SSMP Critical Life Safety Site Auditor Edition

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03.04.03 Are all Powered Industrial Vehicle operators observed and evaluated while performing their normal job functions at least every 3 years? Is there written evidence of observations, coaching, feedback, retraining, discipline?

• Review the evaluation process and associated documented.

• 3-year evalautions completed?

  Yes

  No

  N/A

• Coaching provided where needed?

  Yes

  No

  N/A

• Feedback provided where needed?

  Yes

  No

  N/A

• Re-Training provided where necessary?

  Yes

  No

  N/A

• Discipline issued as appropriate?

  Yes

  No

  N/A

03.04.06 Are frequent (daily, monthly) and periodic (monthly, annual) maintenance safety inspection completed on cranes and hoists in accordance with applicable regulations, manufacturer’s recommendations, and/or consensus standards? See Reference Box for list of requirements.

• "910.179(j)(1)(ii)(a)
  Frequent inspection - Daily to monthly intervals.
  1910.179(j)(1)(ii)(b)
  Periodic inspection - 1 to 12-month intervals.
  1910.179(j)(2)
  Frequent inspection. The following items shall be inspected for defects at intervals as defined in paragraph (j)(1)(ii) of this section or as specifically indicated, including observation during operation for any defects which might appear between regular inspections. All deficiencies such as listed shall be carefully examined and determination made as to whether they constitute a safety hazard:
  1910.179(j)(2)(i)
  All functional operating mechanisms for maladjustment interfering with proper operation. Daily.
  1910.179(j)(2)(ii)
  Deterioration or leakage in lines, tanks, valves, drain pumps, and other parts of air or hydraulic systems. Daily.
  1910.179(j)(2)(iii)
  Hooks with deformation or cracks. Visual inspection daily; monthly inspection with a certification record which includes the date of inspection, the signature of the person who performed the inspection and the serial number, or other identifier, of the hook inspected. For hooks with cracks or having more than 15 percent in excess of normal throat opening or more than 10° twist from the plane of the unbent hook refer to paragraph (l)(3)(iii)(a) of this section.
  1910.179(j)(2)(iv)
  Hoist chains, including end connections, for excessive wear, twist, distorted links interfering with proper function, or stretch beyond manufacturer's recommendations. Visual inspection daily; monthly inspection with a certification record which includes the date of inspection, the signature of the person who performed the inspection and an identifier of the chain which was inspected.
  1910.179(j)(2)(vi)
  All functional operating mechanisms for excessive wear of components.
  1910.179(j)(2)(vii)
  Rope reeving for noncompliance with manufacturer's

• Crane and hoist inspections are completed daily or pre-shift as required and documentation exists to support inspections?

  Yes

  No

  N/A

• Frequent (normally monthly to quarterly) crane/hoist inspections are completed as required and documentation exists to support inspections?

  Yes

  No

  N/A

• Periodic (annual) crane/hoist inspections are completed as required and documented?

  Yes

  No

  N/A

03.04.07 Have employees that use cranes/hoists been trained in the proper handling of the equipment?

• "1910.179(n) - Handling the load
  1910.179(n)(1)
  Size of load. The crane shall not be loaded beyond its rated load except for test purposes as provided in paragraph (k) of this section.
  1910.179(n)(2)
  Attaching the load.
  1910.179(n)(2)(i)
  The hoist chain or hoist rope shall be free from kinks or twists and shall not be wrapped around the load.
  1910.179(n)(2)(ii)
  The load shall be attached to the load block hook by means of slings or other approved devices.
  1910.179(n)(2)(iii)
  Care shall be taken to make certain that the sling clears all obstacles.
  1910.179(n)(3)
  Moving the load.
  1910.179(n)(3)(i)
  The load shall be well secured and properly balanced in the sling or lifting device before it is lifted more than a few inches.
  1910.179(n)(3)(ii)
  Before starting to hoist the following conditions shall be noted:
  1910.179(n)(3)(ii)(a)
  Hoist rope shall not be kinked.
  1910.179(n)(3)(ii)(b)
  Multiple part lines shall not be twisted around each other.
  1910.179(n)(3)(ii)(c)
  The hook shall be brought over the load in such a manner as to prevent swinging.
  1910.179(n)(3)(iii)
  During hoisting care shall be taken that:
  1910.179(n)(3)(iii)(a)
  There is no sudden acceleration or deceleration of the moving load.
  1910.179(n)(3)(iii)(b)
  The load does not contact any obstructions.
  1910.179(n)(3)(iv)
  Cranes shall not be used for side pulls except when specifically authorized by a responsible person who has determined that the stability of the crane is not thereby endangered and that various parts of the crane will not be overstressed.
  1910.179(n)(3)(v)
  While any employee is on the load or hook, there shall be no hoisting, lowering, or traveling.
  1910.179(n)(3)(vi)
  The employer shall require that the operator avoid carrying

• Documented training has been completed for crane/hoist operators by a qualified individual?

  Yes

  No

  N/A

03.05.01 Is there a written Confined Space Program for this department/plant that contains all the elements required in 1910.146?

• 1910.146(c)(4)
  If the employer decides that its employees will enter permit spaces, the employer shall develop and implement a written permit space program that complies with this section. The written program shall be available for inspection by employees and their authorized representatives.

• Written program in place?

  Yes

  No

  N/A

• Program Contains all Required Elements?

  Yes

  No

  N/A

03.05.03 Are all Permit Required Confined Spaces identified by a numbering system, and has there been a corresponding job safety analysis(JSA)/standard operating procedure (SOP) performed for each Permit Required Space?

• Each space must be identified by some sort of number scheme and an entry procedure written for each.

• Are confined spaces numbered?

  Yes

  No

  N/A

• Does a JSA/SOP exist for Every Permit Space?

