Safety Audit - Audit Part 1

• Site conducted

  Select

• Each time you enter an area make sure that the operator present is told that you are here conducting a safety audit and who is with you.

• Conducted on

  Date

• Audit Team is?

• Crew

  A

  B

  C

  D

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they can not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know what "Operator Right to refuse" means?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

• Please have operator sign ( type first name last initial)

  Sign

• Are SDS sheet binder present?

  Good

  Needs Improvement

  Poor

  N/A

• Are the SOP's binder present?

  Good

  Needs Improvement

  Poor

  N/A

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they can not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• Any lose clothing or jewelry

  Yes

  No

  N/A

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Yes

  No

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know what "Operator Right to refuse" means?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are any items in the area that shouldn’t be

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

  Yes

  No

  N/A

• please describe and take picture if possible

• Please have operator sign ( type first name last initial)

  Sign

• Currently not operating

• Is the First Aid inspection box tag filled out? are supplies needed?

  Good

  Needs Improvement

  Poor

  N/A

• Are all the First Aid/CPR certificates valid? (flag if within 3 months of expire)

  Good

  Needs Improvement

  Poor

  N/A

• Are all the Working at heights certificates valid? (good for 3 years) (flag if within 3 months of expire)

  Good

  Needs Improvement

  Poor

  N/A

• Are all the Articulating Boom certificates valid? (good for 3 years) (flag if within 3 months of expire)

  Good

  Needs Improvement

  Poor

  N/A

• Is the defibrillator charged and operational? (through the clear window there should be a green flashing light)

  Yes

  No

  N/A

• Are all harnesses stored properly?

  Good

  Needs Improvement

  Poor

  N/A

• Safety poster present

  Good

  Needs Improvement

  Poor

  N/A

• This includes : Lunchroom, outdoor Area(smoking), lockers, Women's washroom, Men's washroom

• Is housekeeping needed

  Yes

  No

  N/A

• Outdoor Area

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• Lunchroom tables

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• Locker Area

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• Washrooms

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• Front Entrance

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• Are any items in the area that are unsafe?

  Good

  Needs Improvement

  Poor

  N/A

• Is the SDS binder present

  Yes

  No

  N/A

• Check that all items needed on board are present.

  

• The Health and Safety Policy

  Yes

  No

  N/A

• The Last meeting minutes

  Yes

  No

  N/A

• The list of committee members

  Yes

  No

  N/A

• The green book pocket version

  Yes

  No

  N/A

• The Harassment Policy (on coke fridge)

  Yes

  No

  N/A

• ONLY women should enter the women's washroom, if NO ONE IS AVAILABLE please check this box

• ONLY Men should enter the men's washroom, if NO ONE IS AVAILABLE please check this box

• is absorbal readily available?

  Good

  Needs Improvement

  Poor

  N/A

• Emergency Exit Location: in the locker area above the main entrance door (blue door). TO TEST: Switch the black switch on the left side of the Exit sign to ensure both lights work. Open door to make sure there is nothing blocking the exit (this includes ice)

• Emergency exit not blocked

  Yes

  No

  N/A

• Is emergency lighting adequate and tested

  Yes

  No

  N/A

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they will not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• Any lose clothing or jewelry

  Yes

  No

  N/A

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Yes

  No

  N/A

• Do you know where the panic button is located?

  Yes

  No

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know "Operator Right to refuse" mean?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are any items in the area that shouldn’t be

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

  Yes

  No

  N/A

• please describe and take picture if possible

• Please have operator sign ( type first name last initial)

  Sign

• Are all safety boxes checked off and good on operator sheet (fire extinguisher, oil bin, guards and locks)

  Yes

  No

  N/A

• please take picture

  Media

• In every Area if there is a fork truck please complete this inspection

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• You should be able to stand in the area of the operator desk to answer these. If not please attach a note.

• Is housekeeping needed

  Yes

  No

  N/A

• What type of housekeeping is needed

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• air hose has correct end and no holes.

  Yes

  No

  N/A

• face shield for vent is there.

