Titan Tricounty Small Group Inspection

• Audit Title

• Department / Area Inspected

• Conducted on

  Date
• Plant Location
  Address

• Personnel

• Prepared by

  Sign

Housekeeping

• Is the landscaping being done where it is required?

  Yes

  No

  N/A

• Are the drip pans being cleaned?

  Yes

  No

  N/A

• Floor surfaces clean/dry? Free of materials ( Slip and fall hazards)

  Yes

  No

  N/A

• Are office work space clean and orderly?

  Yes

  No

  N/A

• Are all aisles/pathways clear?

  Yes

  No

  N/A

• Equipment Access clear of obstructions such as trash, tools, etc?

  Yes

  No

  N/A

• Is the office appliances clean and working?

  Yes

  No

  N/A

• Is the Driver breakroom appliances clean and working?

  Yes

  No

  N/A

• Work areas/platforms/stairs clean?

  Yes

  No

  N/A

• Are all trash bins emptied or not running over with trash

  Yes

  No

  N/A

• Are Driver breakroom areas clean and orderly?

  Yes

  No

  N/A

• Are there any additional findings?

  Yes

  No

  N/A

Signage around the location

• Is there any signs that need replacing or put in place?

  Yes

  No

  N/A

Electrical Items

• Floor and Pathways clear of drop cords?

  Yes

  No

  N/A

• Wiring / Temporary extension cords in good shape? (No worn insulation)

  Yes

  No

  N/A

• Temporary wiring / flexible cord properly used?

  Yes

  No

  N/A

• Are bin indicator lights and horns working?

  Yes

  No

  N/A

• Junction boxes in good shape?

  Yes

  No

  N/A

• Power panels accessible and labeled ?

  Yes

  No

  N/A

• Conduit or connections are free from exposed wires or damage?

  Yes

  No

  N/A

• All cords have the required ground prong?

  Yes

  No

  N/A

• Are all outlets wired properly? (No loose ground, hot/neutral not reversed)

  Yes

  No

  N/A

• Are there is additional items of concern?

  Yes

  No

  N/A

Machine Nip-Points

• Are all area guards affixed ?

  Yes

  No

  N/A

• All return idlers (under conveyors) guarded?

  Yes

  No

  N/A

• All conveyor Nip-Points guarded?

  Yes

  No

  N/A

• All rotating shafts guarded (including those with keyway / notch / etc)?

  Yes

  No

  N/A

• All safety devices (E-stops, pull cords) fully operational when testing?

  Yes

  No

  N/A

• Are the Dust collectors functioning?

  Yes

  No

  N/A

• All start / stop devices functioning?

  Yes

  No

  N/A

• All other Nip-Points guarded?

  Yes

  No

  N/A

LOTOTO & Confined Space (if observed)

• Are LOTOTO procedures posted as appropriate?

  Yes

  No

  N/A

• Is LOTOTO being applied for maintenance activities observed?

  Yes

  No

  N/A

• For group LOTOTO (more than one employee in the machine,) is each employee applying their own lock?

  Yes

  No

  N/A

• Do the locks / tags identify the employee(s) involved?

  Yes

  No

  N/A

• For confined space entries observed, are permits completed and safety precautions taken as required(If observed)?

  Yes

  No

  N/A

Personal Protective Equipment

• Is there PPE Inventory in stock in the safety cabinet?

  Yes

  No

  N/A

• Are employees wearing hearing protection where required?

  Yes

  No

  N/A

• Wearing foot protection where required?

  Yes

  No

  N/A

• Wearing head protection where required?

  Yes

  No

  N/A

• Wearing reflective equipment (ie. vests or tape) as required?

  Yes

  No

  N/A

• Wearing respirators as required in production areas?

  Yes

  No

  N/A

• All employees wearing proper eye protection?

  Yes

  No

  N/A

• Wearing proper hand protection where required?

  Yes

  No

  N/A

• Wearing Fall Equipment (ie. harness) where required?

  Yes

  No

  N/A

• Personal Fall Protection properly used and in good condition (ie. gloves no holes / safety glasses not broken / hard hats properly worn)?

  Yes

  No

  N/A

Stairs / Steps / Ladders / Access to & Work Platforms

• Stairs / access / rungs safe and secure?

  Yes

  No

  N/A

• Handrails in place where required?

  Yes

  No

  N/A

• Are all hand rails in good shape (secured and stable)?

  Yes

  No

  N/A

• Have all ladders been inspected and in safe usable condition?

  Yes

  No

  N/A

• Are ladders stored correctly?

  Yes

  No

  N/A

• Elevated work platforms secure and safe?

  Yes

  No

  N/A

• All runways / pathways safe and uncluttered?

  Yes

  No

  N/A

• Fall Protection adequate for elevated maintenance activities (if observed)?

  Yes

  No

  N/A

Exits

• Access to exits clear and unobstructed? (No exit doors blocked)

  Yes

  No

  N/A

• Exits adequately marked / lighted?

  Yes

  No

  N/A

• Emergency lights all working properly and tested?

  Yes

  No

  N/A

• Emergency evacuation plan posted?

