OCRI-PREASSESSMENT-COMPLETE (ENG)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Compressed Gas Managenment

• 1. Does the facility comply with legal requirements related to Compressed Gas Management?

  Yes

  No

  N/A

• 2. Hs a risk assessment been carried out and necessary controls been implemented?

  Yes

  No

  N/A

• 3. Have procedures been implemented to identify the contents and associated hazards of compressed gas cylinders, storage vessels and piping?

  Yes

  No

  N/A

• 4. Are compressed gas cylinders store and handled as per the KORE requirements?

  Yes

  No

  N/A

• 5. Are gas delivery systems managed to maintain safety and their integrity?

  Yes

  No

  N/A

• 6. Do bulk tank storage systems meet the manufacturer's recommendation and legal and KORE requirements?

  Yes

  No

  N/A

• 7. Are boilers and steam generators installed and managed to minimize potential for fire and explosion?

  Yes

  No

  N/A

• 8. Are gas vaporizers constructed, installed and managed to minimize potential for fire and explosion?

  Yes

  No

  N/A

• 9. Are oxygen handling facilities, installed and managed to minimize potential of cold burns and for fire and explosion?

  Yes

  No

  N/A

• 10. Are flammable gas storage and handling facilities, installed and managed to minimize potential for fire and explosion?

  Yes

  No

  N/A

• 11. Are ammonia storage and handling facilities, installed and managed to minimize potential risk of chemical burns, of an oxygen deficient atmosphere or of explosion?

  Yes

  No

  N/A

• 12. Are chlorine gas storage and handling facilities installed and managed to minimize potential risk of chemical burns, of an oxygen deficient atmosphere or of explosion?

  Yes

  No

  N/A

• 13. Are asphyxiant gas manufacturing, storage and handling facilities installed and managed to minimize the risk of potential injuries from cold burns, oxygen depleted atmosphere or explosion?

  Yes

  No

  N/A

• 14. Are carbon dioxide filling facilities installed and managed to minimize the risk of potential injuries from cold burns, oxygen depleted atmosphere or explosion?

  Yes

  No

  N/A

• 15. Are ozone generating, storage and handling facilities, installed and managed to minimize the risk of potential injuries?

  Yes

  No

  N/A

• 16. Does the site emergency response plan include response plans for all hazardous gas bulk storage and delivery systems?

  Yes

  No

  N/A

• 17. Is the required documentation maintained?

  Yes

  No

  N/A

• 18. Are associated adequately trained?

  Yes

  No

  N/A

Confined Space Entry (CSE)

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Is there a hazard identification and risk assessment for confined spaces and is it current?

  Yes

  No

  N/A

• 3. Is there a documented Confined Space Entry Program in place?

  Yes

  No

  N/A

• 4. Is appropriate signage displayed to alert personnel regarding CSE?

  Yes

  No

  N/A

• 5. Is access to confined spaces controlle?

  Yes

  No

  N/A

• 6. Has a CSE entry permit system been developed and implemented as per requirements?

  Yes

  No

  N/A

• 7. Have controls been implemented for entry into confined spaces to ensure the health and safety of entrants?

  Yes

  No

  N/A

• 8. Has the site developed a routine inspection, maintenance and calibration program for equipment used in CSE?

  Yes

  No

  N/A

• 9. Have the personnel involved in CSE been adequately trained?

  Yes

  No

  N/A

Contractor and Visitor Management

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a risk assessment been conducted to identify the environmental, safety and health risks, and corresponding necessary controls, related to the presence of, and work performed by, contractors and visitors on site?

  Yes

  No

  N/A

• 3. Is there a process to ensure that the contractors and sub-contractors have the qualifications and capabilities to perform the work expected?

  Yes

  No

  N/A

• 4. Are written contracts used for work carried out by contractors, including the minimum topics to be covered in the contracts?

  Yes

  No

  N/A

• 5. Is contractor and visitor access to and with the facility controlled and managed?

  Yes

  No

  N/A

• 6. Prior to or upon entry to the sire are contractors and visitors informed of expected environmental, safety and health hazards and applicable site rules, as appropriate to their expected exposure?

  Yes

  No

  N/A

• 7. Do contractors take responsible for implementing environmental controls to minimize the environmental impact of their work?

  Yes

  No

  N/A

• 8. Are contractors using PPE, tools, supplies and equipment that are suitable and safe for their intended purpose, and are these inspected and maintained accordingly?

  Yes

  No

  N/A

• 9. Do contractors and visitors comply with their responsibility for reporting all safety and environmental incidents in which they are involved while on site property or while performing work for the Company?

  Yes

  No

  N/A

• 10. Does the facility performed and documented an evaluation of each contract company's compliance with the environment and occupational safety and health requirements of their contract?

  Yes

  No

  N/A

Electrical Safety

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has the facility conducted and documented an initial assessment of the workplace to identify potential electrical safety hazards and necessary controls?

