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Patterson - EHS On-Site Audit
Patterson - EHS On-Site Audit
Todd Beilman

Patterson - EHS On-Site Audit

This audit is to be used to verify policy compliance.

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Free Patterson - EHS On-Site Audit Checklist

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Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Self Assessment Inspection

Environmental

Water/Stormwater

  • Have staff and contractors been informed that no equipment is to be washed outside? **Interview-select employees

  • Have staff and contractors been informed that no chemicals or pharmaceuticals can be discharged to sinks or drains? **Interview-select employees

Waste - General

  • Are only approved waste vendors used? (see current approved vendors list) **Interview-select managers; **Documents-review waste manifests and receipts

  • Are wastes managed to prevent prohibited wastes entering general trash? (see list in Waste Policy) **Interview-select managers; **Inspection-waste containers

  • Are wastes being segregated as directed in Waste Policy? **Interview-select employees; **Inspection-waste containers

  • Are all wastes stored for less than 1 year? **Inspection-dated waste containers

  • Have all employees taken required waste training? **Currently NA

  • Are wastes logged using the current Waste Log Form WM901? **Documents-review current waste log

Waste - Hazardous Waste

  • All wastes being evaluated to determine if they are RCRA Hazardous Waste? **Interview-select employees; **Inspection-waste storage area

  • Are Hazardous Wastes labeled with waste code and dated? **Inspection-waste storage area

  • Are hazardous wastes segregated by hazard type (see hazardous waste procedure) **Inspection-waste storage area

  • Are hazardous wastes stored in designated and labeled area? **Inspection-waste storage area

  • Does hazardous waste storage area have secondary containment and fire protection system? **Inspection-waste storage area

  • Are hazardous waste areas inspected weekly (review records)? **Documents-review current waste inspection log

  • Are all hazardous waste manifest copies maintained on file at the facility? **Documents-review manifest file

  • If required, does facility have an Waste Generator ID Number? **Documents-search EPA RCRAInfo database

  • If required, has the facility posted its waste generator licience? **Documents-review postings

  • If SQG, is any hazardous waste stored for more than 180 days? **Documents-review labels on HW being stored

Waste - Universal Waste

  • Are used fluorescent lamps stored correctly, labeled and dated? **Inspection-bulb storage area

  • Are spent batteries stored correctly, labeled and dated? **Inspection-battery storage area

  • Are terminals on batteries taped or otherwise protected prior to shipping? **Interview-select employees; **Inspection-battery storage area

  • Is any universal waste stored for more than 1 year? **Documents-review labels on UW being stored

Hazardous Material - Shipping

  • Has facility shipping any DOT hazardous materials in last 12-mo? **Interview - key managers

  • Have all employees with HazMat duties been issued a certificate they have been trained, tested and are competent? **Interview-select hazmat employees; **Documentation-review current DOT HazMAt certificates for at least 5 hazmat employees

  • Have new employees been issued certificate within 90 days? **Documentation-review current DOT HazMAt certificates for at least 3 hazmat employees employeed for less than 1 yr

  • If site ships any hazmat by air or vessel, has the site been authorized to ship hazmat by air or vessel? ? **Interview-select employees **Documentation-review list approved by management

  • Are any air or vessel shipments prepared only by employees with additional air/vessel certification? **Interview-select employees; **Documentation-review Functional Training checklists for select employees

  • Are all full hazmat packages inspected using audit checklist prior to loading and records maintained for at least 6 mo.? **Documentation-review audit checklists

  • Has the site conducted investigations after all carrier hazmat violation notifications? **Documentation-review Luminos records

  • Are all hazmat shipping records kept on file at the facility for the past 3 years? **Documentation-review hazmat shipping file

Hazardous Material - Storage

  • Does site have a current Hazardous Material Inventory Statement (HMIS)? **Documents

  • Are exterior doors labeled to identify material storage hazards? **Inspection-exterior doors; if no hazmat stored, selct NA

  • Are fire prevention permits and certificate of occupancy posted? **Documentation - review notice posting area