  Yes

  No

  N/A

• Is there a clear fire response plan posted for each work area?

  Yes

  No

  N/A

• Slip tape on stairs/ladders

  Good

  Needs Improvement

  Poor

  N/A

• All handling units stored properly? Boxes, Bales, Bins, Barrels, Containers

  Good

  Needs Improvement

  Poor

  N/A

• 

• fire extinguishers (2) present and inspections up to date

  Yes

  No

  N/A

• Are extinguisher locations conspicuously marked?

  Good

  Needs Improvement

  Poor

  N/A

• Are extinguishers easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• Is the Eye Wash bottle present and easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• Are tools kept in their proper place?

  Good

  Needs Improvement

  Poor

  N/A

• Oil bucket being emptied

  Good

  Needs Improvement

  Poor

  N/A

• Ladders in good condition and stored properly

  Good

  Needs Improvement

  Poor

  N/A

• Please have a quick look over of equipment and answer the following questions.

• Line is not running

Feed System

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

• Emergency Exit Location: is on the wall by the feed system. TO TEST: Flip black switch on left side of exit sign and ensure both lights work. open door and check for obstructions.

• Emergency exit not blocked

  Yes

  No

  N/A

• Is emergency lighting adequate and tested

  Yes

  No

  N/A

Hopper and Fans

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Extruder

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Water Bath

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Pelletizer

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Shaker Tray

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they will not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• Any lose clothing or jewelry

  Yes

  No

  N/A

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Yes

  No

  N/A

• Do you know where the panic button is located?

  Yes

  No

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know "Operator Right to refuse" mean?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are any items in the area that shouldn’t be

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

  Yes

  No

  N/A

• please describe and take picture if possible

• Please have operator sign ( type first name last initial)

  Sign

• Are all safety boxes checked off and good on operator sheet (fire extinguisher, oil bin, guards and locks)

  Yes

  No

  N/A

• please take picture

  Media

• In every Area if there is a fork truck please complete this inspection

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• You should be able to stand in the area of the operator desk to answer these. If not please attach a note.

• Any and all signage in place (elevator)

  Good

  Needs Improvement

  Poor

  N/A

• Is housekeeping needed

  Yes

  No

  N/A

• What type of housekeeping is needed

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• air hose has correct end and no holes.

  Yes

  No

  N/A

• face shield for vent is there.

  Yes

  No

  N/A

• Is there a clear fire response plan posted for each work area?

  Yes

  No

  N/A

• Slip tape on stairs/ladders

  Good

  Needs Improvement

  Poor

  N/A

• All handling units stored properly? Boxes, Bales, Bins, Barrels, Containers

  Good

  Needs Improvement

  Poor

  N/A

• 

• fire extinguishers (2) present and inspections up to date

  Yes

  No

  N/A

• Are extinguisher locations conspicuously marked?

  Good

  Needs Improvement

  Poor

  N/A

• Are extinguishers easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• Is the Eye Wash bottle present and easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• Are tools kept in their proper place?

  Good

  Needs Improvement

  Poor

  N/A

• Oil bucket being emptied

  Yes

  No

  N/A

• Ladders in good condition and stored properly

  Good

  Needs Improvement

  Poor

  N/A

• Line is not running

Feed System

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Hopper and Fans

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

• Emergency Exit Location: is on the back wall by the blender room. TO TEST: Flip black switch on left side of exit sign and ensure both lights work. open door and check for obstructions.

• Emergency exit not blocked

  Yes

  No

  N/A

• Is emergency lighting adequate and tested

  Yes

  No

  N/A

Blender Room #3

• All guards in place and secured

  Yes

  No

  N/A

• Blender Pit covered?

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• Blender Pit cleaned out (looking if its over half or full)?

