Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - SAFETY ADMINISTRATION

  • 1. Does the unit have a current Safety Program SOP or is the Safety Program included in the SOP IAW NGR 500-3? (RAC 4)

  • 2. Has safety officer/NCO been appointed in writing? (RAC3)

  • 3. Is the unit additional duty safety of the appropriate rank for the unit? (BN or higher- commissioned officer and company level - E6 or higher) (RAC 3)

  • 4. Have the appointed safety personnel received safety training within 90 days of assignment? (RAC4)

  • 5. Does the appointed safety officer/NCO conduct safety training in the activity and is it documented? (RAC4)

  • 6. Is safety training conducted monthly for full time organizations and quarterly for all others? RAC4)

  • 7. Have the newly assigned personnel received a safety orientation briefing ( training) initially and annually thereafter on safety and health programs of the organization and has the training / briefing been documented? (RAC4)

  • 8. Are safety officer/nco's provided adequate time to perform safety functions and duties? (RAC4)

  • 9. Does the commander support the resourcing of adequate computer equipment to allow the safety manager to perform his assigned duties? (RAC4)

  • 10. Has the unit safety officer/nco's and unit administrators been trained in using the reserve component automation system RCAS advanced information technology system AITS? (RAC4)

  • 11. Does the organization have a written fire prevention plan? (RAC4)

  • 12. As the commander supervisor / appointed on orders a responsible person as their their fire marshal? Has the fire marshal designated subordinate personnel in each building or facility as a building for unit fire warden? (RAC4)

  • 13. Has the commander/supervisor provide an educational program to familiarize all personnel with the general principles of fire extinguisher use and the hazards involved with incipient stage a firefighter? Has the training been conducted upon initial employment/enlistment and annually thereafter? Is it documented?(RAC3)

  • 14. Does the unit SOP have a written has HAZCOM program? (RAC4)

  • 15. Does the organization have a written accident prevention plan?(RAC4)

  • 16. Has initial hazard communications training been conducted for all personnel? Has the training been documented? The record of this training must be kept for the duration of employment/enlistment +30 years.(RAC4)

  • 17. Does the organization have an emergency action plan?(RAC4)

  • 18. Does the organization test emergency action plan at least annually? (RAC4)

  • 19. Does the organization have a written accident prevention plan? (RAC4)

  • 20. Are all accidents/occupational illness is reported? Within five days for AGAR's? (RAC4)

  • 22. Does the organization maintain accident case files, related records, directives and statistics? Our records kept IAW requirements of AR 25–4 00–2? (RAC4)

  • 23. Are mission risk assessment worksheets completed, control measures published, reviewed, and attached to the mission planning documents and operations orders? (RAC4)

  • 24. Does the unit have a safety bulletin board posted in a prominent place? (RAC4)

PERSONAL PROTECTIVE EQUIPMENT

  • 1. Are first aid kits near proximity in the workplace with adequate supplies available, periodically inspected and replenished as needed? (RAC3)

  • 2. Has a hazard assessment been conducted in the workplace to identify possible hazards that would require the use of PPE? (RAC2)

  • 3. Based on the hazards identified, has a PPE been selected for all appropriate individuals? (RAC1)

  • 4. Is the unit providing PEP (eye,face, head, hearing, foot body hand)? (RAC2)

  • 5. Do appropriate individuals use the PPE selected? (RAC1)

  • 6. Do all protective eye and face devices purchased after July 5, 1994 comply with Z8 7.1–189? (RAC1)

  • 7. Is approved hearing protection provided to personnel exposed to areas which have been identified as noise hazardous? (RAC3)

  • 8. Is there a written respiratory protection program with specific worksite procedures? (RAC3)

  • 9. Is the user instructed and trained in the proper use of respirators, limitations and is the instruction document it? Have employees that have been issued a respirator been fit tested and has the fit test been documented? (RAC2)

  • 10. Are you lavages and/or deluge showers provided and Co-located in the immediate work area of a battery handling area to provide an abundance of water for flushing the eyes or skin when splash or spills of acid or other caustic chemicals have come in contacted with the body? (RAC3)

  • 11. Are I wash and daily shower points inspected weekly and the inspection noted on a local checklist? (RAC4)

WALKING AND WORKING SURFACES

  • 1. Are all files and passageways kept in good repair at all times with no obstructions across or in the aisles? (RAC3)

