TDIndustries Facilities Annual Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Records and Documentation at facility site.

• TDIndustries Safety & Loss Control manual available?

  Yes

  No

  N/A

• Project Safety Coordinator assigned to facility?

  Yes

  No

  N/A

• Required Postings?

  Yes

  No

  N/A

• Summary of Injury and illnesses OSHA 300A if applicable time of year?

  Yes

  No

  N/A

• Asbestos policy?<br>

  Yes

  No

  N/A

• Energized electrical work permits?

  Yes

  No

  N/A

• Electrical rubber insulated glove testing log?

  Yes

  No

  N/A

• Hot work permits?

  Yes

  No

  N/A

• Confined space entry permits?

  Yes

  No

  N/A

• Emergency contacts and clinic locations posted?

  Yes

  No

  N/A

• Access to medical records statement posted?

  Yes

  No

  N/A

Walkways, Floors, and Wall Openings

• Are aisles and passage ways kept clear?

  Yes

  No

  N/A

• Are holes in floors and walkways covered and made safe for use?

  Yes

  No

  N/A

• Are materials stored so they do not project into the walkway?

  Yes

  No

  N/A

• Are walking surfaces kept dry and clean ?

  Yes

  No

  N/A

• Are guardrails installed where walkways are four feet above lower level?

  Yes

  No

  N/A

• Are floor openings guarded on all sides?

  Yes

  No

  N/A

• Are grates and covers of sufficient strength for foot and motor traffic?

  Yes

  No

  N/A

• Do stairs of four or more risers have handrails?

  Yes

  No

  N/A

• Do steps or stairs have a slip resistant surface or edge?

  Yes

  No

  N/A

• Are handrails 30-34 inches above the leading edge of the surface?<br>

  Yes

  No

  N/A

• Are steps, guardrails, and platforms in good repair?

  Yes

  No

  N/A

• Is staging area clean, orderly, and easily accessible ?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Is ANSI Z87.1 approved safety eye protection used in work areas as required?

  Yes

  No

  N/A

• Are signs posted warning of potential for eye injury where flying particles can be present?

  Yes

  No

  N/A

• Are gloves, shields, aprons, or other means provided for protection against cuts, corrosives, and chemicals?

  Yes

  No

  N/A

• Are hard hats provided and used when needed?

  Yes

  No

  N/A

• Are required safety shoes used while at work?

  Yes

  No

  N/A

• Is electrical protection available when working around or with electricity ?

  Yes

  No

  N/A

• Is hearing protection provided for high noise areas?

  Yes

  No

  N/A

• Are signs posted where hearing protection is required?

  Yes

  No

  N/A

• Is damaged PPE replaced in a timely manor ?

  Yes

  No

  N/A

• Is PPE stored and kept clean when not in use?

  Yes

  No

  N/A

• Are face shields used where workers are exposed to potential face injuries?

  Yes

  No

  N/A

• Are Partners required to wear PPE that is appropriate for the assigned work?

  Yes

  No

  N/A

• Are body harnesses and lanyards provided?

  Yes

  No

  N/A

• Have workplace hazard assessments been made to determine required PPE? Is it documented?

  Yes

  No

  N/A

• Have all workers been trained on PPE use, limitations, and maintenance? And certified for use if applicable?

  Yes

  No

  N/A

• Does the supervisor enforce the use of PPE?

  Yes

  No

  N/A

Elevated Surfaces

• Are platform areas guarded with rails and a 4 inch toe board in place for protection?

  Yes

  No

  N/A

• Is a means of access and egress provided to elevated surfacese?

  Yes

  No

  N/A

• Is material on elevated surfaces stored in a safe manner?

  Yes

  No

  N/A

Emergency Equipment

• Are fire alarms inspected annually?

  Yes

  No

  N/A

• Are fire doors and shutters operational and in good condition?

  Yes

  No

  N/A

• Are sprinkler systems checked and records kept?

  Yes

  No

  N/A

• Are fire extinguishers located where needed?

  Yes

  No

  N/A

• Are portable fire extinguishers inspected and tagged at least annually?

  Yes

  No

  N/A

Exit, Means of Egress, and Evacuation

• Are all exits marked with a sign and lighted?

  Yes

  No

  N/A

• Are the directions to exits marked with proper signage?

  Yes

  No

  N/A

• Are letters on exit signs at least 6" high and 3/4" wide?

  Yes

  No

  N/A

• Are all exit doors unlocked, accessible, and free of obstructions while the building is occupied?

  Yes

  No

  N/A

• Is lighting in stairwells adequate?

  Yes

  No

  N/A

• Does the customer have a written emergency action plan?