  Good

  Needs Improvement

  Poor

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Extruder

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Water Bath

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Pelletizer

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Shaker Tray

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they will not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• Any lose clothing or jewelry

  Yes

  No

  N/A

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Yes

  No

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know "Operator Right to refuse" mean?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are any items in the area that shouldn’t be

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

  Yes

  No

  N/A

• please describe and take picture if possible

• Please have operator sign ( type first name last initial)

  Sign

• Are all safety boxes checked off and good on operator sheet (fire extinguisher, oil bin, guards and locks)

  Yes

  No

  N/A

• Please take photo

  Media

• In every Area if there is a fork truck please complete this inspection

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• Equipment is not running

• Is housekeeping needed

  Yes

  No

  N/A

• What type of housekeeping is needed

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• Is there a clear fire response plan posted for each work area?

  Yes

  No

  N/A

• All handling units stored properly? Boxes, Bales, Bins, Barrels, Containers

  Good

  Needs Improvement

  Poor

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Are extinguisher locations conspicuously marked?

  Good

  Needs Improvement

  Poor

  N/A

• Are extinguishers easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• Are tools kept in their proper place?

  Good

  Needs Improvement

  Poor

  N/A

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they will not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• Any lose clothing or jewelry

  Yes

  No

  N/A

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Yes

  No

  N/A

• Do you know where the panic button is located?

  Yes

  No

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know "Operator Right to refuse" mean?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are any items in the area that shouldn’t be

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

  Yes

  No

  N/A

• please describe and take picture if possible

• Please have operator sign ( type first name last initial)

  Sign

• In every Area if there is a fork truck please complete this inspection

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

Blender Room #2

• All guards in place and secured

  Yes

  No

  N/A

• Blender Pit covered?

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• Blender Pit cleaned out (looking if its over half or full)?

  Good

  Needs Improvement

  Poor

  N/A

Blender Station Area

• Is housekeeping needed

  Yes

  No

  N/A

• What type of housekeeping is needed

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• All handling units stored properly? Boxes, Bales, Bins, Barrels, Containers

  Good

  Needs Improvement

  Poor

  N/A

• Are tools kept in their proper place?

  Good

  Needs Improvement

  Poor

  N/A

Blender Room #1

• All guards in place and secured

  Yes

  No

  N/A

• Blender Pit covered?

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• Blender Pit cleaned out (looking if its over half or full)?

  Good

  Needs Improvement

  Poor

  N/A

• In every Area if there is a fork truck please complete this inspection

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• Emergency Exit Location: between the old warehouse and loading doors 1-4. TO TEST Black button on the bottom of exit sign ensure both lights work. Open door and check for obstructions and stairs are clear (ice and snow in winter)

• Emergency exit/stairs not blocked

  Good

  Needs Improvement

  Poor

  N/A

• Is emergency lighting adequate and tested

  Good

  Needs Improvement

  Poor

  N/A

• 

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Are extinguisher locations conspicuously marked?

  Good

  Needs Improvement

  Poor

  N/A

• Are extinguishers easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• The glad hand locks are in place when truck is being loaded

  Yes

  No

  N/A

• The wheel chocks are in place when truck is being loaded

  Yes

  No

  N/A

• all door lights are operational (test each one black switch on back)

  Good

  Needs Improvement

  Poor

  N/A

• check pins, tracks and track guards for each door.

  Good

  Needs Improvement

  Poor

  N/A

• Please ask these questions to the operator responsible for that area during the audit. Remember that each time you talk to an operator let them know "you are auditing Andola's Safety policy's and any answer they give is correct and they will not be penalized for any answer"

• No operator in this area

• Who is answering questions today? (first name & last initial)

• Any lose clothing or jewelry

  Yes

  No

  N/A

• is the operator wearing/have available all appropriate PPE

  Yes

  No

  N/A

• What do you do if you encounter a problem or a procedure you are not familiar with?

  Good

  Needs Improvement

  Poor

  N/A

• Do you know where to meet for a fire evacuation

  Yes

  No

  N/A

• Do you know where the Emergency Evacuation Alarm button is?

  Yes

  No

  N/A

• Do you know where the panic button is located?

  Yes

  No

  N/A

• Does operator know where SDS sheets are kept

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know "Operator Right to refuse" mean?

