Lewis Energy Group Main Warehouse Audit

• Audit/Inspection Identification No.:

• LEG Shop Facility:

• Date/Time the Audit was Conducted:

  Date

• Auditor Name:

• Location
  Address

• Personnel

• Follow Up Abatement Date:

  Date

LEG Shop Facility Audit

• Was the Facility Manage/Foreman made aware of the audit?

  Yes

  No

  N/A

• Is there a suggestion box available for employee input?

  Yes

  No

  N/A

• Are suitable and effective arrangements in place for consulting with employees and Safety representative (s) in good time with regard to HSE Measures?

  Yes

  No

  N/A

• Are employees encouraged to notify management of any shortcoming with HSE issues or concerns?

  Yes

  No

  N/A

• Are there arrangements are in place for dealing with safety rules? Are they being used?

  Yes

  No

  N/A

Shop Office Areas

• Is the OSHA 500 log posted in a conspicuous location for all emoloyees?

  Yes

  No

  N/A

• Is the OSHA Labor Law Posture/signage posted within the facility?

  Yes

  No

  N/A

• Are the required Federal Posters posted in a conspicuous location for employees?

  Yes

  No

  N/A

• Is there a First Aid Kit available? And if so, is it stocked?

  Yes

  No

  N/A

• Are Evacuation Diagrams posted by each exit? ERPh

  Yes

  No

  N/A

• Is the Refrigerator and/or other appliances clean and are all items easily identifiable?

  Yes

  No

  N/A

• Are all Fire Extinguishers accessible and in clearly marked locations? 29 CFR 1910.157 (c)(1) SAF 6014-1

  Yes

  No

  N/A

• Are Fire Extinguisher Inspections current, both annual and monthly? 29 CFR 1910.157 (e)(1), SAF 6014-1

  Yes

  No

  N/A

• Are Smoke Detectors installed and operational?

  Yes

  No

  N/A

• Are the Exits clearly marked, illuminated and/or operational? 29 CFR 1910.37 (b)(2) & (6)

  Yes

  No

  N/A

• Are all Exits unobstructed? 29 CFR 1910.37 (a)(3)

  Yes

  No

  N/A

• Can Exit Doors be opened in the direction of travel without the use of a key or other means when the building is occupied? 29 CFR 1910.36 (d)(1)

  Yes

  No

  N/A

• Are all Non Exits clearly marked to prevent confusion? 29 CFR 1910.37 (b)(5)

  Yes

  No

  N/A

• Do all Stairways have Hand Rails? 29 CFR 1910.23 (d)

  Yes

  No

  N/A

• Is there a visitors sign in sheet and is it being used?

  Yes

  No

  N/A

• Are Good House Keeping proceedures being followed? 29 CFR 1910.22 (a), SAF 6027

  Yes

  No

  N/A

• Is the Emergency Response Plan current and kept at the entrance or in the dispatch area? 29 CFR 1910.38 ERP (Needs to be present in each building in the district which has offices and personnel present on a daily basis)

  Yes

  No

  N/A

• Is the appropriate signs of safety equipment and/or PPE posted so everyone can see?

  Yes

  No

  N/A

• Are all electrical plugs up to standards?

  Yes

  No

  N/A

• Is there any cleaning supplies or other chemical (s) items located in the office area? And if so, is there a SDS for each item?

  Yes

  No

  N/A

• Other Discrepiences

  Yes

  No

  N/A

Shop Area

• Has a JSA been completed for the work being completed about the yard?

  Yes

  No

  N/A

• Are all Exits clearly marked, illumimated and operational? 29 CFR 1910.37 (b)(2) &(6)

  Yes

  No

  N/A

• Are all Exits unobstructed around the shop buildings? 29 CFR 1910.37 (a)(3)

  Yes

  No

  N/A

• Is there a First Aid Kit and is it stocked?

  Yes

  No

  N/A

• Are Good House Keeping proceedures being followed? 29 CFR 1910.22 (a), SAF 6027

  Yes

  No

  N/A

• Is the Daily Fork Lift Checklist properly completed and is it in safe condition for use?

  Yes

  No

  N/A

• Are there Records of When and Who is picking up the waste oil, and other waste products?

