SAFETY EMPHASIS GRAIN/FEED

• Site

  Select

• Conducted on

  Date

• Prepared by

EMPLOYEE TRAINING

• GRAIN SAFETY TRAINING documentation current for all employees working in grain operations?

  Yes

  No

  Y-Notes

  N/A

RECORD KEEPING COMPLIANCE

• HOUSEKEEPING documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• MONTHLY INSPECTION / MAINTENANCE documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• LUBRICATION SCHEDULE documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• BIN ENTRY PERMITS documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• CONFINED SPACE / ALTERNATE METHOD documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• HOT WORK PERMITS documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• BLOW DOWN PERMITS documentation compliant?

  Yes

  No

  Y-Notes

  N/A

• RECORD KEEPING / DOCUMENTATION consistent with inspector's observations?

  Yes (X3 Points)

  No

GRAIN HANDLING FACILITY SAFETY

• Fire Extinguishers Compliant?

  Safe

  At Risk

  Y-Notes

  N/A

• Receiving Pit Grates Compliant?

  Safe

  At Risk

  Y-Notes

  N/A

• Free of Potential Ignition Sources? (electrical, mechanical, hotwork, smoking, etc)

  Safe

  At Risk

  Y-Notes

  N/A

• Oiler System Working Properly?

  Safe

  At Risk

  Y-Notes

  N/A

• Dust Control System working properly?

  Safe

  At Risk

  Y-Notes

  N/A

• Haz-Monitoring System working properly and alarms operational?

  Safe

  At Risk

  Y-Notes

  N/A

• MCC / Electrical Room free of electrical hazards, combustible dust, clutter, and fire hazards?

  Safe

  At Risk

  Y-Notes

  N/A

• Grain dryer maintained in safe condition?

  Safe

  At Risk

  Y-Notes

  N/A

• Egress Routes Safe?

  Safe

  At Risk

  Y-Notes

  N/A

• Housekeeping Adequate?

  Safe

  At Risk

  Y-Notes

  N/A
Other

• Facility safety concerns (Electrical, machine guarding, fall protection, ladders, etc.)?

  Safe

  At Risk

  Y-Notes

  N/A

SAFETY OBSERVATIONS

• WORK BEING PERFORMED SAFELY?

  Yes (X3 Points)

  No

• PROPER PPE USED?

  Yes (X3 Points)

  No

ADDITIONAL INSPECTION NOTES

• RECENT SAFETY EVENTS? (Describe any recent alarms, choked legs, hot bearings, mechanical hazards, etc.)

• OTHER NOTES

• Inspector

  Sign

• Facility Representative

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