MHC Kenworth - Safety Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Picture of Exterior

  Media

• Date/Time of Assessment

  Date

Service Department

• Management present during department assessment?

Service - Tool Room

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• Seal drivers in good condition?

  Yes

  No

  N/A

• All loads baring equipment is marked with appropriate load capacity?

  Yes

  No

  N/A

• Jack stands have proper OEM pin in place?

  Yes

  No

  N/A

• Drill Press - Eye protection signage present?

  Yes

  No

  N/A

• Drill Press - Face shield present and mounted properly?

  Yes

  No

  N/A

• Drill Press - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• Bench Grinder - Eye protection signage present?

  Yes

  No

  N/A

• Bench Grinder - Face shield present and mounted properly?

  Yes

  No

  N/A

• Bench Grinder - Guards are set accordingly?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• All secondary containers properly labeled with contents?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gas separated by 20 feet?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses properly secured and upright?

  Yes

  No

  N/A

• Exit signs and emergency lighting good conditions?

  Yes

  No

  N/A

Service - Line Shop

• "Employee/Authorized Personnel Only" Signage Present?

  Yes

  No

  N/A

• "Eye Protection Required" Signage Present?

  Yes

  No

  N/A

• "No Smoking" Signage Present?

  Yes

  No

  N/A

• Customer Perimeter/Striping Present?

  Yes

  No

  N/A

• Additional eye protection available for customers/visitors?

  Yes

  No

  N/A

• Housekeeping meet the standards of MHC?

  Yes

  No

  N/A

• Shop rags are disposed of properly in designated area?

  Yes

  No

  N/A

• Air hoses and electrical cords are stored properly when not use in use? Appropriate number of reels?

  Yes

  No

  N/A

• Air hoses and electrical cords are in good condition without the physical damage?

  Yes

  No

  N/A

• Electrical panels are properly marked and clear of obstructions?

  Yes

  No

  N/A

• Bay doors look good and in working conditions?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gas separated by 20 feet?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses properly secured and upright?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses - Carts have appropriate fire wall?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• All loads baring equipment is marked with appropriate load capacity?

  Yes

  No

  N/A

• Jack stands have proper OEM pin in place?

  Yes

  No

  N/A

• Jack stands have the proper placement of pin?

  Yes

  No

  N/A

• Drill Press - Eye protection signage present?

  Yes

  No

  N/A

• Drill Press - Face shield present and mounted properly?

  Yes

  No

  N/A

• Drill Press - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• Bench Grinder - Eye protection signage present?

  Yes

  No

  N/A

• Bench Grinder - Face shield present and mounted properly?

  Yes

  No

  N/A

• Bench Grinder - Guards are set accordingly?

  Yes

  No

  N/A

• Bench Grinder - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• All secondary containers properly labeled with contents?

  Yes

  No

  N/A

• Exit signs and emergency lighting good conditions?

  Yes

  No

  N/A

• Parts washer has proper signage - Caution-Hot?

  Yes

  No

  N/A

• LOTO program is being implemented and properly administered per the WI?

  Yes

  No

  N/A

• Chock blocks are in good working and being used for all vehicles?

  Yes

  No

  N/A

• Hoist has been inspected in the last year? If so, list date and name of company that completed the inspection?

  Yes

  No

  N/A

• Load capacity is properly marked on the hoist and frame? Rating of the hoist and frame?

  Yes

  No

  N/A

• Undecking hoist has been inspected in the last year? If so, list date and name of company that completed the inspection?

  Yes

  No

  N/A

• Load capacity is properly marked on the hoist and frame? Rating of the hoist and frame?

  Yes

  No

  N/A

• Antifreeze tank properly labeled?

  Yes

  No

  N/A

• Diesel tank properly labeled?

  Yes

  No

  N/A

• Used oil tank is properly labeled?

  Yes

  No

  N/A

• Welding gloves, googles, and face shield in place?

  Yes

  No

  N/A

• All stair case ladders in good condition with preferred hockey-style rubber pads?

  Yes

  No

  N/A

• Ladders properly secured when not in use?

  Yes

  No

  N/A

• Sprinkler system been annually inspected?

  Yes

  No

  N/A

• Access to sprinkler is clear of any obstructions?