  Yes

  No

  N/A

Material Storage

• Is all ground storage bins labeled properly?

  Yes

  No

  N/A

• Are aisles (means of egress) free of materials?

  Yes

  No

  N/A

• Is material stacked at an appropriate height?

  Yes

  No

  N/A

• Is stacked material level and stable?

  Yes

  No

  N/A

• Material stored for safe access / retrieval?

  Yes

  No

  N/A

• Are all cement silo caps in place?

  Yes

  No

  N/A

• Are all cement silos labeled and painted properly?

  Yes

  No

  N/A

Equipment / Tools / Welding / Cutting

• Tools in safe condition?

  Yes

  No

  N/A

• Tools being used as intended?

  Yes

  No

  N/A

• Hazardous and/or flammable materials stored / used safely?

  Yes

  No

  N/A

• Gas / oxygen cylinders handled and/or stored safely? (Chained and separated)

  Yes

  No

  N/A

• Hot work permits used for non routine welding (ie. outside the maintenance shop, near flammables, in production near employees, etc)?

  Yes

  No

  N/A

Forklift / FEL Operations

• Is the forklift being greased and kept cleaned during the inspection?

  Yes

  No

  N/A

• Is the Front End Loader being greased and kept cleaned during the inspection?

  Yes

  No

  N/A

• Daily safety checks completed with defects noted (forklifts)?

  Yes

  No

  N/A

• Daily safety checks completed with defects noted (front end loader)?

  Yes

  No

  N/A

• Brakes / handbrakes fully operational and safe?

  Yes

  No

  N/A

• Dock plates / chocks used when needed?

  Yes

  No

  N/A

• Horns fully operational and used?

  Yes

  No

  N/A

• Traveling at safe speeds / safely?

  Yes

  No

  N/A

• Unattended forklifts properly set (brake set, forks lowered, engine off)?

  Yes

  No

  N/A

• Loading of trailers/Dump trucks safely / properly?

  Yes

  No

  N/A

• Data plates legible?

  Yes

  No

  N/A

• Mirrors cleaned and adjusted for blind corners?

  Yes

  No

  N/A

Material Handling Systems

• Is the loading ramp in safe condition?

  Good

  Fair

  Poor

  N/A

• Is the material overhead bin system working properly?

  Yes

  No

  N/A

• Is the conveyor belts tracking properly?

  Yes

  No

  N/A

• Is the loading hopper is good working condition?

  Yes

  No

  N/A

Chemicals

• All drums / containers of chemicals properly labeled?

  Yes

  No

  N/A

• Good ventilation where chemicals are used / stored?

  Yes

  No

  N/A

• Are SDS sheets available and accessible to employees?

  Yes

  No

  N/A

• Are all eye wash stations working / accessible?

  Yes

  No

  N/A

Environment

• Is the reclaimer area being maintained properly?

  Good

  Fair

  Poor

  N/A

• Are there spill kits available if needed?

  Yes

  No

  N/A

• There is no unusual amount of fugitive dust?

  Yes

  No

  N/A

• Local exhaust ventilation, (duct work) attached and functioning?

  Yes

  No

  N/A

• Is lighting adequate?

  Yes

  No

  N/A

• Are runoff pounds clean ?

  Yes

  No

  N/A

• Are runoff traps clean and free of sludge?

  Yes

  No

  N/A

• Are all environment permits in place?

  Yes

  No

  N/A

Inventory Files

• Is the material calculator being used?

  Yes

  No

  N/A

• Are the physical inventory count sheets being used (Bin sizes)?

  Yes

  No

  N/A

• Are the Loader Operator reclaimer material Sheet being used ?

  Yes

  No

  N/A

• Are the Admix count sheet being used?

  Yes

  No

  N/A

• Stamp clock is in a secure location and has the correct time?

  Yes

  No

  N/A

• Are the fuel count sheet being used?

  Yes

  No

  N/A

• Are Signature Stamp for Plant location is in place?

  Yes

  No

  N/A

• Are the inventory count sheets being sign off on?

  Yes

  No

  N/A

DOT Files

• Are all required DOT files in there proper location?

  Yes

  No

  N/A

• Are cookouts being done?

  Yes

  No

  N/A

• Are all calibrations up to date?

  Yes

  No

  N/A

• Is there proper water coverage on the rock stock piles?

  Yes

  No

  N/A

Truck Inspection

• Is the camera system working in the truck?

  Yes

  No

  N/A

• Is the Trackit tablet working properly?

  Yes

  No

  N/A

• is there a fire extinguisher in place if needed?

  Yes

  No

  N/A

• Inside of cab area clean of debris ?

  Yes

  No

  N/A

• Out side of cab free from buildup?

  Yes

  No

  N/A

• All drums inspected are free from buildup?

  Yes

  No

  N/A

• All tires/tireboss system inspected and free from defects?

  Yes

  No

  N/A

• Truck Defective sheets being done daily?

  Yes

  No

  N/A

Attach any additional finds......

• Are there any items that require attention that has not been notated above?

• Inspector Name

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• Inspector Name

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• Reviewer Signature

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• Reviewer Signature

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