  Yes

  No

  N/A

• 3. Does the facility control energy when working on electrical distribution systems/equipment as per Company's Hazardous Energy Control Requirements?

  Yes

  No

  N/A

• 4. Is all electrical distribution equipment and cordage suitable for intended installation and use?

  Yes

  No

  N/A

• 5. Do all electrical systems have a bonding and grounding system?

  Yes

  No

  N/A

• 6. Has an over current protection system been implemented?

  Yes

  No

  N/A

• 7. Are installations used in wet locations appropriate for the intended purpose?

  Yes

  No

  N/A

• 8. Are all cables and cords managed to prevent electrical hazards?

  Yes

  No

  N/A

• 9. Approve equipment, wiring methods and installation of equipment in locations where flammable liquids, flammable gases or explosive dusts are, or could potentially be, generated for the hazard class of location and for the ignitable or combustible properties of the specific gas, vapor, dust or fiber that will be present.

  Yes

  No

  N/A

• a. Ensure compliance with the requirements for electrical systems and equipment contained in the Company's Flammable Liquids Requirements.

  Yes

  No

  N/A

• 10. Are electrical systems and equipment used in dangerous environments (including flammable liquids, gases or explosive dusts) appropriate for the intended use?

  Yes

  No

  N/A

• 11. Are electrical distribution panels managed to prevent electricity-related injuries?

  Yes

  No

  N/A

• 12. Are live parts of electric equipment operating at 50 volts or more guarded against accidental contact?

  Yes

  No

  N/A

• 13. Where the potential contact with exposed electrical sources is present are tools and PPE designed to prevent electricity-related injury used?

  Yes

  No

  N/A

• 14. Has a program to maintain the effectiveness and safety of the electrical systems and equipment been documented and implemented?

  Yes

  No

  N/A

• 15. Have employees and other affected personnel been adequately trained to perform their roles and responsibilities with regard to electrical safety?

  Yes

  No

  N/A

Energy Efficiency

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an initial assessment of the workplace been documented to identify potential environmental impacts associated with the energy usage and related controls?

  Yes

  No

  N/A

• 3. Have processes to monitor and manage energy efficiency been implemented?

  Yes

  No

  N/A

• 4. Has a program to ensure that equipment and processes operate at their designed energy efficiency been implemented?

  Yes

  No

  N/A

EOSH Performance Measures

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a program been established to track the EOSH metrics and calculated measures on a monthly basis?

  Yes

  No

  N/A

• 3. Are the required metrics reported at least quarterly, following the data collection process specified by TCCC?

  Yes

  No

  N/A

• 4. Does the facility include all required Environmental metrics in the monitoring and reporting process?

  Yes

  No

  N/A

• 5. Does the facility include all required OSH metrics in the monitoring and reporting process?

  Yes

  No

  N/A

• 6. Does the facility include all required Fleet EOSH metrics and associated calculations the Fleet monitoring and reporting process?

  Yes

  No

  N/A

• 7. Does the facility review and update annually the necessary facility characteristic?

  Yes

  No

  N/A

• 8. Does the facility review and update annually the necessary fleet characteristic?

  Yes

  No

  N/A

• 9. Is the correct understanding and are the correct calculations used for the monitoring and reporting of environmental data?

  Yes

  No

  N/A

• a. Production volume and sales volume

  Yes

  No

  N/A

• b. Calculation for water usage

  Yes

  No

  N/A

• c. Calculation for energy usage

  Yes

  No

  N/A

• d. Calculation for waste generated, recycled and recovered

  Yes

  No

  N/A

• e. Calculation for environmental compliance

  Yes

  No

  N/A

• f. Calculation for spills, releases

  Yes

  No

  N/A

• g. Calculations for emissions with climate protection impact

  Yes

  No

  N/A

• 10. Is the correct understanding and are the correct calculations used for the monitoring and reporting of OSH Data?

  Yes

  No

  N/A

• a. Calculations for Employees and hours worked

  Yes

  No

  N/A

• b. Calculations for Fatalities

  Yes

  No

  N/A

• c. Calculations for Lost Time Incidents and Lost Days and LTI Opportunity Costs

  Yes

  No

  N/A

• d. Calculations for Medical Treatment Cases and Absent Days

  Yes

  No

  N/A

• e. Calculations for OSH Compliance

  Yes

  No

  N/A

• 11. Is the correct understanding and are the correct calculations used for the monitoring and reporting of Fleet EOSH Data?

  Yes

  No

  N/A

• a. Calculations for number of vehicles, distance travelled, volume distributed

  Yes

  No

  N/A

• b. Calculations for Fuel Consumption

  Yes

  No

  N/A

• c. Calculations for Crashes, Crash Costs

  Yes

  No

  N/A

Fall Protection

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented risk assessment been conducted of the workplace to identify the potential fall hazards and necessary controls?