  Good

  Needs Improvement

  Poor

  N/A

• What does SOP stand for and where is it

  Good

  Needs Improvement

  Poor

  N/A

• Do workers know the symptoms of heat cramps/heatstroke, or frost bite/hypothermia?

  Good

  Needs Improvement

  Poor

  N/A

• Does operator know how to get first aid assistance when needed? ( where office is and who is certified first aid)

  Good

  Needs Improvement

  Poor

  N/A

• What does operator do if he finds equipment/tools that are unsafe (A: report immediately )

  Good

  Needs Improvement

  Poor

  N/A

• Are any items in the area that shouldn’t be

  Good

  Needs Improvement

  Poor

  N/A

• Are there any safety problems you would like to point out

  Yes

  No

  N/A

• please describe and take picture if possible

• Please have operator sign ( type first name last initial)

  Sign

• Are all safety boxes checked off and good on operator sheet (fire extinguisher, oil bin, guards and locks)

  Yes

  No

  N/A

• Please take a photo

  Media

• In every Area if there is a fork truck please complete this inspection

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• Equipment is not running

Arrival

• DO NOT GO UP STAIRS You should be able to stand in the area of the operator desk to answer these. If not please attach a note.

• Is housekeeping needed

  Yes

  No

  N/A

• What type of housekeeping is needed

  Select Excessive Fibre Excessive Water Excessive Oil Excessive Pellet Needs Organization Pump-out Hydraulic Fluid

  • Excessive Fibre
  • Excessive Water
  • Excessive Oil
  • Excessive Pellet
  • Needs Organization
  • Pump-out
  • Hydraulic Fluid

• air hose has correct end and no holes.

  Yes

  No

  N/A

• Is there a clear fire response plan posted for each work area?

  Yes

  No

  N/A

• All handling units stored properly? Boxes, Bales, Bins, Barrels, Containers

  Good

  Needs Improvement

  Poor

  N/A

• 

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Are extinguisher locations conspicuously marked?

  Good

  Needs Improvement

  Poor

  N/A

• Are extinguishers easily accessible?

  Good

  Needs Improvement

  Poor

  N/A

• Are tools kept in their proper place?

  Good

  Needs Improvement

  Poor

  N/A

• Ladders in good condition and stored properly

  Good

  Needs Improvement

  Poor

  N/A

Equipment

• All guards in place and secured

  Yes

  No

  N/A

• All electric cords in good working condition

  Yes

  No

  N/A

• Power boxes are locked out if equipment is down and all locks present with tags

  Yes

  No

  N/A

• All tools stored properly

  Good

  Needs Improvement

  Poor

  N/A

Truck Audit

• Which Truck is being Audited

  Select Truck 1 Truck 2 Truck 3 Truck 4 Truck 5 Truck 6 Truck 7 Truck 8 Truck 9

  • Truck 1
  • Truck 2
  • Truck 3
  • Truck 4
  • Truck 5
  • Truck 6
  • Truck 7
  • Truck 8
  • Truck 9

• The pad is signed off

  Yes

  No

  N/A

• fire extinguisher present and inspections up to date

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• Is the genie lift being used

  In Service

  NOT in Service

• ​​If genie lift is in use, has an inspection been completed

  Yes

  No

  N/A

• ​​Has the harness inspection and documentation been completed

  Yes

  No

  N/A

• Is the operator using the equipment properly and safely during the audit?

  Yes

  No

  N/A

• is it stored in a safe manner

  Yes

  No

  N/A

• How to test Panic Button System: Go inside and let office know of testing( check if they are on conference call as no testing should be done during call), then one person needs to stand at warehouse and one needs to stand at scale. When the panic button is pushed the corresponding lights should flash in both areas.

• Does line 1 panic button work

  Yes

  No

  N/A

• Does line 1 light system work

  Yes

  No

  N/A

• Does line 3 panic button work

  Yes

  No

  N/A

• Does line 3 light system work

  Yes

  No

  N/A

End of Inspection

• Who completed this inspection

  Sign

• Who completed this inspection

  Sign

• Who completed this inspection

  Sign