Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Chad Baxley
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Personnel
General
I. INSPECTIONS
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1. Was location inspected in the past year?
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2. Previous findings corrected?
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3. Does location conduct and document self-inspections?
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4. Is there a periodic housekeeping plan in place?
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5. Is there a Preventive Maintenance plan in place?
II. SAFETY COMMITTEES
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1. Does location have a safety committee that meets regularly?
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1A. If "No" or "NA", does location manager participate in regular teleconferences or meetings where safety items are discussed?
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1B. If "Yes", are the meeting minutes recorded and are the names of members available to all employees?
III. POSTING OF NOTICES
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1. Is "Safety and Health Protection on the Job" Poster (1903.2) posted/on file?
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2. Current year's OSHA Form 300: Summary of Occupational Injuries (1904.5) on file?
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3. Previous 5 years' OSHA 300 logs on file?
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4. Current OSHA 300A summary form posted (February-April)?
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5. Previous 5 years' OSHA 300A forms on file?
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6. OSHA 301 First Report of Injuries forms or equivalent on file?
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7. Are emergency phone numbers accurate and prominently posted?
IV. NEW EMPLOYEE ORIENTATION
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1. Location has implemented the New Employee Program
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2. Location has documented New Employee training.
Emergency Planning & Response
I. EMERGENCY ACTION PLANS (29 CFR 1910.38)
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1. Facility has a written Emergency Action Plan.
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2. Escape procedures and assignments are current.
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3. Emergency shut-down procedures are included.
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4. Employee accountability method is identified.
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5. Rescue procedures are identified.
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6. Medical and First Aid procedures have been identified.
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7. Emergency reporting procedures identified.
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8. Mail handling procedures identified.
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9. Security from Terrorism procedures identified.
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10. A program administrator has been identified.
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11. All employees have been trained on the program contents.
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11A. When plan was developed.
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11B. When employees are first hired.
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11C. When employee responsibilities under the plan change.
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11D. When plan is updated.
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11E. Annually
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12. Employee training is documented.
II. EMERGENCY PLANNING AND RESPONSE (PF-1)
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1. Facility has a written Emergency Response Plan
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2. Elements of the plan have been communicated to outside agencies.
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3. Personnel roles are defined.
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4. Lines of personnel authority are defined.
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5. Plot map of facility is included.
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6. Safe distances and places of refuge identified.
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7. Evacuation routes and procedures in place.
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8. Decontamination procedures and equipment identified.
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9. First aid responders and medical care providers identified.
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10. Emergency alerting an notification procedures in place.
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11. PPE and emergency equipment identified.
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12. Media coordinator identified.
Hazardous Materials
I. HAZARD COMMUNICATION (29 CFR 1910.1200)
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1. A written Hazard Communication Program has been implemented.
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2. Employees are trained on the program when first hired.
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3. All employees are trained when a new hazard is introduced.
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4. All employees are trained annually.
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5. Training records are available.
II. HAZWOPER (29 CFR 1910.120)
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1. At least one employee has been trained to the Awareness Level or higher.
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2. Employees expected to respond to incidental releases have been trained to the Operations Level or higher.
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3. Documentation of initial training is available for applicable employees.
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4. Documentation of annual refresher training is available for applicable employees.
III. SARA TIER II REPORT
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1. Most current Tier II complete and on file.
IV. DOT SECURITY PLAN
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1. A written copy of the plan is on file.
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2. All appendices completed.
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3. General Awareness training completed for all employees.
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4. In-depth training provided for all affected employees.
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5. Training records on file.
V. PETROLEUM (29 CFR 1910.106)
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1. Applicable employees have received training on gasoline and diesel fuel.
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2. Applicable employees have been trained on storage of flammable materials.
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3. Applicable employees have been trained on Benzene.
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4. Training records are on file.
VI. LP GAS (29 CFR 1910.110)
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1. Applicable employees have been trained on LP Gas.
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2. Training records are on file.
VII. PAINTING PROCEDURES
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1. Applicable employees have been trained on painting procedures.
PPE & Environmental Health
I. HAZARD ASSESSMENTS
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1. Hazard Assessment program has been implemented.
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2. Hazard Assessment Matrix has been completed.
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3. Control Forms have been completed.
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4. PPE Matrix has been completed and is available.
II. INDUSTRIAL HYGIENE MONITORING
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1. IH testing has been completed for Dust.
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2. IH testing has been completed for Noise.
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3. IH testing has been completed for Toxins.
III. PPE
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1. PPE is provided to employees.
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2. Procedures in place to ensure defective or damaged PPE is not used and replaced.
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3. Procedures in place to ensure employee-owned PPE is adequate.
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4. Applicable employees trained in the use, care, and limitations of PPE.
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5. Training records available.
IV. Respiratory Protection
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1. Engineering control measures used where feasible?
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2. Are respirators required and/or provided for employee use?
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2A. IH monitoring results on file?
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2B. Training records on file for applicable employees?
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3. Written Respiratory Protection Program implemented?
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3A. Procedures implemented for selection and use of respirators?
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3B. Respirator selection based on identified hazards?
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3C. Training provided to each employee for every type of respirator to be worn?
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3D. Training provided on cleaning and care of each respirator type?
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3E. Proper storage available for each respirator type?
