LCI/KINRO Safety Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Section 1 General Information

• Is the Corporate SH&E Policy posted prominently at the plant?

  Yes

  No

  N/A

• Has the plant developed health and safety goals?

  Yes

  No

  N/A

• Are safety performance measures posted prominently at the plant?

  Yes

  No

  N/A

• Does the team meet at least monthly?

  Yes

  No

  N/A

• Are safety issues discussed during management meetings?

  Yes

  No

  N/A

• Does the plant have a health and safety committee?

  Yes

  No

  N/A

• Does the team meet at least monthly?

  Yes

  No

  N/A

• Does plant management participate in the meeting?

  Yes

  No

  N/A

• Does the team perform self audits?

  Yes

  No

  N/A

• Other than OSHA mandated training, does the plant perform any type of safety education or training?

  Yes

  No

  N/A

• Are all OSHA recordable accidents or illnesses at the plant formally investigated?

  Yes

  No

  N/A

• Are near miss incidents investigated?

  Yes

  No

  N/A

• Is the pant using a standardized form for accident investigations?

  Yes

  No

  N/A

• Are the investigation complete and detailed?

  Yes

  No

  N/A

• Is the root cause of the accident identified in the investigation?

  Yes

  No

  N/A

• Does the report recommend corrective actions?

  Yes

  No

  N/A

• Are accident investigation reports reviewed by management to ensure the cause is identified and corrected?

  Yes

  No

  N/A

• Please add any comments for Section 1 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 2 OSHA Recordkeeping and Medical Record Access

• Is the OSHA poster (form 2203) displayed at the plant?

  Yes

  No

  N/A

• Compare the list of workers compensation claims for the previous quarter with the OSHA 300 log?

• Are all work related injuries (as defined by OSHA) being recorded on the OSHA 300 log?

  Yes

  No

  N/A

• Who is responsible for maintaing the OSHA 300 log?

• Are injuries and illnesses properly recorded?

  Yes

  No

  N/A

• Is the OSHA 300 log current to within 6 days of an injury or illness?

  Yes

  No

  N/A

• Are employee exposure records and medical records maintained in accordance with the OSHA requirements?

  Yes

  No

  N/A

• Please add any comments for Section 2 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 3 Hearing Conservation/Noise Control

• Noise Monitoring

• Has the plant performed a survey to determine the level of employee exposure?

  Yes

  No

  N/A

• Were 8-hour equivalent sound pressure levels less than 85 dB measured?

  Yes

  No

  N/A

• If pressure levels were less than 85dB then do not continue with this section of the audit.

• What type of monitoring was done?

  Area

  Personal

  Combination

• Are monitoring results readily available?

  Yes

  No

  N/A

• Have employees been notified of exposure monitoring results?

  Yes

  No

  N/A

• Have baseline audiograms been provided if necessary?

  Yes

  No

  N/A

• Have annual audiograms been provided if necessary?

  Yes

  No

  N/A

• How was the audiometric testing completed?

  In House

  Local Clinic

  Mobile Service

• If Mobile Service or Clinic, provide the name of the service.

• Have employees been notified of audiometric test results?

  Yes

  No

  N/A

• Hearing Protection

• Is hearing protection mandatory for employees with exposure exceeding 90 dB and for employees exhibiting standard threshold shifts?

  Yes

  No

  N/A

• Are these areas of the plant posted accordingly?

  Yes

  No

  N/A

• Are at least 2 (two) types of hearing protectors provided for employees to choose from?

  Yes

  No

  N/A

• List the types available:

• Is hearing protection being worn by employees in the posted areas?

  Yes

  No

  N/A

• If not, are enforcement efforts by plant management documented?

  Yes

  No

  N/A

• Written Program

• Has the plant developed a written hearing conservation program?

  Yes

  No

  N/A

• Has a copy of the OSHA Noise and Hearing conservation standard been posted in the plant (Hearing Conservation Poster)?

  Yes

  No

  N/A

• Training

• Has a regular training program on been established, implemented and documented?

  Yes

  No

  N/A

• Has a feasibility study of engineering and administrative controls for noise reduction been reviewed?

