RMX Safety - Plant Inspection - duplicate - duplicate

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

Documentation Review

• A review of site-specific ASSESSMENT & TRAINING for JAN - Emergency Action Plan conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for FEB - Confined Space conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for MAR - General Safety Topics conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for APR - HAZCOM conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for MAY - Electrical Safety conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for JUN - Energy Isolation / LOTOTO conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for JUL - PPE conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for AUG - Front-End Loader / Mobile Equipment conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for SEP - Working At Heights (WAH) conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for OCT - Forklift / PIT / Moffet conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for NOV - Conveyor Safety conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific ASSESSMENT & TRAINING for DEC - Fire Safety, Hot Work, Respiratory Protection conducted and in good standing.

  Yes

  No

  N/A

• A review of site-specific TRAINING for any other required topics (including DOT) conducted and in good standing.

  Yes

  No

  N/A

• A review of site Management IPO activity for previous 12 months conducted and in good standing.

  Yes

  No

  N/A

• Argos USA Health & Safety Policy and Rules posted (signed by all employees)

  Yes

  No

  N/A

• OSHA Employee Rights, Workers Compensation, EEOC, Minimum Wage, and Unemployment Compensation

  Yes

  No

  N/A

• OSHA 300A Form posted and/or filed as required (maintained for 5 years).

  Yes

  No

  N/A

• Plant sign-in and induction process in place.

  Yes

  No

  N/A

• Site Personnel List is current.

  Yes

  No

  N/A

• The Emergency Action Plan Review and Modification (Appendix D of the Program) has been updated as required?

  Yes

  No

  N/A

Emergency Action Plan

• Emergency Action Plan (MAP) is posted, exit routes, location of portable fire extinguishers, and AT LEAST two (2) rally points identified.

  Yes

  No

  N/A

• Exits are clearly marked with signage and illuminated as required.

  Yes

  No

  N/A

• Exit doors are accesible and functioning as required.

  Yes

  No

  N/A

• Incident Reporting Procedures posted near each phone and common areas (e.g. Batch Office and Driver's Room)

  Yes

  No

  N/A

• First Aid Kits clean and properly stocked with no out-of-date items. Bloodborne pathogens kit available (gloves, glasses, bio-hazard bags)

  Yes

  No

  N/A

• Eye Wash Stations installed correctly where required and functioning.

  Yes

  No

  N/A

Confined Space

• All Confined Spaces numbered and identified with signage.

  Yes

  No

  N/A

• A Master List and procedures are available for each Confined Space.

  Yes

  No

  N/A

• Confined Space entry permits are available and, if used, were completed correctly and are kept on file.

  Yes

  No

  N/A

• It is clear who has been trained as and is authorized to be Entrants, Attendants and Entry Supervisors.

  Yes

  No

  N/A

General Safety

• Entry Argos sign, traffic plan, and large PPE sign in place.

  Yes

  No

  N/A

• Grounds free of trash and debris, trash cans on site, dumpsters have lids & plugs. No empty drums, totes or tanks.

  Yes

  No

  N/A

• Plant hoses stored properly and are not a tripping hazard.

  Yes

  No

  N/A

• Lighting is adequate and operational.

  Yes

  No

  N/A

• Housekeeping acceptable - OFFICE / DRIVER'S ROOM (counters, floor, storage, bathroom).

  Yes

  No

  N/A

• Housekeeping acceptable - YARD (entrance, parking areas, slump rack, stock piles and pits).

  Yes

  No

  N/A

• Housekeeping acceptable - PLANT (head/tail pulleys, cat walks, loading area, air compressor room).

  Yes

  No

  N/A

• Housekeeping acceptable - SHOP / LAB / OTHER BUILDING (floor, parts room, tire room).

  Yes

  No

  N/A

HAZCOM

• SDS updated and available for all applicable materials used on site. List of chemicals on site (and / or 3E posted AND understood)

  Yes

  No

  N/A

• All containers labeled correctly.

  Yes

  No

  N/A

• Flammable liquids stored in metal cans with self-closing lids.

  Yes

  No

  N/A

Electrical Safety

• Electrical room is labeled, is clean, has clear access and can be closed. High voltage signs posted. Not used for storage.

  Yes

  No

  N/A

• Panels, breakers and switches are properly identified and labeled.

