Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

IH Qualitative Survey

Description of Site Operations

  • Number of mixer drivers, other site personnel, typical daily yardage, etc...

  • Most common mixer truck make, model, and year

  • Is truck maintenance performed on site? (If yes include maintenance garage as part of survey)

  • Insert rough sketch of site layout here:

  • Add media

Air Contaminants and Chemical Hazards

  • What is the primary aggregate source for concrete mix?

  • What does the ground surface surrounding the plant typically consist of?

  • Is there any visible dust generated through site activities?

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

  • Are environmental controls (bag houses) maintained?

  • Does yard loader have enclosed cab and if so does operator keep windows and doors closed?

  • Is respiratory protection available at the site? If so what type?

  • Have employees who wear respirators (or dust masks) on a voluntary basis been provided a copy of OSHA appendix D as specified in 1910.134?

  • Are MSDS available for all chemicals defined as hazardous under OSHA 1910.1200?

  • Add media

Noise and Physical Hazards

  • What are the primary noise sources at the site? (process, trucks, etc...)

  • What are the secondary noise sources at the site? (bin vibrators, compressors, etc...)

  • Is hearing protection available at the site?

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

  • What type and noise reduction rating (NRR)?

  • Is a copy of the OSHA noise standard posted at the site as specified by 1910.95(l)(1)

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

  • Add media

Other Associated Hazards

  • What is the process for removing hardened concrete from mixer drums?

  • Is this task done in accordance with the applicable Group standards (EI, CES, HAV, ERGO, NOISE, RCS/TD)?

  • Add media

Audit of Group Standards Related to IH/OH

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?

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

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

Group Standard - Workplace Noise

  • Has a site noise survey been conducted?

  • Has a noise map been developed for the site?

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

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

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

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

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

  • Any ergonomic or other risks identified during survey? ( chute handling, manual handling of additives, 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?

Summary & Overall IH Risk Perception

Summary and Perception of Overall IH Risk

  • Summary of Observations

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

  • 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

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