  • Are maximum quantities of hazardous materials stored in compliance with local fire codes? **Documentation-review HMIS, if available

  • Are all Level 2 & 3 aerosols stored in caged area(s), including overstock? **Inspection-aerosol cage(s) and general storage

  • Are Incompatible Materials identified and segragated? **Documentation-identity storng acid and base products being stored and confirm; **Interview - discuss with key managers

  • Has the facility reported all required hazardous materials and EHS chemicals in annual Tier II report? **Documentation-review Tier 2 summary

  • Does the facility report new hazardous materials or EHS chemicals above thresholds to fire dept. with 60 days? **Interview-discuss with key managers

Tanks

  • Are all Underground Storage Tanks (UST) permitted, including any used for backup fuel? **Inspection-identify USTs, if none <br> select NA**Documentation-review permits, if available

  • Are all Aboveground Storage Tanks (AST) permitted, including emergency generators? **Inspection-identify ASTs, if none <br> select NA**Documentation-review permits, if available

  • Has Corp. EHS been notified of all ASTs and USTs onsite? **Inspection-identify UST/ASTs, if none <br> select NA**Documentation-review notification

Refrigerants

  • Does facility maintain records of capacity and refrigerant type used for all refrigeration units? **Documentation-review leak estimator spreadsheet

  • Is all maintenance of refrigeration units performed by licensed service provider? **Documentation-review most recent service record

  • Does facility maintain records of refrigerant replacement quantities for all units with >50 lb capacity and estimated annual leakage rate? **Documentation-review leak estimator spreadsheet

Spills

  • Is there adequate spill control and spill kits near the storage areas? **Inspection-Is estimated storage capacity > largest single container?

  • Is at least one spill kit sized to contain the largest single container handled onsite? **Inspection-Is spill kit capacity > largest single container?

  • Are staff and contractors trained on spill cleanup procedures? **Interview- selected employees on spill cleanup

Emergency Generators

  • Do you have an air emission permit for all generators, or documentation permit is not required? **Inspection-identify air emission sources, if none select NA**Documentation-review permits, if available

  • Do all generators have a nonresettable runtime meter?**Inspection-inspect generators, if none select NA

X-Ray Compliance

  • Does the facility sell, install or repair x-ray equipment?

  • If required, does the facility have a current registration posted? **Document - Registration

  • Are x-ray installation forms complete, signed and filed? **Document - Review at least five installations from past year and inspect installation form

  • If required are Equipment Performance Evaluations (EPE) conducted and documented? **Document - Review at least five installations from past year and inspect EPE form

  • If required, are affected employees issued dosimeters? **Interview- Discuss with key managers

  • If issued dosimenter, are dosimeters used correctly by employees? **Interview - Discuss with selected employees

  • If any violations have been issued within last 12-mo, has facility conducted an investigation and implemented corrective actions? **Document - Review violation tracking and review Luminos

  • Are all measurement equipment used by technicians up-to-date on calibration? **Document - Review equipment and calbration database

Safety

Accident Investigation and Incident Investigation

  • Are all accidents promply reported?

  • Have employees received training to ensure proper reporting?

  • Is management aware of the emergency phone number to use in the event of a serious injury or fatality?

  • Are accidents promply investigated with root cause identified and follow up actions documented (use of URL link)?

Bloodborne Pathogens

  • Have employees who are identified as having potential exposure (see policy) been provided training on BBP?

  • Are employees offered the Hepatitis B Vaccination and are declinations to receive the vaccination documented?

  • Do first aid or BBP kits contain appropropriate items including gloves and bio hazard bags?

  • Is potential exposure to BBP documented?

  • Are bodily fluids cleaned up using the BBP clean up procudure?

Confined Space

  • Does the facility contain any confined spaces (if no, stop here)?

  • Are confined spaces labeled with the appropriate label?

  • Is entry prohibited to the confined spaces by Patterson Employees?

  • Does the facility appropriately inform contractors of any hazards of the confined spaces?