  Yes

  No

  N/A

• 3. Has a documented procedure to manage fall protection been established?

  Yes

  No

  N/A

• 4. Has a permit program to control, monitor and document work at heights been established for work which requires it?

  Yes

  No

  N/A

• 5. Are floor surfaces maintained to prevent slips, trips and falls?

  Yes

  No

  N/A

• 6. Are wall opening from which there is a drop of more than 1.2 meters (4 feet) guarded, or elsewhere as indicated by the risk assessment?

  Yes

  No

  N/A

• 7. Are open-sided floors, platforms or walkways 1.2 meters (4 feet) or more above adjacent floor level guarded, or where the risk assessment indicates a need for protection?

  Yes

  No

  N/A

• 8. Are fixed ladder managed to prevent injury?

  Yes

  No

  N/A

• 9. Are controls provided to prevent falls through fragile surfaces?

  Yes

  No

  N/A

• 10. For work at height are personnel provided with and wear fall protection equipment meeting the requirements set forth in ANSI Z359.1 or applicable local standards, and sized to securely hold the user?

  Yes

  No

  N/A

• 11. Is fall protection equipment attached to anchorage points capable of supporting a person in the event of a fall?

  Yes

  No

  N/A

• 12. Are safe work practices implemented for work requiring aerial lifts?

  Yes

  No

  N/A

• 13. Do lift truck with a basket attachment comply with Company requirements?

  Yes

  No

  N/A

• 14. Are safe work practices implemented for work requiring portable ladders or mobile platforms?

  Yes

  No

  N/A

• 15. Are safe work practices implemented for work requiring use of scaffolding?

  Yes

  No

  N/A

• 16. Is all fall protection equipment, aerial lifts, ladders and scaffolding inspected and maintained to ensure that it minimize any risk of injury?

  Yes

  No

  N/A

• 17. Are all those who use any type of fall protection equipment, aerial lifts, ladders (fixed, portable, and mobile stairs) or scaffolding, are adequately trained?

  Yes

  No

  N/A

Fire Controls

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented risk assessment of the workplace to identify potential fire hazards and necessary controls been carried out?

  Yes

  No

  N/A

• 3. Has a Fire Emergency and Evacuation Plan been established to describe prevention controls and response procedures to be performed in the event of a fire?

  Yes

  No

  N/A

• 4. Are annual fire drills conducted?

  Yes

  No

  N/A

• 5. Is signage provided and understandable to all personnel in the facility to identify the location of emergency exit routes, emergency exits and fire control equipment?

  Yes

  No

  N/A

• 6. Are clear rules controlling smoking on site established and communicated?

  Yes

  No

  N/A

• 7. Is the accumulation of potentially combustible dusts prevented?

  Yes

  No

  N/A

• 8. Are flammable and combustible materials managed and controlled to minimize fire risk?

  Yes

  No

  N/A

• 9. Are pallets and other combustible materials stored externally so as to minimize the fire risk?

  Yes

  No

  N/A

• 10. Are adequate evacuation routes and fire exits provided?

  Yes

  No

  N/A

• 11. Are fire detection and alarm systems to alert personnel of the need to evacuate and/or respond provided?

  Yes

  No

  N/A

• 12. Are infrastructure fire control elements as determined necessary for life safety purposes by local and Company requirements, and the site's fire risk assessment provided?

  Yes

  No

  N/A

• 13. Are fire extinguishers and other fire control equipment as specified by local and Company requirements and the site's fire risk assessment provided?

  Yes

  No

  N/A

• 14. Has a maintenance and inspection program for fire protection system and fire control equipment been implemented?

  Yes

  No

  N/A

• 15. Are employees and other affected personnel adequately trained to perform their roles and responsibilities with regard to fire controls, emergency response and evacuation?

  Yes

  No

  N/A

• 16. If the facility chooses to implement a fire brigade, are the members trained and equipped to safely perform their duties?

  Yes

  No

  N/A

First Aid

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented first aid needs assessment been carried out?

  Yes

  No

  N/A

• 3. Has a documented first aid procedures been established and is it maintained?

  Yes

  No

  N/A

• 4. Is a current listing of relevant emergency contacts, with means to notify them at any time personnel may be at the facility developed and readily available?

  Yes

  No

  N/A

• 5. Have controls to prevent personnel exposure to blood and other body fluids been implemented?

  Yes

  No

  N/A

• 6. Is first aid equipment as specified by the site's first aid needs assessment and first aid procedure provided, clearly identified and readily accessible?

  Yes

  No

  N/A

• 7. Does the facility meet Company and legal requirements with respect to drugs and medication on site?

  Yes

  No

  N/A

• 8. Has a procedure to record, track, analyze and report workplace injuries and illnesses been implemented?