  • 2. Are floor load limits posted for occupancy and/or load limits? (RAC3)

  • 3. Are floors maintained free of water, Grease, and other liquids which would create a slipping hazard? (RAC3)

  • 4. Are passageways, storerooms, and service rooms kept in a clean, orderly and sanitary condition? (RAC3)

  • 5. Do stairways with 4 or more risers, less than 44 inches wide, have both sides enclosed, have at least one handrail? (RAC3)

  • 6. Is area under the deluge shower and area around eye lavages maintained free and clear of clutter and equipment storage? (RAC3)

  • 7. Is every floor hole guarded by either a standard railing with standard tow board or covered with a standard strength and construction? (RAC2)

  • 8. Is every stairway for opening guarded by a standard railing on exposed sides (except at entrance to stairway consisting of top and intermediate rails and posts with a normal, vertical height of 42 inches)? (RAC2)

  • 9. Is vegetation control in and around outside storage areas? (RAC3)

  • 10. When cylinders are not in use, our valves closed tightly and the valve protector caps installed? (RAC3)

  • 11. When cylinders are standing upright during use or storage, have precautions been taken to prevent accidental upsetting or falling (chained or strap to structure)? (RAC2)

  • 12. Are storage areas kept free from accumulation of materials that constitute hazards from tripping, fire, explosion or peat harborage? (RAC2)

  • 13. Is material stored so as not to create a hazard and stored in tiers stacked, block interlocked and limited in height so they are stable and secure against sliding or collapsing? (RAC2)

MEANS OF EGRESS

  • 1. Are all exits prohibited from being locked or fastened and kept free and unobstructed when the building is occupied? (RAC3)

  • 2. Are furnishings, decorations, or other objects obstructing exits, excess there to, egress there from, or visibility thereof? (RAC3)

  • 3. Are locks or fastenings prohibited on any of the exit doors to ensure free escape from the inside of the building? (RAC1)

  • 4. Are stairs, aisles, corridors, ramps and passageways leading to an exit illuminated at all points to a value of not less than 1 foot candle measured at the floor? (RAC3)

  • 5. Are the doors from rooms (occupied by more than 50 persons or used in high hazard occupancy) to an exit or to a way of exit access of the side- hinge, swing type so that they swing in the direction of exit travel? (RAC2)

  • 6. Can any door, passage or stairway be mistaken for an exit, which is neither an exit nor a way of exit, properly marked NOT AN EXIT? (in one story buildings where the exit is clearly visible, it is not necessary to Mark doors two small closets.) (RAC3)

  • 7. Has action been taken to affect the repair of emergency lighting that did not remain operational for the direction of the test? (RAC3)

  • 8. Is each building exit marked with a visible exit sign with letters not less than 6 inches high and three-quarter inches wide and giving illumination by reliable light source of a value of not less than 5 footcandles on the illuminating surface? (RAC3)

  • 9. Is the direction of travel to the exit or exit discharge immediately apparent? (RAC3)

FIRE PREVENTION / PROTECTION

  • 1. In the event of a fire, our portable fire extinguishers and readily accessible to employees without subjecting the employees to possible injury? (RAC 4)

  • 2. Are fire extinguishers hung on brackets or mounted to unlock cabinets with the top of the extinguisher not more than 5 feet above the floor for extinguishers with a gross weight at or below 40 pounds or 3 1/2 feet above the floor for extinguishers with a gross weight above 40 pounds? ( The clearance between the bottom of the extinguisher and the four should never be less than 4 inches) (RAC3)

  • 3. Are fire extinguishers of the appropriate type located in the facility where they are to be reached within: Class A fires so that the travel distance to the fire extinguisher is 75 feet or less. Class B fires so that the travel distance to the fire extinguisher is 50 feet or less. Class C fire hazards on the basis of the appropriate pattern for the exit Class A or Class B hazards. Kitchens require a Class 40 BC or 80BC fire extinguisher depending on the travel distance (30 or 50 feet respectively). (RAC3)

  • 4. Are the fire extinguishers maintained in a fully charged, operable condition and kept in their designated places at all times? (RAC3)

  • 5. Is a portable fire extinguisher located outside of but not more than 10 feet from the door opening into any room or building use for storage? (RAC3)