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3F. All respirators inspected in accordance with manufacturer recommendations?
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3G. Program reviewed at least annually or when new hazards are identified?
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4. Medical evaluations on file for applicable employees?
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5. Only approved respirators in use?
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6. Training records on file?
Welding, Cutting, and Brazing
I. COMPRESSED GAS & WELDING (29 CFR 1910 Subpart Q)
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1. Applicable employees have received training on welders?
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2. Applicable employees have received training on cutters?
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3. Applicable employees have received training for supervisors?
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4. Training records are available?
II. HOT WORK PERMITTING (29 CFR 1910 Subpart Q)
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1. Written Hot Work procedures implemented?
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2. Permit procedures document fire prevention and protection requirements?
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3. Procedures establish permanent Hot Work areas?
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4. Procedures identify Hot Work supervisors?
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5. Procedures require the removal or protection of all combustibles from Hot Work area?
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6. Written procedure implemented for issuing Hot Work permit to outside contractors?
General Environmental Controls
I. PERMIT-REQUIRED CONFINED SPACES (29 CFR 1910.146)
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1. All PRCS identified?
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2. Written procedures implemented for all PRCS?
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3. Written policy for PRCS entry?
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3A. Non-entry employee (Supervisors and Attendants) roles identified?
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3B. Entry employee roles identified?
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3C. Contractor requirements identified?
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3D. All other employee roles identified?
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4. Entry employees have received role-specific training?
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4A. Including acceptable entry conditions?
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4B. Including atmospheric testing?
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4C. Including energy control procedures?
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4D. Including protection from external hazards?
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4E. Including emergency procedures?
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4F. Training records for Entrants on file?
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5. Attendants have received role-specific training?
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5A. Including potential exposure hazards?
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5B. Including potential behavioral changes to entrant due to exposure?
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5C. Including requirement to remain outside the PRCS?
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5D. Including the requirement to continually monitor and communicate with the entrant?
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5E. Including the requirement to continually watch for new hazards?
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5F. Including rescue and retrieval procedures?
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5G. Training records for Attendants on file?
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6. Training records available for all Affected employees?
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7. Will PRCS rescue be performed by employees? If Yes, answer the following questions. If No, skip to question 8.
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7A. Employee rescuers have been trained in rescue procedures?
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7B. Employee rescuers have been trained on rescue equipment?
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7C. Employee rescuers have received First Aid, CPR, and AED* training?<br>* = If applicable
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7D. Has rescue drill been performed in the last 12 months?
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7E? Training records for employee rescuers on file?
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8. Will PRCS rescue be performed by outside agency? If No, skip to next section.
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8A. Has outside agency inspected PRCS for hazards?
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8B. Has outside agency identified required rescue equipment?
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8C. Has outside agency conducted a PRCS rescue drill?
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9. Copies of entry permits for past year are on file?
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10. Permits on file are complete?
II. LOCKOUT/TAGOUT
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1. Location has a written LOTO program?
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2. Location has equipment-specific energy control procedures for applicable equipment?
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3. Location has identified Authorized LOTO employees?
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4. LOTO devices are available for use by Authorized employees?
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5. Authorized employees have received LOTO training?
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5A. Including recognition of hazardous energy sources?
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5B. Including types of energy sources present in the workplace?
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5C. Including methods of energy isolation to be used?
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5D. Including methods of re-energizing equipment?
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6. All employees have been trained on the prohibitions of removing a LOTO device?
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7. Affected employees have received training on their responsibilities in the LOTO program?
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8. Training records are on file?
Fire Protection
I. PORTABLE FIRE EXTINGUISHERS (29 CFR 1910.157)
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1. Fire extinguishers are provided and intended for employee use? If No, skip to question 2.
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1A. All employees have been trained on the hazards of incipient stage fires?
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1B. All employees have been trained in the proper use of fire extinguishers?
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1C. All employees receive fire extinguisher training at the time of hire?
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1D. All employees receive fire extinguisher training annually?
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1E. Training records are on file?
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2. If fire extinguishers are not provided and intended for employee use, does the Emergency Action Plan provide for immediate and complete evacuation?
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3. Are monthly fire extinguisher inspection completed and documented?
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4. Is annual service and maintenance completed and documented?
Walking and Working Surfaces
I. PORTABLE LADDERS (29 CFR 1910.25-26)
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1. Applicable employees have been trained in safe use of ladders?
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2. Training records are on file?
II. CATWALKS
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1. Has a licensed engineer inspected and certified catwalks?
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2. Are catwalks inspected annually?
Miscellaneous
I. POWERED INDUSTRIAL TRUCKS (29 CFR 1910.178)
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1. Only authorized employees are permitted to operate forklifts?
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2. Training is conducted by certified trainers?
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3. Forklifts are examined daily?
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4. Forklifts are maintained according to manufacturer recommendations?
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4. Emissions tests have been conducted?
II. MACHINE GUARDING (29 CFR 1910 Subpart O)
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1. Employees have been trained on machine guarding requirements?
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2. Training records are available?
III. SAFE LIFTING
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1. Employees have received training on proper lifting?
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2. Training records are on file?
IV. ERGONOMICS
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1. Hazard Assessments have been completed on office work stations?
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2. Employees have been trained on musculoskeletal disorders and their causes?
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3. Training records are on file?