  Yes

  No

  N/A

03.05.04 Does the facility provide training for authorized entrants, attendants, rescue personnel, and entry supervisors and persons authorized to perform atmospheric monitoring and are the training materials and records of training kept? Does the facility certify that the training has been accomplished as detailed in 1910.146(g)(4)?

• 1910.146(g) - Training.
  1910.146(g)(1)
  The employer shall provide training so that all employees whose work is regulated by this section acquire the understanding, knowledge, and skills necessary for the safe performance of the duties assigned under this section.
  1910.146(g)(2)
  Training shall be provided to each affected employee:
  1910.146(g)(2)(i)
  Before the employee is first assigned duties under this section;
  1910.146(g)(2)(ii)
  Before there is a change in assigned duties;
  1910.146(g)(2)(iii)
  Whenever there is a change in permit space operations that presents a hazard about which an employee has not previously been trained;
  1910.146(g)(2)(iv)
  Whenever the employer has reason to believe either that there are deviations from the permit space entry procedures required by paragraph (d)(3) of this section or that there are inadequacies in the employee's knowledge or use of these procedures.
  1910.146(g)(3)
  The training shall establish employee proficiency in the duties required by this section and shall introduce new or revised procedures, as necessary, for compliance with this section.
  1910.146(g)(4)
  The employer shall certify that the training required by paragraphs (g)(1) through (g)(3) of this section has been accomplished. The certification shall contain each employee's name, the signatures or initials of the trainers, and the dates of training. The certification shall be available for inspection by employees and their authorized representatives.
  1910.146(h)
  Duties of authorized entrants. The employer shall ensure that all authorized entrants:
  
  1910.146(h)(1)
  Know the hazards that may be faced during entry, including information on the mode, signs or symptoms, and consequences of the exposure;

• Is confined space entry training completed?

  Yes

  No

  N/A

• Rescue Personnel Training?

  Yes

  No

  N/A

• Atmospheric Monitoring training?

  Yes

  No

  N/A

• Training Materials complete and adequate?

  Yes

  No

  N/A

• Training Documentation complete?

  Yes

  No

  N/A

• Documentation Meet 1910.146(g)(4)?

  Yes

  No

  N/A

03.05.05 Does the facility have an internal rescue team or outside services that can respond to an emergency in a timely manner relative to the hazards posed in the confined space and are they supplied with the appropriate rescue equipment?

• 1910.146(d)(9)
  Develop and implement procedures for summoning rescue and emergency services, for rescuing entrants from permit spaces, for providing necessary emergency services to rescued employees, and for preventing unauthorized personnel from attempting a rescue;
  1910.146(k)
  Rescue and emergency services.
  1910.146(k)(1)
  An employer who designates rescue and emergency services, pursuant to paragraph (d)(9) of this section, shall:
  1910.146(k)(1)(i)
  Evaluate a prospective rescuer's ability to respond to a rescue summons in a timely manner, considering the hazard(s) identified;
  
  Note to paragraph (k)(l)(i): What will be considered timely will vary according to the specific hazards involved in each entry. For example, §1910.134, Respiratory Protection, requires that employers provide a standby person or persons capable of immediate action to rescue employee(s) wearing respiratory protection while in work areas defined as IDLH atmospheres.
  1910.146(k)(1)(ii)
  Evaluate a prospective rescue service's ability, in terms of proficiency with rescue-related tasks and equipment, to function appropriately while rescuing entrants from the particular permit space or types of permit spaces identified;
  1910.146(k)(1)(iii)
  Select a rescue team or service from those evaluated that:
  1910.146(k)(1)(iii)(A)
  Has the capability to reach the victim(s) within a time frame that is appropriate for the permit space hazard(s) identified;
  1910.146(k)(1)(iii)(B)
  Is equipped for and proficient in performing the needed rescue services;
  1910.146(k)(1)(iv)
  Inform each rescue team or service of the hazards they may confront when called on to perform rescue at the site; and
  1910.146(k)(1)(v)
  Provide the rescue team or service selected with access to all permit spaces from which rescue may be necessary so that the rescue service can

• Internal Rescue Team ?

  Yes

  No

  N/A

• Outside Service?

  Yes

  No

  N/A

• Procedures for Summoning Rescue ?

  Yes

  No

  N/A

03.06.01 Is there a documented Cutting/Welding/Hot Work Permit System in place in this department/plant? Does it comply with the FM Global system?

• Review the facility’s permit procedures. Does the facility remove all fire hazards before issuance of a hot work permit and is a fire watch with appropriate fire extinguishing equipment posted?

• Written Program ?

  Yes

  No

  N/A

• Comply with Liability Insurance Requirements?

  Yes

  No

  N/A

03.06.02 Are Cutting/Welding/Hot Work Permits kept on file for one (1) year from date of original issuance?

• Review documentation

• Permits Kept for at least 1yr ?

  Yes

  No

  N/A

03.06.03 Does this department/plant have a written fire watch procedure and is it being implemented in all required situations?

• There must be a written procedure.

• Written Procedure ?

  Yes

  No

  N/A

• Implemented ?

  Yes

  No

  N/A

03.06.05 Do welders and supervisors receive annual training in the usage of the Sazerac Hot Work Permit and program as well as safe operation of their equipment and the health hazards associated with welding and the applicable emergency procedures?

• Per Sazerac Policy 4g: Annual training shall be conducted with all personnel as well as incorporated into the New Employee Training Program for applicable employees.

• Annual Training for Welders and Sups ?

  Yes

  No

  N/A

• New Hire Training ?

  Yes

  No

  N/A

• Training covers Hot Work Permit ?

  Yes

  No

  N/A

• Training covers Safety/Health Precautions ?

  Yes

  No

  N/A

03.07.01 Does this department/plant have an Emergency Action Plan in writing to cover all requirements stipulated in the current Sazerac Emergency Action Plan Policy?