  • Have employees been provided with confined space awareness training including the prohibition of entry?

Contractor Safety

  • Has the facility manager identified a site contractor coordinator (SCC)?

  • Does the SCC inform contractors of Patterson policies and hazards?

  • Does the SCC review contractor work daily?

Electrical Safety

  • Is portable electrical equipment stored and handled in an manner that will not cause damage?

  • Are extension cords used properly (only temporarily, not daisy chained)?

  • Are Ground Fault Circuit Interrupter (GFCI) used when performing work outdoors or near sinks?

  • Are electrical panels protected from damage?

  • Are electrical panels clear with a minium of 3 feet in front and clear access at all time to the panel?

  • Are all circuit breakers labeled?

  • Is all wiring protected?

  • Do all panels, switchboards and control panels have arc flash labels?

  • Is energized electrical work prohibited?

  • Have all affected employees received affected employee electrical safety training?

  • Have all qualified employees received qualified electrical safety training by a qualified instructor?

Ergonomics and Safe Lifting

  • Is ergonomic risk considered for employee tasks?

  • Are employees made aware of ergonomic risk factors?

  • Have employees been trained on the safe way to perform a task including proper body mechanics of lifting?

  • Are team lifts or material handling equipment used for loads over 50 pounds?

Fall Protection

  • Are all required handrails and guardrails in place on stairs?

  • Are stair risers and treads in good condition with nonslip surfaces on stairs?

  • Are all portable ladders in good condition and stored correctly (not leaning, secured, etc)?

  • Are all fixed ladders in good condition?

  • Are fixed ladders over 24 feet equiped with a cage?

  • Are all trailers secured with dock locks and/or wheel chocks?

  • Is the dock door kept closed when a truck is not present? If open for ventilation, is a guardrail in place?

  • Are all work platforms 4 feet or higher from the next level or above hazardous areas protected by fall protection systems? (guardrails or harness required)

  • Do all guardrails in the building meet the requirment of a heigh of 42 inches with a midrail and toeguard?

  • Do all opening in guardrails have selfclosing gates at the employee entrance (ladder)?

  • Are all floor and wall opening covered?

  • Is appropriate harness and lanyard used for all work at height task where a guardrail is not in place?

  • Do employee receive training on proper use of the harness and lanyard?

  • Are lanyards attached with only locking hooks?

  • Are harness and lanyards inspected before each use with a formal documented inspection annually?

  • Are lanyards used with order pickers connected apprpriopriately with the Dring on the harness and connected at all times to the PIV?

  • Is roof access restricted?

  • Is roof work withing 15 feet of a roof edge or within 6 feet of an unprotected skylight prohibited?

  • Does the facility have a rescue plan for emergency rescew of an individual suspended from elevated height in less than 6 minutes?

Fire Prevention and Hot Work

  • Are fire extinguishers inspected internally monthly and at least annually by an outside contractor? (SOPFAC825)

  • Is the fire alarm system inspected at least annually by an outside contractor? (SOPFAC825)

  • Are fire suppression system valves inspected weekly? (SOPFAC825)

  • Is the fire pump inspected internally monthly and at least annually by an outside contractor along with a water flow alarm? (SOPFAC825)

  • Is the sprinker system test contucted at least annually by an outside contractor and summary report maintained? (SOPFAC825)

  • Is the emergency lighting system tested annually? (SOPFAC825)

  • Is a hot work permit used for all hot work including welding, grinding, brazing, etc? (SOPFAC828)

  • Is a fire watch used for all hot work for at least 60 minutes after completion? (SOPFAC828)

  • Are hot work permits signed by management and kept for 3 years? (SOPFAC828)

General Safety Requirements

  • Do employees receive initial safety training?

  • Do employees receive regular scheduled training and retraining as required by performance or process change?

  • Does new employee training include information on potential hazards, location of first aid kit and or of PPE if required?

  • Is employee training documented and maintained?

  • Is the facility housekeeping acceptable to minimize hazards?

