Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
MANAGEMENT COMMITMENT
MC1
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Safety is covered at all general and department meetings with staff
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Review of meeting minutes for all levels of general, department & section meetings
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The audit team will review meeting minutes posted to the logistics network/RSC_meetings folder prior to the on-site visit
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Special purpose meetings are exempted (ie. insurance, technology specific, etc)
MC2
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Minutes from safety meetings are posted where staff can readily view
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Observation of bulletin boards in all areas
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Most recent meetings must be posted; previous minutes available for fiscal year
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Ensure posting dates are annotated on the minutes
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Safety supervisor is designated in writing and provides guidance to the safety committee
MC3
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Safety signage is posted throughout the RSC
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Observation of safety signage
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Location signs: exits, fire exiting, AED, first aid kits, eye wash stations
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Lunch room bulletin board: current version of OSHA poster
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Offices, starting benches, conference rooms and at phones with outside lines: evacuation maps, emergency booklet, MSDS poster/procedure
MC4
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Current safety performance metrics are where staff can clearly see
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Observation of main safety bulletin board in cafeteria for safety metrics (KPI less than 8 days old)
MC5
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Staff are clearly encouraged to report all incidents.
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Included in documented meeting notes
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Included in documented training
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Stage mock accident and select staff to walk through accident action steps
MC6
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All alerts are shared with staff and posted for staff to review within 1 business day and are posted for a minimum of 30 days
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Observation of posted alerts with annotated date of posting
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Review of filed alerts and annotated posting dates.
MC7
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The management team is actively engaged in daily stretching routines
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Demonstrated involvement by the audit team
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Participate and/or lead stretching
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At least one from the management team with each group on a regular basis if need to rotate
MC8
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Leadership team engages outside professionals (first responders, local government etc)
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Location champions outside safety initiative
MC9
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Safety supervisor and committee participate in a mock audit at least annually
MC10
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Blind spots/corners identified and addressed
MC11
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Safety is a documented focus area for staff observations in the continuous improvement program
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Review completed CIP observation forms to see that safety is addressed.
MC12
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Develops hazard reduction program based on past years accident data. Seeks and implements staff suggestions. Program involves training, observation, and corrective actions.
MC13
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Risk control survey action items are addressed (Wells Fargo, Travelers, and Do it Best Corp)
MC14
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Emergency evacuation routes and safe havens are posted
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Observation of current evacuation route diagrams near every entrance, office, sign out dates, etc.
RECORD KEEPING
RK1
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Safety board is clearly marked and current information is displayed
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Review of the safety board to show safety team members, list of first responders, safety meeting notes, alerts, KPI's, no non-safety items.
RK2
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OSHA workplace poster displayed in a prominent location where all employees are likely to see it.
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Observation
RK3
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Staff have ready access to MSDS
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Management team to explain how staff access MSDS sheets when needed
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Review of MSDS access process
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Randomly select two staff members and have them locate the MSDS for a product
RK4
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The maintenance area has posted a Chemical/Hazmat log for items in use
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Review of log against items stored
RK5
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MSDS sheets are readily available for all items used in the maintenance area.
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Audit maintenance area to ensure all flammable items are stored in the flammable cabinet or designated flammable storage areas.
RK6
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Access to medical staff records is restricted to the management team, designated office staff and the staff member
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Management team to show audit team how files are controlled/accessed
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Medical records are stored separate from the personnel file
RK7
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All OSHA recordable injuries are recorded in the OSHA 300 log
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Comparison of FROI's, IIR's, & WC Reports to OSHA 300 log
RK8
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OSHA 300A Summary report for the most recently completed year is posted by February 1 and remains posted through April 30
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Observation of report posted during the required time frame with annotation of date posted and initials of who posted
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Once removed, the previous years report should be filed and have indicated the posting dates and initials of who posted
RK9
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OSHA 300 and 301 forms are retained for five years
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Review of file documentation to show these forms on file for the period specified.
RK10
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Transitional Employ,net Authorization letters on file for all restricted and modified duty cases, all DART cases listed on the weekly comp tracker (light duty form and tracking sheet)
RK11
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Corrective actions are posted with incident files. RSC able to demonstrate post accident and corrective actions noted in the incident investigation have been completed. (Meeting notes, retraining documentation).
EMERGENCY RESPONSE
ER1
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Emergency drills are conducted and documented at least annually (separate from the audit drills)
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Minimum: fire drill, severe weather, medical, spill
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Check file documentation
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Documentation should be completed on the emergency event report card.
ER2
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Fire extinguishers are visually inspected and noted on the inspection tag monthly
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Walk around review- check tags for monthly inspection date by outside company
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Check extinguishers in storage too
ER3
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Fire extinguishers are professionally serviced (inspected and re-tagged) annually
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Walk around review- check tags for annual inspection date by outside company.
