OMG Policy and Requirement Checklist

• Client / Site

• Conducted on

  Date

• Audited By:

• Location
  Address

• INSTRUCTIONS
  ----------------------
  1. Please answer "Yes," "No," or "N/A" on the questions below.
  2. Add photos and notes by clicking on the paperclip icon
  3. To add a Corrective Action click on the paperclip icon then "Add Action," provide a description, assign to a member, set priority, and due date
  4. Click "Next" to go to the next section.
  5. Complete audit by providing digital signature
  6. Share your report by exporting as PDF, Word, Excel or Web Link
  
  Note:
  This guide is intended to cover OMG policies as well MSHA requirements
  If attention is needed, on any particular item, please note for follow up.

  

Fundamentals Postings

• 14 Fundamental posters with color monthly alerts at each site and job trailer

  Yes

  No

  N/A

Emergency Numbers Posted

• 911, MSHA (800-746-1553), Fire dept., Sherriff and physical address posted

  Yes

  No

  N/A

• Are emergency numbers Posted in each scale house, job trailer, shop, dredge

  Yes

  No

  N/A

Emergency action plan

• Is there a planned meeting point for weather, fire, injury, criminal activity, violence, spill posted in each scale house, job trailer, shop, dredge

  Yes

  No

  N/A

Emergency Services Notified

• Have notifications been made to MSHA, Fire dept. when moved into site? Permenant sites notify once per year, portables when moving in and out

  Yes

  No

  N/A

Notification of Commencement/Termination of mining

• Was notice of commencement made? The Safety manager or Supervisor must notify MSHA and keep originals, send copies to the site(s)

  Yes

  No

  N/A

Continuity (ohms resistance)

• Are the annual continuity tests being completed and are they up to date and are they located in the MSHA binder?

  Yes

  No

  N/A

• Do the ohms read .5 or less on each component? The motor and frame must be logged by equipment #, date any updates.

  Yes

  No

  N/A

• Are new tests being done when electrical componants are replaced or disconnected along with being done annually? Motors, Cords, Ground rods, etc.

  Yes

  No

  N/A

• Are we testing all hand tools, Drop cords, Appliances, or anything else with 3 prong cords and are we marking them with appropriate colored tape?

  Yes

  No

  N/A

• Are we doing monthly testing on all GFCI, including welders, light plants, man lifts, etc?

  Yes

  No

  N/A

Task training

• Has equipment specific task training been done on all mobile eq. specific to make and model-to the letter (ex: 980H, D7R)

  Yes

  No

  N/A

• Do we have a copy on site of all task training?

  Yes

  No

  N/A

Quarterly hours

• Do we have the last 4 quarters of MSHA quartely reports on site?

  Yes

  No

  N/A

Legal ID

• Is the legal plant ID in the MSHA binder

  Yes

  No

  N/A

SDS

• Is an SDS Book or ACTIOS (User: materials, Password:oldcastle) on computer for every site and every portable plant.

  Yes

  No

  N/A

• Is at least one employee on site able to access ACTIOS to aquire an applicable SDS Sheet for every material on site and at portable plant.

  Yes

  No

  N/A

HazCom

• Is the program located in the MSHA binders

  Yes

  No

  N/A

Hazardous materials inventory list

• Is there a current list of materials, by brand on site and kept in the SDS book?

  Yes

  No

  N/A

Work place examination

• Are we using company inspection forms for daily exams and doing individual insp per shift

  Yes

  No

  N/A

• Are records being kept for previous 12 months

  Yes

  No

  N/A

• Have we corrected deficiencies immediately and are we giving a copy of form with deficiency immediately to supervisor

  Yes

  No

  N/A

Site specific training

• Is employee training being done at each site or at each portable, every time there's a change in site conditions, plant move or annually at a minimum

  Yes

  No

  N/A

• Is visitor training done at scale house, shop or job trailer annually

  Yes

  No

  N/A

• Are we doing a minimum of 5 minutes for the site specific training?

  Yes

  No

  N/A

Confined space program

• Is there a confined space program munual on site listing equipment specific proceedures?

  Yes

  No

  N/A

• Have all confined spaces on site been identified and labeled?