  Yes

  No

  N/A

• 9. Has a maintenance and inspection program to verify that all first aid supplies and related equipment are available and functional at all times been documented and implemented?

  Yes

  No

  N/A

• 10. Are employees and other affected personnel adequately trained to execute their roles related to provision of first aid?

  Yes

  No

  N/A

Flammable Liquids

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented initial assessment of facility activities and operational areas related to flammable liquids to identify and evaluate environmental and worker safety risks been carried out?

  Yes

  No

  N/A

• 3. Have site-specific operating procedures, work instruction and controls relative to the hazards identified in the assessment been developerd?

  Yes

  No

  N/A

• 4. Are ignition sources in areas where flammable liquids are stored, handled or dispensed controlled?

  Yes

  No

  N/A

• 5, are requirements for incidental storage of flammable liquids met?

  Yes

  No

  N/A

• 6. Are requirements for flammable liquids held in staging areas met?

  Yes

  No

  N/A

• 7. Is all powered equipment classified for use in areas where flammable vapor-air mixtures can exist under normal operations?

  Yes

  No

  N/A

• 8. Is all electrical equipment appropriately classified for use when flammable liquids are transferred, dispensed, sampled or otherwise handled?

  Yes

  No

  N/A

• 9. Are all tanks, pipes and equipment used for storage and handling of flammable liquids designed and maintained to prevent electrostatic ignitions?

  Yes

  No

  N/A

• 10. Are tanks holding flammable liquids designed, constructed, installed and maintained in accordance with applicable local regulations (or industry standards in the absence of local regulations)?

  Yes

  No

  N/A

• 11. Is ventilation provided in areas in which vapors generated from the handling of flammable liquids are likely to create a fire hazard to keep the concentration below 25% of the Lower Explosive Limit (LEL)?

  Yes

  No

  N/A

• 12. Are drainage and/or containment sized for largest anticipated spill plus firewater provided?

  Yes

  No

  N/A

• 13. Are infrastructure fire control elements as determined necessary for life safety purposes by local and Company requirements, and the site's flammable liquid risk assessment provided?

  Yes

  No

  N/A

Fleet Management

• 1. Are all applicable vehicles included in the Fleet management program?

  Yes

  No

  N/A

• 2. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 3. Is there a written expression of management commitment (fleet policy)?

  Yes

  No

  N/A

• 4. Has the plant identified fleet related hazards and risks (risk assessment)?

  Yes

  No

  N/A

• 5. Has the facility documented, maintained and implemented site specific fleet management rules?

  Yes

  No

  N/A

• 6. Has the facility implemented a process to initially and periodically qualify all drivers?

  Yes

  No

  N/A

• 7. Has the facility implemented individualized driver training and performance review?

  Yes

  No

  N/A

• 8. Has the facility implemented a vehicle inspection and preventative maintenance program to meet manufactures requirements and covering the topics outlined?

  Yes

  No

  N/A

• 9. Has the facility documented and implemented an accident reporting and investigation program encompassing the mandatory topics outlined?

  Yes

  No

  N/A

• 10. Have continual improvement goals and targets of key performance measurements/metrics been defined and is there a process in place to collect and review data?

  Yes

  No

  N/A

• 11. If vehicles are fueled on site, are Company requirements met?

  Yes

  No

  N/A

Hazardous Energy Control

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an initial assessment of the workplace to identify tasks, machinery and equipment in which the energization or release of energy could result in injury to workers been carried out?

  Yes

  No

  N/A

• 3. Have documented procedures for the control of hazardous energy for each applicable piece of equipment been implemented?

  Yes

  No

  N/A

• 4. Is there a permit program to control work on line breaking and work in chemical process systems and for which there is no specific hazardous energy control procedure?

  Yes

  No

  N/A

• 5. Is there an effective lock out process developed and implemented as per the requirements?

  Yes

  No

  N/A

• 6. Is there an effective tag out process developed and implemented as per the requirements?

  Yes

  No

  N/A

• 7. In the absence of the possibility to lock out, is the tag out system managed correctly according to the requirements?

  Yes

  No

  N/A

• 8. Is re-energization of the machine or equipment managed in a manner that protects all personnel from injury (following completion of the task)?

  Yes

  No

  N/A

• 9. Are all precautions taken for removal of another person's lock and tag when the individual is not on site (NOTE: It is not permissible to remove another person's lock whole that person is still on site)?

  Yes

  No

  N/A

• 10. Are the energy isolation devices, including locks and tags durable and suited for their intended use?

  Yes

  No

  N/A

• 11. Are affected personnel whose work operations are/may be in an area where energy control procedures apply adequately trained with regard to hazardous energy control?

  Yes

  No

  N/A

Hearing Conservation

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an assessment of the workplace to identify potential noise exposure hazards and necessary controls been carried out and documented?

  Yes

  No

  N/A

• 3. Have controls to prevent employee exposure to noise levels of 85 dBA or above been selected and implemented?