  Yes

  No

  N/A

• Please add any comments for Section 3 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 4 PPE

• PPE Program

• Has the plant conducted a hazard assessment to determine the appropriate PPE for each job and certified them in writing?

  Yes

  No

  N/A

• Are all employee trained in the correct use of the appropriate PPE?

  Yes

  No

  N/A

• Are all employees given an exam to demonstrate an understanding of the training?

  Yes

  No

  N/A

• Is eye and face protection selected according to the ANSI standard Z87?

  Yes

  No

  N/A

• Is head protection selected according to the requirements of 1910.135?

  Yes

  No

  N/A

• Is foot protection selected in accordance with ANSI standard Z41?

  Yes

  No

  N/A

• Is hand protection selected according to the requirements of 1910.138?

  Yes

  No

  N/A

• Respiratory Protection (if applicable)

• Is respiratory protection used in routine or non-routine tasks if it nessary?

  Yes

  No

  N/A

• Are all employees using respirators trained to wear, store & use the respirator?

  Yes

  No

  N/A

• Is the correct type used for task?

  Yes

  No

  N/A

• Is the training appropriate?

  Yes

  No

  N/A

• Is the training approriate?

  Yes

  No

  N/A

• Does the plant have a written respirator program?

  Yes

  No

  N/A

• Does the plant's respiratory program include the following?

• Criteria for respirator selection?

  Yes

  No

  N/A

• Use of approved respirator?

  Yes

  No

  N/A

• Employee Training?

  Yes

  No

  N/A

• Cleaning, Inspecting and storing?

  Yes

  No

  N/A

• Fit Testing?

  Yes

  No

  N/A

• Medical approval?

  Yes

  No

  N/A

• Does the plant have signed medical approval on file for all employees using a negative pressure respirator?

  Yes

  No

  N/A

• Are respirators cleaned on a regular basis?

  Yes

  No

  N/A

• Please add any comments for Section 4 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 5 Hazard Communications

• Chemical Inventory/MSDS

• Does the facility have an up to date, comprehensive chemical inventory (list of hazardous substances)?

  Yes

  No

  N/A

• Who is responsible for maintaing the chemical inventory list?

• Is the MSDS for each chemical easily identified and retrieved?

  Yes

  No

  N/A

• Is there a procedure for reviewing MSDSs on new chemicals before they enter the workplace?

  Yes

  No

  N/A

• Who is responsible for maintaining the MSDS collection?

• Is there a procedure for obtaining an MSDS from a supplier?

  Yes

  No

  N/A

• Who is responsible for obtaining an MSDS from a Suppler?

• Is there a procedure for updating of each MSDS?

  Yes

  No

  N/A

• Are MSDS's readily available to each affected employee on each shift throughout their shift?

  Yes

  No

  N/A

• Labels and Warnings

• Is the HMIS labeling system used to assure that all materials are correctly labeled?

  Yes

  No

  N/A

• Were any containers of hazardous chemicals observed which did not have the proper labels or warnings?

  Yes

  No

  N/A

• Are all labels legible and prominently displayed on the contianer?

  Yes

  No

  N/A

• Where appropriate, do labels contain multi-lingual information?

  Yes

  No

  N/A

• Employee Information and Training

• Is each employee provided information and training on hazardous chemicals in their work area at initial assignment?

  Yes

  No

  N/A

• Is there a procedure to inform employees whenever a new hazard is introduced into their work area?

  Yes

  No

  N/A

• Does the information in the training include the following:

• Requirements of the OSHA Standard?

  Yes

  No

  N/A

• Operations in their work area where hazardous chemicals are present?

  Yes

  No

  N/A

• Location and availability of the written Hazardous Communication Program?

  Yes

  No

  N/A

• Method to detect the presence or release of hazardous chemicals?

  Yes

  No

  N/A

• The physical and health hazards of the chemicals in the work area?

  Yes

  No

  N/A

• How employees can protect themselves from the hazards?

  Yes

  No

  N/A

• Are employees informed of hazards associated with non-routine tasks?

  Yes

  No

  N/A

• Does the facility have a written haz com program?

  Yes

  No

  N/A

• Please add any comments for Section 5 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 6 Exposure Monitoring

• Has the plant performed any exposure monitoring?

