Risk Management Compliance Agreement

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Off

  On

New Oil Client Inspection Program

• Must have in place a process to inspect all new customers’ oil systems, tanks and lines. <br>

  Safe

  At Risk

  N/A

• Must have in place a process to inspect all new customers’ oil systems, tanks and lines. This must be implemented immediately.

  Date

• At this time the New Oil Client Inspection Program has been reviewed and is in place. Please remember to review all policies on an annual basis to ensure you have the most recent and updated material.

Duty to Warn Propane – Initial Communication

• All new customers should receive propane safety information in the form of PERC document PRC 005606 or equivalent upon start of service.<br>

  Safe

  At Risk

  N/A

• All new customers should receive propane safety information in the form of PERC document PRC 005606 or equivalent upon start of service. This must be implemented immediately.

  Date

• Please review the following link for more information
  www.propanemarc.com

• At this time the Duty to Warn Propane – Initial Communication Policy has been reviewed and is in place. Please remember to review all policies on an annual basis to ensure you have the most recent and updated material.

Light Duty Program

• Must implement a written Light Duty Program/Return to Work Program.<br><br><br><br>

  Safe

  At Risk

  N/A

• Must implement a written Light Duty Program/Return to Work Program That returns injured employees back to work as soon as possible. Must be implemented immediately

  Date

• Please go to Energi Live to obtain a sample copy of this program.
  www.energilive.com

• At this time the Light Duty Program has been reviewed and is in place. Please remember to review all policies on an annual basis to ensure you have the most recent and updated material.

Duty to Warn Propane – Out of Gas

• Your company is required to have A written Out-of-Gas Policy.<br>

  Safe

  At Risk

  N/A

• When responding to an out of gas where service is not reinstated, triplicate copy tags in the form of PERC document PRC 000500 or equivalent shall be left at both the tank and main door. A copy shall also be kept on file.

  Date

• Please review the following link for more information
  perc

• At this time the Duty to Warn Propane – Out of Gas Policy has been reviewed and is in place. Please remember to review all policies on an annual basis to ensure you have the most recent and updated material.