HRP evaluation card - TCCB

• Site conducted

  Addis

  Big Spring

  Borger

  Other

• Department

  Select Lab Maintenance Operations Shipping Front Office Other

  • Lab
  • Maintenance
  • Operations
  • Shipping
  • Front Office
  • Other

• Conducted on

  Date

• Prepared by

General Safety Audit

• HRP and all correct permits at the job site?

  yes

  no

HRP Scorecard

• What is the job?

  1

  2

  3

1.) Job description or steps are missing, misleading, too vague, or too narrow. Steps are difficult to understand and follow logically. Conversation did not include specifics about what is to be done. 2.) Job description or steps are generally understandable and mostly focused on the scope of the task. The conversation about the job could have been more specific and relevant. 3.) Job description is clear. Job steps are listed in a concise and logical order that workers can easily follow. The workers in the conversation clearly understood and can restate what they are going to do and how they are going to do it.

• What energy is involved?

  1

  2

  3

1.) Most energy sources are missing or misidentified (e.g. hazards are listed but the energy sources are not ). Energy source codes (Letters) are not used. 2.) Reasonable effort is made to identify some or most of the energy sources. Some of the HRP energy source codes are used improperly. Some energy sources in the task, system, or environment are missing and were not discussed . 3.) Considerable effort is made to identify most or all of the energy sources. All HRP energy source codes are used properly. The energy sources were discussed and clearly represent what is involved in the task, system, and environment

• Where is the energy going?

  1

  2

  3

1.) How/when/where the energy will go is missing or misidentified. No discussion of uncontrolled energy releases or unwanted contacts with energy sources occurred. Hazards discussed are vague such as "slips/trips/falls" or "pinch points" with no specifics. 2.) Reasonable effort is made to identify some of the hazards. Many relevant, uncontrolled releases of energy or unwanted contacts with energy were discussed. 3.) Considerable effort is made to identify most or all of the hazards for the identified energy sources and it is clear how/when/where an uncontrolled release of energy or unwanted contact can occur in the task, system, and environment while conducting the job.

• How will we manage the energy for a safe job?

  1

  2

  3

1.) Specific energy management techniques are missing. Some general safety measures are listed but not related to HRP. Most items listed are general or vague (e.g., "wear proper PPE:' "stay back," or "watch out for pinch points") . 2.) Some safety measures are listed or were discussed but are not aligned with the appropriate HRP energy management techniques (EL, CT, PT). 3.) Energy management techniques are listed in a clear and concise manner. Each technique is properly aligned with the appropriate HRP energy management technique IEL. CT. PTI. Energy management techniques are clear such as "keep fingers out of pinch point between and " or "stay back feet"

• What are the specific Stop the Job Triggers

  1

  2

  3

1.) Specific conditions or circumstances for stopping the job are missing or vague. 2.) Most conditions/circumstances for stopping the job are listed and are related to specific hazards based on energy sources. 3.) Specific conditions/circumstances for stopping the job are listed in a clear and concise manner. Each Stop-the-Job Trigger matches the appropriate step and is clearly discussed. All team members agree to stop the job if any of these triggers occur.