  Yes

  No

  N/A

• 4. Has a hearing conservation program been documented and implemented where engineering controls are not sufficient to control noise levels below 85 dBA?

  Yes

  No

  N/A

• 5. Is hearing protection provided and used by all personnel exposed to noise levels at or above 85 dBA?

  Yes

  No

  N/A

• 6. Is clear signage in place, and understandable to all on site, for areas where hearing protection is required for entry during normal operations?

  Yes

  No

  N/A

• 7. Is audiometric testing carried out and documented for employees whose noise exposure levels meet or exceed the action level (85 dBA TWA)?

  Yes

  No

  N/A

• 8. Does the frequency of audiometric testing meet the legal and Company requirements?

  Yes

  No

  N/A

• 9. Are Audiograms conducted by qualified resources using industry standard equipment and protocols that ensure results are valid?

  Yes

  No

  N/A

• 10. Are there procedures in place to ensure that each employee's audiogram is competently evaluated, that the employee is notified of the results and that any significant findings are addressed?

  Yes

  No

  N/A

• 11. Are records related to workplace noise exposure maintained as needed for current or future investigations?

  Yes

  No

  N/A

• 12. Ensure that employee and other affected personnel are adequately trained to recognize site-specific risks related to noise exposure and to competently execute their role in implementing associated controls?

  Yes

  No

  N/A

Hot Work

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an assessment of the workplace to develop a current listing of all Designated Hot Work Areas and Hazard Areas related to hot work been carried out?

  Yes

  No

  N/A

• 3. Are permanent warning signs, understandable to all on site, posted at each Hot Work High Hazard Area that is not otherwise labeled as containing flammables?

  Yes

  No

  N/A

• 4. Are exposures to potential toxic contaminants during Hot Work assessed and in compliance with the Managing Hazardous Materials Requirements?

  Yes

  No

  N/A

• 5. Do designated hot work areas meet Company requirements?

  Yes

  No

  N/A

• 6. Is there a permit program in place to control all Hot Work conducted outside Designated Hot Work Areas?

  Yes

  No

  N/A

• 7. Are all necessary precautions implemented for Hot Work performed outside of Designated Hot Work Areas?

  Yes

  No

  N/A

• 8. Has documented training regarding Hot Work taken place for Hot Work Permit Authorizers, Fire Watches and other affected personnel?

  Yes

  No

  N/A

Lift Truck

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an assessment of the workplace to identify hazards associated with lift truck activities been carried out and are documented procedures used for control of these hazards established?

  Yes

  No

  N/A

• 3. Has a lift truck management program been documented and maintained?

  Yes

  No

  N/A

• 4. Are lift trucks and any associated attachment selected to meet the requirements for their intended use?

  Yes

  No

  N/A

• 5. Are lift truck safe work practices documented addressing all Company requirements?

  Yes

  No

  N/A

• 6. Are controls during loading/unloading implemented to meet all Company requirements?

  Yes

  No

  N/A

• 7. Are requirements addressing battery charging and charging met?

  Yes

  No

  N/A

• 8. Are requirements addressing fuel for internal combustion engines met?

  Yes

  No

  N/A

• 9. Has documented maintenance and inspection program been implemented as per the requirements?

  Yes

  No

  N/A

• 10. Has the facility developed and maintained a process to initially and periodically qualify all lift truck operators to meet all Company and legal requirements?

  Yes

  No

  N/A

Local Exhaust Ventilation

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has an assessment been carried out to identify the local exhaust ventilation systems provided and their effectiveness in reducing employee exposure?

  Yes

  No

  N/A

• 3. Do the LEV systems meet defined performance criteria of the Company, legal requirements and the risk assessment?

  Yes

  No

  N/A

• 4. Are LEV systems inspected and maintained in accordance with the manufacturer's recommendations and Company requirements?

  Yes

  No

  N/A

• 5. Is LEV documentation verifying performance criteria is met maintained?

  Yes

  No

  N/A

• 6. Are personnel expected to perform tasks requiring local exhaust ventilation trained and is the training documented?

  Yes

  No

  N/A

Machine Safeguarding

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out of the workplace to identify machinery, equipment and work areas requiring safeguarding and the procedures used for the control of these hazards?

  Yes

  No

  N/A

• 3. Has a Machine Safeguarding Program been documented, maintained and implemeted?

  Yes

  No

  N/A

• 4. Does the facility provide and maintain safeguarding on equipment and machinery as needed to prevent contact with machine hazards?

  Yes

  No

  N/A

• 5. If it is necessary to operate equipment with safeguards removed or disabled, are Company requirements met to reduce the risk?

  Yes

  No

  N/A

• 6. Are emergency stops (E-stops) provided for any equipment that must shut down quickly in case of an emergency?