  Yes

  No

  N/A

• Spill control present and readily available?

  Yes

  No

  N/A

• Does the branch have a SPCC developed?

  Yes

  No

  N/A

• First aid kit in place and properly stocked without oral medications?

  Yes

  No

  N/A

• Eye wash station or eye wash bottles in place?

  Yes

  No

  N/A

• Eye wash basin - filled properly and with the proper amount of solution?

  Yes

  No

  N/A

• Eye wash bottles within expiration date?

  Yes

  No

  N/A

• Eye wash station is free of obstruction and inspected on a monthly basis?

  Yes

  No

  N/A

• Safety glasses being worn by employees?

  Yes

  No

  N/A

• Steel-toe boots worn by employees?

  Yes

  No

  N/A

• Accident board posted with correct date?

  Yes

  No

  N/A

• Safety incentive roster posted in a centralized area?

  Yes

  No

  N/A

• Are flammables being stored near parts cleaner?

  Yes

  No

  N/A

• Are parts cleaners being used as a work station?

  Yes

  No

  N/A

• Adequate housekeeping in the service pit?

  Yes

  No

  N/A

• Adequate lighting in the service pit?

  Yes

  No

  N/A

• Fall protection in place around service pit?

  Yes

  No

  N/A

• Fall protection in place around alignment bay?

  Yes

  No

  N/A

• Cage protection around hydraulic press?

  Yes

  No

  N/A

• Forklift seatbelt being utilized when in use?

  Yes

  No

  N/A

• Forklift - proper pin placement on tank?

  Yes

  No

  N/A

• Forklift - weekly inspection being completed?

  Yes

  No

  N/A

• Visual inspection of forklift?

  Safe

  At Risk

  N/A

Service - Non-DOT Regulated Vehicles

• Physical appearance of service trucks meet the standards of MHC?

  Yes

  No

  N/A

• Service truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Weekly inspections being completed?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Asset numbers present on trucks?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A

Service - DOT Regulated Vehicles

• Physical appearance of service trucks meet the standards of MHC?

  Yes

  No

  N/A

• Service truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Daily inspections being completed?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Asset numbers present on trucks?

  Yes

  No

  N/A

• DOT number present?

  Yes

  No

  N/A

• Log book present and completed?

  Yes

  No

  N/A

• Placarding present?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A

Service - Mobile Service

• Physical appearance of service trucks meet the standards of MHC?

  Yes

  No

  N/A

• Service truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Daily inspections being completed?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Asset numbers present on trucks?

  Yes

  No

  N/A

• DOT number present?

  Yes

  No

  N/A

• Log book present and completed?

  Yes

  No

  N/A

• Placarding present?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A

• Reflective cones or triangles readily available?

  Yes

  No

  N/A

• Mobile communication device available?

  Yes

  No

  N/A

• Emissions regeneration system placed in the off or stop position when not in use?

  Yes

  No

  N/A

• Organization and housekeeping meet the standards of MHC?

  Yes

  No

  N/A

• Lockout tags available and in use?

  Yes

  No

  N/A

• Reflective vest available and in use?

  Yes

  No

  N/A

• First kit available?

  Yes

  No

  N/A

• Eye wash bottles available and within expiration date?

  Yes

  No

  N/A

• Chocks available and in use?

  Yes

  No

  N/A

• Properly trained in crane safety (if applicable)?

  Yes

  No

  N/A

• Mud plates available and in use?

  Yes

  No

  N/A

• If crane is in use, are there any overhead hazards? If so, is the crane 10 feet away of existing hazards?

  Yes

  No

  N/A

Medium Duty

Line Shop

• "Employee/Authorized Personnel Only" Signage Present?

  Yes

  No

  N/A

• Safety incentive team roster posted?

  Yes

  No

  N/A

• "Eye Protection Required" Signage Present?

  Yes

  No

  N/A

• "No Smoking" Signage Present?

  Yes

  No

  N/A

• Customer Perimeter/Striping Present?

  Yes

  No

  N/A

• Additional eye protection available for customers/visitors?

  Yes

  No

  N/A

• Housekeeping meet the standards of MHC?

  Yes

  No

  N/A

• Shop rags are disposed of properly in designated area?