  Yes

  No

  N/A

• Are all Fire Extinguishers accessible and in clearly marked locations? 29 CFR 1910.157 (c)(1) SAF 6014-1

  Yes

  No

  N/A

• Is there a Designated Area for Fire Extinguishers requiring service? 29 CFR 1910.157

  Yes

  No

  N/A

• Are Fire Extinguisher Inspections current, both annual and monthly? 29 CFR 1910.157 (e)(1) SAF 6014-1

  Yes

  No

  N/A

• If there are Office Areas in the shop, are there Fire Extinguishers in them?

  Yes

  No

  N/A

• Are the Employees who are exposed to the Hazards of Welding or Cutting Operations protected by the proper PPE?

  Yes

  No

  N/A

• Are Welding Shields in place to to prevent exposure of arc flash to other employees? 29 CFR 1910.252 (b)(2)(iii)

  Yes

  No

  N/A

• Are the Welding Leads intact with no bare areas or taped repairs? 29 CFR 1910.254 (d)(9)(iii)

  Yes

  No

  N/A

• Are the Torch Hoses in good working condition with no cuts, cracks or burns? Hoses are not to be taped together 29 CFR 1910.253 (e)(5)(v)

  Yes

  No

  N/A

• Are the Valves Shut Off on the Oxygen and Acetylene bottles while not in use? 29 CFR 1910.253

  Yes

  No

  N/A

• Are the Oxygen and Acetylene Bottles stored properly to prevent tipping, falling or rolling? 29 CFR 1910.253 (b)(2)(ii) & (b)(4)

  Yes

  No

  N/A

• Are Oxygen and Acetylene Bottles stored 20 feet apart with caps installed? 29 CFR 1910.253 (b)(2)(iv) & (b)(4)(iii)

  Yes

  No

  N/A

• Are Oxygen and Acetylene Bottle storage areas labled "Full" and "Empty"? 29 CFR 1910.253

  Yes

  No

  N/A

• Are Flammable Liquids stored inside a Fire Resistant Cabinet and labled "Flammable"? 29 CFR 1910.106 (d)(3)(ii)

  Yes

  No

  N/A

• Is the Universal Waste separated from the oily rags, filters? EMS WI 451-4

  Yes

  No

  N/A

• Are all Petroleum Soaked Materials kept in fire resistant, covered containers and labeled accordingly? SAF 6014-1

  Yes

  No

  N/A

• Are all containers that are holding Liquids properly Marked/Labeled with contents? 29 CFR 1910.1200 (5)(II)

  Yes

  No

  N/A

• Are "No Smoking" signs posted in areas that store flamable materials? 29 CFR 1910.106 (f)(6) &(g)(8)

  Yes

  No

  N/A

• Are all Drums and Storage Containers stored on secondary containment, with all being properly labeled? SAF 6002-2

  Yes

  No

  N/A

• Are SDS (HAZMAT-GHS) Documents available in a central location for all affected employees and do they know how to use them in relation to the chemicals they are using? SAF 6002-2

  Yes

  No

  N/A

• Are all Circuit Breaker Boxes closed/covered and clear from obstructions atleast 36"? 29 CFR 1910.303 (g) SAF 6012-1

  Yes

  No

  N/A

• Are all Circuit Breakers Labled to indicate use or equipment served? 29 CFR 1910.303 (e), SAF 6012-1

  Yes

  No

  N/A

• Are all Electrical Outlets Labeled with available voltage? (best practice, not required)

  Yes

  No

  N/A

• Are the Air Hoses in good operating condition? 29 CFR 1910.243 (3)(b)(2)

  Yes

  No

  N/A

• Is Lock Out/Tag Out being used? If so, are tags properly filled out ? (Date and name of person locking equipment out) 29 CFR 1910.147 SAF WI 6003-1 and WI 6003-2

  Yes

  No

  N/A

• Are all Gas Lines in the shop area labeled? ANSI A13.1 2007

  Yes

  No

  N/A

• Are all Air Lines in the shop area labeled? ANSI A13.1-2007

  Yes

  No

  N/A

• Are all Water Lines in the shop area labeled? ANSI A13.1-2007

  Yes

  No

  N/A

• Are Batteries stored in a designated area and on secondary containment? (29 CFR 1910 Subpart N -material Handling and Storage)

  Yes

  No

  N/A

• Are Electrical Cords in good condition on the equipment/tools, without cuts, tape or missing ground plugs? 29 CFR 1910.334 (a)(2)(I)

