SIF Audit Part 2

• Audit Title

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Elevated Work Area

• - Site has implemented an effective risk assessment process for work that will be conducted at heights of 4ft and above. To include work conducted in Attic spaces and of roofs.

  Yes

  No

  N/A

• - Site has identify proper risk mitigation efforts for Wall Openings, Floor Openings (holes), Skylights and Roofs.

  Yes

  No

  N/A

• - Site has implemented an effective process to manage fall prevention by methods of guardrails, and when fabricated onsite they have confirmed it meets applicable requirements.

  Yes

  No

  N/A

• - Site has established a process for rescue for work conducted in elevated work areas.

  Yes

  No

  N/A

• - Site has implemented an effective process to manage new areas that would require workers to perform tasks in elevated areas.

  Yes

  No

  N/A

• - Site provides and documents effective training for workers that are required to work on elevated work areas as applicable.

  Yes

  No

  N/A

• - Site has implemented an effective process to conduct frequent inspections to elevated work areas.

  Yes

  No

  N/A

• - Site has implemented an effective process to prevent access to elevated work areas that are restricted access by nature.

  Yes

  No

  N/A

• - Site has a process in place to communicate to contractors the expectations when work is conducted at elevated work areas while in Wonderful property.

  Yes

  No

  N/A

• - Site has a process in place to investigate non-conformities occurred in elevated work areas. This includes the utilization of the Safety PDCA for any injury categorized as Recordable or of a more serious nature.

  Yes

  No

  N/A

• - Site effectively and promptly implements identified corrective actions following a non-conformity.

  Yes

  No

  N/A

Ladders

• - Site has implemented an effective risk assessment process for work which requires the use of portable ladders and fixed ladders.

  Yes

  No

  N/A

• - When required, the utilization of Personal Fall Protection Systems is identified and used as required.

  Yes

  No

  N/A

• Site has implemented an effective process to manage purchasing of ladders in a manner that ensures employees will have access to the appropriate equipment.

  Yes

  No

  N/A

• Site has implemented an effective process to replace portable ladders in all areas where they are utilized.

  Yes

  No

  N/A

• Site provides and documents effective ladder end-user training, and it is provided in a language the workforce understands.

  Yes

  No

  N/A

• Site has implemented an effective process to manage the inspection process of portable ladders.

  Yes

  No

  N/A

• Site has implemented an effective process to manage the inspection process of fixed ladder systems.

  Yes

  No

  N/A

• Site has implemented an effective process to remove damaged ladders from use.

  Yes

  No

  N/A

• Site has a process in place to communicate expectations of ladder use while in Wonderful property.

  Yes

  No

  N/A

• Site has a process in place to manage access and utilization of ladders by contractors to ensure established procedures are observed while in use.

  Yes

  No

  N/A

• Site has implemented an effective risk assessment process for work which requires the use of Mobile Elevated Work Platforms.

  Yes

  No

  N/A

• Site provide effective Mobile Elevated Work Platforms end-user training, and it is provided in a language the workforce understands.

  Yes

  No

  N/A

• Site documents Mobile Elevated Work Platforms training (end-user, and safety tailgates).

  Yes

  No

  N/A

• Site has implemented an effective process to manage the inspection process of Mobile Elevated Work Platforms.

  Yes

  No

  N/A

• Site has a process in place to communicate expectations of Mobile Elevated Work Platforms use while in Wonderful property.

  Yes

  No

  N/A

• Site has a process in place to manage access and utilization of Mobile Elevated Work Platforms by contractors to ensure established procedures are observed while in use.

  Yes

  No

  N/A

• Site has a process in place to manage access and utilization of scaffolds by contractors to ensure established procedures are observed while in use.

  Yes

  No

  N/A

• Site has an established Fall Protection written program that meets all current regulatory requirements.

  Yes

  No

  N/A

• Does the site have an established Fall Protection written program that meets all current regulatory requirements?

  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

• Are the established written program and procedures evaluated for effectiveness annually?

  Yes

  No

  N/A

• Site has documented Work at Height Evaluations, or Job Hazard Analysis, for work tasks that are performed at/or above 4 feet of height.

  Yes

  No

  N/A

• Are there documented Work at Height Evaluations or Job Hazard Analysis for tasks performed at/or above 4 feet of height?