  • Are employees encouraged to report unsafe condictions and report any accident or near misses?

  • Is smoking prohibited?

  • Is emergency equipment accessible?

  • Is loose clothing and jewlery prohibted?

  • Are all tools kept in good condition

  • Are pallets and other materials safely stored to an appopriate, safe height?

  • If outside emergency services cannot provide support in a reasonable time, have employees been trained in first aid?

  • Are only approved box cutters used?

Hazard Communication

  • Is a list of hazardous chemicals (not products) maintained by the facility?

  • Are safety data sheets available to all employees either via computer or printed copy? (Auto SDS i.e. 'ebinder' randomly select chemicals and ask for SDS)

  • Are all labels and other forms of warning of hazardous chemicals in place and contain the required information (see policy for specifics)?

  • Have all employees been provided training on hazardous chemicals (see policy for specifics)?

Hearing Conservation

  • Are there any hearing conservation areas in the facility? (If no, stop here)

  • Do hearing conservation areas contain warning signs requiring use of hearing protection?

  • Do employee who work in hearing conservation areas have baseline and annual audiograms?

  • Have employees who work in hearing conservation areas been trained?

  • Is a copy of OSHA's hearing conservation standard posted in the facility?

  • Are employees wearing hearing protection when working in the area?

Injury and Illness Prevention Program

  • Does the location hold regular safety meetings to cover hazard awareness on topics and other communication?

  • Does the facility conduct regular safety inspections?

  • Is training provided to all employees? (Review Training Records)

  • Are hazards corrected when identified?

Lockout Tagout

  • Are there equipment specific LOTO procedures for all equipment other than those that are cord and plug or single isolation devices?

  • Are LOTO authorized employees identified and been provided training?

  • Are affected employees provided training on LOTO?

  • Do authoirized employees know and follow the correct LOTO sequence including notifying employees and using the procedure?

  • Are machines only returned to service with all guards in place and removal of all LOTO devices?

Machine Equipment Safety and Guarding

  • Are tools inspected before use?

  • Are machine guarding warning labels in place?

  • Do employees know the location of emergeny stops and are they tested periodically?

  • Are employees wearing appropriate clothing to prevent entanglement (loose clothing, jewlery, hair, etc)?

Powered Industrial Vehicles

  • Are all operators provided training (both classroom and hands on) and competency evaluation before using a PIV?

  • Is the training and competency evaluation documented?

  • Are employees provided refresher training every 3 years or when they have been involved in an accident?

  • Do operators properly secure and center loads without overloading?

  • Are items appropriately stacked in the building with heavier objects on the bottom and not overstacked?

  • Do operators slow down and sound the horn when at intersections or when vision is obstructed?

  • Are PIV properly parked with controls in neutral, forks lowered, breaks set and power shut off?

  • Are employess trained in prpperly refueling or recharging PIV?

  • Are charging areas places in well ventilated areas with appropropirate eyewash stations and PPE available?

  • Are PIV properly inspected each shift (documented)?

  • Is the name plate visible and contain the capacity?

  • Are dock boards secured in position before entry into a truck?

PPE

  • Are any employees who are required to wear PPE trained in it's proper use and storage?

  • Is PPE maintained in good condition?

Respiratory Protection

  • Have all employees required to use respirators been trained and fit tested (review records)?

  • Do all employees required to use respirators have a currently medical clearance?

  • Are respirators properly stored?

  • Are employees wearing respirators wearing them correctly including not not having facial hair interfere with the seal?

  • If employees are allowed to wear respirators voluntarily, do they have current medical clearance and have been provided with Appendix D?

Monthly Checklist

Environmental

Hazardous Material - Storage

  • Are incompatible materials identified and stored at least 25 ft from each other?

  • Are NFPA Chemical Hazard Signs posted at exterior doors?

Waste - Hazardous Waste

  • Does the facility maintain a log of weekly waste area inspections?

  • Inspect general waste compactor/dumpster. Are any prohibited items being disposed of in general trash? (e.g., chemical products, liquids, batteries, bulbs)

  • Review current waste log. Is waste log up-to-date?

