JGI - AZ: Non- Controlled Field Site Inspection/audit Updated 8/19/14

• Client / Site

• Audit Title

• Conducted on

  Date

• Prepared by

• Personnel

• Only use this audit for work sites that are NOT under Joy Global Control. For work locations that are under Joy Global control, cancel and discard this audit and begin the audit labelled as JGI-AZ Controlled Customer Site Inspection/Audit.

ENERGY CONTROL :

• Are we required to Lock Out and Tag out at this work site?

  Yes

  N/A

• Have the employees placed their lock at the designated areas?

  Yes

  No

  N/A

• Do the employees have picture tags?

  Yes

  No

  N/A

• Is the picture up to date and does the tag have all the correct information?

  Yes

  No

  N/A

• Do the employees have one lock, one key?

  Yes

  No

  N/A

HOUSEKEEPING :

• Is the trash we are producing being collected and maintained properly in trash bags or designated areas?

  Yes

  No

  N/A

• Are cords and leads being kept in an orderly fashion to eliminate or reduce tripping hazards and any other hazards (being run over, hot work, etc)?

  Yes

  No

  N/A

• Are products (aerosol cans,wire, rods, etc) kept organized and only what is currently being used out.(the rest being stored in the proper designated areas)?

  Yes

  No

  N/A

DOCUMENTATION :

• Has the daily pre-shift tool box talk been conducted? (Applies to work areas that have two or more Joy Global employees working on the same shift)? If so, note the topics disscussed.

  Yes

  No

  N/A

• Have all employees properly filled out individual FLRA cards for their current job tasks and have them easily accessible?

  Yes

  No

  N/A

• Has the work site area inspection been completed?

  Yes

  No

  N/A

• Has all paperwork (inspection forms, permits, FSR's) been copied and/or is being turned into the Joy Global Safety Dept. if required- one copy to the customer either daily or at the end of the job is to be turned in by field crew conducting the work

  Yes

  No

  N/A

WORKING AT HEIGHTS :

• Are there any Joy Global employees working at heights?

  Yes

  N/A

• If required, is the permit filled out?

  Yes

  No

  N/A

• Has the fall protection equipment been inspected prior to use with documentation of inspections?

  Yes

  No

  N/A

• Does the employee have the proper areas to tie off too?

  Yes

  No

  N/A

• Is the employee wearing the fall protection equipment correctly?

  Yes

  No

  N/A

• If the space requires air monitoring is it being logged appropriately?

  Yes

  No

  N/A

• Is there a safety watch present and his/hers sole responsibility is to maintain a watch on the individual(s) within the confined space and monitor air readings?

  Yes

  No

  N/A

• Yes

  No

  N/A

CONFINED SPACES :

• Are there any Joy Global employees working in confined spaces?

  Yes

  N/A

• Have the permits for confined space been filled out properly and are readily obtainable?

  Yes

  No

  N/A

• Has the atmosphere within the confined space been tested for safety?<br>

  Yes

  No

  N/A

• If the air monitor is in use, is it calibrated and up to date ( must be calibrated every month and bump tested every day prior to use)

  Yes

  No

  N/A

HOT WORK :

• Is there any hot work being performed by Joy Global?

  Yes

  N/A

• Has the permit been properly filled out and is easily obtainable?

  Yes

  No

  N/A

• Is there a fire extinguisher in the immediate area?

  Yes

  No

  N/A

• Is the proper PPE being worn for hotwork?

  Yes

  No

  N/A

NOISE CONTROL :

• Are there any noise concerns? (Above 85 decibels)

  Yes

  N/A

• Are areas demarcated if hearing protection is required?

  Yes

  No

  N/A

• Is hearing protection being worn by all affected?

  Yes

  No

  N/A

• Is the proper ear protection being worn? (Approved Single ear protection or dual hearing protection)

  Yes

  No

  N/A

PPE :

• Is the mandatory PPE for the site being worn?

  Yes

  No

  N/A

• Is the PPE in good working order?

  Yes

  No

  N/A

• Is the proper task specific PPE being worn? (Such as: face shield and goggles for grinding) if there is no task being done that needs specific PPE, mark N/A

  Yes

  No

  N/A

WORK HORSE

• Is a service truck being used as the main "work horse" for this job? Answer with N/A if a service truck is not being used.

  Yes

  N/A

• Compete this audit and proceed to the JGI-AZ: Service Truck Audit. Doing both audits is highly recommended.

HIGH WALLS

• Are high walls present on the site?

  Yes

  N/A

• Is equipment being stored and parked a safe distance from any high wall?

  Yes

  No

  N/A

• Are work areas a safe distance from any high walls?

  Yes

  No

  N/A

• Is the site set up in such a way to avoid putting personnel between the high walls and equipment?

  Yes

  No

  N/A

• Do the high walls seem to be in good condition with no overhangs, no visible rubble falling, no tension cracks, etc.

  Yes

  No

  N/A

OTHER :

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CORRECTIVE ACTIONS

REVIEW

SIGNATURES of all involved in this Inspection/Audit

• Completed audit/inspection needs to be sent to the assigned Manager and Supervisor of area for corrective actions to be addressed and to the Health and Safety Department for record keeping.

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