• Review the Emergency Action Plan for the site.
  
  Has the site conducted an assessment to ensure that all types of emergencies are identified and addressed in EAP?

• Written EAP ?

  Yes

  No

  N/A

• The EAP addresses all requirements?

  Yes

  No

  N/A

03.07.02 Is the Identification of Alarm System and Backup specified in the plan and communicated through training to all employees?

• A backup system must also be communicated and practiced in drills, primary alarm should have a battery backup system, dead spots in the plant should be identified and an alternate means of communicating.
  1910.38(d)
  Employee alarm system. An employer must have and maintain an employee alarm system. The employee alarm system must use a distinctive signal for each purpose and comply with the requirements in § 1910.165.

• Alarm System ?

  Yes

  No

  N/A

• Alarm System Battery Backup ?

  Yes

  No

  N/A

• Alarm System Detailed in EAP?

  Yes

  No

  N/A

• Backup System ?

  Yes

  No

  N/A

• Backup Detailed in EAP ?

  Yes

  No

  N/A

• Training on Backup System ?

  Yes

  No

  N/A

• Backup System used in Drills ?

  Yes

  No

  N/A

03.07.03 Is there documentation of a department/plant evacuation and severe weather drill conducted within the last 12 month for each including a head count and time?

• There must be documentation to show an evacuation and severe weather drill on all shifts was practiced.

• Fire drill in last 12 months?

  Yes

  No

  N/A

• Shelter In-Place Drill in last 12mos ?

  Yes

  No

  N/A

• Documentation of Time ?

  Yes

  No

  N/A

• Documentation of Headcount ?

  Yes

  No

  N/A

03.07.05 Have evacuation coordinators/wardens been designated, trained and have procedures to follow in writing?

• Per Policy:
  Each location will designate and train a sufficient number of employees to assist in the safe and orderly emergency evacuation of all the general hourly employees. These individuals will be referred to as evacuation wardens and evacuation coordinator(s).

• Evacuation Wardens ?

  Yes

  No

  N/A

• Trained?

  Yes

  No

  N/A

• Written Procedures ?

  Yes

  No

  N/A

03.07.06 Are there Personnel Accounting Procedures and an employee checklist to account for all employees, contractors, and visitors after an evacuation has been completed, and a means of communicating the names and last known location of missing employees to the appropriate rescue personnel?

• Procedures to account for all employees, contractors, and visitors after an emergency evacuation has been completed, and a means to communicate the names and last known location of missing employees to the appropriate rescue personnel. Procedures will ensure other people such as United States Department of Agriculture (U.S.D.A.) and F.D.A. officials are accounted for as well.
  
  These procedures will include the development of a form (or checklist) to be used to verify the accounting of personnel from all departments and areas of the facility including visitors and contractors. This document will be completed by the evacuation Coordinator using information gathered from Evacuation Wardens.
  
  1910.38(c)(4)
  Procedures to account for all employees after evacuation;

• Headcount Procedure ?

  Yes

  No

  N/A

• EE Checklist for Headcount ?

  Yes

  No

  N/A

• Procedure to Account for Contractors ?

  Yes

  No

  N/A

• Means of Communication ?

  Yes

  No

  N/A

03.07.07 Are there Rescue and Medical Duties developed and do they explain in detail what rescue and medical first aid duties are to be performed and by whom?

• 1910.38(c)(5)
  Procedures to be followed by employees performing rescue or medical duties
  
  Per Policy:
  e) A list of employees trained and certified to perform rescue and medical duties. Each location is to develop and explain in detail what rescue and medical first aid duties are to be performed and by whom. All employees are to be told what actions they are to take in each listed emergency situation.

• First Aid Responders Trained ?

  Yes

  No

  N/A

• Detailed List of Emergency Situations ?

  Yes

  No

  N/A

• Actions Detailed?

  Yes

  No

  N/A

03.09.01 Has the facility analyzed all activities with JSA's for personal hazard exposures and evaluated which must be controlled with personal protective equipment? Is this analysis certified by the employer and reviewed annually?

• 1910.132(d)(1)
  The employer shall assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE). If such hazards are present, or likely to be present, the employer shall:
  1910.132(d)(1)(i)
  Select, and have each affected employee use, the types of PPE that will protect the affected employee from the hazards identified in the hazard assessment;
  1910.132(d)(1)(ii)
  Communicate selection decisions to each affected employee; and,
  1910.132(d)(1)(iii)
  Select PPE that properly fits each affected employee. Note: Non-mandatory Appendix B contains an example of procedures that would comply with the requirement for a hazard assessment.
  1910.132(d)(2)
  The employer shall verify that the required workplace hazard assessment has been performed through a written certification that identifies the workplace evaluated; the person certifying that the evaluation has been performed; the date(s) of the hazard assessment; and, which identifies the document as a certification of hazard assessment.

• JSA's have been completed?

  Yes

  No

  N/A

• JSA's incorporate a certification of hazard assessment called for in 1910.132?

  Yes

  No

  N/A

• JSA and certification of hazard assessment reviewed annually, at minimum?

  Yes

  No

  N/A

03.09.02 Is job specific training provided to employees in the need, use, and purpose of personal protective equipment and the hazards they are designed to protect against? Is this training given at time of hire, job transfer which requires different PPE, after observations of employee not using PPE correctly or at least annually?

