Platform Safety and Environmental Team

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Front Office

• Regulatory Visit Procedures (Site Specific)

  Yes

  No

  N/A

• Regulatory Visit Procedure Training ( Semi Annually)

  Yes

  No

  N/A

• OSHA 300 Log Complete and Available (current and past 5 years)

  Yes

  No

  N/A

• OSHA 300 Log Signature Verification

  Yes

  No

  N/A

• OSHA 300 Entries Placed in STARS

  Yes

  No

  N/A

• OSHA 300A Posted (February 1 to April 30)

  Yes

  No

  N/A

• Certificates of Insurance On Site

  Yes

  No

  N/A

• Hazardous Waste Manifests (Copies of File 5 years)

  Yes

  No

  N/A

• Hubbell Safety Policy (HR 4.1)

  Yes

  No

  N/A

• MSDS / SDS Electronics Database and Hard Copies Readily available

  Yes

  No

  N/A

• HES Safety Mission Statement (posted in management office)

  Yes

  No

  N/A

• MSDS / SDS Updated Biannualy

  Yes

  No

  N/A

• Audit TSDF Every Three Years

  Yes

  No

  N/A

• Last TSDF Audit

  Yes

  No

  N/A

• Safety & Environmental Records Retention Procedure (electronic/secured network folder)

  Yes

  No

  N/A

• Safety & Environmental Policies and Procedure Handbook Available

  Yes

  No

  N/A

• Evacuation Plans and Procedures Posted (contact listed up to date)

  Yes

  No

  N/A

• Evacuation Plans and Procedures Training

  Yes

  No

  N/A

• Trend Tracker by Employee for First Aid, Recordables and Lost Time Incidents

  Yes

  No

  N/A

• Training Records Maintained

  Yes

  No

  N/A

General Safety Programs

• AED on site and training

  Yes

  No

  N/A

• BBS (North America) or equivalent local program

  Yes

  No

  N/A

• Tim Powers/Gary Amato Critical Safety Message presented Annually and Initial Orientation (zero tolerance)

  Yes

  No

  N/A

• Industrial Hygiene (noise testing & air monitoring)

  Yes

  No

  N/A

• Annual Fire and Tornado Drills with Designated Meeting Areas

  Yes

  No

  N/A

• One Hour and 24 Hour Incident Investigation Notification Forms (current)

  Yes

  No

  N/A

• Does Business Unit Conduct Monthly Safety Committee Meetings

  Yes

  No

  N/A

• Ratio of Floor vs Management in Safety Meetings 50 / 50

  Yes

  No

  N/A

• Monthly Safety Committee Meeting Minutes

  Yes

  No

  N/A

• Safety Committee Charter Implemented

  Yes

  No

  N/A

• Monthly HES /EHS Call Participation

  Yes

  No

  N/A

• Near Miss & First Aid Reporting (using 24 hour incident form)

  Yes

  No

  N/A

• Incident action plan developed and completed based off why analysis

  Yes

  No

  N/A

• Manufacturing safety toolbox meetings with action list

  Yes

  No

  N/A

• Milestone safety accomplish mentrecognition program

  Yes

  No

  N/A

• Training (CPR/First Aid, fork truck driver, HazWOPER, Confined Space, Emergency Procedures

  Yes

  No

  N/A

• New Hire Training (overview of safety program, policies, procedures, and job specific training)

  Yes

  No

  N/A

• Press Safety Training

  Yes

  No

  N/A

• Stretching program

  Yes

  No

  N/A

General Environmental Programs

• Haz Com (Right Know Hazard Communications Program)

  Yes

  No

  N/A

• Biannual Physical Chemical Inventory

  Yes

  No

  N/A

• Chemical inventory annual update

  Yes

  No

  N/A

• Spill cleanup (HazWOPER) Hazardous Waste Operations and Emergency Response (policy and training)

  Yes

  No

  N/A

• Permits (Air, Water, Waste, DOT)

  Yes

  No

  N/A

• Equipment relocation forms in use

  Yes

  No

  N/A

• Construction/Renovation Approval (Platform/EMC)

  Yes

  No

  N/A

• PCB Free transformer certification

  Yes

  No

  N/A

• Confined Space identified & labeled

  Yes

  No

  N/A

• Water (storm water & wastewater)

  Yes

  No

  N/A

• Potable water sampling & operator certification (on site well only)