  Yes

  No

  N/A

• Have employees been trained to recognize alarm systems and emergency routes?

  Yes

  No

  N/A

• Have designated safe areas outside and inside the buildings been established?

  Yes

  No

  N/A

• Have the escape routes to the designated areas been documented and posted in the buildings?

  Yes

  No

  N/A

• Has an emergency contacts list been documented and posted?

  Yes

  No

  N/A

• Are fire and emergency procedures current, posted, and workers aware of the procedures to follow?

  Yes

  No

  N/A

• Have employees been trained in the action they are to take in the event of an emergency?

  Yes

  No

  N/A

• Has an emergency drill been conducted within the past 12 months?

  Yes

  No

  N/A

Ladders

• Are the correct type of ladders available for the performance of all job tasks at the facility?

  Yes

  No

  N/A

• Are ladders maintained in good condition and inspected daily by workers prior to use?

  Yes

  No

  N/A

• Are ladders found to have defects removed from service ?

  Yes

  No

  N/A

• Are ladder inspections conducted monthly and documented using the Ladder Inspection Log?

  Yes

  No

  N/A

• Have workers been trained in proper ladder selection, use, and inspection before use?

  Yes

  No

  N/A

• Is all ladder training properly documented?

  Yes

  No

  N/A

Tools and Power Equipment

• Are all tools in good working condition?

  Yes

  No

  N/A

• Are tool handles free from taped repair?

  Yes

  No

  N/A

• Are workers prohibited from using chipped or cracked tools?

  Yes

  No

  N/A

• Have tools with split, broken, or loose handles been repaired or replaced?

  Yes

  No

  N/A

• Are tools and materials stored neatly and safely?

  Yes

  No

  N/A

• Do power tools have proper safety guards?

  Yes

  No

  N/A

• Are all belts, pulleys, chains, and sprockets guarded?

  Yes

  No

  N/A

• Are fans guarded?

  Yes

  No

  N/A

• Is GFCI protection used on temporary circuits?

  Yes

  No

  N/A

• Is GFCI protection used where water or moisture is present?

  Yes

  No

  N/A

• Have periodic inspections of GFCI protection been performed?

  Yes

  No

  N/A

• Are hand grinders used with proper guards in place?

  Yes

  No

  N/A

• Is the tool rest adjusted to 1/8" of the wheel and 1/4" or less from tongue guard on bench grinders?

  Yes

  No

  N/A

• Do side guards cover nut, spindle, and 75% of the wheel?

  Yes

  No

  N/A

• Are bench and pedestal grinders securely mounted?

  Yes

  No

  N/A

• Are goggles and face shields used and warning signs posted?

  Yes

  No

  N/A

• Are cables on all hoisting equipment checked and replaced as needed?

  Yes

  No

  N/A

Air Compressors and Compressed Air

• Are compressors equipped with relief valves and pressure gauges?

  Yes

  No

  N/A

• Are warnings posted for the automatic starting feature?

  Yes

  No

  N/A

• Is the belt drive system guarded?

  Yes

  No

  N/A

• Are compressed air receivers periodically drained of moisture and oil?

  Yes

  No

  N/A

• Are maintenance records kept and up to date?

  Yes

  No

  N/A

Welding, Cutting, and Brazing

• Have designated areas been established for welding, cutting, and brazing activities at the facility?

  Yes

  No

  N/A

• Are proper precautions taken to remove or shield flammable / combustible materials within a 35 foot radius?

  Yes

  No

  N/A

• Are adequate eye and skin provided to protect workers?

  Yes

  No

  N/A

• Is adequate ventilation provided during welding, cutting, and brazing activities?

  Yes

  No

  N/A

• Is welding, cutting, and brazing equipment periodically inspected?

  Yes

  No

  N/A

• Are fire extinguishers available and ready for immediate use at the facility?

  Yes

  No

  N/A

• Are fire watches used?

  Yes

  No

  N/A

• If welding, cutting, or brazing is performed in confined spaces is the confined space entry program followed?

  Yes

  No

  N/A

• Is the hot work permit policy properly observed and adhered to?

  Yes

  No

  N/A

• Is the key attached to all B-Tanks?

  Yes

  No

  N/A

• Are proper check valves installed on oxygen acetylene equipment?

  Yes

  No

  N/A

• Are oxygen and acetylene containers stored upright and separated by 20' or by a half hour fire rated wall at least 5' in height?

  Yes

  No

  N/A

• Are welding electrodes removed from holders when not in use?

  Yes

  No

  N/A

• Have all workers been trained to their level of participation in the welding, cutting, and brazing program?