  • 6. Is each portable fire extinguisher (including vehicle fire extinguishers) visually inspected monthly any record of the inspections maintain? (RAC3)

  • 7. Is each portable fire extinguisher subjected to an annual maintenance check? Is a record of the inspection maintain and kept for one year after the last entry or for the life of the shell, whichever is earlier? (RAC3)

  • 8. Is smoking prohibited in the following areas? a) In shops, garages or motor pool parking areas, except in area specifically designated by a company authority as smoking areas. b) Within 50 feet of vehicles loaded with flammable or combustible liquids with a flashpoint below 200°F, flammable gases, or explosives. c) In the presence of flammable vapors, such as those present when refueling, or while examining or repairing engines or fuel systems. d) By the operator at any time the vehicle is in motion. (RAC1)

  • 9. Are operational range exhaust hoods, with an exhaust fan, installed over kitchen ranges? (RAC3)

  • 10. Are grease filters installed in each kitchen range exhaust hood and maintain free of dirt, dust, and grease? (RAC3)

  • 11. Is the fire alarm system kept in proper, continuous operating condition and continuously monitored by a contracted monitoring company? (RAC1)

  • 12. Panel clear of trouble signals? (RAC4)

  • 13. Smoke detectors free of obvious damage, coverings, taped over, and unimpaired (visual inspection). (RAC4)

  • 14. Burning up candles/incense is prohibited and all GA ARNG facilities. (RAC4)

  • 15. Combustible material shall not be stored in boiler rooms, mechanical rooms or electrical equipment rooms? (RAC4)

  • 16. Combustible storage shall be at least 2 feet below the ceiling or 18 inches below sprinkler heads. (RAC4)

  • 17. Ground surrounding the facility are clear of accumulation of combustible material and brush. (RAC4)

FLAMMABLE AND COMBUSTIBLE LIQUIDS

  • 1. Are " open flames", " spark producing", and/or " smoking prohibited" signs posted in flammable and combustible liquids storage areas? (RAC2)

  • 2. Are corrosive materials prohibited from being stored (inside or outside storage) in the same room with flammable and combustible liquids? (RAC3)

  • 3. Are flammable and combustible liquids spills present that have not been properly and probably cleaned up? (RAC3)

  • 4. Are only approved containers and portable tanks used in the storage of flammable and combustible liquids? (RAC4)

  • 5. Are openings to other rooms from inside storage rooms for storing flammable and combustible liquids provided with approved self closing fire doors? (RAC3)

  • 6. Are outside storage buildings for storing flammable and combustible liquids located 50 feet or less from a building or line of adjoining property that may be built upon (if buildings are located within 50 feet they're exposing wall shall be a blank wall having a fire resistance rating of at least two hours)? (RAC3)

  • 7. Is storage in cabinets limited to no more than 60 gallons of class l or class ll liquids and to no more than 120 gallons of class III liquids? (RAC2)

MATERIALS HANDLING AND STORAGE

  • 1. Are storage area kept free from accumulation of materials that constitute hazards from tripping, fire, explosion, or pests? (RAC4)

  • 2. Is material stored so as not to create a hazard and stored in tiers stacked, blocked interlocked and limited in height so that they are stable and secure again sliding or collapsing? (RAC2)

  • 3. Is protection provided at all openings when the opening is not used for handling materials (i.e. are guard chains, straps, etc.) in place 4 feet above the floor level at loading docks when door is open to prevent personnel from walking out into opening? (RAC3)

  • 4. Is vegetation control in and around outside storage areas? (RAC4)

HAND TOOL - EQUIPMENT

  • 1. Are ladders used rather than improvise ladders, such as packing cases or barrels? (RAC4)

  • 2. Are portable ladders properly maintained ( parts free of bends, sharp edges, splinters, cracks, breaks, or loose parts)? (RAC2)

  • 3. Are ladders inspected frequently for defects; taken out of service for repair and tagged or marked DANGEROUS, DO NOT USE? (RAC3)

  • 4. Are rungs (step) kept in good condition at the bottom of the four rail? (RAC3)

ELECTRICAL

  • 1. Are all electrical equipment including motors, heaters, and appliances, legibly marked (visible nameplate) with the manufactures name, voltage, current, and wattage? (RAC3)

  • 2. Are electrical boxes/conduit securely fastened? (RAC3)