  Yes

  No

  N/A

• Is all safety equipment on site for employees to work in non-permit required confined spaces? Along with recue equipment?

  Yes

  No

  N/A

LOTO

• Is there a documented LOTO procedure for every piece of equipment that is worked on at the site or plant

  Yes

  No

  N/A

• Are all employees on site trained in the LOTO practices and proceedures and is there documentation of that annual training?

  Yes

  No

  N/A

• Are there sufficient LOTO stations at site/plant and enough locks for everyone on site

  Yes

  No

  N/A

• Is there a log of LOTO's events that have occurred?

  Yes

  No

  N/A

• Are employees aware that a violation of LOTO is against company policy and would be cause for termination of employment?

  Yes

  No

  N/A

Hearing conservation program

• Is Hearing conservation program contained in the MSHA binder?

  Yes

  No

  N/A

Respiratory program

• Is Respiratory program contained in the MSHA binder?

  Yes

  No

  N/A

Fire extinguishers

• Are there Ext. in each building, trailer, fuel tank, dredge and mobile piece of equipment

  Yes

  No

  N/A

• Is there a log of monthly visible inspections on site?

  Yes

  No

  N/A

• Are annual physical inspections done by supplier and are they current?

  Yes

  No

  N/A

• Is there a map or list of locations of extinguishers posted on site?

  Yes

  No

  N/A

First aid kit

• Are there sufficient first aid kit(s) on site and are they quickly accessable?

  Yes

  No

  N/A

• Is there a blanket and stretcher for each site and each portable plant

  Yes

  No

  N/A

• Is there an AED on site and if so, is it being checked monthly?

  Yes

  No

  N/A

Guarding

• Are all tail pulleys, shafts, sheaves, V belts(front/back) that are within 7' of surface or walkways gaurded? Material buildup can affect those elevations!

  Yes

  No

  N/A

• Are side guards, nip guards or bottom guards large enough to prevent the ability to prevent accidental contact with return rollers that are within that 7'?

  Yes

  No

  N/A

• Are gaps or screen openings small enough to prevent your fingers from reaching into it?

  Yes

  No

  N/A

• Are all guards securely fastened (no zip ties)

  Yes

  No

  N/A

• Are any hinged guards secured on bottom or side opposite hinges

  Yes

  No

  N/A

Electrical

• Are all cords free of nicks and are cords protected from sharp edges and moving parts?

  Yes

  No

  N/A

• Are all electrical boxes securely fastened with no missing knockouts and with all proper bushings?

  Yes

  No

  N/A

• Are all circuits able to be locked out?

  Yes

  No

  N/A

• Are all electrical switches designed so they can't be locked in the on position?

  Yes

  No

  N/A

• 110 Volt: Are boxes labeled with voltage, what they feed, where they are fed from and are switches and outlets labeled?

  Yes

  No

  N/A

• 220 Volt: Are boxes labeled with voltage, what they feed, where they are fed from and are switches and outlets labeled?

  Yes

  No

  N/A

• 480 Volts and up: Are all Arc flash stickers in place? Assessment done within 5 years?

  Yes

  No

  N/A

• Are all electrical boxes locked or fastened with special bolts if they contain exposed conductors inside? Breaker panels with covered conductors do not need to be locked.

  Yes

  No

  N/A

• Are all cords marked with correct colored tape for the year?

  Yes

  No

  N/A

Travel ways

• Are all walkways and travelways designed to prevent your foot from getting in them?

  Yes

  No

  N/A

Housekeeping

• Are all areas free of material buildup which can attribute to trip hazards?

  Yes

  No

  N/A

• Are travel ways clear of tools, parts, blocking, garbage, empty containers or debris?

  Yes

  No

  N/A

• Do all metal garbage cans have metal lids where food or flammables are disposed of?

  Yes

  No

  N/A

Berms

• Are all berms mid axel height where a roll over could potentially occur? Small breaks for water drainage are ok.

  Yes

  No

  N/A

• Do elevated scales have a mid axel rail?

  Yes

  No

  N/A

Safe Access

• Are all ladders, platforms, handrails, and travelways sufficient to allow for safe access?