  Yes

  No

  N/A

• Air hoses and electrical cords are stored properly when not use in use? Appropriate number of reels?

  Yes

  No

  N/A

• Air hoses and electrical cords are in good condition without the physical damage?

  Yes

  No

  N/A

• Electrical panels are properly marked and clear of obstructions?

  Yes

  No

  N/A

• Bay doors look good and in working conditions?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gas separated by 20 feet?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses properly secured and upright?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses - Carts have appropriate fire wall?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• All loads baring equipment is marked with appropriate load capacity?

  Yes

  No

  N/A

• Jack stands have proper OEM pin in place?

  Yes

  No

  N/A

• Jack stands have the proper placement of pin?

  Yes

  No

  N/A

• Drill Press - Eye protection signage present?

  Yes

  No

  N/A

• Drill Press - Face shield present and mounted properly?

  Yes

  No

  N/A

• Drill Press - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• Bench Grinder - Eye protection signage present?

  Yes

  No

  N/A

• Bench Grinder - Face shield present and mounted properly?

  Yes

  No

  N/A

• Bench Grinder - Guards are set accordingly?

  Yes

  No

  N/A

• Bench Grinder - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• All secondary containers properly labeled with contents?

  Yes

  No

  N/A

• Exit signs and emergency lighting good conditions?

  Yes

  No

  N/A

• Parts washer has proper signage - Caution-Hot?

  Yes

  No

  N/A

• LOTO program is being implemented and properly administered per the WI?

  Yes

  No

  N/A

• Chock blocks are in good working and being used for all vehicles?

  Yes

  No

  N/A

• Spill control present and readily available?

  Yes

  No

  N/A

• All stair case ladders in good condition with preferred hockey-style rubber pads?

  Yes

  No

  N/A

• Ladders properly secured when not in use?

  Yes

  No

  N/A

• Eye wash station or eye wash bottles in place?

  Yes

  No

  N/A

• Eye wash basin - filled properly and with the proper amount of solution?

  Yes

  No

  N/A

• Eye wash bottles within expiration date?

  Yes

  No

  N/A

• Eye wash station is free of obstruction and inspected on a monthly basis?

  Yes

  No

  N/A

Parts Department

• Management present during department assessment?

Parts - Warehouse

• Safety incentive team roster posted?

  Yes

  No

  N/A

• Forklift seatbelt being utilized when in use?

  Yes

  No

  N/A

• Forklift - proper pin placement on tank?

  Yes

  No

  N/A

• Forklift - weekly inspection being completed?

  Yes

  No

  N/A

• Visual inspection of forklift?

  Safe

  At Risk

  N/A

• All stair case ladders in good condition with preferred hockey-style rubber pads?

  Yes

  No

  N/A

• Shelving for racking is made of metal instead of plywood?

  Yes

  No

  N/A

• Racking is properly secured to ground or wall?

  Yes

  No

  N/A

• Legs of racking is in good condition?

  Yes

  No

  N/A

• Larger product/material shelved on lower racks?

  Yes

  No

  N/A

• At least 18 inches between sprinkler heads and materials on shelves?

  Yes

  No

  N/A

• Electrical panels labeled and access to them free and clear of hazards?

  Yes

  No

  N/A

• Mezzanine gate closed for fall protection?

  Yes

  No

  N/A

• Space heaters have 36 inches of clearance from combustible materials?

  Yes

  No

  N/A

• Eye wash station or eye wash bottles in place?

  Yes

  No

  N/A

• Eye wash basin - filled properly and with the proper amount of solution?

  Yes

  No

  N/A

• Eye wash bottles within expiration date?

  Yes

  No

  N/A

• Eye wash station is free of obstruction and inspected on a monthly basis?

  Yes

  No

  N/A

• Housekeeping in the rubber hose and flex tube area?

  Yes

  No

  N/A

• Guard in place for chop saw in hose cutting area?

  Yes

  No

  N/A

• Chop saw secured to the work station?

  Yes

  No

  N/A

• Eye protection available for hose cutter?

  Yes

  No

  N/A

• Face shield provided and mounted?

  Yes

  No

  N/A

• Eye protection required signage in place?

  Yes

  No

  N/A

• Housekeeping in warehouse and bullpen adequate?

  Yes

  No

  N/A

• Bullpen areas is properly secured?