  Yes

  No

  N/A

• Are all worker training records complete and documented?

  Yes

  No

  N/A

Lock Out / Tag Out

• Are workers provided proper lock out tag out equipment?

  Yes

  No

  N/A

• Are workers required to keep personal control of key(s)?

  Yes

  No

  N/A

• Is all equipment capable of receiving lock out / tag out devices?

  Yes

  No

  N/A

• Are the locks provide different and distinguishable from other locks used at the facility?

  Yes

  No

  N/A

• Have shutdown and isolation procedures been developed for equipment with more than one energy source?

  Yes

  No

  N/A

• If subcontractors perform lock out tag out at the facility is a PTSP required?

  Yes

  No

  N/A

• Has training for "affected" and "authorized" workers been completed and documented?

  Yes

  No

  N/A

• Has annual inspection been documented on the " periodic lock out tag out inspection record"?

  Yes

  No

  N/A

Permit Required Confined Space Entry

• Has an evaluation been performed to identify any permit required confined spaces?

  Yes

  No

  N/A

• Have confined space hazards been identified, evaluated, and documented?

  Yes

  No

  N/A

• Are workers trained in permit required confined space procedures?

  Yes

  No

  N/A

• Are entry permits utilized?

  Yes

  No

  N/A

• Is proper PPE and air monitoring equipment available ?

  Yes

  No

  N/A

• Are air monitors calibrated?

  Yes

  No

  N/A

• Have confined space rescue and emergency procedures been developed and documented?

  Yes

  No

  N/A

• Is the proper rescue equipment available?

  Yes

  No

  N/A

• Have off-site rescue services been informed of the confined space hazards at this location ?

  Yes

  No

  N/A

• Have on-site rescue personnel been trained in the rescue procedures?

  Yes

  No

  N/A

• Is all required confined space training been completed and documented?

  Yes

  No

  N/A

• Are rescuers trained in CPR/First Aid/AED?

  Yes

  No

  N/A

• Are permits being kept on file for one year?

  Yes

  No

  N/A

Flammables and Combustibles

• Are flammable or combustible liquids used or stored at this site?

  Yes

  No

  N/A

• Are proper containers with labels used for storage of flammable liquids?

  Yes

  No

  N/A

• Are bonding and grounding cables available for use when transferring flammable liquids?

  Yes

  No

  N/A

• Are flammable and combustible materials moved from receiving areas within 6 hours of receipt?

  Yes

  No

  N/A

• Are empty containers kept in approved storage areas until proper disposal occurs?

  Yes

  No

  N/A

• Are storage areas properly ventilated?

  Yes

  No

  N/A

• Are the contents of all containers clearly identified on the container?

  Yes

  No

  N/A

• Are approved safety cans used to store, distribute, dispense, and collect class 1 and 2 liquids?

  Yes

  No

  N/A

• Are approved safety cans labeled to identify contents and colored bright red?

  Yes

  No

  N/A

• Is storage of flammable liquids prohibited within 10 feet of means of egress?

  Yes

  No

  N/A

• Are no smoking and danger signs used when needed?

  Yes

  No

  N/A

• Are non-flammable solvents, corrosives, oxidizing and toxic materials stored at least 20' from flammables?

  Yes

  No

  N/A

• Are fire extinguishers available within 75 feet of outside and 10 feet inside of inside storage areas?

  Yes

  No

  N/A

• Are appropriate lockers or containers used for storage?

  Yes

  No

  N/A

• Are flammable liquids storage cabinets painted yellow and labeled "flammable -keep fire away" in red?

  Yes

  No

  N/A

• Are three or fewer flammable liquids cabinets located in a single fire area?

  Yes

  No

  N/A

• Have workers been trained in the flammable and combustible liquids program?

  Yes

  No

  N/A

• Has all training been documented?

  Yes

  No

  N/A

Hazard Communication

• Does this facility have a written hazard communication program ?

  Yes

  No

  N/A

• Is the chemical inventory log current and accurate?

  Yes

  No

  N/A

• Are all chemical containers properly labeled?

  Yes

  No

  N/A

• Are SDS available for Partners?

  Yes

  No

  N/A

• Is proper PPE available?

  Yes

  No

  N/A

• Is an eyewash station available around corrosive chemicals?

  Yes

  No

  N/A

• Are eating and drinking prohibited in hazardous areas?

  Yes

  No

  N/A

• Are subcontractors required to provide information on chemicals they plan to bring to the facility?

  Yes

  No

  N/A

• Have all Partners received Hazard Communication and GHS training?

  Yes

  No

  N/A

• Are workers given chemical specific training on chemicals they are working with?

