site harvest checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Ergonomy

• Manual labor:

  Safe

  At Risk

  N/A

• Seating:

  Yes

  No

  N/A

• Excessive physical stress:

  Yes

  No

  N/A

• Machinery Operation and controls:

  Yes

  No

  N/A

• Back Safe practices:

  Yes

  No

  N/A

Forklift

• Safe Speed:

  Yes

  No

  N/A

• Seat belt used consistently:

  Yes

  No

  N/A

• Safe load handling:

  Yes

  No

  N/A

• Daily safety inspection documented:

  Yes

  No

  N/A

• FA trained and certified:

  Yes

  No

  N/A

• Pedestrian/Forklift traffic control:

  Yes

  No

  N/A

• Direction of travel with load:

  Yes

  No

  N/A

• Operator physical range of motion when traveling in reverse:

  Yes

  No

  N/A

Work at Heights

• Task Description:<br><br><br>

  Yes

  No

  N/A

• Precautions appropriate to the task:<br>

  Yes

  No

  N/A

• Pre-Work safety inspecction:

  Yes

  No

  N/A

• Work area safe:

  Yes

  No

  N/A

• Adequate PPE provided and used correctly:

  Yes

  No

  N/A

• Training verified and docunmented:

  Yes

  No

  N/A

• EWP: appropriate devices-

  Yes

  No

  N/A

• EWP: Permit-

  Yes

  No

  N/A

• EWP: Unguarded hazard-

  Yes

  No

  N/A

Chemical Management

• Storage (placement & security);

  Yes

  No

  N/A

• Usage per MSDS observed:

  Yes

  No

  N/A

• Labeling in general:

  Yes

  No

  N/A

• MSDS availability:

  Yes

  No

  N/A

Personal Protective Equipment:

• Appropriate for applications observed:

  Yes

  No

  N/A

• Correctly used;

  Yes

  No

  N/A

• Availability:

  Yes

  No

  N/A

• Employer provided:

  Yes

  No

  N/A

• Storage and maintenance;

  Yes

  No

  N/A

Confined Space Entry

• Entry permit used for classified entry;

  Yes

  No

  N/A

• Entry log used for re-classified entries:

  Yes

  No

  N/A

• Air monitoring meters used:

  Yes

  No

  N/A

• Calibration of meters;

  Yes

  No

  N/A

• Area ventilation and lighting:

  Yes

  No

  N/A

• Appropriate PPE, used correctly:

  Yes

  No

  N/A

• Required signage:

  Yes

  No

  N/A

Poorly Ventilated Space:

• Mitigation control:

  Yes

  No

  N/A

• Air monitoring meters used:

  Yes

  No

  N/A

• Calibration of meters:

  Yes

  No

  N/A

• PVS signage:

  Yes

  No

  N/A

Contractors & Vendors

• Names of and type of vendors present during observation:

  Yes

  No

  N/A

• Activities being conducted:

  Yes

  No

  N/A

• PPE:

  Yes

  No

  N/A

• HSE compliant:

  Yes

  No

  N/A

Lock Tag Clear Try

• HSE policy and procedures followed:

  Yes

  No

  N/A

• Locks used per HSE:

  Yes

  No

  N/A

• Tags/signage used per HSE:

  Yes

  No

  N/A

• Permit required during process:

  Yes

  No

  N/A

Standard Operating Procedures

• SOP documentation available for tasks observed:

  Yes

  No

  N/A

• Employee knowledge of SOP including safety precautions:

  Yes

  No

  N/A

Site Tours

• Procedures for guest safety exist and are followed:

  Yes

  No

  N/A

• restricted areas adequately marked and blocked:

  Yes

  No

  N/A

• Guest induction required and documented consistently:

  Yes

  No

  N/A

Hot Work

• Permit properly executed if required;

  Yes

  No

  N/A

• Permit posted as required:

  Yes

  No

  N/A

• Protective barriers utilized where necessary:

  Yes

  No

  N/A

• PPE maintenance and use:

  Yes

  No

  N/A

Fire Extinguishers

• Inspected monthly:

  Yes

  No

  N/A

• Recharged annually:

  Yes

  No

  N/A

• Employee training verified and documented:

  Yes

  No

  N/A

• Emergency exit signage posted:

  Yes

  No

  N/A

House Keeping

• Clear pathways - ingress & egress:

  Yes

  No

  N/A

• Walkways free of obstacles:

  Yes

  No

  N/A

• Proper storage practices within production areas:

  Yes

  No

  N/A

• Trip hazards observed:

  Yes

  No

  N/A

Pressurized Gas Cylinders

• Stored per regulation:

  Yes

  No

  N/A

• Valve capped when not in use:

  Yes

  No

  N/A

• Cylinder condition:

  Yes

  No

  N/A

• Regulator used on cylinders in all applications:

  Yes

  No

  N/A

Machine Guarding

• Appropriate for the potential hazard:

  Yes

  No

  N/A

• Properly mounted and maintained in effective condition:

  Yes

  No

  N/A

• Un-guarded potential hazards observed:

  Yes

  No

  N/A

• Documented cleaning & clearing guarded equipment SOP:

  Yes

  No

  N/A

• Documented removal/disable guarded equipment SOP:

  Yes

  No

  N/A

Emergency Eye Wash & Shower station

• Readily accessible per regulation:

  Yes

  No

  N/A

• Condition maintained per regulation:

  Yes

  No

  N/A

• Flow rate compliant to regulation:

  Yes

  No

  N/A

• Inspected periodically:

  Yes

  No

  N/A

Material Storage & Handling

• Safely stored from damage or from hazard to pedestrians:

  Yes

  No

  N/A

• Within HSE weigh limitation if manually handled:

  Yes

  No

  N/A

• If stacked, kept at least 18" from fire sprinkler heads:

  Yes

  No

  N/A

• If manually stacked, kept within HSE manual height stack limits:

  Yes

  No

  N/A

• If stacked or stored at height, adequately secure:

  Yes

  No

  N/A

Other