  Yes

  No

  N/A

• GFI's used for all outdoor or wet areas.

  Yes

  No

  N/A

• All conduit and wiring free from damage.

  Yes

  No

  N/A

• All extension power cords and plugs free from damage and NOT used for permanent applications (3+ days is considered permanent).

  Yes

  No

  N/A

• All panels, switches, receptacles, junction boxes are provided with appropriate covers (i.e. there is no exposure to live electrical parts).

  Yes

  No

  N/A

• All employees are aware of and comply with policy forbidding exposing themselves to live electrical and protections / procedures are in place to safely resolve issues.

  Yes

  No

  N/A

Energy Isolation / Lockout, Tagout, Tryout (LOTOTO)

• LOTOTO station mounted with standardized RED locks and tags and only ONE (1) unique key per lock.

  Yes

  No

  N/A

• LOTOTO devices are used properly and ONLY for Energy Isolation processes.

  Yes

  No

  N/A

• LOTOTO procedures available for each piece of equipment.

  Yes

  No

  N/A

• A Continuous Log and Periodic Inspection is completed for procedures executed.

  Yes

  No

  N/A

• It is clear who is trained as an Authorized and Affected Individual.

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• PPE requirements posted.

  Yes

  No

  N/A

• "Basic 5" available and observed being worn (Hard Hats, Glasses, Hi-Viz, Safety Boots, Gloves ready for use).

  Yes

  No

  N/A

• Current PPE Selection sheets are available describing the requirements by job title.

  Yes

  No

  N/A

• Task specific PPE identified and available (hearing protection, full face shields and rubber gloves for truck wash area, leather gloves, Arc Flash kit, etc).

  Yes

  No

  N/A

• Extra PPE available for employees as needed and for visitors.

  Yes

  No

  N/A

Front-End Loader AND Powered Industrial Trucks (PIT) / Forklift Safety

• There is designated parking for Front-End Loader, Powered Industrial Trucks (PIT), Forklifts, etc.

  Yes

  No

  N/A

• Pre-use inspections are completed.

  Yes

  No

  N/A

• INTERIOR inspected and compliant (Operator's Manual available, Fire Extinguisher, Seatbelt, Cab free of debris, etc.).

  Yes

  No

  N/A

• EXTERIOR inspected and compliant (Backup alarm working, All lights working, Tire/Wheel condition, Ladder, Hand-holds, Steps, Frame/Structural, etc.).

  Yes

  No

  N/A

• Operator trained (documentation available including annual observation) and is observed operating safely (seat belt, speed, looks before backing, etc.) during this inspection.

  Yes

  No

  N/A

• Site hazards for equipment are controlled (blind corners, slopes/drop-offs with proper berm, protocol in place for other vehicles, etc.).

  Yes

  No

  N/A

• If a PIT / Forklift / Moffett is on site, the Site-Specific Hazard Identification Forms (Appendix F) are completed as required.

  Yes

  No

  N/A

Mixer Trucks

• CAB - items inspected and in good standing (Hand-holds, Steps, Insurance card current, Annual inspection, Pre-trip, Fire Extinguisher, Seatbelt, Emergency triangles, Radio working, Cab free of debris, etc.).

  Yes

  No

  N/A

• TRUCK / CHASSIS - items inspected and in good standing (Backup alarm working, All lights working, Tire/Wheel condition, Frame/Structural, etc.).

  Yes

  No

  N/A

• MIXER - items inspected and in good standing (Pedestal, Rollers, Ladder, Hand-holds, Steps, Chutes, Securing devices, etc.).

  Yes

  No

  N/A

Working At Height (WAH)

• Elevated work platforms and cat walks clear of trip hazards and debris.

  Yes

  No

  N/A

• All work platforms that are elevated four (4) feet or more have handrail (42"), midrail (21"), and toe board (4" tall).

  Yes

  No

  N/A

• All stairs with four (4) or more steps have standard hand rails.

  Yes

  No

  N/A

• There are NO aluminum ladders on site. Portable ladders and scaffolding in good condition, labeled, properly used, secured and stored when not in use.

  Yes

  No

  N/A

• Fixed ladders in good condition, secure, and cages on ladders over 20' starting at 7' and provided with cages/wells or landing platforms.

  Yes

  No

  N/A

• Beginning Nov. 2018, any NEW fixed ladder installations over 20' equiped with safety cable and connecting device.

