Site assessment - local copy

• Store#

• Location
  Address

• Conducted on

  Date

• Prepared by

• Store manager

Site appearance exterior

• Does the building paint looks good?

  Yes

  No

  N/A

• Are the weeds over 1 foot tall growing around or in the tire stalks, around the fence or other areas?

  Yes

  No

  N/A

• Is the parking area clean and free of debris?

  Yes

  No

  N/A

• Are the windows clean?

  Yes

  No

  N/A

• If the windows have advertising in them is it and does it look good?

  Yes

  No

  N/A

• Are there sufficient signs to identified the location as GCR?

  Yes

  No

  N/A

• Is there any junk scrap tires or other debris viable when the customers pulls onto the property?

  Yes

  No

  N/A

• Is the parking lot and outside the building free of trash or clutter?

  Yes

  No

  N/A

• Are there any bumps steps holes or groves on the parking lot or outside the building that need repaired covered or otherwise made safe?

  Yes

  No

  N/A

Interior

• Is I I P up to date?

  Yes

  No

  N/A

• Is the show room/office clean and organized?

  Yes

  No

  N/A

• Is the Emergency Evacuation plan posted?

  Yes

  No

  N/A

• Is the OSHA 300 log up to date and are there completed copies of the previous five years OSHA 300 logs and 300 summaries on file at the location as required by law?

  Yes

  No

  N/A

• Is the OSHA 300A posted every year on February 1st and taken down at the end of April as required by law?

  Yes

  No

  N/A

• Does this site services MSHA facilities?

  Yes

  No

  N/A

• Is MSHA tracking (MSHA 7000-02) documentation maintained at the location?

  Yes

  No

  N/A

• Are the restrooms for customers and employees clean?

  Yes

  No

  N/A

• Do they have the documented MSHA ID# "part 48" part 46" plans on file at location?

  Yes

  No

  N/A

• Are torques inspected monthly and yearly?

  Yes

  No

  N/A

• Are the break areas and locker room kept in good 3S condition?

  Yes

  No

  N/A

• Are safety health harassment and workers compensation posters properly displayed?

  Yes

  No

  N/A

• Are emergency telephone numbers posted on or near all telephones in the location? Are the correct emergency numbers listed?

  Yes

  No

  N/A

• Is there a a file or list of employees emergency phone numbers and the person to contact in case of an emergency?

  Yes

  No

  N/A

• Are drug test taken immediately after any car related accidents? Is the chain of custody for kept in the employees personal file?

  Yes

  No

  N/A

• Are all fire extinguishers properly located and identified?

  Yes

  No

  N/A

• Are all fire extinguishers inspected and tagged monthly?

  Yes

  No

  N/A

• Are doors or stairways and exits that are not exits marked "Not an Exit," or clearly leveled with a destination, such as "To Office" or "Storeroom"?

  Yes

  No

  N/A

• Are these areas well lighted? Are all light fixtures working?

  Yes

  No

  N/A

• Is personal protective equipment PPE training log completed?

  Yes

  No

  N/A

• Do all forklift drivers at the location have current forklift certificates?

  Yes

  No

  N/A

• Are all service technicians TIA certified? Have all tire technicians recertification within the last 24 months?

  Yes

  No

  N/A

• Is the hazardous communication (HAZCOM) register filled out and current (within 12 months)?

  Yes

  No

  N/A

• Are electrical disconnects switches electrical panels in good condition and locked?

  Yes

  No

  N/A

• Are there electrical cords and are they in good condition?

  Yes

  No

  N/A

Service area

• Are the employees using and or wearing the personal safety equipment furnished to them by the company?

  Yes

  No

  N/A

• Is the dismount posters posted?

  Yes

  No

  N/A

• is the mount posters posted?

  Yes

  No

  N/A

• Is the wheel matching chart posted?

  Yes

  No

  N/A

• Is the shop clean and are tools & equipment kept pick up ?

  Yes

  No

  N/A

• Are jack stands (or cribbing as appropriate) used under all vehicles when the unit is lifted up by a jack or jacks?

  Yes

  No

  N/A

• Are safety inflation cages in the service area (in good condition working order)? Are these devices use for inflation of all tires?

  Yes

  No

  N/A

• Are safety whip hoses or presetable regulators being used?

  Yes

  No

  N/A

• Are all tire bars in good condition?

  Yes

  No

  N/A

• Are there trash containers and do they appear to be emptied regularly?

  Yes

  No

  N/A

• Is the shop swept daily and is there any oil or spilled lubricants cleaned up immediately?

  Yes

  No

  N/A

• Is the area free of tripping hazards?

  Yes

  No

  N/A

• Is there any oil or mounting compound spilled on the floor or equipment?

