Information

  • Monthly Planned Inspection Form - Pineville 1 Plant

  • Document No.

  • Conducted on

  • Inspected by

  • Department/Area Inspected

Planned Inspection

PPE

  • PPE supplies readily available to operators (Interview >= 2 employees.)

  • Is PPE being worn properly? <br> -Ear plugs completely inserted into ears<br> -Safety glasses fit properly and no tint/color<br> -Appropriate safety shoes worn<br> -Gloves being worn when handling materials that are sharp, hot, etc.

Tools/Machinery/Equipment

  • Machinery working properly and not causing regular manual manipulation?<br> -Frequent breakdowns causing manual work?<br> -Machinery producing excessive noise/vibration due to disrepair?

  • Are tools, cords, and air hoses in good working condition?<br> - Lack of proper storage?<br> -Held together with tape?<br> -Excessive noise/vibration?<br> -Requires excessive manual manipulation?

  • All existing guarding and safety devices in place and in good condition?<br> -No guards laying on the floor?<br> -Bolts/Screws missing from fixed guarding?<br> -Guards shifted causing open point of operation? <br> - Interlocked/Presence sensing devices not working properly?

  • Existing guarding sufficient in preventing access to the point of operation?<br> -Gaps in guarding too large?<br> -No guard installed where guarding should exist?

  • Machinery design/layout inherently hazardous?<br> -Congestion created in design?<br> -Equipment no longer safest design for the process?<br> -Can a hazardous piece of equipment be eliminated from the process/work area?

Materials

  • All material stacks stable and secure against sliding/collapsing/tipping?<br> -No stored energy (i.e. leaning pallets)<br> - No items projecting outside storage

  • Load limits of racks and platforms posted and observed?<br> -Storage area clean/free of foreign objects/material<br> -Shelves, racks not overflowing/damaged<br> -Items are needed, current, and not overstocked (obsolete items removed)

  • Ventilation adequate for the airborne health hazards?<br> -Employee complaints about "fumes" or "nausea/dizziness"

  • Chemicals are stored in proper containers and labeled properly?<br> -Labels legible and accurately indicates the chemical that is inside the container?<br> -Flammable materials not in use stored in proper cabinet/safety container?<br> -Incompatible materials stored away from each other?

  • Incidental spills cleaned up immediately?<br> -No obvious stained/discolored soils or gravel?<br> -Any chemicals being tracked on employees' shoes and/or mobile equipment?<br> -Appropriate type of spill cleanup material/kits available?

  • Employees know how to find SDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)

Walking/Working Surfaces and Fall Protection

  • Floors and work platforms free of excessive debris and clutter?<br> -Excessive oil, trash, manufacturing byproducts, etc. in the work are?<br> -No items stored on stairs?<br> -Drainage maintained<br> -Openings covered or barricaded

  • Handrails installed on stairways and secure, free of excessive defects?<br> -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards?<br> -Handrails do not contain excessive oil/grease?

  • Work platforms for working at heights greater than 4 feet from the working surface below are equipped with standard fall prevention?<br> -Appropriate top/middle rails secured?<br> -Toeboards in place with not gaps to prevent falls or falls of objects?<br> -Adequate self-closing and securing gates?

  • Fall protection equipment available and used in areas where fall prevention is not available?

  • Harnesses, lanyards, SRL, and lifelines maintained in good condition and inspected properly?<br> -Inspection labels present and legible?<br> -Webbing free of frayed, cut or broken fibers?<br> -Quick connect buckles working properly?

Emergency Response/Fire Protection

  • Sufficient emergency equipment installed in the area?<br> -Fire extinguishers, eyewash, safety shower, spill kits, alarm pull stations, etc.

  • Fire extinguishers, eyewash/safety showers, emergency egress accessible and unobstructed?

  • Emergency lights and exit signs present and properly illuminated to clearly indicate exits?

  • First aid kits are available where needed and are equipped as required?

  • Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)

General Safety and Housekeeping

  • Is the 5S System used as intended? <br> -Trash, debris, and equipment not left laying around or on top of electrical equipment?

  • Equipment free of excessive dust or material buildup?<br> -Check dust accumulation in blending at grinder<br> -Check dust buildup throughout plant

  • General tripping hazards due to housekeeping, equipment layout, and/or workstation design?

  • Pneumatic and hydraulic power systems free from leaks?

  • Walking and working areas adequately illuminated during work?

  • Are employees working under suspended loads?

  • Electrical cabinets closed and in good repair?<br> -Do the cabinets close securely?<br> -Knock-outs all in place?<br> -Large dents in the housing/door?

  • Electrical cabinets not blocked?<br> -Nothing within 36 inches of the front of the cabinet?<br> -Clear access/pathway to electrical cabinets?

Physical Security

  • Are all fencing/gates free of significant holes or damage?

  • Are the gate padlocks in place/secured?

  • Are doors equipped with electronic access control systems closed and locked at all times?

  • Are overhead doors left open for ventilation protected with a safety gate?<br> - Gates closed/locked?

Environment

  • Drums/containers in dike impervious area or on containment pallets?<br> - Store in a building or under cover?<br> -Above-ground tanks with diking or spill containment; free of leaks, cracks?

  • No obvious discharge to soils, gravel, or drains?<br> -No building drain discharged to waters, ground, or beneath ground?<br> - No apparent loss of material at/near storm drains?<br> -No dead vegetation, unusual water conditions (oily sheen)

  • Drip pan present in chemical dispensing areas?<br> -No hazardous material stored, handled, or discharged near open drains<br> -All discharges from pipe or process activity (cooling water, etc) have permits?

  • Source separation for waste types available and uncontaminated?

Signature and Finalization

  • I have completed this inspection to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify any visible/known hazards as of the date printed on the completed inspection report.

  • Additional Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.