Howard Fertilizer

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Rules & Regulations

• Safety responsibilities assigned to designated personnel?

  Yes

  No

  N/A

• All supervisory personnel will go through formal safety training?

  Yes

  No

  N/A

• Employees noted to maintain PPE in place and being used?

  Yes

  No

  N/A

• Safety committee in place and operational?

  Yes

  No

  N/A

• Smoking is performed only in designated areas?

  Yes

  No

  N/A

• Each employee is responsible for maintaining a clean, orderly and hazard free work area

  Yes

  No

  N/A

New Hire Orientation

• Training provided on individual responsibility to report any hazardous condition, near misses, accidents-incidents, property damage, injuries and emergency situations.

  Yes

  No

  N/A

• Review of locations and use of medical supplies and emergency equipment performed?

  Yes

  No

  N/A

• Lock out - tag out procedures reviewed?

  Yes

  No

  N/A

• Hazardous materials training performed to include location of MSDS information?

  Yes

  No

  N/A

Houskeeping

• Storage of raw materials properly segragated

  Yes

  No

  N/A

• Storage of flammables and aerosols is properly maintained?

  Yes

  No

  N/A

• Build up of combustibles kept to a minimum?

  Yes

  No

  N/A

• Production area well maintained and organized?

  Yes

  No

  N/A

• Receiving area clear and well maintained?

  Yes

  No

  N/A

• Wash facility using potable water is provied along with soap and drying towels where employees take breaks and or lunch

  Yes

  No

  N/A

Process Safety Management

• Company process safety program is reviewed and evaluated on an annual basis, or when facility operational changes occur that require revision?

  Yes

  No

  N/A

• Process Safety Program communicated to all personnel who are affected by it on an annual basis?

  Yes

  No

  N/A

• Process Safety Committee made up of members of management, supervisors and hourly personnel?

  Yes

  No

  N/A

• Storm run off evaluated with mapping and collection of run off performed as needed?

  Yes

  No

  N/A

• Hazards evaluated as to Priority 1 to 4?

  Yes

  No

  N/A

• Investigation procedures to include near misses and any documented spills?

  Yes

  No

  N/A

• Third party evaluation performed on exposures and controls of hazardous materials

  Yes

  No

  N/A

• All procedures and instructions are bilingual?

  Yes

  No

  N/A

• Non-Routine Work Authorizations performed in high hazard areas?

  Yes

  No

  N/A

• Emergency action plan is in place and will facilitate prompt evacuation of employees due to unwanted release of highly hazardous chemicals?

  Yes

  No

  N/A

Employee Compliance and Disciplinary Action Policy

• All employees are required to follow company safety policies and operating procedures?

  Yes

  No

  N/A

• Safety violations are categorized using OSHA criteria outline? (Imminent Danger, Serious Violations and Non-Serious Violations)

  Yes

  No

  N/A

• Pre conditions in place to enforce activity?

  Yes

  No

  N/A

• Disciplinary actions for violations in place?

  Yes

  No

  N/A

• Employees sign off on acknowledgement of safety violation warning notice guidelines?

  Yes

  No

  N/A

Fire Prevention

• Warning and evacuation systems in place?

  Yes

  No

  N/A

• Warning alarms operational and tested on a regular basis?

  Yes

  No

  N/A

• Evacuation areas designated for each dept.?

  Yes

  No

  N/A

• Means of egress are clear of obstructions with EXITS clearly marked?

  Yes

  No

  N/A

• Trash is removed daily and stored away from building

  Yes

  No

  N/A

• Sprinklers are tested on a quarterly basis by qualified individual?

  Yes

  No

  N/A

• Responding fire dept. is allowed to tour facility on an annual basis?

  Yes

  No

  N/A

• Portable fire extinguishers are checked monthly and inspected annually by outside contractor?

  Yes

  No

  N/A

• Monthly self-inspection will be conducted to identify and correct recognizable fire hazards?

  Yes

  No

  N/A

• Select personnel are trained in use of fire extinguishers and identifying fire hazards?

  Yes

  No

  N/A