 29 CFR 1926. Subpart E & M)
-
1. Fall Protection program has been implemented.
-
2. Fall protection equipment (harness, lanyard, etc.) and provided, inspected (prior to use, after a fall event, and annually-documented), and properly maintained.
-
3. Fall protection inspections have been documented.
-
4. Fall protection anchorage points certified and inspected according to the manufacturer.
-
5. Fall protection equipment from the same manufacturer to ensure compatibility.
Hot Work
XII. HOT WORK PERMITTING (29 CFR 1910 Subpart Q)
-
1. Written Hot Work procedures have been implemented.
-
2. Permit procedures document fire prevention and protection requirements.
-
3. Procedures establish permanent Hot Work areas.
-
4. Written procedures have been implemented for issuing Hot Work permit to outside contractors.
-
5. Fire Prevention Program implemented.
-
6. Hot work training is documented.
General Environmental Controls
XIII. CONFINED SPACE (29 CFR 1910.146)
-
1. All Permit Required Confined Spaces have been identified.
-
2. Written Confined Space program has been implemented and is on file.
-
3. When Permit Required Confined Space rescue is necessary, rescue will be performed by outside agency.
-
4. Outside agency has inspected Permit Required Confined Space for hazards, identified rescue equipment needed, and conducted rescue drill.
-
5. Copies of completed entry permits on file.
-
6. Is a handheld air monitor available and properly maintained?
-
7. Confined Space Authorized Entrants training is documented.
-
8. Confined Space Entry Supervisors training is documented.
-
9. Confined Space Attendants training is documented.
XIV. LOCKOUT/TAGOUT (29 CFR 1910 Subpart S)
-
1. Location has implemented a written LOTO program.
-
2. Assessment of Energy Sources Evaluation has been completed.
-
3. Location has equipment-specific energy control procedures for applicable equipment.
-
4. Location has identified Authorized LOTO employees.
-
5. LOTO devices are available for use by Authorized employees?
-
6. Periodic job task assessments are completed to verify implementation.
-
7. Lockout/Tagout authorized employees training is documented.
-
8. Lockout/Tagout affected employees training is documented.
Training
XV. TRAINING DOCUMENTATION (29 CFR 1910)
-
1. Anhydrous ammonia competent attendant training is documented (annually or 3 years according to state regulation).
-
2. HAZWOPER training is documented.
-
3. HAZWOPER annual refresher is documented.
-
4. Pesticide handlers under the Worker Protection Standard training is documented.
-
5. Fuel (Safety Phase 5) training is documented.
-
6. LP (Safety Phase 7) training is documented.
-
7. Painting training is documented.
-
8. Compressed gas & welding training is documented.
DHS & DOT
XVI. DOT HAZARDOUS MATERIALS SECURITY PLAN (40 CFR 172.802)
-
1. A written copy of the DOT Security Plan is on file.
-
2. All applicable appendices have been completed.
-
3. DOT Security Plan General Awareness level training is documented.
-
4. DOT In-Depth Security Plan training is documented.
XVII. DOT (40 CFR 391 Driver Qualification)
-
1. Application includes driving history.
-
2. Current and previous 3 years of medical exam form are on file.
-
3. Copy of road test for driver with tanker and current copy of CDL Drivers License.
-
4. Copy of previous employer inquiry on file.
-
5. Copy of current state motor vehicle abstract/MVR record on file.
-
6. Copy of driver's report of violations for most recent year on file.
-
7. Annual review of driver files is documented.
-
8. Drivers receive training on motor carrier safety regulations and hazardous materials regulations every 3 years and documentation is on file. (Safety Phase 20).
-
9. Driver files contain only required documents and are neat and orderly.
-
10. Pre-employment drug testing is maintained.
-
11. Random drug and alcohol testing is maintained.
-
12. FSRIS is used to maintain driver information.
-
13. DOT Hazardous Materials training (Safety Phase 20 or equivalent) training is documented (every 3 years).
-
14. DOT Entry Level Driver (Safety Phase 21) training is documented.
XVIII. Department of Homeland Security (6 CFR)
-
1. Documentation of Chemical Facility Anti-Terrorism System (CFATS) status available.
XIX. Department of Transportation Regulation (40 CFR)
-
1. Process to generate accurate shipping documents at the location.
-
2. Record of shipping documents for the past two years.
-
3. Emergency response information accompanies transfer of hazardous materials.
-
4. Written drug and alcohol program implemented.
-
5. Documentation of employee sign-off on the drug & alcohol policy.
-
6. Current accident register and for the past three years.
-
7. Procedures to keep proper logs and/or time records.
-
8. Procedures for conducting pre- and post trip commercial motor vehicle inspections.
-
9. Thorough vehicle maintenance files are maintained.
-
10. DOT Reasonable Suspicion Supervisor training is documented.
Grain
XX. GRAIN OPERATIONS (29 CFR 1910.272)
-
1. Implemented the written Grain Operations program.
-
2. Documented and written Housekeeping Program available.
-
3. Documented and written Preventive Maintenance Program available.
-
4. The facility has a written Bin Entry policy and procedures.
-
5. Facility has bin entry permits available and kept on file until the completion of the entry operations.
-
6. Documented Sweep Auger entry policy and procedures.
-
7. Grain handling operations training is conducted.
Powered Industrial Trucks
XXI. POWERED INDUSTRIAL TRUCKS (29 CFR 1910.178)
-
1. Only authorized employees are permitted to operate forklifts.
-
2. Training is conducted by certified trainers.
-
3. Forklifts are examined daily.
-
4. Forklift formal training is documented (Safety Phase, computer program, lecture, etc.).
-
5. Forklift operator performance test is documented.
Fire Extinguishers
XXI. PORTABLE FIRE EXTINGUISHERS (29 CFR 1910.157)
-
1. Fire extinguishers are provided and intended for employee use? If No, skip to question 2.
-
2. If fire extinguishers are not provided or intended for employee use, does the Emergency Action Plan provide for immediate and complete evacuation?
-
3. Monthly fire extinguisher inspections are completed and documented.
-
4. Annual service and maintenance are completed and documented.
-
5. Fire extinguisher annual training is documented.
