- Track Testing Unit Safety Audit - - duplicate

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Safety and Housekeeping Audit Information

• Name of Auditor

• Date of Audit

  Date

• Unit Audited

Posting Requirements

• OSHA Poster Posted

  Yes

  No

  N/A

• Emergency Phone Numbers Posted

  Yes

  No

  N/A

• Hearing Protection Signs

  Yes

  No

  N/A

• Eye Protection Sign

  Yes

  No

  N/A

• Head Protection Sign

  Yes

  No

  N/A

• Foot Protection Sign

  Yes

  No

  N/A

• Reflective Gear Sign

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Safety Program

• Daily Safety/ Job Briefing Conducted & Documented

  Yes

  No

  N/A

• Safety Manuel, Forms and Rulebook Accessible

  Yes

  No

  N/A

• MSDS Complete and Accessible

  Yes

  No

  N/A

• Chemical Inventory Complete & Current

  Yes

  No

  N/A

• Assured Grounding Form Current

  Yes

  No

  N/A

• PPE Hazard Assessment Accessible

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Railroad Training Compliance

• RWP Training - All Employees

  Yes

  No

  N/A

• Contractor Orientation - All Employees

  Yes

  No

  N/A

• Holland/OSHA Training - All Empoyees

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Emergency Equipment

• First Aid Kit - Fully Stocked and Up-to-Date (no expired materials)

  Yes

  No

  N/A

• Eyewash Available and Location Marked

  Yes

  No

  N/A

• Warning Triangle

  Yes

  No

  N/A

• Flares or Fusees ( for night time accidents)

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Fire Protection/Prevention Program

• Fire Extinguisher Location Marked

  Yes

  No

  N/A

• Secure Fire Extinguisher In Cab (mounted and fixed)

  Yes

  No

  N/A

• Secure Fire Extinguisher in Work Area (mounted and fixed)

  Yes

  No

  N/A

• Monthly Fire Extinguisher Inspection Current and Marked on Back Of Tag

  Yes

  No

  N/A

• Yearly Extinguisher Inspection Current (From beginning year to expiration year)

  Yes

  No

  N/A

• Used Rags Disposed of Off Unit or In Approved oily Rag Storage Can

  Yes

  No

  N/A

• Flammable Liquids stored in Approved Safety Cabinets/Cans

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Personal Protective Equipment

• Steel-Toed Work Boots on All Personnel (Minimum Height of 6" from top of Heel, All Leather, Defined Heel & Lace up Only. NO SLIP ONS)

  Yes

  No

  N/A

• Safety Glasses Worn Outside of Unit at All Times

  Yes

  No

  N/A

• Hearing Protection Worn Outside of Unit (as required)

  Yes

  No

  N/A

• Safety Reflective Vest Worn Outside Vehicle at All Times By Employees and Visitors Alike.

  Yes

  No

  N/A

• Head Protection Worn Outside of Unit.

  Yes

  No

  N/A

• ANSI Approved Laser Safety Goggles Available and Stored Properly.

  Yes

  No

  N/A

• ANSI Approved Laser Safety Goggles Worn At All times by trained Employees Servicing or Maintaining Laser Equipment.

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Power Tools - General

• Double-Insulated Tools (No Frays In Cords, No Cracks in Case and In Good Condition)

  Yes

  No

  N/A

• Other Tools - (Assured Grounding Tested and in Good Working Condition)

  Yes

  No

  N/A

• Extension Cords (Assured Grounding Tested and IN Good Working Condition)

  Yes

  No

  N/A

• Grinders, etc. And All Other Equipment With Guards have Original Guards Mounted on Them.

  Yes

  No

  N/A

• Add Pictures Here.

  Media

LockOut/TagOut & Hazcom

• Unit LOTO Procedures Available On Unit

  Yes

  No

  N/A

• Unit LOTO Kit Available and Fully Stocked with Locks, Tags etc.

  Yes

  No

  N/A

• All Paints and Materials stored In LAbeled And Approved Containers.

  Yes

  No

  N/A

• Extra Haz-Com Labels Stored On Unit

  Yes

  No

  N/A

• Add Pictures Here.

  Media

DOT Compliance

• Hours Of Service (Logs) For Each Driver Are Current and Complete

  Yes

  No

  N/A

• Daily Inspections Documented

  Yes

  No

  N/A

• Annual Inspection Document On Unit

  Yes

  No

  N/A

• Copy Of FMCSR Regulations On unit

  Yes

  No

  N/A

• No Apparent Log Or Hours of Service Violations

  Yes

  No

  N/A

• License Plates and insurance Card (Cab Card) On Unit and Current.

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Vehicle Equipment

• Driving Lights, Turning Signals, Braking Lights and Operating Lights Are All Operable.

  Yes

  No

  N/A

• Windshield Wipers & Defrost Operate

  Yes

  No

  N/A

• No Cracks In Windshield

  Yes

  No

  N/A

• Brakes, Steering, Horn Fully Operate

  Yes

  No

  N/A

• Seat Belts Operate And Are Used

  Yes

  No

  N/A

• No Apparent oil or fluid Leaks

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Hand Tools & Equipment

• All Hand Tools In Good Condition

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Safety and Housekeeping

• Cab Of Unit Clean and Organized

  Yes

  No

  N/A

• Work Area of Unit Clean, Organized and CLear Of Tripping Hazards

  Yes

  No

  N/A

• Ladders, Platforms, Handrails and steps Are In Safety and Operable Condition

  Yes

  No

  N/A

• Add Pictures Here.