  Yes

  No

  N/A

Illuminations (lighting)

• Is there sufficient lighting for working after dark?

  Yes

  No

  N/A

Highwall control

• Are precautions being taken when loading from or working near highwall bank or stockpile?

  Yes

  No

  N/A

• Are High walls benched or sloped

  Yes

  No

  N/A

Chemical/Gas storage

• Are cabinets labeled to what they contain as well as others that apply; No smoking/open flame, Hazardous MTL, etc…?

  Yes

  No

  N/A

• Are aerosol cans stored in metal cabinets, always put away?

  Yes

  No

  N/A

• Are all combustible / flammables stored 25' from electrical panels

  Yes

  No

  N/A

• Are all Oxygen/acetylene valves off and lines bled when not in use, flashback protectors in lines, fastened securely upright, gauges working, cap replaced when not in use, stored 25' or divided from flammables or have firewall dividers on torch carts?

  Yes

  No

  N/A

• Is all flammable liquids: gas, diesel, kerosene being stored in a safety can and labeled?

  Yes

  No

  N/A

• Are all containers labeled to match contents?

  Yes

  No

  N/A

PPE

• Are Hard hats, Safety glasses, safety toes, Class 3 shirt/vest, long pants, no sleeveless shirts being required and worn on the site at all times?

  Yes

  No

  N/A

Hearing Protection

• Is hearing protection used on site when needed?

  Yes

  No

  N/A

• Is hearing protection available on site? Two different styles on site?

  Yes

  No

  N/A

• Is dual hearing protection being used in generator trailers?

  Yes

  No

  N/A

• Is a face shield and ear plugs being used when grinding?

  Yes

  No

  N/A

Fall protection

• Are there handrails or tie offs on all screen decks and elevated surfaces where work is performed?

  Yes

  No

  N/A

• Are there handrails on all excavator decks?

  Yes

  No

  N/A

• Is fall protection required in all areas where injury from fall can occur?

  Yes

  No

  N/A

• Are there handrails and mid rails on all walkways?

  Yes

  No

  N/A

• Are Harnesses and lanyards visually inspected before each use;? Are they being inspected annually by competent person?

  Yes

  No

  N/A

Life vests

• Are life vests being worn whenever persons are on the lake side of any berm? With the exception of in the dredge cab but even then must be present?

  Yes

  No

  N/A

• Are life vests being worn anytime someones working within 5' from edge of pit or lake?

  Yes

  No

  N/A

• Are life vests being worn in equipment while digging out of water?

  Yes

  No

  N/A

Rigging for safe lifting

• Are only chains that are tagged 80 or higher being used? And are all chains being inspected before each use and Monthly?

  Yes

  No

  N/A

• Are all safety clips present on slip hooks

  Yes

  No

  N/A

• Are all come-a-longs inspected before each use and tagged out if deficient?

  Yes

  No

  N/A

Hand and power tools

• Are employees aware that trigger locks can be present but never used, and that all power tools must have proper guards, cords and be in good working condition?

  Yes

  No

  N/A

• Are there any circular saws or chain saws on site? They cannot have trigger locks

  Yes

  No

  N/A

• Are bench grinder rests within 1/8" from wheel?

  Yes

  No

  N/A

• Have all power tools had annual ground check and are they marked with proper colored tape

  Yes

  No

  N/A

• Have all air Compressors had carbon buildup checked within last two years?; free through insurance company

  Yes

  No

  N/A

• Compressors must have ground wire or be double insulated. Symbol for double insulated:

  Yes

  No

  N/A

Signage required

• Is there adaquate signage for No smoking/No open flame - At battery stations, oxygen, acetylene storage, fuel tanks, propane tanks, all oil containers, solvent cabinets, any place there is a fire or explosion hazard

  Yes

  No

  N/A

• Is the word Danger posted at all major electrical installations?

  Yes

  No

  N/A

• Fire Extinguisher - Is there marking at all fire extinguishers?

  Yes

  No

  N/A

• Emergency Stop - Are all E-stops clearly marked?

  Yes

  No

  N/A

• Hazardous Materials - Is any and all hazardous materials labeled as such?

  Yes

  No

  N/A

• Flammable Liquids - Is all flammable liquids labeled as such?

  Yes

  No

  N/A

• Dual Hearing Protection Required - Are signs posted at generator trailers?

  Yes

  No

  N/A

• Off Road Diesel - Do tanks containing O-R-D have have sticker or sign stating such?

  Yes

  No

  N/A

• Falling Material-Are signs posted where possible hazard exists, visible from all directions?

  Yes

  No

  N/A

• Are there any Life Jacket Required signs or areas marked?

  Yes

  No

  N/A

• Are there any speed Limit signs at entrance and spaced around traffic pattern?

  Yes

  No

  N/A

• Is there a VPS map showing the site, traffic patterns, pedestrian segregation and utilities?

  Yes

  No

  N/A

• Are areas marked for designated electronic use.

  Yes

  No

  N/A

• Is days since last incident board posted.

  Yes

  No

  N/A

Mobile equipment

• Are seat belts always on when operating any equipment?

  Yes

  No

  N/A

• Is there designated employee parking posted?

  Yes

  No

  N/A

• Is the first operator of shift inspecting & fill out forms, and then the others check form and do walk around and fill out new form if new defects are found?

  Yes

  No

  N/A

• Do we keep deficient form until fixed, turn in deficient form to division office and notify supervisor/shop immediately?

  Yes

  No

  N/A

• Are we doing an immediate lockout - backup alarm, brakes, parking brake, seat belt, glass if impeding view? And a "within 48 Hour" lockout for all other items related to safety

  Yes

  No

  N/A

• Are we honking the horn before moving any mobile equipment?

  Yes

  No

  N/A

• Are we setting parking brake and wheel chocks or in a divit when parking vehicles or other mobile equipment?

  Yes

  No

  N/A

• Are all lights working properly; and were all brake/tail lights checked?

  Yes

  No

  N/A

Any further audit comments?

First aid kit

• Are there sufficient first aid kit(s) on site and are they quickly accessable?

  Yes

  No

  N/A

• Is there a blanket and stretcher for each site and each portable plant

  Yes

  No

  N/A

• Is there an AED on site and if so, is it being checked monthly?

  Yes

  No

  N/A

• Are all contents in kit and up to date<br><br>

  Yes

  No

  N/A

ENVIRONMENTAL

FUEL and OIL

• Is there a Spill Prevention, Control and Countermeasure (SPCC) plan on site if necessary; and are monthly inspections being done?

  Yes

  No

  N/A

• Is general housekeeping good?

  Yes

  No

  N/A

• Oil, grease, antifreeze drums and containers not exposed to weather; empty ones ok outside to be pick up

  Yes

  No

  N/A

• Are Fuel, oil and grease areas clean, no ground staining?

  Yes

  No

  N/A

• Are used oil and grease containers disposed of properly?

  Yes

  No

  N/A

• Are any/ all Fuel containment drained and log kept on draining?

  Yes

  No

  N/A

• Do we drained and clean Fuel fill box?

  Yes

  No

  N/A

STORM WATER RUNOFF

• Is there any water leaving property or into a road ditch being filtered by vegetation?

  Yes

  No

  N/A

• Is there any dirt, sand, gravel, fines or other materials being washed off site or into road ditch

  Yes

  No

  N/A

AIR QUALITY

• Is the Generator exhaust 18' above grade

  Yes

  No

  N/A

• On Crushing Operations, are we tracking Tons produced daily, monthly, 12 month rolling - PEAK Ops Product Totals By Date (Sellable) for reporting purposes?

  Yes

  No

  N/A

• -Crushing Operations - Hours of production daily, monthly and 12 month rolling - OPSPlant Stage KPI-Report (Av. Hours column)

  Yes

  No

  N/A

• Are we tracking all Fuel used in all generators, dredges, boosters and powerunits over 400 HP, daily monthly, 12 month rolling records - Keep daily log?

  Yes

  No

  N/A

Misc.

• Are safety alerts, incident reports and other pertonant information being disceminated to employees on site?

  Yes

  No

  N/A

Completion

• Signature of persons involved with the audit. Click "Add auditor" to begin

Auditor

• Name and Signature:

  Sign