Industrial Hygiene Qualitative Survey & Audit - RMX

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

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)

  Yes

  No

  N/A

• Insert rough sketch of site layout here:

  Drawing

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Air Contaminants and Chemical Hazards

• What is the primary aggregate source for concrete mix?

  Limestone

  Granite

  Gravel

  Other

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

  Poured concrete

  Packed gravel

  Combination

• Is there any visible dust generated through site activities?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are environmental controls (bag houses) maintained?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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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?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• 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)

  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

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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)?

  Yes

  No

  N/A

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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? ( 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?

  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