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Check extinguishers in storage too
ER4
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Spill clean up carts inspected and replenished monthly
ER5
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Emergency procedures booklets are posted where they can be readily found
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Observation
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Inspect by outgoing phone lines (office/break-room) and all starting benches
ER6
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Business continuity plan/disaster recovery on file
ER7
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Fire drill or weather drill based on NWS forecast
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Emergency event card report card used to evaluate
ER8
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Medical Emergency (CPR Prompt & AED)
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Emergency event card report card used to evaluate
ER9
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Spill event
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Emergency event card report card used to evaluate
INCIDENT INVESTIGATIONS
II1
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Manager, all supervisors and members of incident investigation team are trained on the incident investigation process
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Review documentation of training
II2
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Incident investigations are completed within established time frames
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Check FROI, IIR'S, SIR, IPTR documentation on the safety net
II3
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Incident documentation properly completed, named, emailed and posted to network
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Check FROI, IIR'S, SIR, IPTR documentation on the safety net
II4
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Incidents that possibly meet "alert" criteria are identified and shared with Fort Wayne by phone and email.
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Review previous year's incidents to determine whether any should have been considered an alert. For questionable incidents, should be annotated who consulted with
II5
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Manager signs off on all incident documentation and comments where applicable
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Check for initials on all incidents on the safety net
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Check for appropriate manager comments
II6
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Root cause analysis conducted by safety team follows training guidelines and identifies valid and relevant root causes.
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Check documentation for IIR's and IPTR's on the safety net prior to audit start
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Reference root cause analysis training guidelines to evaluate
II7
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Action items identified in root cause analysis are shown to have been followed, brought to a resolution or otherwise adjudicated by the management team.
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Check IPTR follow-up documentation and observe corrections where possible.
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RSC to show corrective actions taken and/or procedures revised/implemented
II8
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Action items identified in alerts are shown to have been followed.
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Check alert follow-up documentation and observe corrections where possible.
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RSC to show corrective actions taken and/or procedures revised/implemented.
EMPLOYEE INVOLVEMENT
E1
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Safety team is comprised of hourly staff with guidance from the safety supervisor
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Review of safety team designation letter/notice and monthly minutes
E2
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Staff are actively involved in daily stretching routines
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Demonstrated involvement observed by audit team
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Staff should be paying attention to the leader, participating in the exercises, following the correct order of the stretching routine and showing the correct form
E3
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Areas around fire extinguishers are kept clear and provide ready access
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Walk around review
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3-foot area around extinguishers, electrical panels, fire doors- should be kept clear
E4
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Good housekeeping is evident in the center
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Explanation by management team for how the process works
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Observation on the floor: examples of safety related housekeeping would be discarded boxes, materials, tools blocking exits, fire exiting, electrical panels, other required to be kept clear
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Debris posing trip, slip, cut or puncture hazards
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Equipment, tools, left in disorderly manner that poses safety risk
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Requires judgment to determine nature/extent of safety concern and whether represents isolated event or recurring pattern.
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Active cleaning program on file, location is able to demonstrate systematic facility cleaning from 9/1/2012 moving forward.
E5
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Safety team is involved in preparation for the safety audit
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Expecting the safety teams to be part if preparation throughout the year as part of their role in supporting a safe work environment.
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Review safety team meeting minutes for participation in ongoing preparation activities
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Discussion with safety team during the audit
E6
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Safe work instructions
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Staff are able to demonstrate the safe work instructions associated with the jobs they are performing
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Assessed by covert and overt observations of staff performing specific jobs
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Not all jobs will have SWI's adopted; the audit will only focus on adopted SWI's.
MEDICAL SERVICES & FIRST AID
MS1
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At least one person trained in CPR/first aid is scheduled during work hours
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Review of files for list of first responders and copies of certification
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Review of work schedule to verify
MS2
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CPR/first aid certified staff are clearly identified
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Management team to show how staff are identified
MS3
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First aid kits are inspected monthly, are stocked with OSHA requirements (as a minimum) and replenished as needed.
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Review of monthly inspection documentation/log (should be posted by the kit)
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Assessment of first aid kit supplies against OSHA requirements
MS4
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Eyewash stations are clean, accessible and operational
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Review of all eyewash stations
MS5
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AED's are inspected monthly and are fully operational
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Review of monthly inspection documentation and current operational status
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Expecting to see a monthly inspection log posted by the AED
MANDATORY TRAINING
MT1
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Mobile equipment- prior to authorization to use, every 3 years, and upon incident
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RSC to provide staff roster indicating which staff are eligible to operate which equipment
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Review of training logs and staff roster
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Training and recertification by equipment class
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Refresher training completed post incident/other qualifying events
MT2
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Lock-Out/Tag-Out - initial training, then annually
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Review of training logs and staff roster
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Anyone performing LOTO must have LOTO training
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All others require LOTO orientation training
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Ask LOTO trained staff to perform LOTO
MT3
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Function specific DOT Hazmat training completed.
MT4
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Heat related illness prevention training annually prior to 5/1 annually
MT5
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Bloodborne Pathogens - initial training, then annually
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Review of training logs and staff roster
MT6
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HAZCOM Training - initial training, then annually
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Review of training logs and staff roster
MT7
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Annual Hazard and Risk Training (training should be customized to location and based on past incident data as well as proactive hazard assessments)
MT8
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Safe Work Instructions
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All adopted safe work instructions have been disseminated and appropriate staff are trained.
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Review of training logs and staff roster