  Yes

  No

  N/A

• Bullpen area organized?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• Empty barrels outside are labeled and capped?

  Yes

  No

  N/A

• Batteries stored outside covered properly or on a containment pallet?

  Yes

  No

  N/A

• MHC Vehicle Safety and Cargo Securement Standards posted?

  Yes

  No

  N/A

• Sprinkler riser has annual inspection and flow test?

  Yes

  No

  N/A

• Sprinkler riser clear of obstructions?

  Yes

  No

  N/A

• Butterfly valve in the open position?

  Yes

  No

  N/A

• Dumpster free of hazardous material?

  Yes

  No

  N/A

Parts - Non-DOT Regulated Vehicles

• Physical appearance of Parts trucks meet the standards of MHC?

  Yes

  No

  N/A

• Parts truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Weekly inspections being completed?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A

• Asset numbers present on trucks?

  Yes

  No

  N/A

Parts - DOT Regulated Vehicles

• Physical appearance of Parts trucks meet the standards of MHC?

  Yes

  No

  N/A

• Parts truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Daily inspections being completed?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Asset numbers present on trucks?

  Yes

  No

  N/A

• DOT number present?

  Yes

  No

  N/A

• Log book present?

  Yes

  No

  N/A

• Placarding present?

  Yes

  No

  N/A

Body Shop

• Management present during department assessment?

• "Eye Protection Required" Signage Present?

  Yes

  No

  N/A

• Safety incentive team roster posted?

  Yes

  No

  N/A

• "Employee/Authorized Personnel Only" Signage Present?

  Yes

  No

  N/A

• "No Smoking" Signage Present?

  Yes

  No

  N/A

• Customer Perimeter/Striping Present?

  Yes

  No

  N/A

• Additional eye protection available for customers/visitors?

  Yes

  No

  N/A

• Housekeeping meet the standards of MHC?

  Yes

  No

  N/A

• Shop rags are disposed of properly in designated area?

  Yes

  No

  N/A

• Air hoses and electrical cords are stored properly when not use in use? Appropriate number of reels?

  Yes

  No

  N/A

• Air hoses and electrical cords are in good condition without the physical damage?

  Yes

  No

  N/A

• Electrical panels are properly marked and clear of obstructions?

  Yes

  No

  N/A

• Bay doors look good and in working conditions?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gas separated by 20 feet?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses properly secured and upright?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses - Carts have appropriate fire wall?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• All loads baring equipment is marked with appropriate load capacity?

  Yes

  No

  N/A

• Jack stands have proper OEM pin in place?

  Yes

  No

  N/A

• Jack stands have the proper placement of pin?

  Yes

  No

  N/A

• Drill Press - Eye protection signage present?

  Yes

  No

  N/A

• Drill Press - Face shield present and mounted properly?

  Yes

  No

  N/A

• Drill Press - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• Bench Grinder - Eye protection signage present?

  Yes

  No

  N/A

• Bench Grinder - Face shield present and mounted properly?

  Yes

  No

  N/A

• Bench Grinder - Guards are set accordingly?

  Yes

  No

  N/A

• Bench Grinder - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• All secondary containers properly labeled with contents?

  Yes

  No

  N/A

• Exit signs and emergency lighting good conditions?

  Yes

  No

  N/A

• LOTO program is being implemented and properly administered per the WI?

  Yes

  No

  N/A

• Chock blocks are in good working and being used for all vehicles?

  Yes

  No

  N/A

• Hoist has been inspected in the last year? If so, list date and name of company that completed the inspection?

  Yes

  No

  N/A

• Load capacity is properly marked on the hoist and frame? Rating of the hoist and frame?

  Yes

  No

  N/A

• Welding gloves, googles, and face shield in place?

  Yes

  No

  N/A

• All stair case ladders in good condition with preferred hockey-style rubber pads?

  Yes

  No

  N/A

• Ladders properly secured when not in use?

  Yes

  No

  N/A

• Spill control present and readily available?

  Yes

  No

  N/A

• First aid kit in place and properly stocked without oral medications?

  Yes

  No

  N/A

• Eye wash station or eye wash bottles in place?

  Yes

  No

  N/A

• Eye wash basin - filled properly and with the proper amount of solution?