  • Review “Waste Totals” tab. Are all total quantity of hazardous waste for all months below facility limit defined in Instructions (either 220 or 2,200 lbs./mo.)?

  • Are all used bulbs and batteries being stored in a Labeled and Dated container, which is kept closed?

  • Review recent waste manifests. Are waste manifests maintained and are return copies stapled or filed with original?

Hazardous Material - Shipping

  • Select three HazMat Employees. Do all selected HazMat Employees have a current HazMat Training certificate?

  • Are all full hazmat packages audited and are audit checklists retained for at least six months?

Emergency Response

  • Are all spill kits clearly labeled to identify compatible materials to be used on and max. volume rating?

  • Are all spill kits zip-tied or taped, indicating they have not been opened and are complete?

  • Are inventories of PPE appropriate for materials handled maintained and accessible?

Hazard Communication

  • Select three facility employees and one random chemical product. Can all selected employees locate a copy of the product SDS?

Pesticides

  • Does the location sell restricted-use pesticides and have the license prominently displayed for the applicable state(s) they ship to?

  • Does the facility know what pesticide reporting they are required to do?

Safety

Fire

  • Are ALL fire extinguishers free of obstruction, charged and inspected monthly?

  • Is there 18 inches of clearance below ALL sprinkler heads?

  • Has a fire drill been completed in the last 6 months?

Health & Safety

  • Are forklifts and/or lifts inspected prior to operation (audit the current day)?

  • Does the battery charging are have: no smoking sign, eye wash bottle or eye wash station, battery acid neutralizer, apron, rubber gloves and goggles?

  • Are electrical extension cords ONLY being used for a temporary fix (no more than 7 days)?

  • Are all power tools in good working and safe order?

  • Are all employees aware of PPE (Personal Protective Equipment) and where it is located (ask a minimum of 3 employees)?

  • Observe 2 employees operating the forklift: are seatbelts being worn, is the horn being used, is proper operation of the equipment being executed.

  • Observe 3 employees: are all proper lifting techniques being used.

  • Does the facility have a first aid kit appropriate for the facility size?

  • Is the eye wash station and/or bottles placed appropriately in the warehouse (near mixing areas, or other potential hazards)?

  • Are all ladders inspected and in working condition?

  • Are all trucks/trailers secured from movement by dock locks or wheel chocks during loading and unloading?

  • Are company authorized safety knives being used?

  • Is all inventory off the floor?

Facility

  • Is the floor clean, dry and in good condition?

  • Are posted EXIT signs visible?

  • Are the sprinkler valves in the open position, accessible and not blocked?

  • Is there a system for visitors signing in?<br>

  • Are all illuminated EXIT signs working properly?

  • Are all other doors and/or hallways that do not lead to an exit marked with a 'No Egress' or 'Not an Exit Sign?'

  • Are all aisle and exits free from any obstruction that would block an individual from exiting?

  • Is there a working alarm system at the facility?

  • Has the alarm system been tested in the last 30 days?

  • Are all electrical boxes accessible and have nothing within 3 feet in all directions of it?

Compliance

  • Are OSHA and Workers Compensation posters posted, up to date, and visible?

  • Is the OSHA 300A log posted (for the months of Jan - April ONLY. Outside of these dates, mark N/A)?

  • Are facility evacuation plans and maps posted in a conspicuous place?

  • Are NO SMOKING sings posted in the building?

  • Are all professional licenses (Board of Pharmacy, Dept. of Ag., etc...) posted and visible?

  • Have all employees operating a forklift been properly certified and have the proper paperwork filed on site?

  • Does a file exist for all forklift inspections for the previous 365 days?

Safety Meetings

  • Has a monthly safety meeting been conducted with all (or majority) of employees for the current month?

Patterson - EHS On-Site Audit
Todd Beilman

Patterson - EHS On-Site Audit

This audit is to be used to verify policy compliance.

Use this Template
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