• 1910.132(f) - Training.
  1910.132(f)(1)
  The employer shall provide training to each employee who is required by this section to use PPE. Each such employee shall be trained to know at least the following:
  1910.132(f)(1)(i)
  When PPE is necessary;
  1910.132(f)(1)(ii)
  What PPE is necessary;
  1910.132(f)(1)(iii)
  How to properly don, doff, adjust, and wear PPE;
  1910.132(f)(1)(iv)
  The limitations of the PPE; and,
  1910.132(f)(1)(v)
  The proper care, maintenance, useful life and disposal of the PPE.
  1910.132(f)(2)
  Each affected employee shall demonstrate an understanding of the training specified in paragraph (f)(1) of this section, and the ability to use PPE properly, before being allowed to perform work requiring the use of PPE.
  1910.132(f)(3)
  When the employer has reason to believe that any affected employee who has already been trained does not have the understanding and skill required by paragraph (f)(2) of this section, the employer shall retrain each such employee. Circumstances where retraining is required include, but are not limited to, situations where:
  1910.132(f)(3)(i)
  Changes in the workplace render previous training obsolete; or
  1910.132(f)(3)(ii)
  Changes in the types of PPE to be used render previous training obsolete; or
  1910.132(f)(3)(iii)
  Inadequacies in an affected employee's knowledge or use of assigned PPE indicate that the employee has not retained the requisite understanding or skill.
  1910.132(f)(4)
  The employer shall verify that each affected employee has received and understood the required training through a written certification that contains the name of each employee trained, the date(s) of training, and that identifies the subject of the certification.
  
  Review training material, JSA and training records. Conduct employees observations during walkthrough.

• Is job specific training provided for required PPE, training documented and training includes all required topics (when, what, how, limitations of and proper care, maintenance, etc.)?

  Yes

  No

  N/A

• Is PPE training provided upon initial hire?

  Yes

  No

  N/A

• Is PPE Training provided upon transfer?

  Yes

  No

  N/A

• Is PPE training provided after unsafe observations regarding PPE use?

  Yes

  No

  N/A

• Is PPE training included in annual training?

  Yes

  No

  N/A

03.10.01 Does the facility have a written fall protection program or procedures if any employees or contractors perform elevated work and does this program comply with Sazerac' Fall Protection Policy S-3-10-1?

• Review written program.
  
  Does the written program address all aspects of fall prevention and protection (4' for general industry, 6' for construction, 10' for scaffold, manlifts, roof work, steel erection, trenches, etc.)
  
  Does the program call for a fall hazard assessment to be conducted?

• Does the site have a written e fall protection program?

  Yes

  No

  N/A

• Program Comply with Sazerac policy?

  Yes

  No

  N/A

03.10.02 Do employees using fall protection receive annual training in the safe operation of their equipment or whenever a change in equipment or procedures occurs?

• Review training records and training material. Also review qualifications of the trainer.

• Is annual training provided for fall protection systems use?

  Yes

  No

  N/A

• Does training include, at a minimum, fall protection use (harness, anchorage, lanyards, etc.), suspension trauma, inspection and rescue

  Yes

  No

  N/A

• Is training provided when changes or new hazards are introduced?

  Yes

  No

  N/A

03.10.03 Does the facility maintain an inspection program to ensure equipment used for fall protection is safe?

• Review documentation of inspection. Review qualifications of inspector.

• An inventory of all fall protection equipment and accessories is maintained by Make, Model and Serial Number.

  Yes

  No

  N/A

• Fall protection equipment inspections are performed and documented by a competent inspector at minimum annually?

  Yes

  No

  N/A

• Employees perform pre-use inspections of fall protection equipment?

  Yes

  No

  N/A

• Damaged/worn parts and fall protection system components involved in a fall are tagged and removed from service immediately?

  Yes

  No

  N/A

03.11.02 If employees are permitted or instructed to use portable fire extinguishing equipment on incipient stage fires, are they trained and instructed in both the hazards and proper use of the extinguishing equipment on an annual basis?

• 1910.157(g)
  Training and education.
  1910.157(g)(1)
  Where the employer has provided portable fire extinguishers for employee use in the workplace, the employer shall also provide an educational program to familiarize employees with the general principles of fire extinguisher use and the hazards involved with incipient stage fire fighting.
  1910.157(g)(2)
  The employer shall provide the education required in paragraph (g)(1) of this section upon initial employment and at least annually thereafter.
  1910.157(g)(3)
  The employer shall provide employees who have been designated to use fire fighting equipment as part of an emergency action plan with training in the use of the appropriate equipment.
  1910.157(g)(4)
  The employer shall provide the training required in paragraph (g)(3) of this section upon initial assignment to the designated group of employees and at least annually thereafter.

• Employees are trained in fire extinguisher use?

  Yes

  No

  N/A

• Is the training provided initially and annually thereafter?

  Yes

  No

  N/A

03.11.03 Does the facility have adequate fire detection throughout the facility as specified by testing, engineering surveys, manufacturer's recommendations or a recognized testing laboratory listing as well as at least one manual fire alarm pull station? Does the facility test and adjust the detection equipment as often as needed to maintain proper reliability and operating condition?

• 1910.164(c)(2)
  The employer shall assure that fire detectors and fire detection systems are tested and adjusted as often as needed to maintain proper reliability and operating condition except that factory calibrated detectors need not be adjusted after installation.
  
  1910.164(f)
  Number, location and spacing of detecting devices. The employer shall assure that the number, spacing and location of fire detectors is based upon design data obtained from field experience, or tests, engineering surveys, the manufacturer's recommendations, or a recognized testing laboratory listing.

• Adequate fire detection systems are provided?

  Yes

  No

  N/A

• Pull Stations maintained and unobstructed?

  Yes

  No

  N/A

• Fire detections systems are inspected/tested at required frequencies?

  Yes

  No

  N/A

03.15.01 Has the facility developed, implemented, and maintained a program which consists of energy control procedures, employee training, and periodic inspections?

• 1910.147(c)(1)
  Energy control program. The employer shall establish a program consisting of energy control procedures, employee training and periodic inspections to ensure that before any employee performs any servicing or maintenance on a machine or equipment where the unexpected energizing, startup or release of stored energy could occur and cause injury, the machine or equipment shall be isolated from the energy source and rendered inoperative.

• The site has developed and maintains a written energy control program?