  Yes

  No

  N/A

• 7. Are known machine hazards identified with warning labels or signs recognizable to all personnel in the facility?

  Yes

  No

  N/A

• 8. Are safeguards inspected at least monthly and is the inspection documented?

  Yes

  No

  N/A

• 9. Are maintenance, operations and other affected personnel trained in machine hazards and in machine safeguarding?

  Yes

  No

  N/A

Managing Hazardous Materials

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out of the workplace to identify hazards, risks and necessary controls related to storage and handling of hazardous materials?

  Yes

  No

  N/A

• 3. Has a process been established and maintained to affectively communicate information about the dangers of hazardous materials present in the workplace?

  Yes

  No

  N/A

• 4. When necessary to work with hazardous materials, is appropriate PPE used?

  Yes

  No

  N/A

• 5. Is secondary containment provided for liquid hazardous materials?

  Yes

  No

  N/A

• 6. If transferring hazardous materials (such as unloading), are necessary controls used?

  Yes

  No

  N/A

• 7. Are bulk tanks for storage of hazardous materials such that they ensure the safety of personnel and the environment?

  Yes

  No

  N/A

• 8. Are incompatible materials segregated during storage with separate secondary containment areas and other controls as identified by the risk assessment?

  Yes

  No

  N/A

• 9. Are sufficient eyewash and safety showers equipment provided and maintained to meet Company and legal requirements?

  Yes

  No

  N/A

• 10. Has a documented response procedure(s) been established to address likely and worst-case spill and/or release scenarios involving hazardous materials stored and used by the operation?

  Yes

  No

  N/A

• 11. Has equipment to respond to fire and hazardous material spill emergencies been provided and maintained? Is it accessible where needed?

  Yes

  No

  N/A

• 12. If employee emergency response teams or spill brigades are designated within the operation, are spill-response drills conducted manually?

  Yes

  No

  N/A

• 13. Where hazardous materials are shipped or transported, has a program been established to ensure all shipments conform to applicable laws and regulations?

  Yes

  No

  N/A

• 14. Is information about hazardous materials communicated to those who will be handling and receiving the materials?

  Yes

  No

  N/A

• 15. Is UN-certified packaging used for all shipments of hazardous materials where applicable?

  Yes

  No

  N/A

• 16. Are transport companies assessed to confirm that their drivers and equipment can carry hazardous materials legally, safely and competently?

  Yes

  No

  N/A

• 17. Are control measures implemented to prevent airborne ACM exposure to personnel?

  Yes

  No

  N/A

• 18. Does the facility manage flammable liquids as per the Company Flammable Liquids requirements?

  Yes

  No

  N/A

• 19. Is equipment containing radioactive sources managed as per legal and Company requirements?

  Yes

  No

  N/A

• 20. Has a maintenance and inspection program been established to ensure that all physical controls and equipment for the management of hazardous materials is suitable for use?

  Yes

  No

  N/A

• 21. Are affected personnel adequately trained to understand the hazards and to implement necessary controls for hazardous materials?

  Yes

  No

  N/A

Material Handling Equipment

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out to identify hazards associated with using materials handling equipment on site and the procedures used for the control of these hazards?

  Yes

  No

  N/A

• 3. Are storage racks designed and constructed to securely hold the intended load?

  Yes

  No

  N/A

• 4. Are storage racks used in a manner that minimize the risk of falling material or rack collapse?

  Yes

  No

  N/A

• 5. Do automated storage systems meet the manufacturer's requirements and the Company's Machine Safeguarding Requirements and Hazardous Energy Control Requirements?

  Yes

  No

  N/A

• 6. Are work practices that meet Company requirements implemented to minimize the risk of injury as a result of interaction with the pallet or failure of the pallet or load?

  Yes

  No

  N/A

• 7. Do cranes and hoists used by site comply with the Company design requirements?

  Yes

  No

  N/A

• 8. Are documented operating procedures implemented and maintained to ensure safe use of cranes and hoists?

  Yes

  No

  N/A

• 9. Does rigging equipment used by site personnel comply with Company design requirements?

  Yes

  No

  N/A

• 10. Are the Company requirements met in the use of rigging equipment?

  Yes

  No

  N/A

• 11. Is all other material handling not covered above according to the manufacturer's recommendations and in a manner that prevents injury and meeting Company requirements?

  Yes

  No

  N/A

• a. Vacuum, Magnetic and Other Lift Assists

  Yes

  No

  N/A

• b. Pallet Jacks, Equipment Trucks and Carts

  Yes

  No

  N/A

• c. Lift Tables

  Yes

  No

  N/A

• d. Automatic Guided Vehicles (AGVs)

  Yes

  No

  N/A

• e. Vehicle Lifts

  Yes

  No

  N/A

• f. Good Lifts and Elevators

  Yes

  No

  N/A

• 12. Is material handling equipment inspected and maintained to ensure that it functions as designed and minimizes any risk of injury?

  Yes

  No

  N/A

• 13. Are affected personnel adequately trained prior to use of any type of material handling equipment such that they cam operate it safely?

  Yes

  No

  N/A

Ozone Protection

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out of the workplace to identify potential environmental impacts associated with use of in-scope compounds, and the procedures used for control of these hazards?

  Yes

  No

  N/A

• 3. Have purchasing controls to restrict the purchase of in-scope compounds been implemented?

  Yes

  No

  N/A

• 4. Have controls to ensure that in-scope compounds are not released to atmosphere been implemented?

  Yes

  No

  N/A

• 5. Has a program to measure and record the quantity of in-scope compound on site, handled and removed off site been implemented?

  Yes

  No

  N/A

• 6. Are affected personnel adequately trained and qualified to perform their roles and responsibilities with regard to management of in-scope compounds?

  Yes

  No

  N/A

Personal Protective Equipment

• 1. Are all applicable legal requirements identifies, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out to identify potential hazards and need for PPE? As an outcome of the assessment, have those areas and tasks for which PPE is required, as well as the specific PPE that must be worn, been documented?

  Yes

  No

  N/A

• 3. Has the specific PPE to be worn been clearly posted at the entrance of any area for which entry requires mandatory PPE?

  Yes

  No

  N/A

• 4. Are personnel who are exposed to hazards posing the risk of injury to the eye or face using appropriate eye or face protection?

  Yes

  No

  N/A

• 5. Is head protection used when head injury is possible?

  Yes

  No

  N/A

• 6. Do personnel exposed to the risk of foot injury wear appropriate foot wear?

  Yes

  No

  N/A

• 7. Is hand protection worn where with the potential to injure hand exist?

  Yes

  No

  N/A

• 8. Is protective clothing for arms, legs or body as indicated by the site's workplace risk assessment in use?

  Yes

  No

  N/A

• 9. Is appropriate PPE in use when working with electricity?

  Yes

  No

  N/A

• 10. Is hearing protection in use as per the Company's Hearing Protection Requirements?

  Yes

  No

  N/A

• 11. Is respiratory protection used as per the Company's Respiratory Protection Requirements?

  Yes

  No

  N/A

• 12. Is PPE inspected before use to ensure functionality and maintained according to manufacturer's instruction to ensure its continued effectiveness?

  Yes

  No

  N/A

• 13. Are personnel who are required to use PPE adequately trained to use it effectively?

  Yes

  No

  N/A

Respiratory Protection

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out of the workplace to identify and evaluate potential safety and health risks from exposure to hazardous atmospheres or airborne contaminants, and the controls used to mitigate those risks?

  Yes

  No

  N/A

• 3. Are entrances to areas for which respirator use is required for entry clearly signed and understandable to all personnel in the facility?

  Yes

  No

  N/A

• 4. If the facility specifies the use of respiratory protection for emergency response or any other situation, have they documented and implemented a respiratory protection program?

  Yes

  No

  N/A

• 5. Are Company requirements met for the voluntary use of dust masks?

  Yes

  No

  N/A

• 6. Are the respirators selected and in use identified in the site's Respiratory Protection Program to be suitable for their intended use and in compliance with the Company requirements?

  Yes

  No

  N/A

• 7. Has documented fit testing been carried out for associates expected to wear air-purifying or atmosphere-supplying tight-fitting respirators?

  Yes

  No

  N/A

• 8. Have associates using respirators undergone a medical evaluation prior to fit testing and using respirator, and annual review, to determine suitability for using a respirator?

  Yes

  No

  N/A

• 9. Has the facility established and implemented procedures for the safe use of respirators that meet the Company requirements?

  Yes

  No

  N/A

• 10. Has respiratory protection as indicated by the site's risk assessment and emergency response procedures been provided and is it in compliance with the Company's requirements?

  Yes

  No

  N/A

• 11. If Supplied Air Respirators (SARs) or Self Contained Breathing Apparatus (SCBA) are used, is the air supply of sufficient quality and quantity to prevent injury or illness?

  Yes

  No

  N/A

• 12. Have storage, cleaning, maintenance and inspection practices been implemented that are at least as stringent as manufacturer's recommendation to ensure respirators remain fit for use and meet the Company's requirements?

  Yes

  No

  N/A

• 13. Are affected personnel adequately trained to recognize situations in which respiratory protection is required, and, for those who must use respirators, are they trained to use them effectively?

  Yes

  No

  N/A

Traffic Route

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out of the workplace to identify hazards associated with traffic routes, including the potential for collision with pedestrians, other vehicles or fixed objects, and the procedures used for control of these hazards?

  Yes

  No

  N/A

• 3. Has the facility documented the site's rules for ensuring safe traffic flow within the facility boundaries addressing all Company requirements?

