SDX Environmental, Health, and Safety Review

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Previous Recommendations

• Was recommendation 1, from last safety review, implemented?

  Yes

  No

  N/A

• Was recommendation 2, from last safety review, implemented?

  Yes

  No

  N/A

• Was recommendation 3, from last safety review, implemented?

  Yes

  No

  N/A

Injury And Illness Prevention Program

• Is the written Injury and Illness Prevention Program in the safety Policy manual?<br>

  Safe

  At Risk

  N/A

• Do you have a person who is responsible and has authority for overall activities of the Injury and Illness Prevention Program?

  Safe

  At Risk

  N/A

• Do you have a system for identifying and evaluating your workplace hazards?

  Safe

  At Risk

  N/A

• Do you maintain an ongoing safety training program?

  Safe

  At Risk

  N/A

• Do you have a system in place that ensures employees will be recognized for safe and healthful work practices?

  Safe

  At Risk

  N/A

• Will employees be disciplined for unsafe safety or health acts?

  Safe

  At Risk

  N/A

• No late reporting of injuries?

  Safe

  At Risk

  N/A

• Is there a labor-management safety committee? (10 or more employees)

  Safe

  At Risk

  N/A

• Is the unit achieving EIF Target?

  Yes

  No

  N/A

• Is the unit achieving SIF Target?

  Yes

  No

  N/A

Employee Safety Knowledge

• Do employees know the weekly safety message?<br>

  Yes

  No

  N/A

• Do employees know ways to prevent lifting injuries?

  Yes

  No

  N/A

• Do employees know ways to prevent slip, trip, fall injuries?

  Yes

  No

  N/A

• Do employees know how often to inspect PPE?

  Yes

  No

  N/A

• Employees know location and operation of gas/electric emergency cutoffs.

  Safe

  At Risk

  N/A

• Do employees know what to do when they have a broken tool?

  Yes

  No

  N/A

• Do employees know the location of the MSDS sheets?

  Yes

  No

  N/A

• Do employees know what to do when they find a chemical bottle that is not labeled?

  Yes

  No

  N/A

• Do the employees know their responsibilities: For reporting emergencies? During an emergency? For conducting rescue and medical duties?

  Safe

  At Risk

  N/A

Employer Posting

• Is the OSHA poster Safety and Health Protection on the Job displayed in a prominent location where all employees are likely to see it?

  Safe

  At Risk

  N/A

• Weekly safety message displayed?

  Safe

  At Risk

  N/A

• Emergency telephone numbers posted where they can be found in a emergency?

  Safe

  At Risk

  N/A

• Where employees may be exposed to toxic substances, Material Safety Data Sheets been posted or made readily available?

  Safe

  At Risk

  N/A

• Safety Board established and maintained?

  Safe

  At Risk

  N/A

All Departments

• Ventilation and illumination adequate in all areas.

  Safe

  At Risk

  N/A

• Aisles and passageways clear and unobstructed.

  Safe

  At Risk

  N/A

• All spillages and breakages immediately cleaned up.

  Safe

  At Risk

  N/A

• Electric cords and phone cables secured to prevent tripping hazards.

  Safe

  At Risk

  N/A

• Floors in good condition. Floors made slip resistant where necessary.

  Safe

  At Risk

  N/A

• Storage and equipment rooms clean and orderly.

  Safe

  At Risk

  N/A

• Stairways equipped with standard handrails.

  Safe

  At Risk

  N/A

• All waste materials deposited in proper containers.

  Safe

  At Risk

  N/A

• Waste receptacles emptied before completely full.

  Safe

  At Risk

  N/A

• Knives kept sharp and safely stored?

  Safe

  At Risk

  N/A

• Compressed gas cylinders secured properly in vertical position?

  Safe

  At Risk

  N/A

Material Handling

• Avoid excessive reaching.

  Safe

  At Risk

  N/A

• Do Employees get help to lift heavy or awkward loads?

  Safe

  At Risk

  N/A

• Active use of carts or dollies observed for moving heavy items?

  Safe

  At Risk

  N/A

• Push a load instead of pulling it observed?

  Safe

  At Risk

  N/A

• Carts used to transport hot liquids?

  Safe

  At Risk

  N/A

• Employees do not bend over to lift heavy items?

  Safe

  At Risk

  N/A

• Employees do not twist when lifting and lowering materials. (Turn their whole body instead)

  Safe

  At Risk

  N/A

• Keep loads of 30 lbs or greater in the safe zone?

  Safe

  At Risk

  N/A

• Carts not overloaded?

  Safe

  At Risk

  N/A

• Is there safe clearance for equipment through aisles and doorways?

  Safe

  At Risk

  N/A

• Are aisle ways designated, permanently marked, and kept clear to allow unhindered passage?

  Safe

  At Risk

  N/A

• Dock area free of snow and ice

  Safe

  At Risk

  N/A

• Are dock boards (bridge plates) used when loading or unloading operations?

