S&H Site Audit

• Location

  Select Caddo Brick Cedar Hill Gravity Grand Prairie Pressure Grand Prairie Steel Mineral Wells East Mineral Wells West Lubbock Pressure

  • Caddo Brick
  • Cedar Hill Gravity
  • Grand Prairie Pressure
  • Grand Prairie Steel
  • Mineral Wells East
  • Mineral Wells West
  • Lubbock Pressure

• Document No.

• Conducted on

  Date

• Is this a follow-up site visit?

  Yes

  No

• Follow-up Site Visit conducted on:

  Date

• S&H Team member(s) completing inspection:

• Facility Personnel accompanying S&H Team:

Safety Items

• Were any Safety (Unsafe Conditions/Unsafe Acts) related items observed:

  Yes

  No

• No Safety (Unsafe Conditions/Unsafe Acts) related items were observed during this site visit.

• Safety observation items:

Safety Observed Item

• Describe the item?

• Photographs:

  Media

• Is this a repeat item?

  Yes

  No

• Date of Previous Inspection

  Date

• Is this an action item?

  Yes

  No

• Describe Corrective Action:

• Date Corrective Action is to be completed?

  Date

• Is the Corrective Action Completed?

  Yes

  No

  N/A

• Date Corrective Action Completed?

  Date

• Corrective Action Photo:

  Media

Best Management Practices

• Best Management Practices in use:

BMP item

• Describe the item?

• Photographs:

  Media

Closeout

• Are there any additional comments:

  Yes

  No

• Additional Comments:

• Was this Site Visit and Action Items reviewed with the Plant Manager (or designee) prior to leaving the Facility?

  Yes

  No

  N/A

• Please sign as receipt of the attached Site Visit:

  Sign

• Cut and Paste E-mail return receipt if forwarded after leaving the facility.