  Yes

  No

  N/A

• Purchasing process for PFPS effectively employee access to approved equipment.

  Yes

  No

  N/A

• Does the purchasing process for PFPS effectively provide employee access to approved equipment?

  Yes

  No

  N/A

• Site provides and documents effective authorized employee (end-user) training for all equipment utilized on the site.

  Yes

  No

  N/A

• Is there effective authorized employee training provided and documented for all equipment used on the site?

  Yes

  No

  N/A

• Site has implemented an effective process to manage the inspection process of Personal Fall Protection Systems.

  Yes

  No

  N/A

• Has the site implemented an effective process to manage the inspection process of Personal Fall Protection Systems?

  Yes

  No

  N/A

• Site has implemented an effective process to remove damaged Personal Fall Protection Systems from use.

  Yes

  No

  N/A

• Is there an effective process in place to remove damaged Personal Fall Protection Systems from use?

  Yes

  No

  N/A

• Site has a process in place to communicate expectations in regards to the use of Personal Fall Protection Systems to Contractors while in Wonderful property.

  Yes

  No

  N/A

• Is there a process in place to communicate expectations regarding the use of Personal Fall Protection Systems to Contractors while on property?

  Yes

  No

  N/A

Workplace Violence

• Must employers establish, implement, and maintain a written workplace violence prevention plan?

  Yes

  No

  N/A

• Employers must establish, implement, and maintain an effective, written workplace violence prevention plan.

  Yes

  No

  N/A

• Site has evaluated and addressed physical security to ensure unwanted persons do not gain access to the facility or the employees.

  Yes

  No

  N/A

• Has the site evaluated and addressed physical security to prevent unwanted access?

  Yes

  No

  N/A

• Human Resources has policies and procedures in place to ensure current, future, and past employees are managed to ensure only those allowed have access to the site.

  Yes

  No

  N/A

• Are there policies and procedures in place to manage employees' access to the site?

  Yes

  No

  N/A

• Injury and Illness Reports and Records must be created and maintained.

  Yes

  No

  N/A

• Must Injury and Illness Reports and Records be created and maintained?

  Yes

  No

  N/A

• Employers must record workplace violence information in a violent incident log.

  Yes

  No

  N/A

• Must employers record workplace violence information in a violent incident log?

  Yes

  No

  N/A

• Employers must provide effective training to employees that meet certain requirements.

  Yes

  No

  N/A

• Must employers establish, implement, and maintain a written workplace violence prevention plan?

  Yes

  No

  N/A

PFPS

• Site has implemented an effective process to manage the inspection process of Personal Fall Protection Systems.

  Yes

  No

  N/A

• Has the site implemented an effective process to manage the inspection process of Personal Fall Protection Systems?

  Yes

  No

  N/A

• Site has implemented an effective process to remove damaged Personal Fall Protection Systems from use.

  Yes

  No

  N/A

• Is there an effective process in place to remove damaged Personal Fall Protection Systems from use?

  Yes

  No

  N/A

• Site has a process in place to communicate expectations in regards to the use of Personal Fall Protection Systems to Contractors while in Wonderful property.

  Yes

  No

  N/A

• Is there a process in place to communicate expectations regarding the use of Personal Fall Protection Systems to Contractors while on property?

  Yes

  No

  N/A

Workplace Safety

• The Organization shall remain aware of signals that an employee is involved in a violent relationship.

  Yes

  No

  N/A

• The organization should adopt practices designed to maximize the reporting of conduct or circumstances that raise a concern for possible violence.

  Yes

  No

  N/A

• The organization should establish an incident management process.

  Yes

  No

  N/A

• The organization has a documented Threat Management Team that determines the general urgency of a situation and appropriate initial action to take.

  Yes

  No

  N/A

• The Role of Law Enforcement: Employers should establish contact with and exchange information with local law enforcement before a violent act occurs.

  Yes

  No

  N/A

• Post Incident Management: The organization has an effective post-incident management plan.

  Yes

  No

  N/A

• The organization has established a notification system to ensure they manage post-incident in an effective and controlled manner.

  Yes

  No

  N/A

• Any Comments

• Signature

  Sign