Safety and Compliance Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety/Insurance

• Is your current Modification Rate over 1.00?

  Yes

  No

  N/A

• Have you had any claims this year?

  Yes

  No

  N/A

• Are you doing monthly inspections of each department?

  Yes

  No

  N/A

• Are you using a compliance company?

  Yes

  No

  N/A

• Do you have an established Safety Committee?

  Yes

  No

  N/A

• Has your last inspection been reviewed?

  Yes

  No

  N/A

Compliance Snapshot

• Do you have a current written Hazard Communication Plan?

  Yes

  No

  N/A

• Do you provide Right To Know training as provided in the plan?

  Yes

  No

  N/A

• Do you have a current chemical inventory list?

  Yes

  No

  N/A

• Do you implement the plans labeling system?

  Yes

  No

  N/A

• Is your grinder rest adjusted to within 1/8 inch of the grinding wheel?

  Yes

  No

  N/A

• Is your grinder properly secured?

  Yes

  No

  N/A

• Is your grinder properly guarded?

  Yes

  No

  N/A

• Are all departments kept free of slip,trip and fall hazards?

  Yes

  No

  N/A

• Are your WC panels posted?

  Yes

  No

  N/A

• Are all your WC panels posted for all to see?

  Yes

  No

  N/A

• Are all of your WC panels current?

  Yes

  No

  N/A

• Do you have a Return to Work Program?

  Yes

  No

  N/A

• Are your technicians wearing appropriate PPE where appropriate, eg., safety glasses, gloves, hearing protection, respirators, shoes, etc.

  Yes

  No

  N/A

• Are all curbs and steps safe with proper markings and handrails?

  Yes

  No

  N/A

• Do you have stored, compressed gases cylinders (helium,acetylene,oxygen) chained in an upright position?

  Yes

  No

  N/A

• Is there a written policy for visitor safety?

  Yes

  No

  N/A

• Are your lifts working as originally designed?

  Yes

  No

  N/A

• Are any lift locks being over-ridden?

  Yes

  No

  N/A

• Does a random employee know where SDS's are located?

  Yes

  No

  N/A

• Do you have a written Emergency Plan?

  Yes

  No

  N/A

• Do you require a new employee to view the New Employee Video?

  Yes

  No

  N/A

• Does a random employee know where the emergency gathering place is located?

  Yes

  No

  N/A

• Do you have an eyewash station that meets OSHA standards?

  Yes

  No

  N/A

• Are your fire extinguishers compliant? (Not Obstructed,Inspected,Visible)

  Yes

  No

  N/A

• Are there any electrical hazards in your facility?

  Yes

  No

  N/A

• Does your technicians use OSHA compliant drop lights? (Plastic with fluorescent bulbs)

  Yes

  No

  N/A

• Are your floor jacks marked with maximum load ratings?

  Yes

  No

  N/A

• Are your brake lathes missing the protective shield?

  Yes

  No

  N/A

• Do you have your flammable and combustible liquids stored properly?

  Yes

  No

  N/A

• Are all of your exits labeled "Exit"?

  Yes

  No

  N/A

• Are there any open drinks or foods around techs work area?

  Yes

  No

  N/A

• Do you have a first aid kit that is adequately stocked?

  Yes

  No

  N/A

• Is your storage of tires designed to minimize lifting problems?

  Yes

  No

  N/A

• Are your oily rags stored in a covered metal container?

  Yes

  No

  N/A

• Are air hoses and electrical cords that are not in use coiled and put away?

  Yes

  No

  N/A

• Do you have an "Eye Protection Required" sign visible around grinder and brake lathe area?

  Yes

  No

  N/A

• Do you have a forklift?

  Yes

  No

  N/A

• Has the forklift operator had forklift training? (Required every 3 years)

  Yes

  No

  N/A

• Is someone in the Parts Department DOT HazMat Certfied?

  Yes

  No

  N/A

• Are all medical evaluation records available for respirator wearing employees?

  Yes

  No

  N/A

• Is respirator change-out documented on a systematic basis?

  Yes

  No

  N/A

• Written Respirator Protection program available and compliant?

  Yes

  No

  N/A

Environmental Compliance

• Do you have 3 years of waste manifests/receipts saved in an organized fashion?

  Yes

  No

  N/A

• Do you have any test records to demonstrate non-hazardous waste determination?

  Yes

  No

  N/A

• Do you have a Spill Prevention Control & Countermeasure (SPCC) Plan P.E. certified? (Needed if you have above-ground petroleum storage capacity in excess of 1320 gallons)

  Yes

  No

  N/A

• Does your petroleum storage tanks have secondary containment?

  Yes

  No

  N/A

• Are your storage tanks labeled per content?

  Yes

  No

  N/A

• Are your hazardous waste containers labeled properly?

  Yes

  No

  N/A

• Does all of your technicians that do AC work have their certifications on them and do you have copies?

  Yes

  No

  N/A

Disclaimer

• This evaluation is intended solely for the information and use of the above dealership. This evaluation will not be released to third parties without the express consent of an authorized representative of the dealership. Findings found in this evaluation are based on inspection of the dealership and associated compliance records on the date of the inspection as noted above and may or may not represent normal dealership conditions. GADA assumes no responsibility to remedy deficiencies or issues noted herein. GADA expressly disclaims all liability with respect to actions taken or not taken based upon the contents of this evaluation. The dealership should consult a competent environmental health and safety professional to assist in resolving deficiencies or other issues noted in this evaluation.

• Management Signature

  Sign