  Yes

  No

  N/A

• Who performed the testing?

• Did the results indicate exposures at acceptable levels not exceeding applicable OSHA PELs?

  Yes

  No

  N/A

• If not, what actions were taken to reduce exposures?

• Were the results of the of sampling communicated to the employees?

  Yes

  No

  N/A

• Have all employee complaints about chemical exposures been investigated and resolved if necessary?

  Yes

  No

  N/A

• Has the facility been free from any reported dermatitis cases in the past two years?

  Yes

  No

  N/A

• Please add any comments for Section 6 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 7 Hazardous Materials

• COMPRESSED GASES (1910.101)

• Are cylinders in use and in storage secured?

  Yes

  No

  N/A

• Are all caps in place?

  Yes

  No

  N/A

• Are cylinders clearly marked to indicate contents?

  Yes

  No

  N/A

• Are oxygen cylinders stored at least 20' away or separated by a 5' high partition with a 30-minute fire rating from any fuel gas cylinder?

  Yes

  No

  N/A

• Are oxygen cylinders stored well away from highly combustible materials?

  Yes

  No

  N/A

• FLAMMABLE AND COMBUSTIBLE LIQUIDS (1910.106)

• Are all flammable liquids, except those in use, stored correctly which complies to the OSHA requirements?

  Yes

  No

  N/A

• Are flammable liquids stored in quantities appropriate to the requirements of table H-12?

  Yes

  No

  N/A

• Are all flammable liquid storage cabinets in good condition?

  Yes

  No

  N/A

• Are flammable liquids storage cabinets free of paper, rags, tools and other inappropriate materials?

  Yes

  No

  N/A

• SPRAY FINISHING USING FLAMMABLE AND COMBUSTIBLE MATERIALS (1910.107)

• Are all spray booths designed, constructed and illuminated in accordance with 29 CFR 1910.107?

  Yes

  No

  N/A

• Do all electrical equipment, wiring, open flames and other sources of ignition in and around spray booths comply with 29 CFR 1910.107

  Yes

  No

  N/A

• Are all spraying areas provided with adequate ventilation to remove flammable and combustible vapors?

  Yes

  No

  N/A

• Is air exhausted from spraying operations directed so that it will not contaminate make-up air?

  Yes

  No

  N/A

• Are flammable or combustible liquids kept to the minimum required for operations?

  Yes

  No

  N/A

• Are original closed containers and piping used to bring flammable or combustible liquids into the spray area?

  Yes

  No

  N/A

• Are all containers used for cleaning spray nozzles of the closed type or provided with metal covers?

  Yes

  No

  N/A

• Are all containers under pressure provided with a visible gauge and a relief valve?

  Yes

  No

  N/A

• Are all containers or piping that uses a flexible connections provided with a shutoff valve at the container?

  Yes

  No

  N/A

• Are flammable and combustible containers bonded and grounded correctly?

  Yes

  No

  N/A

• Are all spray booths protected by a sprinkler system that meets the intent of 29 CFR 1910.159?

  Yes

  No

  N/A

• Are an adequate number of fire extinguishers located in or just outside the booth?

  Yes

  No

  N/A

• Is all of the spraying completed in a pre-designated spray area?

  Yes

  No

  N/A

• Are combustible residue (overspray) removed from the booth, on a daily a basis if necessary >

  Yes

  No

  N/A

• Have "No Smoking" signs been posted at all spraying areas and paint storage locations?

  Yes

  No

  N/A

• For electrostatic hand spraying operations has the equipment been designed, installed and maintained in accordance with 29 CFR 1910.107?

  Yes

  No

  N/A

• For powder coating operations, is the exhaust ventilation sufficient to maintain the atmosphere below the LEL for the materials being applied?

  Yes

  No

  N/A

• For powder, are all areas kept free of the accumulation of powder coating dust, particularly horizontal surfaces such as ledges, beams, pipes, hoods, booths, and floors?

  Yes

  No

  N/A

• Have "No Smoking" signs ben posted at all powder coating area and powder storage rooms?

