Industrial Hygiene Qualitative Survey & Audit - Aggregates

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Description of Site Operations

• Overview of site production activities (annual tonnage, products, shipping methods, etc...)

• Number of employees, typical job tasks, mining method (stone quarry, excavated S&G, dredge, etc...)

• Insert rough sketch of site layout here:

  Drawing

• Add media

  Media

Air Contaminants and Chemical Hazards

Respirable Crystalline Silica (RCS)

• Is there any visible dust generated through site activities?

  Yes

  No

  N/A

• If yes, what are the primary sources of visible dust?

  Select Plant & Process Emissions Work Task Emissions Haul Roads Multiple Sources

  • Plant & Process Emissions
  • Work Task Emissions
  • Haul Roads
  • Multiple Sources

• What are the primary controls the site uses to control dust (water truck, spray bars, enclosed transfer points, etc...)?

• What are the primary housekeeping practices at the site (water hose, dry shoveling, compressed air blow down, vacuum, other)?

• Does all mobile equipment have enclosed cab and if so do operators keep windows and doors closed?

  Yes

  No

  N/A

• Does the QC lab have controls in place to control dust during sample processing?

  Yes

  No

  N/A

• Is respiratory protection available at the site?

  Yes

  No

  N/A

• If so, what type(s) of respiratory protection are available for employee use?

Other Air Contaminants & Respiratory Hazards

• What are the typical welding methods and applications at the site (basic plant maintenance, mobile equipment wear parts, etc...)

• Are all welding tasks done in open air with adequate natural or mechanical ventilation?

  Yes

  No

  N/A

• If welding is conducted in enclosed or confined spaces ( chutes, bins, hoppers, etc..) is supplemental mechanical ventilation provided during the task?

  Yes

  No

  N/A

• Are MSDS available for all chemicals defined as hazardous under MSHA 30 CFR Part 47?

  Yes

  No

  N/A

• Is a list of all hazardous chemicals available for the site as required under MSHA 30 CFR Part 47?

  Yes

  No

  N/A

• Add media

  Media

Noise and Physical Hazards

• What are the primary noise sources at the site? (plant - screens, crushers, mobile equipment, etc...)

• What are the secondary noise sources at the site? (customer trucks, tools/maintenance, etc...)

• Is hearing protection available at the site?

  Yes

  No

  N/A

• What type primarily (plugs or muffs) and noise reduction rating (NRR)?

• Is hearing protection worn by employees working in high noise areas (>85 dBA)?

  Yes

  No

  N/A

• Have any standard threshold shifts been identified through audiometric testing or hearing loss claims been made through workers compensation system?

  Yes

  No

  N/A

• If yes, was appropriate follow up and retraining provided in accordance with MSHA 30 CFR Part 62?

• Does the site have practices in place to address thermal stress (heat or cold) such as hydration and work-rest regimens?

  Yes

  No

  N/A

• Add media

  Media

Group Standard - Respirable Crystalline Silica and Total Dust

• Has a qualitative and quantitative risk assessment been conducted in accordance with the Group H&S risk management standard to determine exposure potential for every job classification and task?

  Yes

  No

  N/A

• Has a site specific RCS and TD-PNOR management and control program been established?

  Yes

  No

  N/A

• Has a health surveillance program consistent with the Group's HASOP been established for employees exposed to RCS and TD-PNOR?

  Yes

  No

  N/A

Group Standard - Workplace Noise

• Has a site noise survey been conducted?

  Yes

  No

  N/A

• Has a noise map been developed for the site?

  Yes

  No

  N/A

• Has noise dosimetry been conducted for employees anticipated to be exposed above 85 dBA?

  Yes

  No

  N/A

• Has the hierarchy of controls (HOC) been applied in cases where TWA noise exposures exceed 85 dB?

  Yes

  No

  N/A

• Have high noise areas (>85 dBA) been posted with appropriate signage?

  Yes

  No

  N/A

• Have employees exposed to noise > 85dBA received baseline and annual audiometric testing?

  Yes

  No

  N/A

Other Group Standards - Ergonomics, Whole Body Vibration, Hand-Arm Vibration

• Any ergonomic or other risks identified during survey? (QC sample collection & processing, maintenance, mobile equipment operation, etc...)

• Have any musculoskeletal injury/illness claims been reported to Health Bridge that are could be attributable to repetitive motion or other ergonomic risk factors?

  Yes

  No

  N/A

Summary and Perception of Overall IH Risk

• Summary of Observations

• What is the perception of the overall risk for the site?

  High

  Medium

  Low

• Any significant safety-related issues or compliance deficiencies?

• Any best practices or other notable accomplishments the site has made with respect to H&S?

• Signature of H&S Professional Who Lead Survey/Audit

  Sign