  Yes

  No

  N/A

Occupational Noise

• Do workers use hearing protection in high noise areas?

  Yes

  No

  N/A

• Are "Hearing Protection Required" signs posted at entry to areas with noise levels 85dBA or greater?

  Yes

  No

  N/A

• Are workers given a choice of hearing PPE?

  Yes

  No

  N/A

• Have workers been trained in the proper use of hearing PPE?

  Yes

  No

  N/A

Electrical

• Are cords with exposed wiring, damaged insulation, frays, or taped splices removed from service?

  Yes

  No

  N/A

• Are energized parts guarded against accidental contact?

  Yes

  No

  N/A

• Are boxes, plugs, switches, and fittings properly covered?

  Yes

  No

  N/A

• Are electrical panels marked " Danger High Voltage"?

  Yes

  No

  N/A

• Are extension cords prohibited from being used as permanent wiring?

  Yes

  No

  N/A

• Is protective equipment available for working on energized systems?

  Yes

  No

  N/A

• Are only "qualified persons" allowed to work near energized equipment?

  Yes

  No

  N/A

• Are digital or analog meters available for testing circuits?

  Yes

  No

  N/A

• Are workers prohibited from wearing metal jewelry when working near energized parts?

  Yes

  No

  N/A

• Are electrical equipment and areas properly labeled with warning signs and markings?

  Yes

  No

  N/A

• Are temporary lights equipped with guards to prevent accidental contact with the bulb?

  Yes

  No

  N/A

• Are GFCI's used by workers when portable electrical equipment is used?

  Yes

  No

  N/A

• Are GFCI's used when water or moisture is present?

  Yes

  No

  N/A

• Is the use of metal ladders prohibited when working on or near energized electrical parts?

  Yes

  No

  N/A

• Has the EEW permit been completed prior to performing energized electrical work?

  Yes

  No

  N/A

• Have the EEW permits been documented and filed for a period of at least one year?

  Yes

  No

  N/A

• Are electrical rubber insulated gloves sent in for testing at least every 6 months?

  Yes

  No

  N/A

• Is the electrical rubber insulated gloves testing log current and kept up to date?

  Yes

  No

  N/A

• Are double triangle 1000V insulated tools used for working on energized parts?

  Yes

  No

  N/A

• Do "qualified persons" have a current EEW badge?

  Yes

  No

  N/A

• Have workers been trained in the Energized Electrical Work Program?

  Yes

  No

  N/A

• Is Energized Electrical Work program training properly documented?

  Yes

  No

  N/A

Blood Borne Pathogens

• Is a written blood borne pathogens program complete and current?

  Yes

  No

  N/A

• Has an exposure assessment been completed as to job tasks and exposure risks?

  Yes

  No

  N/A

• Are first aid kits readily available at this facility?

  Yes

  No

  N/A

• Is an infection control kit available for cleanup of potentially infectious materials?

  Yes

  No

  N/A

• Are proper disposal containers or plastic biohazard bags available?

  Yes

  No

  N/A

• Are disposal containers or plastic bags properly labeled with the biohazard symbol?

  Yes

  No

  N/A

• Have Hepatitis B vaccinations been offered to workers with potential exposure?

  Yes

  No

  N/A

• Has blood borne pathogens training been conducted for all workers?

  Yes

  No

  N/A

• Is blood borne pathogens training properly documented?

  Yes

  No

  N/A

Respirator Protection

• Have workers been given a medical evaluation prior to assignment to job tasks requiring respirators?

  Yes

  No

  N/A

• Have all respirator users had their medical status reviewed on at least an annual basis?

  Yes

  No

  N/A

• Have all respirator users been fit-tested in accordance with the written program?

  Yes

  No

  N/A

• Are all respirator users trained in how to properly inspect, clean, maintain, and wear the respirator?

  Yes

  No

  N/A

• Are all respirator users trained on the hazards they are exposed to, and the potential adverse effects?

  Yes

  No

  N/A

• Is all respirator training properly documented?

  Yes

  No

  N/A

• Are all medical evaluations and fit-testing records properly maintained?

  Yes

  No

  N/A

• If there are SCBAs at the facility are they inspected monthly?

  Yes

  No

  N/A

Compressed and Liquefied Gasses

• Is leak testing equipment available? (Soap solution, gas meters, etc.)

  Yes

  No

  N/A

• Are cylinder storage areas designated and properly labeled?

  Yes

  No

  N/A

• Are all cylinders properly labeled?

  Yes

  No

  N/A

• Are hoses used in compressed gas service inspected every three months?

  Yes

  No

  N/A

• Is each hose inspection properly documented?