  Yes

  No

  N/A

• Storage and Handling of LPG (1910.110)

• Are all liquid petroleum gas containers marked as follows:

• With the name and address of the supplier of the container or with the trade name of the container?

  Yes

  No

  N/A

• With the capacity in pounds or gallons?

  Yes

  No

  N/A

• The the pressure in p.s.i.g for which the container is designed?

  Yes

  No

  N/A

• With the wording, "this container shall not contain a product having a vapor pressure in excess ..."?

  Yes

  No

  N/A

• Are all containers and first stage regulating equipment located outside the building?

  Yes

  No

  N/A

• Is each individual container located in accordance with 29 CFR 1910.110

  Yes

  No

  N/A

• Are all LPG containers stored away from readily ignitible materials, such as weeds and long dry grass?

  Yes

  No

  N/A

• Is a fire extinguisher present at at the outside LP Tank?

  Yes

  No

  N/A

• Please add any comments for Section 7 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 8 Confined Spaces

• Program

• Has the facility completed a Confined Space assessment of the entire facility?

  Yes

  No

  N/A

• Have warning signs been posted at the entrance of any confined spaces?

  Yes

  No

  N/A

• Wherever feasible, have confined spaced been secured by lock or other means to prevent access?

  Yes

  No

  N/A

• Has the plant developed a confined space program?

  Yes

  No

  N/A

• Who performs the monitoring?

• Describe the equipment used.

• Have employees received training in the use of the equipment?

  Yes

  No

  N/A

• Permit System

• Has the plant established a permit system for confined space entry?

  Yes

  No

  N/A

• Does the permit include the following?

• Description of space and work?

  Yes

  No

  N/A

• Names of authorized entrants?

  Yes

  No

  N/A

• Date and time?

  Yes

  No

  N/A

• Signature of approved person authorizing the and phone number?

  Yes

  No

  N/A

• Special requirements?

  Yes

  No

  N/A

• Results of monitoring?

  Yes

  No

  N/A

• Which of the following work practices, equipment etc are used for confined space entry

• Supplied Air Respiratory Protection?

  Yes

  No

  N/A

• Other Respiratory Protection?

  Yes

  No

  N/A

• Retrieval harness?

  Yes

  No

  N/A

• Purge - Flush and Vent method?

  Yes

  No

  N/A

• Trained attendant?

  Yes

  No

  N/A

• LOTO?

  Yes

  No

  N/A

• Protective Clothing?

  Yes

  No

  N/A

• Are these work practices and procedures documented in a written plan?

  Yes

  No

  N/A

• Rescue Team

• Has the plant established a rescue team?

  Yes

  No

  N/A

• Are team members available on all shifts?

  Yes

  No

  N/A

• Does each shift have at least one team member with current certification in basic first-aid and CPR?

  Yes

  No

  N/A

• Describe the training provided to the team:

• Outside Responders

• Is the plant relying on outside responders for confined space rescue?

  Yes

  No

  N/A

• Who is the responding organization?

• Have prior arrangements been established (and documented) wit the outside responders?

  Yes

  No

  N/A

• Has the outside responder visited the plant and examined the confined space?

  Yes

  No

  N/A

• Written Program

• Does the facility have written confined space procedures?

  Yes

  No

  N/A

• Are the following items included in the written procedures?

• description of employee training?

  Yes

  No

  N/A

• documentation of employee training?

  Yes

  No

  N/A

• description of personnel roles/responsibilites?

  Yes

  No

  N/A

• documentation of arrangements with outside responders?

  Yes

  No

  N/A

• description of the permit system?

  Yes

  No

  N/A

• Outside Contractors

• Does the plant intend to relay on outside contractors to perform some or all of those tasks requiring confined space entry?

  Yes

  No

  N/A

• If so, have procedures been established to:

• Prevent plant employees from entering the permit spaces?

  Yes

  No

  N/A

• Inform the contractor that the workplace contains permit spaces and that permit space entry is allowed only through compliance with a permit space program meeting the OSHA requirements?

  Yes

  No

  N/A

• Apprise the contractor of the elements, including the hazards identifies and the host employers experience with the space, that make the space in question a permit space?

  Yes

  No

  N/A

• Apprise the contractor of any precautions or procedures that the host employer has implemented for the protection of employees in or near permit spaces where contractor personnel will be working?

  Yes

  No

  N/A

• Coordinate entry operations with the contractor?

  Yes

  No

  N/A

• Debrief the contractor at the conclusion of the entry operations regarding the permit space program followed and regarding any hazards confronted or created in permit spaces during entry operations?

  Yes

  No

  N/A

• Has this notification been documented?

  Yes

  No

  N/A

• Please add any comments for Section 8 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 9 Machine Guarding

• General Machine Guarding

• For each machine or process line at the plant, has one or methods of machine safeguarding been provided?

  Yes

  No

  N/A

• Are all drill presses lagged to the ground?

  Yes

  No

  N/A

• Are all chucks (drill presses, lathes, etc) guarded or properly labeled?

  Yes

  No

  N/A

• Are all band saws properly guarded?

  Yes

  No

  N/A

• Does the provided guarding prevent access to hazard area from all sides?

  Yes

  No

  N/A

• Where guards are used, are the guards:

• Affixed to the machine where possble?

  Yes

  No

  N/A

• Designed so that they do not themselves create pinch points or other hazards?

  Yes

  No

  N/A

• Interlocked or utilize fasteners not readily removable by the operator?

  Yes

  No

  N/A

• Designed to offer maximum visibility of the point of operation consistent with the other requirements?

  Yes

  No

  N/A

• Designed to prevent entry of hands or fingers into the point of operation by reaching over, around under or through?

  Yes

  No

  N/A

• Do openings into or through guards conform to the maximum permissible openings of Table O-10 of the OSHA standard?

  Yes

  No

  N/A

• Where presence sensing device are used are they:

• Installed only on machines which can be effectively stopped by brake or other means?

  Yes

  No

  N/A

• Constructed so that a failure within the system does not prevent the normal stopping action from being applied to the machine when required?

  Yes

  No

  N/A

• Where two-handed controls are utilized, do they:

• Protect against unintended operation?

  Yes

  No

  N/A

• Require concurrent use of both hands to initiate a machine cycle?

  Yes

  No

  N/A

• Incorporate and anti repeat function?

  Yes

  No

  N/A

• Require concurrent use of both hand to initiate a machine cycle?

  Yes

  No

  N/A

• Require release of all operators hand controls before an interrupted cycle can be resumed?

  Yes

  No

  N/A

• Are they fixed in position sot that the operator cannot relocate the controls under normal conditions of use?

  Yes

  No

  N/A

• Mechanical Power Press

• FOr Partial Rev presses, has the press been equipped with control reliability and brake monitoring?

  Yes

  No

  N/A

• Are press operator provide with hand tools for removing stuck work or scrap from the dies without having to extend their hands into the point of operation?

  Yes

  No

  N/A

• Are formal die setting procedures established?

  Yes

  No

  N/A

• Are springloaded turnover bars provided and used for adjustment and repair of dies in the press?

  Yes

  No

  N/A

• Are brushes, swabs, rolls or guns provided for lubricating the dies where needed without reaching into the point of operation?

  Yes

  No

  N/A

• Are all presses inspected on a regular basis to insure that all parts, equipment and safeguards are in safe operating condition?

  Yes

  No

  N/A

• Are regular inspections of the clutch/brake mechanism, anti repeat feature and single stroke mechanism performed?

  Yes

  No

  N/A

• Are these inspections documented?

  Yes

  No

  N/A

• Please add any comments for Section 9 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 10 LOTO

• Has the Plant implemented the LOTO Program?

  Yes

  No

  N/A

• Has the plant developed machine specific LOTO procedures for those machines which require LOTO?

  Yes

  No

  N/A

• Do the plants procedure include verification of lockout?

  Yes

  No

  N/A

• Are the LOTO practices in the plant being inspected (audited) at least annually to verify that they comply with the written program?

  Yes

  No

  N/A

• Has each authorized employee been provided with OSHA compliant LOTO devices?

  Yes

  No

  N/A

• Are these devices labeled with the employees' name or otherwise linked to an indivdual?

  Yes

  No

  N/A

• Have all appropriate employee received training in LOTO Procedures?