  Safe

  At Risk

  N/A

• Fall protection (visual or physical) used in dock areas

  Safe

  At Risk

  N/A

Slip/Trip/Fall Prevention

• Floor mats used as appropriate – beveled edges?

  Safe

  At Risk

  N/A

• Floor mats placed properly & in good condition?

  Safe

  At Risk

  N/A

• Active use or posting of wet floor hazard barricades when mopping or stripping?

  Safe

  At Risk

  N/A

• Active employee reporting of slip, trip and fall hazards?

  Safe

  At Risk

  N/A

• Proper floor cleaner used (Wash N Walk w/ deck brush) as appropriate?

  Safe

  At Risk

  N/A

• No tripping hazards present, floors free of grease, wet spots, debris.?

  Safe

  At Risk

  N/A

• Using handrail on stairs?

  Safe

  At Risk

  N/A

• Ice Melt / Salt available in winter?

  Safe

  At Risk

  N/A

• SR shoe poster available for viewing?

  Safe

  At Risk

  N/A

• Inspect ladder before use?

  Safe

  At Risk

  N/A

• Are all ladders maintained in good condition, joints between steps & side rails tight, hardware & fittings securely attached & movable parts operating freely without binding or undue play?

  Safe

  At Risk

  N/A

• Are non-slip safety feet provided on each ladder?

  Safe

  At Risk

  N/A

• Are ladder rungs and steps free of grease and oil?

  Safe

  At Risk

  N/A

• Is it prohibited to place a ladder in front of doors opening toward the ladder except when the door is blocked open, locked or guarded?

  Safe

  At Risk

  N/A

• Is it prohibited to place ladders on boxes, barrels, or other unstable bases to obtain additional height?

  Safe

  At Risk

  N/A

• Are employees instructed to face the ladder when ascending or descending?

  Safe

  At Risk

  N/A

Personal Protective Equipment and Clothing

• Are protective goggles, safety glasses, or face shields provided and worn where there is a danger of flying particles or corrosive materials?

  Safe

  At Risk

  N/A

• Are protective gloves, aprons, shields, or other means provided against cuts, corrosive liquids and chemicals?

  Safe

  At Risk

  N/A

• Cut resistant gloves worn when required?

  Safe

  At Risk

  N/A

• PPE worn to prevent burns?

  Safe

  At Risk

  N/A

• Is appropriate foot protection required?

  Safe

  At Risk

  N/A

• Is all protective equipment maintained in a sanitary condition and ready for use?

  Safe

  At Risk

  N/A

• Is protection against the effects of occupational noise exposure?

  Safe

  At Risk

  N/A

Storage Areas

• Shelves and racks are of adequate strength and are secured.

  Safe

  At Risk

  N/A

• Cartons cross-stacked to avoid tipping or tumbling.

  Safe

  At Risk

  N/A

• Floors in walk-ins are clean, dry and not slippery.

  Safe

  At Risk

  N/A

• Flammables properly stored; sterno, charcoal lighter fluid, butane, etc. (No more than 24 containers of butane in one location.

  Safe

  At Risk

  N/A

• Sharp edges are identified and eliminated.

  Safe

  At Risk

  N/A

• Bump hazards are eliminated

  Safe

  At Risk

  N/A

• Falling object hazards are eliminated.

  Safe

  At Risk

  N/A

• Emergency releases in walk-in refrigerators and freezers in proper working order.

  Safe

  At Risk

  N/A

Kitchen

• Lighting adequate, fixtures shielded.

  Safe

  At Risk

  N/A

• Machines are suitably anchored to prevent creeping or tipping.

  Safe

  At Risk

  N/A

• No steam leaks on production equipment.

  Safe

  At Risk

  N/A

• Area is clean and free of cut, bump or trip hazards.

  Safe

  At Risk

  N/A

• Swinging doors have see through panels and are easy to open; overhead mirrors at doors with blind spots.

  Safe

  At Risk

  N/A

• Slicer left unplugged and set at zero when not in use or during cleaning; cut resistant gloves for both hands available for use when cleaning blade.

  Safe

  At Risk

  N/A

• Clean-as-you-go policy is enforced.

  Safe

  At Risk

  N/A

• Compactors are equipped with adequate guards and safety switches.

  Safe

  At Risk

  N/A

• Guards for equipment in good condition and in place.

  Safe

  At Risk

  N/A

• No sharp corners projecting on machines.

  Safe

  At Risk

  N/A

• Employees do not wear loose or dangling jewelry.

  Safe

  At Risk

  N/A

Dish Room

• Protective cover over disposal opening; no water leaks from hoses, valves, dish machine, etc.

  Safe

  At Risk

  N/A

• Ventilation in area is adequate.

  Safe

  At Risk

  N/A

• Mops and pails clean and available to clean up spills.

  Safe

  At Risk

  N/A

• Broken glass is swept up promptly and placed in special, clearly marked containers.

  Safe

  At Risk

  N/A

• No standing water where people stand.

  Safe

  At Risk

  N/A

• Emergency shut-off accessible.

  Safe

  At Risk

  N/A

Dining Area

• Broken, torn, wobbly or unsteady tables or chairs are quickly repaired.

  Safe

  At Risk

  N/A

• Carpet and runners in good condition; stair treads and nosing have non-slip material and are secure.

  Safe

  At Risk

  N/A

• Wet mopping is avoided during rush hours.

  Safe

  At Risk

  N/A

• Sufficient 35” safety cones are available and used at every public entrance where floors are wet.

  Safe

  At Risk

  N/A

Lockout/Machine Guarding

• Is all equipment capable of movement, required to be disengaged, de-energized and blocked or locked-out during cleaning, servicing, adjusting or setting up operations, whenever possible?

  Safe

  At Risk

  N/A

• Are appropriate employees provided with individually keyed personal safety locks?

  Safe

  At Risk

  N/A

• Broken and damaged tools & equipment are removed from service

  Safe

  At Risk

  N/A

• Is there a training program to instruct employees on safe methods of machine operation?

  Safe

  At Risk

  N/A

• Is there a regular program of safety inspection of machinery and equipment?

  Safe

  At Risk

  N/A

• All electrical cords are in good condition.

  Safe

  At Risk

  N/A

• Extension cords are not used in place of permanently installed fixed wiring.

  Safe

  At Risk

  N/A

• Control panels have minimum 36” of unobstructed workspace in front and are closed.

  Safe

  At Risk

  N/A

• Is all machinery and equipment kept clean and properly maintained?

  Safe

  At Risk

  N/A

• Can electric power to each machine be locked out for maintenance, repair, or security?

  Safe

  At Risk

  N/A

• Are all emergency stop buttons colored red?

  Safe

  At Risk

  N/A

Chemical Safety

• Are employees trained in the safe handling practices of hazardous chemicals?

  Safe

  At Risk

  N/A

• Are eyewash fountains and safety showers provided in areas where corrosive chemicals are handled?

  Safe

  At Risk

  N/A

• Are all containers, such as vats, storage tanks, etc., labeled as to their contents, e.g., "CAUSTICS"?

  Safe

  At Risk

  N/A

• Are all employees required to use personal protective clothing and equipment when handling chemicals? (gloves, eye protection, respirators, etc.)

  Safe

  At Risk

  N/A

• Are flammable or toxic chemicals kept in closed containers, and below eye level when not in use?

  Safe

  At Risk

  N/A

• Have standard operating procedures been established and are they being followed when cleaning up chemical spills?

  Safe

  At Risk

  N/A

Emergency Action Plan

• Do you have an emergency action plan?

  Safe

  At Risk

  N/A

• Have emergency escape procedures and routes been developed and communicated to all employers?

  Safe

  At Risk

  N/A

• Fire escapes and exits adequately marked and kept clear.

  Safe

  At Risk

  N/A

• Are alarm systems properly maintained and tested regularly?

  Safe

  At Risk

  N/A

• Complete first aid kit accessible?

  Safe

  At Risk

  N/A

Exiting

• Are there sufficient exits to permit prompt escape in case of emergency?

  Safe

  At Risk

  N/A

• Do the exit doors open from the direction of exit travel without the use of a key or any special knowledge or effort when the building is occupied?

  Safe

  At Risk

  N/A

• Where panic hardware is installed on exit door, will it allow the door to open by applying a force of 15 pounds or less in the direction of the exit traffic?

  Safe

  At Risk

  N/A

Fire Protection

• Fire extinguishers of proper size and type for each location properly charged.

  Safe

  At Risk

  N/A

• Does not block or obstruct fire exits, extinguishers or electrical panels?

  Safe

  At Risk

  N/A

• No smoking rule enforced in restricted areas.

  Safe

  At Risk

  N/A

• Monthly visual inspections of portable fire extinguishers near cooking are 40 BC rated.

  Safe

  At Risk

  N/A

• Minimum of 18” clearance under sprinkler heads.

  Safe

  At Risk

  N/A

• Exhaust filters clean?

  Safe

  At Risk

  N/A

• Are automatic sprinkler system water control valves, air and water pressures checked periodically as required?

  Safe

  At Risk

  N/A

Vehicle Safety

• Company vehicles travel at safe speeds

  Safe

  At Risk

  N/A

• Motor vehicle records for drivers show no violations

  Safe

  At Risk

  N/A

• Properly maintaining and routinely inspecting those vehicles we operate?

  Safe

  At Risk

  N/A

Safety Education

• General Manager or other Unit Manager successfully completed 10-Hour OSHA General Industry Training Course. Must substantiate by presenting U.S. Department of Labor OSHA Completion Card or Certificate.

  Safe

  At Risk

  N/A

Employee Recommendations

• Do employees have concerns or recommendations?

  Yes

  No

  N/A

Recommendations

• Recommendation 1

• Recommendation 2

• Recommendation 3