  Yes

  No

  N/A

• Are cylinders stored upright and secured to a fixed object or cart to prevent accidental tipping?

  Yes

  No

  N/A

• Are cylinders kept away from heat sources?

  Yes

  No

  N/A

• Have workers performing leak testing on cylinders been properly trained?

  Yes

  No

  N/A

• Have workers delivering, storing, handling, and using compressed gasses been properly trained?

  Yes

  No

  N/A

• Has training been properly documented?

  Yes

  No

  N/A

Material Handling

• Have the job tasks which involve material handling been evaluated?

  Yes

  No

  N/A

• Are adequate mechanical aids, such as hand trucks or carts available for use by workers?

  Yes

  No

  N/A

• Are isles and hallways kept clean, clear, and free of debris and spills?

  Yes

  No

  N/A

• Where possible, have engineering and / or administrative controls been used to reduce worker exposure?

  Yes

  No

  N/A

• Has training in better lifting techniques been provided?

  Yes

  No

  N/A

• Has better lifting techniques training been properly documented?

  Yes

  No

  N/A

Excavations

• Utility company contacted prior to excavation work to determine underground utility exposure?

  Yes

  No

  N/A

• Are barricades installed when mobile equipment is working within six feet of excavation ?

  Yes

  No

  N/A

• Are all trenches and excavations deeper than five feet sloped, shored, braced, benched, or shielded?

  Yes

  No

  N/A

• Are ladders positioned every twenty five feet for means of egress and access in trenches four feet deep or deeper?

  Yes

  No

  N/A

• Has a daily inspection been completed prior to entering the excavation by a competent person?

  Yes

  No

  N/A

• Has a soil classification been determined before entering the excavation?

  Yes

  No

  N/A

Scaffolds

• Has the scaffold been erected by a competent person?

  Yes

  No

  N/A

• Is the scaffold erected on a flat and level surface?

  Yes

  No

  N/A

• Is the scaffold capable of supporting four times the maximum intended load?

  Yes

  No

  N/A

• Are guard rails, bracing, and toe boards installed on all exposed sides of scaffolding ten feet high or higher?

  Yes

  No

  N/A

• Is wire mesh installed between toe boards and guard rails if workers or public can access under scaffold?

  Yes

  No

  N/A

• Is the scaffold equipped with with an access ladder or equivalent?

  Yes

  No

  N/A

• Is each platform on all working levels of scaffolds fully planked or decked?

  Yes

  No

  N/A

• Are workers prohibited from working on scaffolds with slippery surfaces?

  Yes

  No

  N/A

• Is adequate fall protection provided for workers when erecting or dismantling supported scaffolds?

  Yes

  No

  N/A

• Is the top rail height on scaffolds between 38-45 inches above the platform surface?

  Yes

  No

  N/A

Driver Safety

• Do workers that operate a company insured vehicle have a current valid driver's license?

  Yes

  No

  N/A

• Have workers received driver safety training prior to operating a company insured vehicle ?

  Yes

  No

  N/A

• Have qualified workers received commentary drives from a qualified company driving instructor?

  Yes

  No

  N/A

• Are all driver safety training records documented?

  Yes

  No

  N/A

Facility Evaluation

• Is a complete safety evaluation performed on at least an annual basis?

  Yes

  No

  N/A

• Are records of the safety evaluations properly maintained at the facility?

  Yes

  No

  N/A

• Have corrective actions been taken to eliminate or mitigate the hazards noted on the evaluation report?

  Yes

  No

  N/A

Training - Has training been completed for all workers in the following:

• OSHA 10 hour

  Yes

  No

  N/A

• CPR / First Aid / AED

  Yes

  No

  N/A

• Electrical Safety and EEW

  Yes

  No

  N/A

• Lock Out Tag Out

  Yes

  No

  N/A

• Back Injury Prevention

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Ladder Safety

  Yes

  No

  N/A

• Fall Protection

  Yes

  No

  N/A

• Scaffolding

  Yes

  No

  N/A

• Excavations

  Yes

  No

  N/A

• Smith Driving System

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• Hot Work

  Yes

  No

  N/A

• Respirator Protection

  Yes

  No

  N/A

• Power and Hand Tools

  Yes

  No

  N/A

• Personal Protective Equipment

  Yes

  No

  N/A

• Flammables and Combustibles

  Yes

  No

  N/A

• Compressed and Liquid Gasses

  Yes

  No

  N/A

• Blood borne pathogens

  Yes

  No

  N/A

• Hazard Cmmunication

  Yes

  No

  N/A

• Injury Reporting

  Yes

  No

  N/A