  Yes

  No

  N/A

• Swing Gates are installed according to OSHA requirements (see guide).

  Yes

  No

  N/A

• Personal Fall Protection Systems are appropriate and being used properly by trained employees (full body harness and lanyard, connecting devices, etc.).

  Yes

  No

  N/A

• Personal Fall Protection Systems are inspected before use and an annual inspection is documented as required.

  Yes

  No

  N/A

• WAH procedures, risk assessments, and permits implemented, used, and filed.

  Yes

  No

  N/A

Conveyor Safety (refer to Conveyor Safety Program Appendix B - Conveyor Safety Best Practices)

• All Head, Tail, Take-up, and Counterweight Pulleys accessible from the ground or catwalks are guarded per the Best Practice guide.

  Yes

  No

  N/A

• Troughing / Impact Rollers under hoppers at load points accessible from the ground or catwalks are guarded per the Best Practice guide.

  Yes

  No

  N/A

• Return Rollers less than seven (7) feet off the ground are guarded per the Best Practice guide.

  Yes

  No

  N/A

• All Conveyors accessible from the ground or catwalks have working emergency stop cords per the Best Practice guide.

  Yes

  No

  N/A

• All Conveyors out of the line of site of the Operator have working start-up and pre-traveling alarms per the Best Practice guide.

  Yes

  No

  N/A

• All Drive Belts, Drive Chains, and rotating shafts accessible from the ground or catwalks are guarded per the Best Practice guide.

  Yes

  No

  N/A

• All grease lines are extended and secured per the Best Practice guide.

  Yes

  No

  N/A

• All areas accessible under counterweights are barricaded per the Best Practice guide.

  Yes

  No

  N/A

Fire / Hot Work Safety

• Fire Extinguishers mounted as required and checked every month for service life, pin secured, & mounted and accessible.

  Yes

  No

  N/A

• Oxygen / acetylene tanks in compliance (all gauges working properly, chained in proper manner to carts or walls, capped and stored at least 20 feet apart or from other combustibles when not in use, valves closed while not in use, equipped with a safety cap over the valves when in use)

  Yes

  No

  N/A

• All welding equipment is in good working order.

  Yes

  No

  N/A

• All portable welding equipment trailers equipped with fire extinguishers.

  Yes

  No

  N/A

• All torch hoses are in good condition with no unauthorized repairs and torch heads equipped with back-flow preventers.

  Yes

  No

  N/A

• All fuel storage containers have labels and required placards (Diesel Fuel, LP Gas, etc.).

  Yes

  No

  N/A

• Fuel storage emergency shutoff is marked, spill kit is on site, & fire extinguisher in operating condition & accessible.

  Yes

  No

  N/A

• No leaks in Fuel plumbing system, or outside containment area, fill pipes are capped, spill bucket has lid, tank monitoring system is operable.

  Yes

  No

  N/A

• Flammable and No Smoking signs present in all required areas (fueling area, etc.)

  Yes

  No

  N/A

• If amounts of flammable products exceed 25 gallons, they are stored in fire proof cabinets.

  Yes

  No

  N/A

• Lifting / Rigging Devices are compliant (tagged, safety latches, in good working order, stored properly, etc.)

  Yes

  No

  N/A

• Recycle Ponds / Pits compliant (fencing, barricades, signage, access, etc.)

  Yes

  No

  N/A

• Check if there is any POSITIVE recognition you would like to provide.

• Share the POSITIVE recognition and provide a photo if necessary.

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• Share the POSITIVE recognition and provide a photo if necessary.

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• Share the POSITIVE recognition and provide a photo if necessary.

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  Media

• Check if other items were identified that need attention.

• Describe item that needs attention and provide a photo if necessary.

• Add media

  Media

• Describe item that needs attention and provide a photo if necessary.

• Add media

  Media

• Describe item that needs attention and provide a photo if necessary.

• Add media

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• CHECK if you want to create ONE (1) action item to represent this entire inspection and any items that need follow-up? (click the paperclip icon to your RIGHT and then click on the "Action" icon to create the Action Item. Once Operations has responded that all items were corrected, you can change the Action Item to "Done".

• Site Manager / Supervisor Name

• Site Manager / Supervisor Signature

  Sign

• Safety Professional Signature

  Sign