Information
-
Audit Title
-
Plant
-
Conducted on
-
Prepared by
Safety Management Audit
General Information
-
Employee name
-
Clock #
-
Area
-
Station/Machine
-
Zone
-
Employee response to audit
SMAT Conditions Observed
-
Add a Condition
Condition Observed
-
Unsafe Act or Unsafe Condition?
-
Category Letter
- A - Workplace
- B - Position of People
- C - Dangerous Behavior
- D - PPE
- E - Machine and Tools
- F - People Involvement
-
Issue
-
Photo of UA/UC is possible
-
Corrective Action
-
Issue Corrected? If not, explain why.
Auditor Question
-
What is the most dangerous task you do?
-
What are the safety emergencies and what are their processes? Red - Fire Yellow - Spill Blue - Medical Threat Tornado
-
What is the plant's EHS policy and where can you find safety rules and procedures? EHS Card, Tree Icon
-
What are the potential consequences for not following safety procedures? Injury, death, OSHA citation, OHSAS Nonconformance, discplinary
-
Ask the employee to demonstrate how they locate the nearest emergency shelter/exit map. Bulletin Boards, TL Boards, Safety Board, Tree Icon
-
What do you do in your job to positively impact workplace safety? Wear PPE, Fix UA/UC, Follow Safety Rules
Environmental Management Audit
EMAT Conditions Observed
-
Add a Condition
Condition Observed
-
Unsafe Act or Unsafe Condition?
-
Category Letter
- A - Workplace
- B - Position of People
- C - Dangerous Behavior
- D - PPE
- E - Machine and Tools
- F - People Involvement
-
Issue
-
Photo of UA/UC is possible
-
Corrective Action
-
Issue Corrected? If not, explain why.
Auditor Question
-
What is the biggest environmental risk in your area and what do you do to prevent it?
-
What process do you use if you have an environmental emergency? (i.e. spill) Spill - Code Yellow, Contact WWT & PEO Immediately
-
What are the main environmental impacts related to your job? Electricity, Air Voc, Water Consumption, Waste
-
What is the plants environmental policy and where can you find it? EHS Card, Tree Icon
-
Ask the employee it demonstrate how they can locate an MSDS sheet. See computer and verify on Tree Icon
-
What are the potential consequences for not following environmental procedures? Health, environmental contamination, Cost/Waste, EPA citations, law suits
-
Signature of Preparer