  Yes

  No

  N/A

• Are signs posted for customers not to be in the service area?

  Yes

  No

  N/A

• Are customers in the service area?

  Yes

  No

  N/A

• Are floors and work surfaces kept dry? Are slick surfaces covered with non slip materials?

  Yes

  No

  N/A

• Are all fire extinguishers properly located and identified?

  Yes

  No

  N/A

• Are all fire extinguishers inspected and tagged monthly?

  Yes

  No

  N/A

• Are all extention cords in good condition?

  Yes

  No

  N/A

• Are electrical disconnects switches elect dry electrical panels in good condition and locked?

  Yes

  No

  N/A

• Are emergency eyewash stations available? Are they tested or inspected weekly?

  Yes

  No

  N/A

• Improvements to be completed by?

Warehouse & storage

• Do all storage areas have railings that are 42 inches with a 21 inch mid rail?

  Yes

  No

  N/A

• Are all changes in elevation over 6 inches painted yellow to mark their location?

  Yes

  No

  N/A

• Are the inside warehouse and outside storage areas clean?

  Yes

  No

  N/A

• Are these areas well lighted? Are all light fixtures working?

  Yes

  No

  N/A

• Are electrical disconnects switches elect dry electrical panels in good condition and locked?

  Yes

  No

  N/A

• Are all extention cords in good condition?

  Yes

  No

  N/A

• Are warehouse walkways floors ( including aisles passageways ramps and exits free of clutter?

  Yes

  No

  N/A

• Are there any bumps steps holes or groves in walkways or stairway that need to be repaired covered or otherwise made safe?

  Yes

  No

  N/A

• Are all fire extinguishers properly located and identified?

  Yes

  No

  N/A

• Are doors or stairways and exits that "Are Not Exits" marked "Not an Exit" or clearly labeled with destination such as To Office or Storeroom?

  Yes

  No

  N/A

• Are loading dock plates in good condition?

  Yes

  No

  N/A

Mechanic shop/Alignment shop

• Do all (bench) grinders have the guard in place and the gap no grater than 1/8th of inch are face shields available nearby?

  Yes

  No

  N/A

• Are all cords, hoses and pipes safely and properly routed?

  Yes

  No

  N/A

• Are work areas kept in good 3S conditions orderly and safe?

  Yes

  No

  N/A

• Are machinery and equipment and surrounding areas kept neat and clean? Are any unneeded tools or materials left on top or next to the equipment or tables?

  Yes

  No

  N/A

• Are there any danger of tripping on power cords air hoses or pipes?

  Yes

  No

  N/A

• Are there any openings in electrical panels broken boxes or disconnects?

  Yes

  No

  N/A

• Are there extention cords and are they in good condition?

  Yes

  No

  N/A

• Are containers clearly leveled with their contents and hazarsa?

  Yes

  No

  N/A

• Are chemical storage areas kept in good 3S condition?

  Yes

  No

  N/A

• Are oil and water spills cleaned immediately?

  Yes

  No

  N/A

• Are emergency eyewash stations available? Are they tested or inspected weekly?

  Yes

  No

  N/A

• Are there any open food containers in the work areas?

  Yes

  No

  N/A

• Are these areas well surfaces kept dry? Are slick surfaces covered with non slip materials?

  Yes

  No

  N/A

• Are all fire extinguishers properly identified

  Yes

  No

  N/A

• Are all fire extinguishers inspected and tagged monthly?

  Yes

  No

  N/A

General shop

• Are work areas kept in good 3s condition neat clean and safe?

  Yes

  No

  N/A

• Are all cords, hoses, and pipes safely and properly routed?

  Yes

  No

  N/A

• Is the plant cleaned regularly so that debris do not collect? Are accumulations of dust and dirt routinely swept off the floors and vacuumed off elevated surfaces including the overhead structure of the equipment?

  Yes

  No

  N/A

• Are machinery, equipment and surrounding areas kept neat and clean? Are any unneeded tools or materials left on top under or next to the equipment?

  Yes

  No

  N/A

• Are machine surfaces and controls kept clean and dry? Are any operating control panels or switches obstructed by dust or paint?

  Yes

  No

  N/A

• Are all emergency stop buttons clearly leveled and color red?

  Yes

  No

  N/A

• Is sufficient clearance provided around and between machines to allow for safe operations set up and servicing materials handling and waste?

  Yes

  No

  N/A

• Are there any danger of tipping on power cords, air hoses or pipes?

  Yes

  No

  N/A

• When compressed air sharp implements or hazardous solvent are used to clean machinery are proper safeguards and personal protective equipment used to protect the employees from hazards?

  Yes

  No

  N/A

• Are areas near projecting moving or roaring parts fenced off and / or clearly marked?

  Yes

  No

  N/A

• Is any unnecessary or foreign materials inside in front or on top of control panels or switchboards? Are they contaminated with dirt?

  Yes

  No

  N/A

• Have any damage cords or connectors being properly repaired or replaced? Are all cord cables and raceway connections intact and secure?

  Yes

  No

  N/A

• Are there any openings in electrical panels broken boxes or disconnects?

  Yes

  No

  N/A

• Are chemicals storage areas kept in good 3S conditions?

  Yes

  No

  N/A

• Are containers clearly labeled their contents and hazards?

  Yes

  No

  N/A

• Are hazardous or flammable chemicals stored in a safe place?

  Yes

  No

  N/A

• Are emergency eyewash stations available? Are these tested weekly?

  Yes

  No

  N/A

• Are the areas where chemicals are used well ventilated?

  Yes

  No

  N/A

• Are there any open food containers in the work area?

  Yes

  No

  N/A

General shop 2

• Are road rims being used as curing rims? If they are remove from shop

  Yes

  No

  N/A

• Are curing rims with fatigue cracks damage have been identified? Check dreams for cracks regularly remove cracked rims and destroy

  Yes

  No

  N/A

• Are locking devices damage or missing from curing rims? If they are remove this rims from service until repairs are made. Locking spring, part#928034

  Yes

  No

  N/A

• Are curing rims without auto locking devices or safety pins in service? Always use safety pins or auto locking devices locking kit#109899. Free safety pins part#941854

  Yes

  No

  N/A

• Are improper size flanges and/or damage flanges in service?

  Yes

  No

  N/A

• Are air lines used to inflate curing rings ragulated to 10 psi?

  Yes

  No

  N/A

• Are load limit name plates missing from your monorail? If they are install plates to inform operator of maximum weights part#100803, monorail; part#100804 tire lift

  Yes

  No

  N/A

• Are monorail chains securely fastened? If not it can caused a tire to accidentally fall if the chains fail repair chains before returning them to service

  Yes

  No

  N/A

• Are chain tabs on your chamber monorail hangers damage bent? Using damage or bent hangers could allowe tires to fall on operators repair tabs or destroy hangers

  Yes

  No

  N/A

• Are monorail components Worn and do not meet the design specifications? Remove worn components immediately

  Yes

  No

  N/A

• Are carrier bearings on J hooks worn beyond design specifications? If they are remove worn J hooks from used and replace J hooks assembly immediately.

  Yes

  No

  N/A

• Are components of the tire cable lift Worn dIf they are discontinued used until repairs can be made.

  Yes

  No

  N/A

• Are safety labels missing/ illegible on your machinery? If they are replace labels: to inform operators of dangerous areas and practices.

  Yes

  No

  N/A

• Is the construction of your spray booth makes it a fire? Contact your insurance broker Fire Marshall or bandag Industrial Engineering for assistance. Note faulty conditions: I.E - flammable materials used in construction, explosion proof not vented to shop exterior

  Yes

  No

  N/A

• Does the spray booth has residue build? Maintain your spray booth clean and free of flammable materials to prevent a fire hazard.

  Yes

  No

  N/A

• Solvent, cement and solvent rags are not properly stored and used only in areas free sparks and electrical equipment to prevent a fire consult local fire codes or your insurance company for assistance

  Yes

  No

  N/A

• Are spray guns being used improperly? Misuse of spray guns can lead to serious injury never. A spray gun at anyone or work on guns that are pressurized

  Yes

  No

  N/A

• Are safety glasses for eye protection being used to throughout shop? If not supply employees and visitors with safety glasses when they enter the shop

  Yes

  No

  N/A

• Is the clevis pin on the model 1100 in line skive stand worn and needs replaced? Part#901170

  Yes

  No

  N/A

• Our current MSDS ( material safety data sheets) available to all shop employees for materials at Bridgestone Bandag tire solutions supplies? I.E cement, solvents

  Yes

  No

  N/A

• Are individuals smoking in the retread facility and or near flammable materials?

  Yes

  No

  N/A

• Are monorail track hangers spacing 5 feet throughout the shop?

  Yes

  No

  N/A

Pressure chamber

• Are the gear rack stops missing or defective? This condition can allow the door to be in properly closed. Repair immediately gear rack stop P/November 101623

  Yes

  No

  N/A

• Is the safety locking device inoperable? This device events the door from being improperly closed. Repair immediately. Locking valve P/N (903043 3/8 brass valve) (903112-3/4 brass valve )

  Yes

  No

  N/A

• Is the door interlock inoperable? Repair immediately. P/N 125538 complete new style valve S/N 2020 and greater; O ring for new style valve 2 -921122 repair kit for old style interlock valve S/N 2109 and lower 127317

  Yes

  No

  N/A

• Is the safety relief valve inoperable? Repair immediately. Valve P/N 903032 1/2" NPT at 125 psi, 100 psi, 903031 -1/2" NPT at 118 psi, 903303 1/2" NPT at 100 psi, 902314 - 1/4" relief regulator

  Yes

  No

  N/A

• Is the chamber equipped with and overheat safety to turn off the chamber if a malfunction occurs? If not install a kit immediately

  Yes

  No

  N/A

• Does the chambers have duct insulation installed ? Duct insulation helps retard fire should a heating element fail P/N 107211

  Yes

  No

  N/A

• Are the pressure gauges chambers broken or missing? Install and maintain all gauges so pressures can be monitored and controlled. Order P/N 902022. DC gauge P/N 902201

  Yes

  No

  N/A

• Are overhead heaters on your chambers touching the duct/wrapped? Replace heaters to prevent a fire

  Yes

  No

  N/A

• Is the pressure switch on your chamber (87-90 psi) malfunctioning? These switches help control excessive pressure build up in the chambers

  Yes

  No

  N/A

• Is the chamber interior contaminated? The chamber interior must be kept free of oil, grease, paper,etc to prevent a fire

  Yes

  No

  N/A

• Are mufflers missing damage on your chambers? Mufflers shuold be replaced. Order 2" mufflers 902267, 3/8" silencer 902005, 3/8" muffler 902002, 3/4" muffler 902004, 1" muffler 902003

  Yes

  No

  N/A

• Are safety labels missing on your pressure chamber? Replace these labels to warn personnel of dangerous areas and practices. Order 4130 #127729, 104 or 276 #121970

  Yes

  No

  N/A

• Are tires bean cured with foreign materials in or on the tires? I.E solvents, sealants, garbage

  Yes

  No

  N/A

• Are chambers being used to cure or heat items other than tires?

  Yes

  No

  N/A

• Are chambers being loaded with more tires then the chamber was designed for?

  Yes

  No

  N/A

Inspection buffer builder

• Are rasp pins on the buffer Worn or damaged?

  Yes

  No

  N/A

• (Model 23 series only) - tire inflation on the buffer is to high. Do not exceed 15 psi on that tire size 24.5 wide base tires 4 ply tires or tires with 144" or greater circumference.

  Yes

  No

  N/A

• Is loose rubber being by a delugger or cut off with a knife prior to buffing?

  Yes

  No

  N/A

• Is the rasp motor conduit on your buffer damage creating a possible shock hazard? Have a qualified electrician replace the conduit with an equivalent type

  Yes

  No

  N/A

• Is the safety relief valve on your builder inoperable? 125 psi #903032, 30 psi #903028.

  Yes

  No

  N/A

• Are rasp blades sharpened with a hand-held stone risking contact with moving blades? Use a device designed for sharpening blades safely

  Yes

  No

  N/A

• Is your buffer being used unsafely? State problem

  Yes

  No

  N/A

• Is the buffer operator wearing loose clothing long hair blob which could catch in the rasp blades doing operation? Ensure that long hair and lose clothing buffing

  Yes

  No

  N/A

• Is the safety relief valve on your builder inoperable?

  Yes

  No

  N/A

• Are pressure gauges inoperable your buffer? Replace broken gauges so pressure can be monitored and control

  Yes

  No

  N/A

• Are mufflers missing or damage on your buffer builder?

  Yes

  No

  N/A

• Are the model 7400 shearography some safety pins used when the machine is being worked on?

  Yes

  No

  N/A

• Are operators keeping their hands clear off moving segments of expandable hubAdvise operators of potential hazards

  Yes

  No

  N/A

• Are pressure gauges inoperable on your builder? Replace broken gauges so pressure can be monitored monitored and control

  Yes

  No

  N/A

• Is the 5400 builder designed for 1 man operation only? Operating the machine at 1 and make cause movement at the other end and could cause injury to second operator

  Yes

  No

  N/A

• Are guards missing or not in place on the builder?

  Yes

  No

  N/A

• Is the rasp safety circuit working properly?

  Yes

  No

  N/A

• Is the sidewall circuit working properly?

  Yes

  No

  N/A

• Does the tread knife can be operated with one hand? Repair the knife so the operator is required to use two hands

  Yes

  No

  N/A

• Is the blade or chain guard removed from your knife? Replace the guard to prevent access blade, chains, and sprockets. Part #100803, monorail; part #100803, tire lift

  Yes

  No

  N/A