  Yes

  No

  N/A

• Energy control procedures are developed, verified and maintained?

  Yes

  No

  N/A

• Employees are trained in LOTO as appropriate?

  Yes

  No

  N/A

• Annual Inspections (Re-Certifications) ?

  Yes

  No

  N/A

03.15.02 Does the facility have complete and effective written procedures for all employees involved in servicing/maintaining equipment (i.e. “lockout/Tagout” program)?

• 1910.147(c)(4)(i)
  Procedures shall be developed, documented and utilized for the control of potentially hazardous energy when employees are engaged in the activities covered by this section.
  
  Note: Exception: The employer need not document the required procedure for a particular machine or equipment, when all of the following elements exist: (1) The machine or equipment has no potential for stored or residual energy or reaccumulation of stored energy after shut down which could endanger employees; (2) the machine or equipment has a single energy source which can be readily identified and isolated; (3) the isolation and locking out of that energy source will completely deenergize and deactivate the machine or equipment; (4) the machine or equipment is isolated from that energy source and locked out during servicing or maintenance; (5) a single lockout device will achieve a locker-out condition; (6) the lockout device is under the exclusive control of the authorized employee performing the servicing or maintenance; (7) the servicing or maintenance does not create hazards for other employees; and (8) the employer, in utilizing this exception, has had no accidents involving the unexpected activation or reenergization of the machine or equipment during servicing or maintenance.

• Energy control procedures are developed, verified and maintained?

  Yes

  No

  N/A

03.15.03 Where minor servicing and maintenance exception applies are there documented identification of tasks and instruction with training?

• Review Energy Control Procedures and dicussion alternative controls during interviews with equipment operators.

• When the minor servicing and maintenance exception applies, has the site identified these tasks and alternative controls that will be utilized?

  Yes

  No

  N/A

03.15.05 Does the facility perform annual inspections of its lockout/Tagout procedures and do these inspections verify that authorized employees can perform lockout/tagout in accordance with the written procedure?

• Annual Inspections of Energy Control Procedures?

  Yes

  No

  N/A

03.24.01 Does the facility have a written electrical safety program that complies with applicable NFPA documents (70, 70B, 70E)?

• Review written program and compare to company policy.

• Written program in place and compliant with regulatory and company policy?

  Yes

  No

  N/A

• Complies with NFPA 70, 70B, & 70E?

  Yes

  No

  N/A

03.30.03 Is there a means to ensure the design of all equipment and/or machinery include provisions for assuring that safeguarding devices, such as interlocks, (when used) cannot be easily defeated, and they fail in a safe manner?

• Is there a review or MOC process in place for new or modified equipment?

• Interlocks are control reliable (redundant and self checking and fail in safe mode)?

  Yes

  No

  N/A

• Does the site have a management of change process to identify and address guarding issues?

  Yes

  No

  N/A

• Include Review of Guarding

  Yes

  No

  N/A

03.30.08 Are portable power tools inspected prior to use and periodically after? Does the facility have a policy what to do if tools fail inspection?

• Inspect condition of tools during walkthrough. Look for improper tools such as pipe extensions on wrenches, damaged hammers, chisels and screwdrivers. Verify process for checking hand tools.

• Inspected Prior to Use ?

  Yes

  No

  N/A

• Periodic Inspection ?

  Yes

  No

  N/A

• Hand Tool Inspections ?

  Yes

  No

  N/A

03.41.05 Are emergency lights inspected and tested for 30 seconds on a monthly basis and then for an hour and a half annually?

• Verify from PM documentation and spot check during walkthrough.

• Monthly Inspections ?

  Yes

  No

  N/A

• Annual 1.5hr Test?

  Yes

  No

  N/A

03.15.03 Has the facility trained “authorized” and “affected” personnel on the lockout/Tagout procedures and do these employees understand the training? Does retraining take place when employees change jobs, machines, or fail the annual inspection?

• 1910.147(c)(7)(i)
  The employer shall provide training to ensure that the purpose and function of the energy control program are understood by employees and that the knowledge and skills required for the safe application, usage, and removal of the energy controls are acquired by employees. The training shall include the following:
  
  1910.147(c)(7)(i)(A)
  Each authorized employee shall receive training in the recognition of applicable hazardous energy sources, the type and magnitude of the energy available in the workplace, and the methods and means necessary for energy isolation and control.
  
  1910.147(c)(7)(i)(B)
  Each affected employee shall be instructed in the purpose and use of the energy control procedure.
  
  1910.147(c)(7)(i)(C)
  All other employees whose work operations are or may be in an area where energy control procedures may be utilized, shall be instructed about the procedure, and about the prohibition relating to attempts to restart or reenergize machines or equipment which are locked out or tagged out.
  Examine training records and look for evidence of retraining due to job changes, changes of machine assignment, or failure to pass the annual inspection. When dealing with failure to pass the annual inspection, look for a training folder or other organizational method that is separate from regular training records. The dates of training shall correlate with the annual inspection. 1910.147(c)(7)(iii)(A)
  Retraining shall be provided for all authorized and affected employees whenever there is a change in their job assignments, a change in machines, equipment or processes that present a new hazard, or when there is a change in the energy control procedures.
  
  1910.147(c)(7)(iii)(B)
  Additional retraining shall also be conducted whenever a periodic inspection under paragraph (c)(6) of this section reveals, or whenever the employer has reason to believe that there are deviations from or inadequacies in the employee's knowledge or use of the energy control procedures.
  
  1910.147(c)(7)(iii)(C)
  The retraining shall reestablish employee proficiency and introduce new or revised control methods and procedures, as necessary.

• "Authorized" Training?

  Yes

  No

  N/A

• "Affected" Training?

  Yes

  No

  N/A

• Re-Training for Job Change?