  Yes

  No

  N/A

• Tier II annual report

  Yes

  No

  N/A

• Site RCRA ID & Hazardous Waste Reports

  Yes

  No

  N/A

• Form R annual report

  Yes

  No

  N/A

• HazMat

  Yes

  No

  N/A

• DOT Registration HMR & UCR)

  Yes

  No

  N/A

Material Handling

• Slings, Chains, all Lift Equipment Serialized and Inspected (daily, visual, annual third party documented)

  Yes

  No

  N/A

• Cranes Inspected

  Yes

  No

  N/A

• Powered industrial truck inspection sheet (start of shift)

  Yes

  No

  N/A

• Seat belt policy

  Yes

  No

  N/A

• Monthly ladder inspection

  Yes

  No

  N/A

• Fall protection (safety harness) inspection (before use & documented annual)

  Yes

  No

  N/A

• Battery charging station (PPE & Eyewash)

  Yes

  No

  N/A

Racking

• Secured to Floor

  Yes

  No

  N/A

• Replace/Repaired Damaged Uprights and Cross Members

  Yes

  No

  N/A

• Pallet storage (i.e. overhang, weight, location, condition, no plywood)

  Yes

  No

  N/A

• Load rating posted on racking

  Yes

  No

  N/A

Aisles

• Aisles Clear of Materials

  Yes

  No

  N/A

• Aisles Defined and Identified

  Yes

  No

  N/A

Electrical Inspection

• All Electrical Panels and Boxes Covered, Secured and Identified

  Yes

  No

  N/A

• Electrical Panel Inventory and Data Sheet

  Yes

  No

  N/A

• No open knockouts

  Yes

  No

  N/A

• No empty or unused breaker slots

  Yes

  No

  N/A

• Unobstructed access & floor marked at electrical panels (30W x 36D)

  Yes

  No

  N/A

• GFCI outlets in place at all wet or damp locations (outdoors, within 6' of any water source and when using portable tools)

  Yes

  No

  N/A

• Extension cords not in use longer than 90 days

  Yes

  No

  N/A

• Electrical cords undamaged (not frayed, ground plug intact, etc.)

  Yes

  No

  N/A

• Exit signs are internally illuminated and placed throughout the facility

  Yes

  No

  N/A

Chemical Storage Practices

• All Liquid Drums Contained at 110% (including virgin materials)

  Yes

  No

  N/A

• All Primary and Secondary Containers/Drums Clearly Labeled with HMIS Lebel

  Yes

  No

  N/A

• Flammable materials (HMIS or NFPA rating 1 or above) stored in FM Approved flammable cabinet or fire rated room

  Yes

  No

  N/A

• Compatibility (ensure corrosives, oxidizers, flammables, etc. are not stored together)

  Yes

  No

  N/A

• Any storage tanks (UST or AST) on site

  Yes

  No

  N/A

• Tanks inspections current

  Yes

  No

  N/A

• Tap to enter information

  Yes

  No

  N/A

• Tanks labeled

  Yes

  No

  N/A

• Only approved containers used for chemicals (no coffee cans, water bottles, etc...)

  Yes

  No

  N/A

Non Hazardous Waste

• Manifests Available (past 3 years)

  Yes

  No

  N/A

• Storage Area in Close Proximity to Waste Being Generated

  Yes

  No

  N/A

• Non-hazardous Waste labeled applied to drum with start date and all fields populated

  Yes

  No

  N/A

• All containers closed (bung plugs in, rings on and secured, funnels closed & latched)

  Yes

  No

  N/A

• All drums contained at 110%

  Yes

  No

  N/A

• No leaks, corrosion, dents, spillage, etc

  Yes

  No

  N/A

• Insure area is clean, neat and organized (drums accessible and labels clearly visible)

  Yes

  No

  N/A

• Original container marking/labels removed

  Yes

  No

  N/A

Hazardous Waste Storage Practices

• Manifests Available (past 5 years)

  Yes

  No

  N/A

• Emergency Procedures Posted and Current

  Yes

  No

  N/A

• Storage area secured

  Yes

  No

  N/A

• Hazardous Waste label applied to drums with start date and all appropriate fields populated

  Yes

  No

  N/A

• Insure conditionally exempt, small quantity and large quantity generator status

  Yes

  No

  N/A

• All containers closed (bung plugs in, rings on, and funnels closed & latched)

  Yes

  No

  N/A

• All liquid drums contained at 110%

  Yes

  No

  N/A

• No leaks, corrosion, dents, spillage, etc.)

  Yes

  No

  N/A

• Insure area is clan, neat and organized (drums accessible and labels clearly visible)

  Yes

  No

  N/A

• Compatibility (corrosives, oxidizers, flammables not stored together)

  Yes

  No

  N/A

• Original container markings/labels removed

  Yes

  No

  N/A

• Weekly waste inspections documented

  Yes

  No

  N/A

• Are any materials pending disposition

  Yes

  No

  N/A

Satellite Accumulation Area Practice

• All Areas Contained <55 Gallons and stored <1 Year

  Yes

  No

  N/A

• All Containers Closed (bung plugs in, rings on, funnels closed)

  Yes

  No

  N/A

• All liquid drums contained at 110%

  Yes

  No

  N/A

• No leaks, corrosion, dents, spillage

  Yes

  No

  N/A

• Insure area is neat, clean, and organized (drums accessible and labels clearly visible)

  Yes

  No

  N/A

• Compatibility (ensure corrosives, oxidizers, flammable, etc. are not stored together)

  Yes

  No

  N/A

• Original container labels/markings removed

  Yes

  No

  N/A

Universal Waste Storage Practices

• Maximum One Year on Site

  Yes

  No

  N/A

• All Containers Closed and Labeled with Product Name, Accumulation Start Date & Quantity

  Yes

  No

  N/A

• Manifests available (past 3 years)

  Yes

  No

  N/A

Machine Guarding

• Point of Operation Guarding

  Yes

  No

  N/A

• Flywheel and Power Transmission Effectively Guarding

  Yes

  No

  N/A

• Guarding gaps set to correct dimensions (go/no go gauge)

  Yes

  No

  N/A

• Equipment guarded to prevent injury

  Yes

  No

  N/A

• Beginning of shift and tool change verification that safety features are working properly

  Yes

  No

  N/A

• Guards and interlocks functioning prior to operation and not defeated

  Yes

  No

  N/A

• Light curtains functional and being used properly

  Yes

  No

  N/A

• Stop time safety distance verified annually

  Yes

  No

  N/A

• Operators demonstrate knowledge and understanding of safe work practice regarding machine guarding

  Yes

  No

  N/A

• Emergency Stops within easy reach of the machine operator and shut down entire work cell

  Yes

  No

  N/A

Compressed Air

OSHA Approved Nozzles

• Air Pressure =/<30 PSI

  Yes

  No

  N/A

• Hose connection fittings crimp style (no hose claps,wire ties, etc.)

  Yes

  No

  N/A

• Hose undamaged (no cracks, dry rot, kinks)

  Yes

  No

  N/A

Compressed Gas

• Cylinders Stored Upright and Chained with Caps Firmly in Place

  Yes

  No

  N/A

• Flammable Gases Separated From Oxygen

  Yes

  No

  N/A

• Gas cylinders turned off when not in use

  Yes

  No

  N/A

• Motor fuel (propane tanks) turned off when not in use

  Yes

  No

  N/A

General Facility

• 5-S Housekeeping Program

  Yes

  No

  N/A

• Aisles and Door Unobstructed

  Yes

  No

  N/A

• Fire extinguishers inspected (annual and monthly) and accessible

  Yes

  No

  N/A

• Monthly emergency lighting test

  Yes

  No

  N/A

• Evacuation diagrams posted throughout facility with primary and secondary routes marked, and "You Are Here" marked.

  Yes

  No

  N/A

Personal Protective Equipment

• Hazard Assessment (JRA, JSA, R3)

  Yes

  No

  N/A

• PPE Assessment

  Yes

  No

  N/A

• PPE stored properly, available, clean, fitted, functional (i.e. respirators, arc flash, gloves, etc.)

  Yes

  No

  N/A

Lock Out Tag Out

• Power Disconnects / Equipment Locked and Tagged When in Off Position or Performing Maintenance

  Yes

  No

  N/A

• LOTO Used When Replacing Dies or Setting Up Presses

  Yes

  No

  N/A

• Tags properly marked when in use

  Yes

  No

  N/A

• Locks properly secured when not in use

  Yes

  No

  N/A

• Locks properly secured when in use

  Yes

  No

  N/A

• Both tags and locks must be used (tags alone are not allowed)

  Yes

  No

  N/A

• Annual LOTO audit for supervisors and authorized empoyees

  Yes

  No

  N/A

• Annual LOTO training for authorized employees

  Yes

  No

  N/A

• Annual LOTO raining for affected employees

  Yes

  No

  N/A