SIF Audit Part 1

• Audit Title

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Agriculture Equipment

• Where employees do not understand English, safety instructions and warnings must be presented in a language the employees understand

  Yes

  No

  N/A

• All tractors must be equipped with roll over protection system (ROPS), fenders or equivalent protection between the tractor operator and the tracks or rear wheels

  Yes

  No

  N/A

• Tractor brake-locking or parking device must be of the positive type, designed and maintained in such a manner that tractor vibration will not release the device

  Yes

  No

  N/A

• Power Take-Off Guarding must meet specific requirements

  Yes

  No

  N/A

• Guards, shields, and access doors must be place when the equipment is in operation

  Yes

  No

  N/A

• At the time of initial assignment, and at least annually thereafter, the employer must instruct every employee in the safe operation and servicing of all equipment with which the employee is or will be involved

  Yes

  No

  N/A

• Agricultural equipment must be operated in accordance with safe work practices and operating rules

  Yes

  No

  N/A

• Every employee who operates an agricultural or industrial tractor must be required to check the tractor prior to operation each day

  Yes

  No

  N/A

On Road Vehicles

• Site has an established Fleet Safety written program that meets all current regulatory requirements and TWC standards

  Yes

  No

  N/A

• Established written program and procedures (to include referenced documents or additional programs) are evaluated for effectiveness annually

  Yes

  No

  N/A

• Site only allows qualified drivers to operate company owned vehicles

  Yes

  No

  N/A

• Site has a system in place to identify high-risk drivers

  Yes

  No

  N/A

• If site is using in-vehicle monitoring systems they are using the data to enhance driver safety

  Yes

  No

  N/A

• If a vehicle collision occurs the site follows the TWC post-incident PDCA process

  Yes

  No

  N/A

• If a vehicle collision occurs the data from the in-vehicle monitoring system used for root cause analysis and corrective action

  Yes

  No

  N/A

• Site has implimented a vehicle training program that incorporates both classroom and on road training.

  Yes

  No

  N/A

• Site is activley tracking fleet metrics

  Yes

  No

  N/A

• Site is purchasing or renting the approptiate vehicle for the job

  Yes

  No

  N/A

• Contractors on site are following site requirements regarding speed and safety protocols

  Yes

  No

  N/A

• The site has MOC system in place for non routine tasks regarding the use of on road vehicles.

  Yes

  No

  N/A

Forklifts

• Industrial trucks must be designed, used, and equipped in accordance with certain requirements

  Yes

  No

  N/A

• Every employer using industrial trucks or industrial tow tractors must enforce a set of operating rules

  Yes

  No

  N/A

• Every employee who operates an agricultural or industrial tractor must be required to check the tractor prior to operation each day

  Yes

  No

  N/A

• The employer must ensure that each powered industrial truck operator properly trained and evaluated

  Yes

  No

  N/A

• The powered industrial truck operator training program must meet certain requirements

  Yes

  No

  N/A

• MH.60.8.CA. Industrial trucks must be maintained in accordance with certain requirements

  Yes

  No

  N/A

• The rated capacity of all industrial lift trucks and industrial tractors must be displayed and obeyed

  Yes

  No

  N/A

• High-lift rider industrial trucks must be equipped with overhead guards

  Yes

  No

  N/A

• Seat belt assemblies must be provided and used in accordance with certain requirements

  Yes

  No

  N/A

• Where a lift truck is used to elevate personnel, the operation must comply with certain requirements

  Yes

  No

  N/A

• The atmosphere or location must be classified prior to consideration of the type industrial trucks to be used

  Yes

  No

  N/A

• The changing and charging of storage batteries must satisfy certain requirements

  Yes

  No

  N/A

• Site has implemented a pedestrian segregation program or process.

  Yes

  No

  N/A

DOT

• Site has an established Fleet Safety written program that meets all current regulatory requirements and TWC standards.

  Yes

  No

  N/A

• Every driver and employee involved in motor carrier operations must be qualified and instructed regarding, and must comply with, all applicable regulations? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility ensures that all drivers hold a valid commercial driver's license (CDL) or commercial learner's permit (CLP) and comply with all related requirements? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility does not allow a driver to operate a commercial motor vehicle while the driver's ability or alertness is impaired by fatigue, illness, or any other cause as to make it unsafe for him/her to begin or continue to operate the commercial motor vehicle? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility requires each driver to record his/her duty status for each 24-hour period using the appropriate methods and retains the records? - yes|no|not-applicable

  Yes

  No

  N/A

• If the facility uses automatic on-board recording devices for recording the drivers' records of duty status, does it comply with all applicable requirements? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility inspects certain vehicles at least every 90 days to ensure safe operation? - yes|no|not-applicable

  Yes

  No

  N/A

• If the facility discovers a defect in a vehicle during an inspection, does it allow the vehicle to operate on the highway until all defects are corrected and attested to by the signature of the motor carrier's authorized representative? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility requires its drivers to file a driver vehicle inspection report at the completion of each day's work on each vehicle operated and corrects any defects or deficiencies? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility inspects or causes to be inspected all commercial motor vehicles subject to its control at least annually and maintains all inspection reports and documentation? - yes|no|not-applicable

  Yes

  No

  N/A

• The facility ensures that all commercial motor vehicle (CMV) drivers have completed driver qualification certifications and maintains the files in accordance with all related requirements? - yes|no|not-applicable

  Yes

  No

  N/A

• Every employer must be knowledgeable of and comply with all regulations that are applicable to that motor carrier's operations? - yes|no|not-applicable

  Yes

  No

  N/A

• Each motor carrier and intermodal equipment provider must provide certain information pertaining to accidents.

  Yes

  No

  N/A

• The site has MOC system in place for non-routine tasks regarding motor carriers.

  Yes

  No

  N/A

• Site ensures that contractors are meeting all requirements regarding the use and operation of agricultural equipment.

  Yes

  No

  N/A

• Any Comments

• Signature

  Sign