Safety Risk Assessment - ZONE #5

• Document No.

• Audit Title

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Safety Associate

• Second Auditor/ If Applicable

• Primary/Department Contact

Personal Protective Equipment

• Are the employee(s) wearing the respirator correctly? (e.g., tight‐fitting respirators' head straps correctly positioned, PAPR faceshield kept closed, etc.)<br>

  Yes

  No

  N/A

• Has the employee(s) properly stored their reusable respirator during breaks (i.e., placed the half‐mask respirator or the head gear of the PAPR into a clean bag)?

  Yes

  No

  N/A

• Is all PPE available within the area (hallways/corridor)

  Yes

  No

  N/A

• Is the employee(s) donning and doffing the indicated PPE correctly?

  Yes

  No

  N/A

• Are employees wearing appropriate hearing and eye protection? (if required)

  Yes

  No

  N/A

Equipment Safety

• Where applicable Is the equipment/room properly locked out and tagged out? <br><br><br>

  Yes

  No

  N/A

• Are all electrical cords in good condition? Do all electrical cord plugs in the room have their grounding prongs intact?<br>

  Yes

  No

  N/A

• Operating equipment has all machine guards in place.

  Yes

  No

  N/A

• Are employee(s) following LOTO guides if applicable for tasks being completed?

  Yes

  No

  N/A

• Are plug locks being used when necessary?

  Yes

  No

  N/A

• Are all LOTO tags filled out correctly? (e.g information legible, no tape, contains name, date and reason for LOTO)

  Yes

  No

  N/A

• Has all applicable equipment been properly grounded and/or bonded? (reference red B&G binders if needed)

  Yes

  No

  N/A

• Is explosion proof equipment being used where required?

  Yes

  No

  N/A

• Are all required warning tags on equipment accounted for, visible, and identifiable?

  Yes

  No

  N/A

Ergonomics

• Are the following basic lifting techniques being followed? Back straight, knees bent, load close to body, lifts with legs, does not twist at the waist.<br>

  Yes

  No

  N/A

• Are there mechanical lift assist devices available in the room?

  Yes

  No

  N/A

• Are employees using mechanical lift assist devices (drum dumpers, inverters, hoists, etc.) properly?

  Yes

  No

  N/A

• Are department specific referencing available ergonomic guides?

  Yes

  No

  N/A

• Are rooms set up to shorten distances of material handling?

  Yes

  No

  N/A

Housekeeping & Walking/Working Surfaces

• Are materials staged/stored in stable, neat and orderly fashion?

  Yes

  No

  N/A

• Are ladders and/or platforms in good repair, no noticeable damage and rubber "feet" are in place?

  Yes

  No

  N/A

• Are all egress and exit areas clear of obstruction? <br>

  Yes

  No

  N/A

• Area all walking surfaces, platforms free of clutter and debris?

  Yes

  No

  N/A

• Does the room have a housekeeping vacuum available?

  Yes

  No

  N/A

• Are pallets stored appropriately?

  Yes

  No

  N/A

• Are any wet floor areas appropriately marked?

  Yes

  No

  N/A

• Are employees wearing the appropriate footwear for the cleaning processes as specified in the SOP?

  Yes

  No

  N/A

Emergency Equipment & Evacuation

• Are emergency equipment and exits in the area free from obstructions and available for use?<br>

  Yes

  No

  N/A

• Do the employee(s) know their primary and secondary evacuation routes from their current location?<br>

  Yes

  No

  N/A

• Do the employees know where their designated outside evacuation assembly area is located?

  Yes

  No

  N/A

• Does emergency equipment (e.g eyewash, fire extinguisher) have inspection tag in place?

  Yes

  No

  N/A

Flammable/Combustible Material Handling

• Flammable/combustible liquids are being stored in proper containers and in designated storage areas?<br>

  Yes

  No

  N/A

• Is bonding and grounding equipment being used properly?

  Yes

  No

  N/A

• IS XP equipment being used with flammable liquids/solvents where required?

  Yes

  No

  N/A

• Are equipment or containers appropriately grounded to grounding bars, exhaust drops, etc.?

  Yes

  No

  N/A

• Is LEL detection working appropriately where required?

  Yes

  No

  N/A

• Are SSTVs appropriately grounded and bonded?

  Yes

  No

  N/A

• Are appropriate GHS labels present?

  Yes

  No

  N/A

Environmental Compliance

• Waste drums bungs and funnels are closed, grounded (flammable only), properly labeled and in good condition/clean?

  Yes

  No

  N/A

• Low pH and acetone waste drums are located inside processing rooms, where applicable?

  Yes

  No

  N/A

• Sanitary drains are plugged during all acetone processing and/or washing?

  Yes

  No

  N/A

PIT/Scissor lift

• PIT/Scissor lift log books filled out correctly and up to date.

  Yes

  No

  N/A

• PIT/Scissor lift charging stations are in good conditions.

  Yes

  No

  N/A

Documentation

• Photos

  Media

• Corrective Action Plan

Validation

• Safety Rep Signature

  Sign

• Second Auditor Signature

  Sign

Communication

• Forward to

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