Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Administrative

  • 1.01- Site has Legal ID on file. (30 CFR Part 41)

  • 1.02- Site is filing quarterly MSHA Form 7000-2 and maintaining completed forms for 5 years. (30 CFR Part 50.30)

  • 1.03- Procedure exists for dealing with a Miner's Right to Refuse Unsafe Work. Includes annual refresher training.

  • 1.04- Plant is recognizing "No Lost Time" milestones at least annually.

  • 1.05- Site has implemented a hazard recognition program to reward employees for identifying hazards/suggestions to improve safety.

  • 1.06- Site has developed a site-specific Stockpile Safety Program.

  • 1.07 Plant has disseminated Safety Alerts T-5s and other such pertinent communications.

  • 1.08- Does site have documentation to support the continuation of ergonomic interventions.

  • 1.09- A site specific Portable Electronic Device program has been developed and is being enforced.

  • 1.10- Site can provide a record of disciplinary actions for those workers who violate S/H & MSHA rules and regulations.

2. Employee Training

  • 2.01- All persons considered a "Miner" or visitor must receive site specific hazard awareness training. (30 CFR Part 46)

  • 2.02- Mine training plan is available and up to date including list of current trainers, topics, etc. ( 30 CFR Part 46)

  • 2.03- Site is training employees who work with hazardous chemicals in HazCo in compliance with the Global Harmonized Standard (GHS).

  • 2.04- Evidence of Hazard Assessment and Control.

  • 2.05- Employees who utilize lifting hoists are trained in the safe use with documentation.

  • 2.06- Site has a training program for employees working around railcars for initial hire and annually thereafter.

  • 2.07- Employees are trained with New Miner Training in accordance with applicable regulations. (30 CFR Part 46 56.18006)

  • 2.08- New task training is conducted with all miners for work they have not been previous trained for.

  • 2.09- Site is conducting 8-hour annual refresher with all applicable employees. (30 CFR Part 48)

  • 2.10- Employees who perform electrical work have successfully completed NFPA 70E training.

3. Safety Inspection Program

  • 3.01- Operators of mobile equipment are completing pre-use checks prior to the start of shift. Verify contents of pre-use inspections are adequate. (30 CFR 56.14100)

  • 3.02- Plant is conducting daily work area inspections. Site maintains work area inspections for all shifts for past 12 months. Inspections document deficiencies for corrective action.

  • 3.03- Items found during inspections (pre-use; workplace inspections, etc.) are tracked to completion.

  • 3.04- Site has conducted a survey of all lifting hoists and identified OEM and/or regulator inspection requirements; and has developed an inspection program for compliance with these requirements.

4. Incident Investigation/Reporting Program

  • 4.01- Site has procedure for reporting incidents by end of shift or has reviewed requirement with worker's.

  • 4.02- Corrective actions identified within incident reports are tracked to completion.

  • 4.03- Injured employees are accompanied to medical treatment by salaried employee or designated shift leader. (30 CFR 56.18014)

  • 4.04- Site is aware of reporting requirements (e.g. MSHA & Internal) and has communicated requirements to staff.

  • 4.05- Site can verify that Part 50 reporting requirements have been met for past 12 months. (30 CFR Part 50.30)

  • 4.06- All incident reports within the past 12 months that require follow-up action have been completed and documented.

  • 4.07- Site consistently works with medical professionals and injured employee to provide and accommodate for modified duty work.

  • 4.07- Site maintains essential functions and physical demands for each regular job.

  • 4.08- Select salaried employees and designated shift leaders have been provided training in Modified Duty Program.

5. Hearing Conservation

  • 5.01- Site has developed a Hearing Conservation Program consistent with 30 CFR 62.150.

  • 5.02- Training is provided in the HCP for all affected site employees.

  • 5.03- Audiometric testing records are being maintained for duration of employment plus 6 months. (30 CFR 62.190)

  • 5.04- Audiograms are conducted at least once every 12 months for facilities that are required to have a Hearing Conservation Program. (30 CFR 62.170)

  • 5.05- Disposable respirators are available for visitors.

  • 5.06- Training is conducted for all employees and supervisors who wear respirators (upon hire and annually).

  • 5.07- Documented fall protection training, including rescue considerations, provided to employees prior to using fall protection, and annually thereafter.

  • 5.08- Full body harness and lanyard are the only acceptable type of fall protection used on site by employees and contractors.

  • 5.09- Site is using barricades to control or prevent access where there is risk of a fall or being hit by falling object. Preference made for hard/physical barriers. Verified through observations.

  • 5.10- Elevated work platforms (EWP's) are used in preference to portable ladders. Portable ladders only permitted when 3-point contact can be maintained at all times.

  • 5.11- Quarterly inspections of fall protection equipment (harnesses, lanyards, anchor points) conducted.

  • 5.12- Quarterly inspections of portable ladders.

6.0- Confined Space Entry

  • 6.01- Documented confined space training provided to employees prior to entering a confined space or acting as an attendant, and annually thereafter.

  • 6.02- Permits are complete, signed and maintained on file for a minimum of 12 months.

  • 6.03- Harnesses and lifeline being used for entry into product bins, silos and tanks. Verified by permit review. (30 CFR 56.16002)

7.0 Electrical Safety

  • 7.01- Site has developed an Isolation Plan for each individual piece of equipment that has potential for uncontrolled release of energy.

  • 7.02- Electrical safety training provided to all affected employees and contains all required elements.

  • 7.03- Site has developed a site specific lockout/tagout program in compliance with policy.

  • 7.04- Site maintains proper insulated tools, metering equipment and proper arc-rated PPE.

  • 7.05- Site has communicated arc flash requirements to all electrical contractors.

  • 7.06- Ground testing is conducted and documented after installation/modification and annually thereafter. (30 CFR 56.12028)

  • 7.07- Ground field testing is conducted and documented annually. (30 CFR 56.12028)

  • 7.08- Site has a documented evacuation plan and fire security plan. (30 CFR 56.4330)

  • 7.09- Site has communicated with local emergency resources in planning for emergency resources.

  • 7.10- Drills shall be conducted at least annually for potential emergency situations pertinent to the plant/mine site.

  • 7.11- Site has developed an emergency incident management plan.

  • 7.12- A person capable of providing first aid is available on each shift. (30 CFR 56.18010)

  • 7.13- Site is conducting bloodborne pathogen training for all new hires and annually with all employees. Records are kept on file for a minimum of 3 years. (29 CFR 1910.1030)

  • 7.14- A person knowledgeable in use of the AED is available on each shift.

8. Contractor Management

  • 8.01- Site maintains a current sign in/sign out log for all contractors.

  • 8.02- All persons contractors must receive site specific hazard awareness training. (30 CFR Part 46)

  • 8.03- Pre-job safety meetings are conducted for all contractors.

  • 8.04- All applicable training (e.g. Part 46, fall protection, confined space, etc.) for each contractor employee is verified prior to commencement of work activities.

  • 8.05- A contractor log is kept for contractors used on site. (30 CFR Part 45.4)

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