NCI-Planned General Inspection

Title Page

Location Information

Site conducted
Operating Division
Areas Inspected
Areas Inspected
Areas Inspected
What Areas Were Inspected?
Date Of Audit
Lead Auditor
Work Group
Additional Audit Participants
Event Number

Field Observations

Responsible Party?
Which Business Partner?
Hazard Type
What Policy Was Violated?
Hazard Group
- Environmental
- Housekeeping
- Ground Control
- Fire Prevention
- Air Quality
- Explosives
- Ventilation
- Loading, Hauling, Dumping
- Travel & Escapeways
- Electricity
- Compressed Air
- Machinery, Equipment, Tools
- Illumination
- Personal Protection
- Materials & Chemical Storage
- Miscellaneous
Hazard Category
- Loose Ground
- Damaged Ground Support
- Improperly Installed Ground Support
- Working Under Unsupported Ground
- Other
Hazard Category
- Inadequate Warning Signage
- Accumulation Of Combustible Materials
- Damaged Or Defective Firefighting Equipment
- Inadequate Or Damaged Evacuation Warning Systems
- Improper Storage Of Flammable Or Combustible Products
- Damaged Or Defective Fire Control Devices
- Other
Hazard Category
- Observed Airborne Contaminates
- Improper Respirator Use Or Care
- Air Quality Readings Outside Established Limits
- Damaged Or Inadequate Controls
- Other
Hazard Category
- Improper Separation Of Explosives Materials
- Accumulation Near Storage Facilities
- Improper Storage Of Explosives Materials
- Inadequate Or Damaged Storage Facilities
- Inadequate Or Damaged Delivery Vehicles
- Inadequate Control Of Blasting Operations
- Damaged Or Outdated Explosives Materials
- Improper Use Of Detonating Systems
- Use Of Improper Tools
- Other
Hazard Category
- Air Not Sweeping Working Places
- Damaged Air Delivery Systems
- Areas Lacking Ventilation Not Barricaded
- Air Recirculating
- Damaged Or Defective Ventilation Controls
- Other
Hazard Category
- Lack Of Traffic Control Devices
- Hazardous Transportation Of Materials
- Spillage Of Materials During Transportation
- Inadequate Berms
- Inadequate Dump Area Portections
- Inadequate Roadway Maintenance
- Insufficient Dust Control At Dumps or Muckpiles
- Other
Hazard Category
- Damaged Ladders, Stairs, Or Handrails
- Improper Ladder Construction
- Improper Ladder Placement Or Securement
- Inadequate Escapeways From Working Places
- Insufficient Or Damaged Refuge Areas
- Openings Or Open Holes
- Snow, Ice, Or Mud Accumulation On Walkways
- Unmarked Area Of Restricted Clearance
- Unsafe Access To Working Places
- Other
Hazard Category
- Damaged Electrical Conductors Or Components
- Unlabeled Power Switches
- Inadequate Clearance Around Electrical Components
- Inadequate Danger & Warning Signage
- Inadequate Infrastructure Grounding
- Inadequate Personal Protection At Switchgear
- Untested Or Outdated Ground Continuity Test
- Damaged Or Dislodged Cover Plates
- Unguarded Lighting Fixtures
- Other
Hazard Category
- Missing Or Outdated Certification Stamp/Tag
- Damaged Or Missing Tank Pressure Gage
- Insufficient Or Missing Hose Locking Device
- Other
Mobile Equipment?
Was A Pre-operation Inspection Completed By The Operator?
Is The Operator Properly Trained To Use The Equipment
Hazard Category
- Improper Parking Procedures
- Operator's Station Free Of Debris
- Damaged Steps, Handles ,Climbing Points
- Damaged Tires Or Wheels
- Leaks Or Accumulation
- Damaged Windshield, Windows, Mirrors
- Damaged Or Outdated Fire Suppression
- Damaged Seatbelts Or Seats
- Damaged Or Unavailable Wheel Chocks
- Insufficient Or Missing Placards Or Signs
- Insufficient Lighting
- Horn Insufficient Volume Or Non-Functional
- Backup Alarm Insufficient Volume Or Non-Functional
- Damaged Steering And Control Systems
- Inadequate Service Or Emergency Brake Tests
- Other
Hazard Category
- Safety Defects Or Equipment Damage
- Insufficiently Or Unguarded Moving Parts
- Insufficient Falling Material Overhead Protection
- Stationary Grinding Machines
- Damaged Tools
- Tools Used Beyond Designed Capacity
- Hazardous Towing Or Moving of Equipment
- Welding Or Hot Work Areas Not Shielded
- Other
Hazard Category
- Inadequate Illumination At Loading Or Dumping Areas
- Office Buildings >30fc
- Plant Areas & Shops >10fc
- Warehouses, Walkways, Exits >5fc
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- Damaged or Inadequate Eye/Face Protection
- Damaged Or Inadequate Foot Protection
- Damaged Or Outdated Hard Hat
- Damaged Or Unavailable Life Jackets Or PFD
- Inadequate Or Outdated First Aid Materials
- Inadequate High Visibility/Reflective Clothing
- Improperly Stored Or Maintained PPE
- Improperly Worn Or Damaged Fall protection
- W65 Not Inspected Or Not Within 25 FT
- Other
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- Unlabeled Chemical Containers
- Hazardous Stacking Or Storage of Materials
- Incorrect Storage Container For Material
- Unsecured Or Unprotected Gas Cylinders
- Failure To Use Taglines While Lifting
- Storage of Incompatible Substances
- Improper Hoisting Or Rigging
- Other
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- Potable Water Not Available Or Posted
- Inadequate Or Missing Barricades And Signage
- Food Being Consumed Or Stored In Prohibited Areas
- Other
Hazard Category
- Trash & Refuse Improper Disposal
- Floors And Travelways Not In Clean/Passable Condition
- Toilet Facilities Not Clean Or Adequately Stocked
- Waste Receptacles Overflowing Or Uncovered
- Work Areas Cluttered & Disorganized
- Tools & Equipment Not Properly Stored
- Other
Hazard Category
- Spill Of Material
- Wildlife Mortality
- Unauthorized Ground Disturbance
- Improper Containment Or Storage
- Air Quality Issue
- Water Quality Issue
- Other
Priority
Hazard Description
Critical Risk Prevention Violation?
Which CRP was violated?
- #1-Fitness For Duty
- #2-Confined Space Entry
- #3-Working At Heights
- #4-Hazard & Risk Assessment
- #5-Lifting & Hoisting
- #6-Mobile Equipment Operations
- #7-Chemicals & Hazardous Materials
- #8-Equipment Safeguards & Protective Devices
- #9-Hazardous Energy Control
- #10-Ground Control & Slope Stability
Has The Hazard Been Corrected
What Was Done To Correct The Hazard?
Photographs