  Yes

  No

  N/A

• 4. Are traffic routes and parking areas such that they prevent harm to vehicles and pedestrians and meeting Company requirements?

  Yes

  No

  N/A

• 5. Have pedestrian routes that are designed to protect pedestrians from the hazards of vehicle traffic, as well as from trop and bump hazards, been provided?

  Yes

  No

  N/A

• 6. Have lighting and other visibility controls been provided as needed and as indicated by the risk assessment?

  Yes

  No

  N/A

• 7. Do sites with indoor operation of vehicles with internal combustion engines provide ventilation adequate to ensure that employee exposure levels to carbon monoxide do not exceed Company-specified limits?

  Yes

  No

  N/A

• 8. Are traffic routes, parking areas and any associated signage or other physical controls maintained in a safe condition?

  Yes

  No

  N/A

• 9. Are affected personnel trained as per Company requirements, and are they aware of and do they follow the site's speed limits, rules of right-of-way and other traffic control rules and procedures?

  Yes

  No

  N/A

Waste Management

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out to identify work areas and processes that generate or handle waste that can potentially pollute, or present a hazard to people, and the controls used to manage these risks?

  Yes

  No

  N/A

• 3. Has all waste been characterized to distinguish hazardous wastes and non-hazardous wastes as per legal and Company requirements?

  Yes

  No

  N/A

• 4. Have procedures been documented and implemented for the management of wastes?

  Yes

  No

  N/A

• 5. Are government-approved waste disposal sites (when available), and qualified waste transport and/or disposal contractors used and are they assessed prior to using them as per Company requirements?

  Yes

  No

  N/A

• 6. Are waste data captured and reported in accordance with the EOSH Performance Measurement Requirements?

  Yes

  No

  N/A

• 7. Have management controls been implemented to reduce potential environmental impacts, nuisances or hazards both on- and off-site and meeting Company requirements?

  Yes

  No

  N/A

• 8. Are additional controls in place for hazardous wastes?

  Yes

  No

  N/A

• 9. If the facility uses land application of non-sanitary bio-solids and/or inorganic solids, are they legally compliant, do they meet Company requirements and do they act in a manner that protects the environment?

  Yes

  No

  N/A

• 10. Do operations generating sanitary bio-solids implement controls to avoid potential health risks as per Company requirements?

  Yes

  No

  N/A

• 11. Are electronic wastes managed as per the Company requirements?

  Yes

  No

  N/A

• 12. Is filter aid waste managed as per Company requirements?

  Yes

  No

  N/A

• 13. Are biohazard wastes resulting from first air procedures or other sources managed as per Company requirements?

  Yes

  No

  N/A

• 14. Are refrigerant gases wastes managed as per the Company's Ozone Protection Requirements?

  Yes

  No

  N/A

• 15. Are personnel adequately trained to handle waste materials generated or managed in their workspace?

  Yes

  No

  N/A

Wastewater Quality

• 1. Are all applicable legal requirements identified, maintained and complied with?

  Yes

  No

  N/A

• 2. Has a documented assessment been carried out of the workplace to identify potential environmental impacts associated with wastewater managemenet and discharge, and the procedures used to control these hazards?

  Yes

  No

  N/A

• 3. Has the facility's wastewater drainage plan been documented as per Company requirements?

  Yes

  No

  N/A

• 4. Are physically separated wastewater streams and treatment systems provided as per Company requirements?

  Yes

  No

  N/A

• 5. Are there controls in place as per Company requirements to prevent the pollution of stromwater and non-contact cooling water, and to prevent contamination of process or sanitary wastewater?

  Yes

  No

  N/A

• 6. Does the facility have a process in place to minimize wastewater?

  Yes

  No

  N/A

• 7. Is wastewater and storm water generated by the facility treated to ensure legal compliance and prevent adverse affects to aquatic biota?

  Yes

  No

  N/A

• 8. Is wastewater treated by one of the 3 options defined in Company requirements?

  Yes

  No

  N/A

• 9. Is sanitary wastewater either treated on-site or discharged to an enclosed sewer system that is connected to a sewage treatment and does the process meet Company requirements?

  Yes

  No

  N/A

• 10. Is stromwater discharged in a manner that does not generate adverse affects to aquatic biota, water quality, sediment quality or groundwater quality, and meets Company requirements?

  Yes

  No

  N/A

• 11. Is non-contact cooling water discharged as per Company requirements?

  Yes

  No

  N/A

• 12. Is treated wastewater disposed of or used in an environmentally responsible manner and in compliance with legal and Company requirements?

  Yes

  No

  N/A

• 13. Have maintenance and inspection programs been implemented for the facility's wastewater systems to ensure operation as intended?

  Yes

  No

  N/A

• 14. Are personnel adequately trained to perform their roles and responsibility with regard to ensuring wastewater quality?

  Yes

  No

  N/A

Recommendation & Evaluation

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