  Yes

  No

  N/A

• Eye wash bottles within expiration date?

  Yes

  No

  N/A

• Eye wash station is free of obstruction and inspected on a monthly basis?

  Yes

  No

  N/A

• Safety glasses being worn by employees?

  Yes

  No

  N/A

• Steel-toe boots worn by employees?

  Yes

  No

  N/A

• Accident board posted with correct date?

  Yes

  No

  N/A

• Are flammables being stored properly?

  Yes

  No

  N/A

Paint Booth Area

• Flammable cabinets are properly labeled and secured?

  Yes

  No

  N/A

• Filter change log is completed with each change?

  Yes

  No

  N/A

• Spill response plan posted near paint waste and body shop office?

  Yes

  No

  N/A

• Annual respirator training complete/current? Completed on an annual basis?

  Yes

  No

  N/A

• Medical eval completed for respirator users? Completed on an annual basis?

  Yes

  No

  N/A

• Respirator fit test completed and documented? Completed on annual basis?

  Yes

  No

  N/A

• Fresh air and respirators being utilized?

  Yes

  No

  N/A

• Hazardous waste drum labeled with accumulation date? Waste manifest on hand?

  Yes

  No

  N/A

• Self-closing lid on waste drum? Is it closed?

  Yes

  No

  N/A

• Emergency phone numbers present? Local fire department contacted regarding potential emergency?

  Yes

  No

  N/A

• Drums grounded with bonding wires?

  Yes

  No

  N/A

• Overall housekeeping and paint/chemical storage in the mixing room?

  Safe

  At Risk

  N/A

• Covers on sprinkler heads in paint booth? Must use light brown paper bags to prevent overspray.

  Yes

  No

  N/A

• All flammables capped?

  Yes

  No

  N/A

• Paint booth has a self-closing door? Not an exit signage?

  Yes

  No

  N/A

• Fire extinguisher present near paint booth?

  Yes

  No

  N/A

• Adequate ventilation in paint booth that has continuous flow?

  Yes

  No

  N/A

• Approved metal shelving in paint booth?

  Yes

  No

  N/A

• Extra placarding available for hazardous waste transporters?

  Yes

  No

  N/A

Non-DOT Body Shop Vehicle

• Physical appearance of Body Shop truck meet the standards of MHC?

  Yes

  No

  N/A

• Body Shop truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Weekly inspections being completed?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A

• Asset numbers present on trucks?

  Yes

  No

  N/A

Truck Sales

• Management present during department assessment?

• Anti-theft device being used on trucks?

  Yes

  No

  N/A

• Are truck keys kept in a secure area away from the public?

  Yes

  No

  N/A

• Trucks being parked in close proximity to each other to avoid theft?

  Yes

  No

  N/A

• Are trucks properly secured upon visit?

  Yes

  No

  N/A

• Does branch make a copy of driver's license before a customer test drives?

  Yes

  No

  N/A

• Test drives include an MHC employee for insurance purposes?

  Yes

  No

  N/A

Property Securement

• Grounds free from trash and debris?

  Yes

  No

  N/A

• Curbing in good condition?

  Yes

  No

  N/A

• Parking lot and ballards marked properly?

  Yes

  No

  N/A

• Adequate lighting?

  Yes

  No

  N/A

• Does branch have a security system? If so, who is the vendor?

  Yes

  No

  N/A

• Provide a summary of the current perimeter securement of the branch.