  • 3. Are box covers, faceplates, receptacles, or electrical plugs kept safe and unbroken? (RAC3)

  • 4. Does each electrical outlet box, pull box, junction box, and cabinet have an install faceplate, cover or canopy cover and are unused openings and cabinets and boxes effectively close? (RAC4)

  • 5. Is a minimum working space provided in front of electrical service equipment and electrical control panels where there are live parts normally exposed (3 feet in front and a minimum headroom provided not less than 6'3")? (RAC4)

  • 6. Are live parts of electrical equipment, operating at 50 Volts or more, guarded against accidental contact by being enclosed and approve cabinets or other approved enclosures? (RAC1)

  • 7. Are flexible cords and cables prohibited from use as a substitute for permanent wiring of a structure, and from being run through doorways, windows, similar openings; for holes in walls; ceilings, and floors? (RAC3)

  • 8. Workstation/desk sets shall be near enough to electrical outlets to eliminate/minimize the need for unauthorized extension cords or excessive numbers of power strips. Extension cords and/or power strips may not be connected together. Each one must be connected directly into an approved wall outlet. (RAC4)

  • 9. Are power cords on portable power tools and equipment free from cracks, pets, or swelling? (RAC3)

  • 10. Are outlets in bathrooms protected by GFCI CB? (RAC4)

  • 11. Are outlets within 6 feet of kitchen sink GFCI protected? (RAC4)

  • 12. Are electrical receptacles in class l Div 2 locations provided with ground-fault circuit interrupt her protection for employees (vending machines, electric drink fountains, motor pool) (RAC4)

POV SAFETY

  • 1. Are driving privileges denied to repeat offenders? (RAC4)

  • 2. Are repeat traffic offenders required to attend remedial training courses? (RAC4)

  • 3. Does the commander ensure that all drivers know the main causes of POV accidents (speeding and alcohol) and injuries (failure to wear safety belts) and or train and prevention measures? (RAC4)

  • 4. Does the commander and sure that Army personnel driving or riding in POV's on and off the installation use safety belts? (RAC4)

  • 5. Does the commander have a procedure for identifying Army personnel who are repeat traffic offender's? (RAC4)

  • 6. Does the unit have a POV accident prevention program? (RAC4)

  • 7. Is use of protective equipment while riding motorcycle/ATVs enforced? (RAC4)

  • 8. Does the commander conduct periodic POV inspections? (RAC4)

DRIVERS TRAINING AND LICENSING

  • 1. Are all vehicle operators examined and certified? (RAC4)

  • 2. Are correct procedures used when selecting drivers? (RAC4)

  • 3. Our operators DA forms 348 reviewed annually for accidents and moving violations? (RAC4)

  • 4. Our operators DA forms 348 reviewed annually for expiration of permits? (RAC4)

  • 5. Are operators DA forms 348 reviewed annually for licenses suspensions? (RAC4)

  • 6. Are operators DA forms 348 reviewed annually for re-examination? (RAC4)

  • 7. Are operators DA forms 348 reviewed annually for remedial, required, or refresher training?

  • 8. Are operators DA forms 348 reviewed annually for safety awards? (RAC4)

  • 9. Are qualified assistant drivers assigned to vehicles with missions requiring more than 10 hours to complete? (RAC4)

  • 10. Are vehicle operators prohibited from driving AMV's when their state or host nation drivers license has been suspended by a court of law? (RAC4)

  • 11. Do all military-vehicle operators possess a valid OF 346? (RAC4)

  • 12. Do drivers of buses, military police vehicles, ambulances, fire trucks, crash -rescue vehicles, or other emergency vehicles complete and approved or other certified training program? (RAC4)

  • 13. Do personnel required to drive wheeled and track AMV's attend accident avoidance training upon being issued a government motor vehicle operator's identification card, OF 346, and every four years after. (RAC4)

  • 14. Do vehicle operators receive specialized training on the operational peculiarities of each vehicle they will be required to operate? (RAC4)

  • 15. Do vehicle operators who have been convicted of moving traffic violations or at-fault traffic accidents attend a remedial driver training course? (RAC4)

  • 16. Is a check ride conducted annually by the first-line leader every two years for (USAR/ARNG)? (RAC4)

  • 17. Is sustainment training conducted at least annually for any driver with a valid OF346 (every 2 years for USAR/ ARNG)? (RAC4)

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