Lay Down Yard Safety Audit

• Audit Title

• Pad

• CHK Rep

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contractors Onsite

EHS POLICY 101: HAZCOM

• SDS'S available and accessible at all times

  Yes

  No

  N/A

• All containers is work area properly labeled with NFPA or HMIS labels

  Yes

  No

  N/A

EHS POLICY 102: PPE

• Hard hats used by crew

  Yes

  No

  N/A

• Safety glasses with side shields used by crew

  Yes

  No

  N/A

• Hard toed shoes used by crew

  Yes

  No

  N/A

• Hazardous jewelry not worn by crew

  Yes

  No

  N/A

• Long hair contained

  Yes

  No

  N/A

• Hand protection used when necessary

  Yes

  No

  N/A

• Proper PPE worn when handling chemicals based on SDS/HMIS

  Yes

  No

  N/A

EHS POLICY 104: HEARING PROTECTION

• High noise areas present and marked

  Yes

  No

  N/A

• Proper hearing protection available

  Yes

  No

  N/A

EHS POLICY 107: CONFINED SPACE

• Site evaluated to determine the presence of confined space/permit required confined spaces

  Yes

  No

  N/A

• Confined space permit available and completed

  Yes

  No

  N/A

• Atmospheric testing of confined space prior to entry

  Yes

  No

  N/A

• Confined space warning signs erected

  Yes

  No

  N/A

• Emergency rescue equipment readily available

  Yes

  No

  N/A

EHS POLICY 109: FIRST AID AND CARDIOPULMONARY RESUSCITATION

• First aid training provided

  Yes

  No

  N/A

• First aid supplies available onsite

  Yes

  No

  N/A

• Adequate 2-way radio or cell phone communication available

  Yes

  No

  N/A

• Emergency phone numbers posted

  Yes

  No

  N/A

• Provisions made for known workers with allergies

  Yes

  No

  N/A

• Provisions made for prompt medical attention

  Yes

  No

  N/A

EHS POLICY 111: CHEMICAL, FLAMMABLE AND COMBUSTABLE LIQUIDS/MATERIALS

• When not in use, flammables and combustibles are stored in designed area or cabinets

  Yes

  No

  N/A

• 3' wide aisle maintained to access all paths of egress within buildings containing flammables and combustibles

  Yes

  No

  N/A

• All containers are grounded and bonded, conforming to manufacturers specifications when dispensing flammable or combustible liquids

  Yes

  No

  N/A

EHS POLICY 112: HEAT AND COLD STRESS

• All workers taking proper precautions for heat or cold

  Yes

  No

  N/A

• Heat stress and cold stress training provided

  Yes

  No

  N/A

EHS POLICY 113: FIRE PROTECTION

• Fire extinguisher readily available in all work areas

  Yes

  No

  N/A

• Annual inspection tags present

  Yes

  No

  N/A

• Monthly inspection tags on each extinguisher

  Yes

  No

  N/A

EHS POLICY 114: ELECTRICAL SAFETY

• Electrical equipment 600V or greater labeled and HIGH VOLTAGE

  Yes

  No

  N/A

• Work clearance of 36" maintained in front of electrical equipment

  Yes

  No

  N/A

• Fixed equipment and portable equipment connect by grounding cord

  Yes

  No

  N/A

• Only 3 wire cords in good condition used onsite

  Yes

  No

  N/A

• No cords running through doorways or windows

  Yes

  No

  N/A

EHS POLICY 115: POWERED AND INDUSTRIAL TRUCKS (FORKLIFTS AND TELE-HANDLERS)

• Operators certified and certificate available

  Yes

  No

  N/A

• Seatbelt so provided (per manufacturer)

  Yes

  No

  N/A

• Back up alarm working

  Yes

  No

  N/A

• Auxiliary lighting working

  Yes

  No

  N/A

• Horn working

  Yes

  No

  N/A

• Rated lifting capacity posted

  Yes

  No

  N/A

• Pre-use inspection checklist completed

  Yes

  No

  N/A

• Tires in good condition

  Yes

  No

  N/A

• Refueling and hydraulic lines checked with engine off

  Yes

  No

  N/A

• No damage to windows or mirrors

  Yes

  No

  N/A

• Loads moved low to the ground

  Yes

  No

  N/A

• Parked with brake on, key removed and forks grounded

  Yes

  No

  N/A

EHS POLICY 116: HOISTING AND LIFTING EQUIPMENT

• Operator is properly trained

  Yes

  No

  N/A

• Monthly hoisting machinery inspection record available

  Yes

  No

  N/A

• Pre-use inspection checklist complete

  Yes

  No

  N/A

• Straps and slings have been inspected and are in proper working condition

  Yes

  No

  N/A

EHS POLICY 118: LIFTING AND CARRYING SAFETY

• Proper lifting and carrying techniques being used

  Yes

  No

  N/A

EHS POLICY 119: WALKING AND WORKING SURFACES

• Any working surface above 4' from the ground must be protected by a work platform with guardrails at least 42" above platform, have an intermediate mid-rail and toe board or personal fall arrest system.

  Yes

  No

  N/A

• Fall arrest system must have a full-body harness, deceleration device and a lifeline

  Yes

  No

  N/A

• Anchorage used for fall arrest system must be capable of supporting 5,000lbs.

  Yes

  No

  N/A

EHS POLICY 120: LADDER SAFETY

• No wooden ladders allowed onsite

  Yes

  No

  N/A

• Metal/fiberglass ladders must have a warning for electrical caution

  Yes

  No

  N/A

• Ends/feet must be fitted with insulated non-slip material

  Yes

  No

  N/A

• Extension ladders must extend 3' past the landing If used to access another working surface and be secured

  Yes

  No

  N/A

• 3 points of contact utilized by workers on ladders

  Yes

  No

  N/A

• Fixed ladders are inspected annually and a Fixed Ladder Annual Inspection Checklist is completed

  Yes

  No

  N/A

• Portable ladders are to be inspected monthly and a Portable Ladder Monthly Inspection checklist is to be completed

  Yes

  No

  N/A

EHS POLICY 122: PRE-JOB SAFETY ASSESSMENT

• Pre PJSA safety tour of site is conducted

  Yes

  No

  N/A

• Daily safety meeting being conducted

  Yes

  No

  N/A

• Safety meetings are properly documented

  Yes

  No

  N/A

• Accidents, if any, are discussed during safety meetings

  Yes

  No

  N/A

• PJSA filled out completely

  Yes

  No

  N/A

• Individual contractors conducting Job Safety Analysis (JSA) to identify task-specific hazards

  Yes

  No

  N/A

GENERAL

• Proper incident reporting procedure understood

  Yes

  No

  N/A

• Stop work authority understood

  Yes

  No

  N/A

• Adequate communication between contractors onsite

  Yes

  No

  N/A

• Emergency response plan understood

  Yes

  No

  N/A

• Smoking point identified outside of gate

  Yes

  No

  N/A

BATTERY CHARGING OPERATIONS

• Eye wash station readily accessible and in good condition

  Yes

  No

  N/A

• Sufficient ventilation to charging area while batteries are charging

  Yes

  No

  N/A

• Charging taking place in dedicated area

  Yes

  No

  N/A

ADDITIONAL COMMENTS

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