  Yes

  No

  N/A

03.15.04 Does training include equipment-specific training on all machines, equipment or process that each employee is required to service or maintain? Does this training include a successful physical demonstration of the procedure?

• Interviews and documentation.

• Equipment Specific Training?

  Yes

  No

  N/A

• Physical Demonstration?

  Yes

  No

  N/A

03.24.02 Have all Unqualified Workers been trained annually at the awareness level and have they been instructed to report unsafe electrical conditions?

• Review documentation, interview and observe work practices. Interview maintenance manager and document response.

• Annual Training for Unqualified Personnel?

  Yes

  No

  N/A

03.24.03 Have Qualified Workers been identified, certified, and trained to the skill level at which they will be expected to function, listing the voltage and equipment they are approved to work on (acceptable documentation is provided in the Sazerac Electrical Safe Work Program)?

• Interview and observe work practices. Interview Maintenance Manager and document response.

• Qualified electrical workers have been identified?

  Yes

  No

  N/A

• Qualified workers are deemed qualified on each task?

  Yes

  No

  N/A

• Qualified workers are trained on every task?

  Yes

  No

  N/A

• List of Voltage & Equipment Each EE Certified / qualified On?

  Yes

  No

  N/A

03.24.04 Have Qualified Workers been trained on proper electrical LOTO procedures (must use a volt meter to verify if de-energized)?

• Interview and observe work practices. Interview Maintenance Manager and document response.

• Trained on Volt Meter

  Yes

  No

  N/A

03.24.05 Have Qualified workers been trained on arc flash hazards, prevention, PPE and electrical safe work practices (NFPA 70E)?

• Interview and observe work practices. Interview Maintenance Manager and document response.

• Arc Flash Training (70E Training) conducted initially and every 3 years.

  Yes

  No

  N/A

03.30.04 Are employees provided with instruction and/or training on machine safeguarding and do they receive this training at time of hire, transfer to a new job or at least annually?

• Review training materials and records. Interview employees.

• Machine Guarding Training at Hire ?

  Yes

  No

  N/A

• Machine guarding conducted annually?

  Yes

  No

  N/A

• Machine guarding is machine specific for operators?

  Yes

  No

  N/A

03.04.01 Are wheel chocks placed under the rear wheels and/or dock locks used to prevent trailer/truck from rolling while they are boarded with powered industrial trucks?

• Review written procedures to assure that they include the use of dock locks or wheel chocks to prevent rolling during loading and unloading, and dock boards which are fixed or are designed to prevent slipping during loading or unloading operations. Interview operating personnel and observe operations as necessary to verify that actual practice meets these requirements.

• Wheel Chocks or Dock Locks utilized? If dock locks are utilized ensure they are functional.

  Yes

  No

  N/A

• Written Procedure in place?

  Yes

  No

  N/A

• Visually Verified?

  Yes

  No

  N/A

03.04.02 Are fixed jacks used, where necessary, to support a semi-trailer, and prevent up ending during loading or unloading when the trailer is not coupled to a tractor?

• Fixed jacks may be required when the trailer landing gear is damaged or short trailers are loaded.

• Jacks are available and used as needed for damaged landing gear?

  Yes

  No

  N/A

03.04.04 Is there documentation of daily Lift Truck observations, maintenance and feedback to operators regarding reported defects?

• Review documentation of pre-shift inspections and maintenance records for each forklift. Recommend evaluating a minimum of 10 or 10% random sample of available records provided for the last calendar year.
  Look for indications of 'pencil whipping'. If truck inspections identify an issue is the truck removed from service and repaired timely? Who is performing maintenance on trucks?

• Documentation of Pre-Shift Lift Inspections

  Yes

  No

  N/A

• Maintenance on powered industrial trucks completed timely and by qualified individual(s)?

  Yes

  No

  N/A

• Is there a process to provide feedback to operators regarding status of trucks in need of maintenance?

  Yes

  No

  N/A

03.04.05 Are all storage racking in good condition and have their load limits posted?

• Evaluate during walk through of facility.
  
  Generally racking requires the following:
  1) To be properly assembled per manufacturers instruction
  2) To be inspected regularly for damage and for damage to be repaired / replaced.
  3) Capacity markings
  4) Safety clips or pins installed on each shelf
  5) Secured to floor
  6) Push-through protection provided where loads may fall or be pushed off backside onto pedestrians or equipment

• Racking in Good Condition and properly maintained?

  Yes

  No

  N/A

• Racking marked with capacities?

  Yes

  No

  N/A

03.05.02 Have all Confined Spaces been evaluated and properly labeled as per 1910.146?

• Determine by walking through the facility that employees have been warned of hazards posed by these spaces (i.e. look for danger signs, identifying spaces.).

• Are confined spaces labeled and do employees understand the meaning of the label?

  Yes

  No

  N/A

03.06.04 Are employees of this department/plant exposed to the hazards created by cutting/welding/hot work operations protected with personal protective equipment and clothing?

• There must be a written PPE Hazard Assessment for welding. Verify during a plant tour, look for appropriate helmets, aprons, gloves, leggings, shoes, hearing and respiratory protection or adequate ventilation, safety glasses with side shields or goggles suitable for protection. Review an industrial hygiene survey to verify there is no danger to employees.

• PPE available and used ?

  Yes

  No

  N/A

• Written PPE Hazard Assessment for Welding ?

  Yes

  No

  N/A

• Industrial Hygiene Survey ?

  Yes

  No

  N/A

03.07.04 Does an employee, chosen at random, know where the nearest emergency exit to their workstation is located and the procedures taken in the event of an emergency?

• This is to include competency in specific responsibilities as defined by the plan and knowledge of evacuation routes.
  
  Interview at minimum 10 or 10% of the population (whichever is less).

• Nearest Exit ?

  Yes

  No

  N/A

• Emergency Evac Procedure?