  Media

Safety Behavior Of Personnel

• Employees follow Safe Lifting Practices At All Times

  N/A

  Poor

  Aver.

  Excel.

• Employees Never Foul A Track Until On-Track Safety Is Clearly Established

  N/A

  Poor

  Aver.

  Excel.

• Defensive driving Techniques Are Practiced For All On-Road Driving

  N/A

  Poor

  Aver.

  Excel.

• LOTO is Utilized For All Maintenance Which Could Exposed Employees To Hazardous Energies.

  N/A

  Poor

  Aver.

  Excel.

• Employees Walk Cautiously On Ballast and NEVER On Rail

  N/A

  Poor

  Aver.

  Excel.

• Employees Always Wear Seat Belts While In Transit

  N/A

  Poor

  Aver.

  Excel.

• Employees Are Diligent About Wearing THeir Personal protective Equipment.

  N/A

  Poor

  Aver.

  Excel.

• Employees Never Place Themselves In "The Line Of Fire" of Tools Equipment, Materials, etc.

  N/A

  Poor

  Aver.

  Excel.

• Employees Use Ergonomically Correct body Postures When Working At Video Display Terminals/Computers.

  N/A

  Poor

  Aver.

  Excel.

• Employees Select And Use The Correct Tools For The Job At Hand.

  N/A

  Poor

  Aver.

  Excel.

• When Grinding, Workers Wear A Face Shield and Safety Goggles.

  N/A

  Poor

  Aver.

  Excel.

• Employees Can Easily Obtain am MSDS For A Chemical WHen Asked.

  N/A

  Poor

  Aver.

  Excel.

• Employees Clearly Demonstrate Their Knowledge Of Safety Rules.

  N/A

  Poor

  Aver.

  Excel.

• Employees Use Proper Three Point Contact While Ascending and Descending Ladders and Stairs. They Require The Same Of Visitors.

  N/A

  Poor

  Aver.

  Excel.

General

• Condition OF Floors

  Fair

  Good

  Excel.

• Condition Of Walls

  Fair

  Good

  Excel.

• Condition Of Ceiling

  Fair

  Good

  Excel.

• Condition Of Buffet Area

  Fair

  Good

  Excel.

• Cleanliness Of Refrigerator

  Fair

  Good

  Excel.

• Condition Of Lockers

  Fair

  Good

  Excel.

• Light Fixture Working

  Fair

  Good

  Excel.

• Light Fixture Clean

  Fair

  Good

  Excel.

• Mission Sign

  Fair

  Good

  Excel.

• Measurable Objectives Sign

  Fair

  Good

  Excel.

• Availability Of Confidential Information

  Fair

  Good

  Excel.

• Condition OF AC's

  Fair

  Good

  Excel.

Truck Cab

• Condition Of Dash

  Fair

  Good

  Excel.

• Condition Of Floors

  Fair

  Good

  Excel.

• Condition OF Windows

  Fair

  Good

  Excel.

• Condition Of Radios

  Fair

  Good

  Excel.

Storage Areas

• Organization

  Fair

  Good

  Excel.

• Tidiness

  Fair

  Good

  Excel.

• Cabinets/Bins Labeled

  Fair

  Good

  Excel.

• Camera/Laser Storage

  Fair

  Good

  Excel.

• Anti-Static Bags

  Fair

  Good

  Excel.

Tool Room

• Light Fixture Working

  Fair

  Good

  Excel.

• Light Fixture Clean

  Fair

  Good

  Excel.

• Mission Sign

  Fair

  Good

  Excel.

• Measurable Objectives Sign

  Fair

  Good

  Excel.

• Availability Of Confidential Information

  Fair

  Good

  Excel.

• Condition Of AC's

  Fair

  Good

  Excel.

• Window Condition

  Fair

  Good

  Excel.

• Electrical Cabinets

  Fair

  Good

  Excel.

• UPS

  Fair

  Good

  Excel.

• Condition Of Tools

  Fair

  Good

  Excel.

• Condition Of Toll Cabinets

  Fair

  Good

  Excel.

Computer Cabinet

• Door Condition

  Fair

  Good

  Excel.

• Cleanliness

  Fair

  Good

  Excel.

• Air Filter System

  Fair

  Good

  Excel.

• Operating Temperature

  Fair

  Good

  Excel.

Work Station

• Condition Of Monitors

  Fair

  Good

  Excel.

• Condition Of Keyboard Mouse

  Fair

  Good

  Excel.

• Condition Of Printer

  Fair

  Good

  Excel.

• Manuals/CDs

  Fair

  Good

  Excel.

Customer Area

• Neat and Tidy

  Fair

  Good

  Excel.

• Free Of Clutter

  Fair

  Good

  Excel.

• Receptacles Working

  Fair

  Good

  Excel.

• Seat and Table Clean

  Fair

  Good

  Excel.

Employee Grooming

• In Company Approved Uniform

  Fair

  Good

  Excel.

• Neat And Tidy Appearance

  Fair

  Good

  Excel.

• Condition Of PPE

  Fair

  Good

  Excel.

Rank Employee On A Scale From 0 to 5 (0 being the worst )

• Employee well represents Holland to Customers

Person Making The Corrections

Date Of Corrections

• Select date

  Date

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