Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Section 1.0: Bulk's Ten Golden Rules
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Fall protection is required whenever working above 4 feet.
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Rail priority rules, track clearances and crossing rules must be followed.
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Safety devices must not be intentionally disabled or bypassed.
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Entry into a permit required confined space is not allowed.
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Maintaining clearance under suspended loads and objects.
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Slings in use must be properly rated, inspected and rigged.
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While actively inflating tires, all employees must stay clear of the tire's trajectory zone.
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All traffic and vehicle rules must be followed.
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All work must comply with Bulk Equipment's Lockout/Tagout policy.
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Site is in compliance with Bulk Equipment's Jacking and Blocking policy.
Section 2.0: Administrative
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Are Near Misses being documented?
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Are required postings (Worker's Compensation Information, Labor Laws, Employee Rights, etc.) prominently displayed?
Section 3.0: General
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Are Safe Work Practices/Standard Operating Procedures/JHA’s being followed?
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Are man doors being used and overhead door avoided for pedestrian traffic?
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Is PPE being used as required and properly maintained?
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Is all PPE clean and stored in its respective locations (i.e., fall arrest gear, welding gear)?
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Are areas generally clean and free of housekeeping hazards (i.e., tripping hazards)?
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Have oil spills on the shop floor and property been properly cleaned up to avoid slips and maintain environmental compliance?
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Are all doorways clear of obstructions?
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Is the area well lit?
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Are fumes, vapors and/or exhaust controlled or vented from the building?
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Do portable tools, bench grinders, tooling and equipment have all their guards in place?
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Are tool rests (1/8”) and tongues (1/4”) set at proper distances on bench/pedestal grinders?
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Is there a First Aid Kit available? Is it clearly marked and fully stocked? Are monthly inspections done?
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Are portable ladders inspected and maintained in good working order?
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Is storage shelving secured to floor or wall and capacity noted?
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Is the overhead crane inspected and certified on an annual basis?
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Is a crane log maintained?
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Electrical cabinets closed?
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Are all electrical outlets and cords in safe condition (free of cuts, splices or exposed wires)?
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Are outlets GFCI rated or is a GFCI rated adapter used?
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Extension cords not used as permanent wiring?
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Are parking spots and walkways appropriately lighted?
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Is snow, ice and other debris controlled on all walking/driving paths?
Section 4.0: Fire Safety
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Are all fire extinguisher stations properly marked, free of obstructions and mounted off the floor?
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Have all fire extinguishers been checked on a monthly basis to ensure they are fully charged and in good working order?
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Have all building/storage area fire extinguishers been inspected by an outside agency on an annual basis?
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Are area emergency lights in place and functioning?
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Are smoke, fire and burglar alarms in place and functional?
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Have NO SMOKING signs been posted in the chemical/flammable material storage areas?
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Has an (ERP) Emergency Response Plan been developed? Is the plan up to date and posted at key locations in the building (i.e., near all exits and phones)?
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Are Assembly Points known and identified?
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Are emergency exits well identified and unobstructed?
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Are emergency evac alarms or air horns onsite and accessible?
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Are oily or contaminated rags stored in approved receptacles for approved disposal?
Section 5.0: Compressed Gases & Hot Work
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Are flashback arrestors and back-flow prevention devices installed on all oxy-acetylene torches?
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Are oxy-acetylene cylinders turned off and the system depressurized when not in use?
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Are flammable liquids and combustible items stored away from welding equipment?
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Are gas cylinders secured upright? Are oxygen and flammable gas cylinders stored separately?
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Are cylinder caps on cylinders when not in use?
Section 6.0: Chemical Safety
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Is there a current chemical inventory for the site? Is 3E online management available and do employees know how to use/access it?
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Are secondary containers properly labeled?
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Are chemicals being stored in their appropriate locations? (ie Flammable Storage Cabinet)
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Are chemical containers stored over containment?
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Are all chemical containers closed properly and free of leaks?
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Is material for chemical spill clean-up or containment available (i.e., spill kit, spill tray, additional supply of Oil Dri, etc.)?
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Has the Safety Shower/eyewash been routinely checked to ensure that it is functioning properly, within expiration and has not leaked out?
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Are aerosol containers properly disposed of?
Section 7.0: Vehicles and Equipment
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Are Fire Extinguishers mounted on all vehicles and Equipment?
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Have all equipment-mounted Fire Extinguishers been checked on a monthly basis to ensure they are fully charged and in good working order?
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Are all vehicles and equipment equipped with the appropriate safety equipment (i.e., reflective triangles, wheel chocks, clip on air chuck, no touch tool, etc.)?
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Are all vehicles equipped with First Aid Kits? Are they fully stocked? Are monthly inspections done?
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Do all DOT qualifying vehicles have a current DOT inspection?
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Are all vehicles in safe operating condition (tire condition, windshield free of defects, warning lights, etc.)?
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Are all documents current (i.e., insurance documents, registration, Annual DOT Inspection, IFTA if applicable)?
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Are portable fall protection units current on biannual inspections?
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Are manlifts, scissor lifts, etc. current on required inspections?
Section 8.0: Inspection Closure
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NUMBER OF NEAR MISSES REPORTED THIS MONTH:
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NUMBER OF HAZARD ASSESSMENTS COMPLETED THIS MONTH:
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INSPECTOR SIGNATURE: