SQM SOP Compliance Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SOP-0081 EMCOR Safety Program Policy - Rev 2

• Does the company have a process to monitor the effectiveness of the safety program?

  Yes

  No

  N/A

• Does the safety program contain an Environmental Safety & Health policy statement?<br>

  Yes

  No

  N/A

• Does the safety program contain the management systems necessary to support the program?

  Yes

  No

  N/A

• Does the safety program contain safe systems of work appropriate to business needs?

  Yes

  No

  N/A

• Does the safety program contain emergency procedures?

  Yes

  No

  N/A

• Does the safety program contain appropriate forms and support information?

  Yes

  No

  N/A

• It there a process to insure the Safety & Health program remains current?

  Yes

  No

  N/A

SOP-0082 EMCOR Zero Accident Program Policy "Be There for Life" - Rev 3

• Does the Zero Accident Program have a Management Commitment Statement?

  Yes

  No

  N/A

• Does the Zero Accident Program have a plan to address "Staffing for Safety"?

  Yes

  No

  N/A

• Does the Zero Accident Program have address "Safety Planning"?

  Yes

  No

  N/A

• Does the Zero Accident Program have a plan to conduct "Safety Training and Education" for affected employees?

  Yes

  No

  N/A

• Does the Zero Accident Program have a process to address "Worker Participation and Involvment"?

  Yes

  No

  N/A

• Does the Zero Accident Program have a "Recognition and Reward" program?

  Yes

  No

  N/A

• Does the Zero Accident Program have a process for "subcontractor Management?

  Yes

  No

  N/A

• Does the Zero Accident Program have a "Accident and Incident Investigation" process?

  Yes

  No

  N/A

• Does the Zero Accident Program have a "Drug and Alcohol Testing" process?

  Yes

  No

  N/A

• Has the "9 Point Plan" been communicated all all business activities?

  Yes

  No

  N/A

• Has a written implementation plan been put in place to insure each point is met?

  Yes

  No

  N/A

• Is there a process in p,ace to insure the program to reviewed annually?

  Yes

  No

  N/A

SOP-0083 EMCOR Safety Reporting Requirements Policy - Rev. 4

• Are serious injuries (death, amputations, fractures, electric shock, and over night hospitalization injuries, etc.)and dangerous occurrences (scaffold or crane collapse, explosions, etc.)reported to EMCOR SQM within 8 hours?

  Yes

  No

  N/A

• Are OSHA recordables reported into the Safety Management Information System (SMIS) within 72 hours?

  Yes

  No

  N/A

• Are LC3 forms entered into the SMIS by the last working day BEFORE the 10th of each months?

  Yes

  No

  N/A

SOP-0085 EMCOR Safety Incentive Program Policy - Rev.2

• Does the company have a safety incentive program?

  Yes

  No

  N/A

• Does the incentive program encourage under reporting occupational injuries?

  Yes

  No

  N/A

SOP-0086 EMCOR Safety Committee Policy - Rev.2

• Does the safety committee convene on a regular basis (minimum 4 times a year)?

  Yes

  No

  N/A

• Does the committee address productivity issues?

  Yes

  No

  N/A

• Are meetings documented?

  Yes

  No

  N/A

• Is the Senior Operating Company Manager the committee chairperson?

  Yes

  No

  N/A

• Is there equal management/labor representation on the committee?

  Yes

  No

  N/A

SOP-0087 EMCOR Fleet & Driver Policy - Rev.2

• Does the Operating Company Safety Function or other appointed individual monitor the effectiveness of their Operating Company Fleet & Driver Program?

  Yes

  No

  N/A

SOP-0088 EMCOR Drug & Alcohol Policy - Rev. 2

• Does the operating company have a Drug & Alcohol Abuse Policy?

  Yes

  No

  N/A

• Does the operating company program address the requirements of the EMCOR Drug & Alcohol policy template?

  Yes

  No

  N/A

• Does the operating company Drug & Alcohol policy address customer requirements?

  Yes

  No

  N/A

SOP-0089 EMCOR Disciplinary Policy - Rev. 2

• Does the operating company have a written disciplinary policy?

  Yes

  No

  N/A

• Does the policy include an investigation process to establish the appropriate level of discipline?

  Yes

  No

  N/A

• Does the operating company policy incorporate the EMCOR discipline policy template to insure policy equivalency?

  Yes

  No

  N/A

SOP-0090 EMCOR OSHA Policy - Rev. 3

• Have operating company OSHA citations been reported to EMCOR with 24 hours of notification?

  Yes

  No

  N/A

• Have OSHA inspections been entered into the Safety Management Information System (SMIS)?

  Yes

  No

  N/A

• Does the operating company have a working knowledge of the EMCOR OSHA Interface Procedure template?

  Yes

  No

  N/A

SOP-0092 EMCOR Personal Protection Equipment Policy - Rev. 2

• Does the operating company supply PPE in compliance with OSHA 1910.132 and 1926.95?

  Yes

  No

  N/A

• Does the operating company have a process to evaluate the effectiveness of required PPE?

  Yes

  No

  N/A

• Does the operating company have a process to insure PPE is used in compliance with manufacturer requirements?

  Yes

  No

  N/A

• Is PPE made available for affected personnel?

  Yes

  No

  N/A

• Does pre-task planning include PPE evaluation?

  Yes

  No

  N/A