  Safe

  At Risk

  N/A

Training/Documentation

• Cell Phone Policy

  Yes

  No

  N/A

• Progressive Discipline Policy

  Yes

  No

  N/A

• Driver Safety Training - Orientation Module

  Yes

  No

  N/A

• Driver Safety Training - Behind the Wheel Module

  Yes

  No

  N/A

• Driver Safety Training - Accident Procedures Module

  Yes

  No

  N/A

• Driver Safety Training - DOT Module

  Yes

  No

  N/A

• Vehicle Policy Acknowledgement Form

  Yes

  No

  N/A

• Driver Safety Training Quiz

  Yes

  No

  N/A

• Hand Safety - PPE

  Yes

  No

  N/A

• Severe Weather - Emergency Procedures

  Yes

  No

  N/A

• Backing/Parking - Service/Body

  Yes

  No

  N/A

• Backing/Parking - Parts

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

• Winter Weather Driving

  Yes

  No

  N/A

• Intersection Safety

  Yes

  No

  N/A

• Ladder Safety

  Yes

  No

  N/A

• Heat Stress

  Yes

  No

  N/A

• HazCom 2012

  Yes

  No

  N/A

• Hot Works

  Yes

  No

  N/A

• Proper Lifting Techniques

  Yes

  No

  N/A

• Preparing a Vehicle for Service

  Yes

  No

  N/A

• BBP

  Yes

  No

  N/A

• Respirator Training

  Yes

  No

  N/A

• DQ Files

  Yes

  No

  N/A

• HazMat Training

  Yes

  No

  N/A

• Cargo Securement

  Yes

  No

  N/A

Leasing

• Management present during department assessment?

• Organization and housekeeping meet the standards of MHC?

  Yes

  No

  N/A

• Seal drivers in good condition?

  Yes

  No

  N/A

• All loads baring equipment is marked with appropriate load capacity?

  Yes

  No

  N/A

• Jack stands have proper OEM pin in place?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• All secondary containers properly labeled with contents?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gas separated by 20 feet?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses properly secured and upright?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses - Carts have appropriate fire wall?

  Yes

  No

  N/A

• Exit signs and emergency lighting good conditions?

  Yes

  No

  N/A

Line Shop

• "Employee/Authorized Personnel Only" Signage Present?

  Yes

  No

  N/A

• "Eye Protection Required" Signage Present?

  Yes

  No

  N/A

• Housekeeping meet the standards of MHC?

  Yes

  No

  N/A

• "No Smoking" Signage Present?

  Yes

  No

  N/A

• Customer Perimeter/Striping Present?

  Yes

  No

  N/A

• Additional eye protection available for customers/visitors?

  Yes

  No

  N/A

• Shop rags are disposed of properly in designated area?

  Yes

  No

  N/A

• Air hoses and electrical cords are stored properly when not use in use? Appropriate number of reels?

  Yes

  No

  N/A

• Air hoses and electrical cords are in good condition without the physical damage?

  Yes

  No

  N/A

• Electrical panels are properly marked and clear of obstructions?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Is there a tamper seal present?

  Yes

  No

  N/A

• Fire Extinguishers - Mounted every 75 feet and clear of obstructions?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• Drill Press - Eye protection signage present?

  Yes

  No

  N/A

• Drill Press - Face shield present and mounted properly?

  Yes

  No

  N/A

• Drill Press - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• Bench Grinder - Eye protection signage present?

  Yes

  No

  N/A

• Bench Grinder - Face shield present and mounted properly?

  Yes

  No

  N/A

• Bench Grinder - Guards are set accordingly?

  Yes

  No

  N/A

• Bench Grinder - Is there evidence that the face shield has been used?

  Yes

  No

  N/A

• All loads baring equipment is marked with appropriate load capacity?

  Yes

  No

  N/A

• Jack stands have proper OEM pin in place?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses properly secured and upright?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gas separated by 20 feet?

  Yes

  No

  N/A

• Stored Acetylene/Oxygen - Compressed Gasses - Carts have appropriate fire wall?

  Yes

  No

  N/A

• Welding gloves, googles, and face shield in place?

  Yes

  No

  N/A

• All secondary containers properly labeled with contents?

  Yes

  No

  N/A

• Exit signs and emergency lighting good conditions?

  Yes

  No

  N/A

• LOTO program is being implemented and properly administered per the WI?

  Yes

  No

  N/A

• Chock blocks are in good working and being used for all vehicles?

  Yes

  No

  N/A

• Hoist has been inspected in the last year? If so, list date and name of company that completed the inspection?

  Yes

  No

  N/A

• Load capacity is properly marked on the hoist and frame? Rating of the hoist and frame?

  Yes

  No

  N/A

• Antifreeze tank properly labeled?

  Yes

  No

  N/A

• Diesel tank properly labeled?

  Yes

  No

  N/A

• Used oil tank is properly labeled?

  Yes

  No

  N/A

• Spill control present and readily available?

  Yes

  No

  N/A

• All stair case ladders in good condition with preferred hockey-style rubber pads?

  Yes

  No

  N/A

• Ladders properly secured when not in use?

  Yes

  No

  N/A

• Sprinkler system been annually inspected?

  Yes

  No

  N/A

• Access to sprinkler is clear of any obstructions?

  Yes

  No

  N/A

• First aid kit in place and properly stocked without oral medications?

  Yes

  No

  N/A

• Eye wash station or eye wash bottles in place?

  Yes

  No

  N/A

• Eye wash basin - filled properly and with the proper amount of solution?

  Yes

  No

  N/A

• Eye wash bottles within expiration date?

  Yes

  No

  N/A

• Eye wash station is free of obstruction and inspected on a monthly basis?

  Yes

  No

  N/A

• Safety glasses being worn by employees?

  Yes

  No

  N/A

• Steel-toe boots worn by employees?

  Yes

  No

  N/A

• Accident board posted with correct date?

  Yes

  No

  N/A

• Safety incentive roster posted in a centralized area?

  Yes

  No

  N/A

• Are parts cleaners being used as a work station?

  Yes

  No

  N/A

• Are flammables being stored near parts cleaner?

  Yes

  No

  N/A

• Adequate housekeeping in the service pit?

  Yes

  No

  N/A

• Adequate lighting in the service pit?

  Yes

  No

  N/A

• Fall protection in place around service pit?

  Yes

  No

  N/A

• Forklift seatbelt being utilized when in use?

  Yes

  No

  N/A

• Forklift - proper pin placement on tank?

  Yes

  No

  N/A

• Forklift - weekly inspection being completed?

  Yes

  No

  N/A

• Visual inspection of forklift?

  Safe

  At Risk

  N/A

Above Ground Fuel Island

• Gauge is in good working condition?

  Yes

  No

  N/A

• No fall hazards when utilizing dip stick?

  Yes

  No

  N/A

• Tank has double-insulated walls?

  Yes

  No

  N/A

• Access to emergency switch/shut off?

  Yes

  No

  N/A

• Securement of fuel line?

  Yes

  No

  N/A

• Condition of hoses?

  Yes

  No

  N/A

• Fuel pump functional and in good working condition?

  Yes

  No

  N/A

• Ballards or securement around tank?

  Yes

  No

  N/A

• Bonding/Grounding present?

  Yes

  No

  N/A

• Spill control kit readily available?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• Signage present - NFPA Diamond, No Smoking, Diesel Fuel, No Cell Usage, Turn Off Engine, Flammables?

  Yes

  No

  N/A

Below Ground Fuel Island

• Securement of fuel line?

  Yes

  No

  N/A

• Condition of hoses?

  Yes

  No

  N/A

• Fuel pump functional and in good working condition?

  Yes

  No

  N/A

• Ballards or securement around pumping stations?

  Yes

  No

  N/A

• Spill control kit readily available?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

• Signage present - NFPA Diamond, No Smoking, Diesel Fuel, No Cell Usage, Turn Off Engine, Flammables?

  Yes

  No

  N/A

Below Ground Fuel Island

• Securement of fuel line?

  Yes

  No

  N/A

• Condition of hoses?

  Yes

  No

  N/A

• Fuel pump functional and in good working condition?

  Yes

  No

  N/A

• Ballards or securement around pumping stations?

  Yes

  No

  N/A

• Spill control kit readily available?

  Yes

  No

  N/A

• Fire Extinguishers - Monthly inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - Annual inspections being completed?

  Yes

  No

  N/A

• Fire Extinguishers - All units clearly marked?

  Yes

  No

  N/A

Non-DOT Leasing Vehicles

• Physical appearance of Leasing truck meet the standards of MHC?

  Yes

  No

  N/A

• Leasing truck condition (windshield, tires, interior, etc.)

  Safe

  At Risk

  N/A

• Weekly inspections being completed?

  Yes

  No

  N/A

• Licensing, registration, insurance and accident packet present in the truck?

  Yes

  No

  N/A

• Driver and passenger seat belts have a high-visibility covers present?

  Yes

  No

  N/A

• "How's My Driving" stickers present?

  Yes

  No

  N/A

• Are their hands-free options available for drivers?

  Yes

  No

  N/A

• Proper load securement is readily available?

  Yes

  No

  N/A