Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Annual Safety Action Plan
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Goals and Objectives identified
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Facility Specific Health and Safety Policy
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Lines of Responsibility, Authority, and Accountability Identified
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Safety Action Items Identified
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Monthly Steering Committee meetings held and minutes distributed
Employee Involvement
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Suggestion Program/Process for Safety Concerns
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Involved in Area Inspection/Audit process
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Employee involvement process (other than teams or touch-n-go's)
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Knowledge of Line Meetings
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Knowledge of Cardinal Rules
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Knowledge of Machine Specific Training (operators)
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Knowledge of Lockout Procedures/Process (authorized)
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Knowledge of Chemicals/Training
Incident Investigation Program
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JBS Incident Investigations forms --app E, C, B, D (completing all sections properly - including Lost Time (if applicable))
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Root Causes identified
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Follow-up on Corrective Actions noted
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Management review process
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All required signatures signed form
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Completed in a timely manner (MEP scorecard)
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Annual Supervisor/Superintendent Training
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Incident reports retention (min of 5 years)
Management of Change
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Amount of MOCs completed in the last 12 months - small and large projects (min 20)
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Description of the change, why is change being initiated, how will affect safety related issues
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Impacted on S&H - Training requirements
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Impacted on S&H - Review of impacted regulatory requirements
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Impacted on S&H - Modifications to operating procedures
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Human factors design (all items not required have n/a)
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Environmental Analysis (PDA, JSA, EJMS and/or Sound level reading)
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Levels of authorization required
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Pre-start up safety review completed per projects - App D (MF)
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Project Line Meeting (Employee Involvement) - App B (MF)
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Use of addendums (if applicable) - App C (MF)
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Projects documented on Project Master List
Management Expectation Program
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Participation in all elements of the process (Review MEP Scorecard & MEP Score)
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Verify that operations management team using as a tool to achieve goals
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Management scorecards issued monthly
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Verification that identified deficiencies are corrected (performance plan)
Safety Improvement Team Policy
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Does plant safety committee meet on at least a monthly basis?
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Are meeting minutes maintained and posted for review and process to follow up on open items (Review all meeting minutes)?
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Has the site established appropriate sub-committees to execute the site's safety process?
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Does each safety committee (excluding the Safety Steering Committee) include both hourly and salaried employees?
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Are safety committee members released from the line to participate in each committee meeting?
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Are hourly employees who serve on the various Safety Committees provided with a means by which employees can identify them on the floor?
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Are employees encouraged to bring safety and health related concerns to members of the various Safety Committees?
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Does the site Safety Steering Committee review the site's corrective action log at each meeting and assign responsibility for completing open items in a timely fashion?
Hazard Identification and Control Program
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Annual Program evaluation (review) being completed & is it documented?
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FELT - process to capture new management employees (supervisors and managers) and/or anyone identified for refresher.
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Supervisor's Daily and Leadership Periodic Safety Inspections being completed (Review sampling)
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Is the facility using unsafe condition corrective action log and following up on deficiencies?
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Are work orders being prioritized according to section 7.3 of the program?
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Hazards that present an immediate hazard to the employee should be completed immediately as stated in section 7.2 of the program.
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Are resources being properly allocated for corrective actions?
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Completion of TNG/Verifications by management team (review sampling)/Safety observation forms (pork)
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Is the facility using unsafe act corrective action log and following up on deficiencies?
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Is tracking/trending performed to identify areas needing attention and reviewed with upper management?
Safety Training and Education (master list/file review)
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New Hire Safety Orientation (using Alchemy Playlist)
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Annual Job Safety Analysis Training (identifying the hazards of the job)
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Chemical Specific training records - Employees handling, mixing, exposure or receiving chemicals
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Radiation Training completed (all employees around equipment)
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H2S Training completed (all employees required to use monitor)
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CO2 Training completed (all employees required to use monitor)
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Machine specific training (operators) - i.e. saws, air knife, whizard knife, skinner
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Process for capturing Job transfers/bids (reviewing any related training)
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Annual Safety Training (Alchemy - play list)
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Advance Ergonimics Training for Management (within last 2 years)
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Review Line Meetings (6 months)/tracking system for missed employees
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Authorized Safety Training - Confined Space Training - authorized entrants/attendants
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Authorized Safety Training - Electrical Qualified Training - basic, qualified and Arc Flash
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Authorized Safety Training - Fall Protection Training (competent person & authorized - including anchor point locations
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Authorized Safety Training - Fall Prevention (restraint/positioning) training
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Authorized Safety Training - Hot Work training completed for authorized employees/ Fire Watch / Hot Work Permit classification completion training
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Authorized Safety Training - Welding/grinding/cutting training completed for authorized employees
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Authorized Safety Training - Fire Extinguisher training documentation
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Authorized Safety Training - Respiratory protection training for all users
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Authorized Safety Training - LOTO Training Records (authorized) - including equipment specific sign-offs with process for capturing any changes
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Authorized Safety Training - LOTO - Annual Authorized Employee Review and Audit - App E
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Authorized Safety Training - PIT - Pre-qualifying form - App I
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Authorized Safety Training - PIT Current authorized training (3 years) each PIT authorized to operate, re-train after incidents
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Authorized Safety Training - PIT Loading Dock Policy/Incident Policy (App K)/SOPs for fueling, battery changing, charging - authorized training (3 years)
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Authorized Safety Training - PIT Annual Skills Test (each PIT authorized to operate)
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Authorized Safety Training - SOPs for rail cars - training for all users
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Authorized Safety Training - SOPs for Suppression System (sprinklers and steam)
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Hand an Power Tools - Authorized (mtc and production)
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Machine Guarding (mtc)
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Chemical Specific Training - Aerosols (mtc)
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Air Blow Gun - Authorized (mtc and production)
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Slings, hoist, comalong - Authorized (mtc and production)
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Fire Arm Training
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Bomb Threat / Search Team Training
Safety Disciplinary Action Policy
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Commitment to Safety Posting common area
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Cardinal Rule Policy Posted common area
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Log to track Safety Disciplinary Violation (all)
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Utilizing the correct discipline
Property and Fire Audit and Follow up
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Loss Prevention Survey - no plant controllable recommendations (e.g. human elements, combustible storage)
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Recommendations evaluated and responded (with details)
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Combustibles stored properly
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Property/Fire projects reviewed by GAPS prior to AFE submittal
Boiler Inspection and Follow Up
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Inspections - No plant controllable recommendations (e.g. human elements, combustible storage.
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Jurisdictional Recommendations have been addressed
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Boiler Certification copy maintained in centralized location
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