  Yes

  No

  N/A

• Are there Eye Wash Stations and are they checked monthly? Is the station clean? (Bottle types check expiration date and reolace if needed) ANSI Z358.1

  Yes

  No

  N/A

• Is the access to the Eye Wash Stations clear from obstructions? ANSI Z358.1

  Yes

  No

  N/A

• Are all Hand and Portable Power Tools in good working condition (Cords, handles, plug, etc.)? ( 29 CFR 1910 Subpart P)

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Personal Protective Equipment

• Is the appropriate hearing protection made available to the employees? 29 CFR 1910.95 (I) (1)

  Yes

  No

  N/A

• Are HPD ( Hearing Protective Devices) required? 29 CFR 1910.95(I)(1&2)

  Yes

  No

  N/A

• If HDP's are required, is there appropriate signage posted in the area(s)? 29 CFR 1910.145(c)(2)vacation Sign

  Yes

  No

  N/A

• Is there Signage indicating what PPE is required and the areas for which it is required? 29 CFR 1910.145(c)(3) Sign Design

  Yes

  No

  N/A

• Are Hard Hats being used where required? 29 CFR 1910.132, 1910.135, SAF 6021-1

  Yes

  No

  N/A

• Are Safety Glasses provided and being worn where required? 29 CFR 1910.132, 1910.133, SAF 6021-1

  Yes

  No

  N/A

• Are Face Shields being used in required areas? 20 CFR 1910.132, 1910.133, SAF 6021-1

  Yes

  No

  N/A

• Is appropriate Hand Protection being used where required? 29 CFR 1910.132, 1910.138, SAF6021-1

  Yes

  No

  N/A

• Are all employees wearing Steeled Toe boots in areas requiring them? 29 CFR 1910.132, 1910.136, SAF 6021-1

  Yes

  No

  N/A

• Is Hearing Protection being used in areas requiring its use? 29 CFR 1910.95, 1910.132, SAF 6021-1

  Yes

  No

  N/A

• Are Respirators being used in required areas? 29 CFR 1910.132, 1910.134, SAF 6021-1

  Yes

  No

  N/A

• Is Fall Protection available and being used where required? SAF 6021-1

  Yes

  No

  N/A

• Is Fall Protection in good operating condition and has it been inspected prior to use by the emoloyee? SAF 6021-1

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

• Other Deficiences

  Yes

  No

  N/A

• Other Deficiencies

  Yes

  No

  N/A

Facility Grounds

• Is there a Sign located at the Emergency Muster Point at the location designated on the ERP? ERP

  Yes

  No

  N/A

• Are the Grounds free of unwanted Weeds and Overgrowth? 29 CFR 1910.176 (a)

  Yes

  No

  N/A

• Is Good House Keeping being practiced in and about the grounds? 29 CFR 1910.22 (a), DAF 6027

  Yes

  No

  N/A

• Is the Exterior Lighting functional and does it meet the needs of the area?

  Yes

  No

  N/A

• Is the Facility equipped with Gates and are they secured at the end of the work day to prevent unwanted visitors from entering the premises?

  Yes

  No

  N/A

• Are there Designated Parking Areas and are all of the vehicles backed into those parking areas?

  Yes

  No

  N/A

• Is there a Handicap Parking area designated?

  Yes

  No

  N/A

• Is the Facility Properly Marked indicating all Visitors Must Sign in at the Office, Required PPE?

  Yes

  No

  N/A

• Are the Containment Areas free from standing water / fluids? EMS Form 0015

  Yes

  No

  N/A

• Are Containment Areas free from debris? EMS Form 0015

  Yes

  No

  N/A

• Are the Bulk Storage Containers properly marked? SAF WI 6002-2

  Yes

  No

  N/A

• Are there any signs of Soil / Gravel Contamination?

  Safe

  At Risk

  N/A

• Are there Fire Extinguishers located near all stored Flammable Liquids?

  Yes

  No

  N/A

• Other Discrepancies

  Yes

  No

  N/A

• Other Discrepancies

  Yes

  No

  N/A

Audit Certfication

• Auditor signature

• Add signature

  Sign

• Facility Manager or Representative Signature

• Add signature

  Sign

• Abatement Follow Up Date and Time:

  Date