  Yes

  No

  N/A

03.09.03 Were all employees seen to be wearing the appropriate PPE during the assessment (particularly safety glasses, ear plugs and steel-toed shoes) and did they meet the appropriate ANSI standards?

• 1910.133(b)(1)
  
  Protective eye and face devices purchased after July 5, 1994 shall comply with ANSI Z87.1-1989, ""American National Standard Practice for Occupational and Educational Eye and Face Protection,"" which is incorporated by reference as specified in Sec. 1910.6.
  
  1910.133(b)(2)
  
  Eye and face protective devices purchased before July 5, 1994 shall comply with the ANSI ""USA standard for Occupational and Educational Eye and Face Protection,"" Z87.1-1968, which is incorporated by reference as specified in Sec. 1910.6, or shall be demonstrated by the employer to be equally effective. 1910.136(b)
  
  Criteria for protective footwear.
  
  1910.136(b)(1)
  
  Protective footwear purchased after July 5, 1994 shall comply with ANSI Z41-1991, ""American National Standard for Personal Protection-Protective Footwear,"" which is incorporated by reference as specified in Sec. 1910.6, or shall be demonstrated by the employer to be equally effective.
  
  1910.136(b)(2)
  
  Protective footwear purchased before July 5, 1994 shall comply with the ANSI standard ""USA Standard for Men's Safety-Toe Footwear,"" Z41.1-1967, which is incorporated by reference as specified in Sec. 1910.6, or shall be demonstrated by the employer to be equally effective.

• All EEs Wearing Required PPE Properly?

  Yes

  No

  N/A

03.15.06 Were all lockouts properly identified with either a tag or a lock with a name on it?

• All lockout locks are personally identifiable?

  Yes

  No

  N/A

03.19.01 Are floors kept clean, dry, orderly and in a sanitary way? If wet processes are nearby, is adequate drainage provided along with adequate traction?

• Verify on walkthrough. Are there areas with water, ice or product on the floor? Is it a slip hazard?

• Floors Clean ?

  Yes

  No

  N/A

• Floors Dry ?

  Yes

  No

  N/A

• Floors Orderly ?

  Yes

  No

  N/A

• Lack of Slip/Trip/Fall Hazards ?

  Yes

  No

  N/A

03.19.02 Are walkway aisles designated and have adequate clearance to allow employees and mechanical handling equipment to pass safely and are permanent aisles and passageways appropriately marked?

• Look for floor markings, signs, designated crosswalks, mirrors, conveyor crossovers, overhead hazards, etc.

• Designated Aisles ?

  Yes

  No

  N/A

• Floor Markings ?

  Yes

  No

  N/A

• Signs ?

  Yes

  No

  N/A

• Mirrors ?

  Yes

  No

  N/A

• Conveyor Crossovers ?

  Yes

  No

  N/A

03.19.03 Are all floor openings protected by standard railings or suitable cover? This includes ladder and chute openings.

• Check access points to different elevations, floor penetrations for equipment that have potential for a person to step or slip into and cause injury. Check areas with maintenance and construction.

• Railings or Covers for Floor Openings ?

  Yes

  No

  N/A

• Gates atop Fixed Ladders?

  Yes

  No

  N/A

03.19.04 Are toe boards provided on all raised platforms, runways and open-sided floors when the following conditions exist beneath the open sides: 1) persons can pass, 2) there is moving machinery, or 3) there is equipment with which falling materials could create a hazard? Do all toe boards meet the requirements detailed in 1910.23(e)(4)?

• Verify on walk through inspection.

• Toe Boards provided?

  Yes

  No

  N/A

03.19.05 Are ladders kept in good repair and removed from service when damaged? Are all stored properly?

• Check ladders during walkthrough? Verify inspection processes.

• Does an inventory of fixed and portable ladders exist and is it up to date?

  Yes

  No

  N/A

• Is there an inspection process for both fixed and portable ladders that meets the 'periodic' inspection frequency requirement?

  Yes

  No

  N/A

• Are both pre-use and periodic inspections taking place? Are periodic inspections documented?

  Yes

  No

  N/A

• Do all fixed ladders have swinggate where required?

  Yes

  No

  N/A

• Are damaged ladders removed from service and tagged?

  Yes

  No

  N/A

• Are portable ladders stored properly in a designated location when not in use?

  Yes

  No

  N/A

03.19.06 For facilities with roof access, are skylights, roof edges and hatchways properly guarded?

• Inspect roof and interview maintenance employees about roof activities.

• All skylights are properly rated or guarded.

  Yes

  No

  N/A

• All ladder and stair accessways on roof where a fall >4' exists have adequate guarding or fall protection systems in place when an employee or contractor must be within 6' of the edge.

  Yes

  No

  N/A

• Hatchways are properly guarded?

  Yes

  No

  N/A

03.19.07 Are mezzanines properly guarded from falls?

• Evaluate during walk through inspection.

• Mezzanines re marked with weight capacity rating?

  Yes

  No

  N/A

• Where an opening exists on a mezzanine proper guarding or fall protection systems are in place?

  Yes

  No

  N/A

03.24.06 Has an arc flash PPE assessment been documented, describing the method, how implemented, how the results of the arc flash study are being utilized, etc. and does every panel board, MCC, switchgear, etc have an arc flash label?

• Observe labeling during walk through.

• Incident energy analysis has been completed for site?

  Yes

  No

  N/A

• All electrical equipment (panels, MCC, switchgear, etc.) have a NFPA 70E Compliant Label?

  Yes

  No

  N/A

03.24.07 Do all qualified employees have the proper electrical PPE and is there evidence that it is used and maintained properly?

• Inspect during walk through the employees tools, ppe, etc.
  
  Are they utilized properly and inspected at required frequencies?
  
  Electricians should be outfitted with EH Rated Shoes, Voltage Rated Gloves (for appropriate voltage with leather protectors that are tested or changed out every 6 months, FR Clothing, natural fiber undergarments, etc.)