  Yes

  No

  N/A

• Has the training been documented including employee signature?

  Yes

  No

  N/A

• Were exams or other means used to determine employee understanding of the material covered?

  Yes

  No

  N/A

• Has awareness training been provided to other employees whose work activities are in the areas where energy control procedures may be used?

  Yes

  No

  N/A

• Has the plant implemented procedures for ensuring that in conjunction with maintenance actiities, all energy sources are capable of being locked?

  Yes

  No

  N/A

• Please add any comments for Section 10 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 11 Emergency Preparedness

• Emergency Egress

• Does the facility have sufficient, well-marked emergency exits?

  Yes

  No

  N/A

• Are emergency exits unlocked and free from chains and other fastereners?

  Yes

  No

  N/A

• Has adequate emergency lighting been provided?

  Yes

  No

  N/A

• Are emergency exits maintained free of materials which could impede escape?

  Yes

  No

  N/A

• Emergency Action Plan and Fire Prevention

• Has the plant implemented the emergency action plan?

  Yes

  No

  N/A

• Did training include:

• Emergency escape procedure and emergency escape routes?

  Yes

  No

  N/A

• Procedures to be followed by employees who remain to operate critical plan operation before they evacuate?

  Yes

  No

  N/A

• Procedures to account for all employees after emergency evacuation has been completes?

  Yes

  No

  N/A

• The preferred mean of reporting fires and other emergencies?

  Yes

  No

  N/A

• Does the plant have an emergency alarm system?

  Yes

  No

  N/A

• Does the plant conduct tests of the emergency alarm system as least annually?

  Yes

  No

  N/A

• Has the plant implemented the Fire Prevention?

  Yes

  No

  N/A

• Does the Fire Prevention Plan include:

• A list of major workplace fire hazards and their proper handling and storage procedures?

  Yes

  No

  N/A

• Names or job titles of those personnel responsible for maintenance of equipment and systems installed to prevent or control fires?

  Yes

  No

  N/A

• Name or job titles of those personnel responsible for control of fuel source haards?

  Yes

  No

  N/A

• Has general awareness training been conducted for all employees to ensure they they understand the plants emergency procedures?

  Yes

  No

  N/A

• Have an adequate number of employees on each shift received first aid/CPR training?

  Yes

  No

  N/A

• Are appropriate First aid supples available?

  Yes

  No

  N/A

• Have emergency eyewash stations been provided at appropriate locations within the plant?

  Yes

  No

  N/A

• Portable Fire Extinguisher

• Has the plant provided appropriate selected fire extinguishers and located and identified the so that they readily accessible to employees?

  Yes

  No

  N/A

• Are the FEs visually inspected each month?

  Yes

  No

  N/A

• Are the FEs subjected to an annual maintenance check?

  Yes

  No

  N/A

• Does the plant have a procedure to ensure that hydrostatic testing of FEs is conducted in accordance to the OSHA requirements?

  Yes

  No

  N/A

• Have employees been trained in the general principles of fire extinguisher use and the hazards involved with incipient stage fire fighting?

  Yes

  No

  N/A

• Is this training conducted annually?

  Yes

  No

  N/A

• Please add any comments for Section 11 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 12 Powered Industrial Trucks

• Powered Industrial Truck Training

• Have all operators successfully completed the training and evaluation?

  Yes

  No

  N/A

• Did the initial training include all the truck related topics found in the OSHA regualtion?

  Yes

  No

  N/A

• Did intial training include appropriate truck operations as stated in 1910.178(m)?

  Yes

  No

  N/A

• Did intial training include traveling guidelines as stated in 1910.178(n)?

  Yes

  No

  N/A

• Did intial training include loading guidelines as stated in 1910.178(o)?

  Yes

  No

  N/A

• Has refresher training bee conducted according to 1910.178(I)(4)?

  Yes

  No

  N/A

• At least once in the past 3 years, has an evaluation of each operator's performance been evaluated?

  Yes

  No

  N/A

• Has employee training been certified?

  Yes

  No

  N/A

• Who conducts the training? Are they qualified and knowledgeable?

• Truck Operations?

• Are trucks taken out of service if in need of repair, defective or in any way unsafe?

  Yes

  No

  N/A

• Are operators taught to turn off the engine when fueling the truck?

  Yes

  No

  N/A

• Have employees been trained on proper fueling guidelines?

  Yes

  No

  N/A

• Is it prohibited to use an open flame for checking battery levels or gasoline levels in tanks?

  Yes

  No

  N/A

• Truck Maintenance

• Is maintenance performed by "authorized" personnel only?

  Yes

  No

  N/A

• Are trucks examined daily?

  Yes

  No

  N/A

• Are daily inspections documented?

  Yes

  No

  N/A

• Trailer Loading/Unloading

• Are wheel chocks and/or dock locks provided at all loading docks?

  Yes

  No

  N/A

• Were they observed in use?

  Yes

  No

  N/A

• Are fixed jacks provided at all loading docks?

  Yes

  No

  N/A

• Please add any comments for Section 12 of the audit:

• Please add any comments for Section 12 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 13 Overhead Cranes

• Hoist Inspections

• Is the rated load capacity plainly marked on each side of the crane of each hoist and visible from the ground?

  Yes

  No

  N/A

• Have designated personnel received training on crane use?

  Yes

  No

  N/A

• Daily Inspections

• Is the upper load limit switch checked on a daily basis?

  Yes

  No

  N/A

• Are lines, tanks, valves, drain pumps, and other parts of air or hydraulic systems inspected daily for deterioration or leakage?

  Yes

  No

  N/A

• Are hooks visually inspected each day?

  Yes

  No

  N/A

• Are chains visually inspected each day?

  Yes

  No

  N/A

• Monthly Inspections

• Are hooks checked for cracks and deformities on a monthly basis?

  Yes

  No

  N/A

• Are hoist chains including end connectors check for excessive wear, twist, distortion or elongated links on a monthly basis?

  Yes

  No

  N/A

• All functional operating mechanisms for excessive wear.

  Yes

  No

  N/A

• Annual Inspections

• Are all of the daily items inspected during the annual inspection?

  Yes

  No

  N/A

• Are all hoists and cranes checked for lose bolts and/or rivets?

  Yes

  No

  N/A

• Are the sheaves and drums checked for cracks and wear?

  Yes

  No

  N/A

• Are the bearings, shafts, pins, rollers, gears locking and clamping devices checked for wear, distortion and cracks?

  Yes

  No

  N/A

• Is the brake system examined for excessive wear?

  Yes

  No

  N/A

• Are chain drive sprockets checked for excessive wear?

  Yes

  No

  N/A

• Are the inspections documented?

  Yes

  No

  N/A

• Please add any comments for Section 13 of the audit:

• Please add any comments for Section 13 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

Section 14 Bloodborne Pathogens

• Does the plant have a first-aid team?

  Yes

  No

  N/A

• Names of those of those on the first-aid team:

• Procedures

• Does the plant have prescribed procedures to prevent employee contact with blood and other potentially infectious agents?

  Yes

  No

  N/A

• Does the plant have prescribed procedures for cleaning up spills or other releases of blood or other potentially infections agents?

  Yes

  No

  N/A

• Is the plan reviewed on an annual basis?

  Yes

  No

  N/A

• Has the facility made their health care professional aware that they are obligates, per OSHA, to provide their employees, whom encounter a BBP exposure, post-exposure and follow-up procedures per the CDC guidelines?

  Yes

  No

  N/A

• Exposure Incidents

• Does the plant have reporting requirements for exposure incidents?

  Yes

  No

  N/A

• Since the program was implemented, have there been any exposure incidents?

  Yes

  No

  N/A

• If so, review the investigation performed and the medical followup

• Training

• Was the training complete and sufficient?

  Yes

  No

  N/A

• Was the training documented?

  Yes

  No

  N/A

• Who completed the training?

• Supplies

• Which of the following items are available at the plant?

• Surgical gloves

  Off

  On

• Spill cleanup kit

  Off

  On

• Please add any comments for Section 14 of the audit:

• Please add any pictures that pertain to this section of the audit.

  Media

• General/Plant Manager of facility

  Sign

• Auditor

  Sign