• Do qualified employees have adequate PPE?

  Yes

  No

  N/A

• Is there evidence of use and adequate care and inspection?

  Yes

  No

  N/A

03.24.08 Does the facility maintain a minimum 36 inch deep by 30 inch wide clear area in front of all electrical panels and disconnects?

• Inspect during walk through.

• Are all panels kept clear (36" in front, at least 30" wide)?

  Yes

  No

  N/A

03.24.09 Are all wires, plugs, cords (including extension or temporary cords) being used and managed appropriately?

• Inspect for defective, damaged cords and portable cords being used where permanent should be used.

• Cords & Wires Free from Defects and used appropriately?

  Yes

  No

  N/A

• No Portable Cords for Permanent Installations ?

  Yes

  No

  N/A

03.24.10 Are all electrical panels, disconnects, MCCs, conduits, piping, outlets and any other electrical infrastructure in good condition and free of physical damage?

• Inspect during walk through.

• Electrical Components in Good Repair?

  Yes

  No

  N/A

03.30.01 Do all guards that are not interlocked with the equipment's electrical system require a tool to remove?

• Verify that all screws are in place and not opened by pulling on cover, simple latches, thumbscrews, etc. Interlocks should be a keyed type connection, not a simple magnetic switch.

• Guards are interlocked or otherwise secured with a fixture requiring a tool for removal?

  Yes

  No

  N/A

• No Thumbscrews, Thumb latches, Etc.

  Yes

  No

  N/A

03.30.02 Are all points of operation, ingoing nip points, rotating parts, flying chips, and sparks properly guarded to protect employees?

• Are there openings that allow a person to reach in and contact moving parts. Verify with gotcha stick if in question.

• Point of operation guarding in place and adequate?

  Yes

  No

  N/A

• In-Running Nip point guarding in place and adequate?

  Yes

  No

  N/A

• Chip/Spark/Coolant guarding in place and adequate?

  Yes

  No

  N/A

• Openings in guarding meet the requirements set for in the OSHA 1910.217 regulation regarding size of openings. (Gotcha Stick)

  Yes

  No

  N/A

03.30.05 Are all grinding wheel work rests maintained at 1/8" and tongue guards maintained at 1/4" or less from the wheel?

• Verify on walkthrough inspection.

• Work Rest Spacing at 1/8"?

  Yes

  No

  N/A

• Tongue Guard Spacing at 1/4"?

  Yes

  No

  N/A

03.30.06 Are all drill press boring bits, cutting chain, driving mechanism and universal joints properly guarded?

• Verify on walkthrough inspection.

• Drill Press Guarding

  Yes

  No

  N/A

• Drive Mechanism Guarding

  Yes

  No

  N/A

• Universal Joint Guarding

  Yes

  No

  N/A

03.30.07 Are all power shafts 7 feet or less from a working surface (including projecting shaft ends that are more than one-half the diameter of the shaft) properly guarded?

• Verify on walkthrough. An alternate means of protection is to cut off excess from shaft ends. Shafts with keyways must be guarded.

• Rotating Shaft Lengths are property guarded?

  Yes

  No

  N/A

• Shaft ends are properly guarded with fixed non-rotating cap.

  Yes

  No

  N/A

03.30.09 Do all powered garage doors have some kind of safety device to stop the door if it comes into contact with an object?

• Inspect and test several doors to verify they stop.

• Auto-Reverse in place for garage and Overhead doors?

  Yes

  No

  N/A

03.41.01 Are emergency exits of proper configuration and readily accessible at all times and clear of any obstructions?

• Verify on walkthrough inspection.

• Are emergency exits readily accessible?

  Yes

  No

  N/A

• All exits can be opened from the inside at all time without keys, tools or specially knowledge?

  Yes

  No

  N/A

• Exit access / pathway width is maintained at a minimum 28" at all points?

  Yes

  No

  N/A

• Are all emergency exits maintained unobstructed?

  Yes

  No

  N/A

03.41.02 Are the number of required egresses per story or section compliant with the following requirements: 1) no less than 2 means of egress for every story or section, 2) single means of egress is permitted for low or ordinary hazard area as long as distance to the egress is no more than 50 feet in a non-sprinkled area or 100 feet in a sprinkled area, 3) single means of egress for a high hazard.

• Do rooms and areas with multiple employees working in them have more than one way out to prevent people from being trapped if the main exit is blocked? Rooms such as small meeting rooms, single person offices and small storage rooms are not included with this requirement.

• At Least 2 means of egress per Story / Section ?

  Yes

  No

  N/A

• Single means of egress for low or ordinary hazard area as long as distance to the egress is no more than 50 feet in a non-sprinkled area or 100 feet in a sprinkled area.

  Yes

  No

  N/A

03.41.03 Are exit routes marked by a readily visible sign with the following attributes: 1) continuously illuminated by an exterior or internal light, 2) letter are at least 6 inches tall, 2 inches wide and 3/4th inch thick and 3) the directional indictor (if present) must be able to be seen 40 feet away?

• If you are standing in a room or area and the lights go out, can you easily find your way out? Are the direction of travel and exit locations obvious?

• Emergency Lights Sufficient ?

  Yes

  No

  N/A

• Exit Signs Meet NFPA Guidelines ?

  Yes

  No

  N/A

• All exits are marked and any doors or passageways that may be confused as exits are marked 'not an exit' or by purpose.

  Yes

  No

  N/A

03.41.04 Does the facility have emergency lighting for every exit stair, aisle, corridor, ramp and passageway?

• Verify on walkthrough inspection.

• Stairs ?

  Yes

  No

  N/A

• Aisles ?

  Yes

  No

  N/A

• Passageways ?

  Yes

  No

  N/A

• Completed By:

  Sign