Van - Sand & Gravel

• Van- sand & gravel

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FFE 1. Risk Assessment

• Risk Assessment being completed?

  Yes

  No

  N/A

• Check Manual

• Take photo of Risk Assessment

  Media

Control House - Scale

• Emergency phone numbers posted?

  Yes

  No

  N/A

• Smoke detectors working properly?

  Yes

  No

  N/A

• First Aid Kits Stocked?

  Yes

  No

  N/A

• Stairs and handrails in good working condtion?

  Yes

  No

  N/A

• Radio communication with loader and ground employees?

  Yes

  No

  N/A

• SDS manual up to date?

  Yes

  No

  N/A

• Check one product and make sure its up to date in manual.

• Monthly Fire extinguishers inspection log?

  Yes

  No

  N/A

• Housekeeping Good?

  Yes

  No

  N/A

• Plant horn works for start ups? I

  Yes

  No

  N/A

• Traffic Flow sign posted where it can be seen by customers?

  Yes

  No

  N/A

• Pedestrian Segregation plan in place?

  Yes

  No

  N/A

• Windows clear, no obstructions to silos or loadout?

  Yes

  No

  N/A

FFE 9. Use of Personal Protective Equipment

• Hard Hat being used?

  Yes

  No

  N/A

• Hi-Viz Safety Vest / Shirt - Class 3 being worn?

  Yes

  No

  N/A

• Safety Glasses being used?

  Yes

  No

  N/A

• Safety Toe Boots being worn?

  Yes

  No

  N/A

• Hearing Protection used when required?

  Yes

  No

  N/A

• Face Shield used when required?

  Yes

  No

  N/A

• Proper gloves being worn when handling materials?

  Yes

  No

  N/A

• If respirators are used (other than dust masks worn on a voluntary basis) employees are medically qualified, trained and fit tested for respirator use?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

FFE 3. Isolation of Operating Machinery

• Lockout / Tagout manual up to date and being used properly?<br>

  Yes

  No

  N/A

• Valve covers and lockout equipment devices available?

  Yes

  No

  N/A

• Each employee has his own lock?

  Yes

  No

  N/A

• Arc Flash equipment in good condition. Gloves, Hardhat with Face Shield, Coveralls or uniforms Ear Plugs.

  Yes

  No

  N/A

• Document the date on the Gloves

  Yes

  No

  N/A

• Are all electrical panels,breakers and disconnect boxes labeled properly with arc flash labels?

  Yes

  No

  N/A

• Check lockout/tagout manual

Electrical Hazards

• Is electrical wiring free of damage and fraying?

  Yes

  No

  N/A

• Are extension cords in good condition?

  Yes

  No

  N/A

• Are GFCI provided on outlets around water and all extension cords?

  Yes

  No

  N/A

• 3 foot clearance around electrical boxes?

  Yes

  No

  N/A

• All electrical switches, breakers, etc. labled and warning signs posted around all electrical installations?

  Yes

  No

  N/A

FFE 5. Confined Space Entry

• Confined Space Manual in place and being used properly?

  Yes

  No

  N/A

• Confined Space Monitor being calibrated and logged? At least every two weeks?

  Yes

  No

  N/A

• All confined space areas properly labeled?

  Yes

  No

  N/A

• Check Confined Space Manual

FFE 6. Working at Heights

• All fall protection in good working condition?

  Yes

  No

  N/A

• Ladders being inspected monthly?

  Yes

  No

  N/A

• Ladders being inspected before each use?

  Yes

  No

  N/A

• Labeling / Markings on ladders legible?

  Yes

  No

  N/A

• Check ladders for damage.

• If employees are working at heights, is the area below barricaded-off half the distance they are working?

  Yes

  No

  N/A

• Barricades used under silo drop gate?

  Yes

  No

  N/A

Stairs and Walkways

• All stairs and walkways in good working condition?

  Yes

  No

  N/A

• Are fixed vertical ladders in good condition?

  Yes

  No

  N/A

• Proper height on all handrails, at least 42"

  Yes

  No

  N/A

• Swing Gates / Chains on all working platforms?

  Yes

  No

  N/A

• Toe Boards on all elevated walkways?

  Yes

  No

  N/A

Guards

• Are all moving machine parts protected from inadvertant contact and intanglement?

  Yes

  No

  N/A

Liquid AC Loading and Unloading (Mark N/A for Concrete Plants)

• Hose and Coupling in good working condition?

  Yes

  No

  N/A

• Wheel chocks in good working condition?

  Yes

  No

  N/A

• Unloading sign in place and legible?

  Yes

  No

  N/A

• Haulers wearing proper PPE and following APAC procedures?

  Yes

  No

  N/A

Equipment

• Daily pre-use equipment inspections being done?

  Yes

  No

  N/A

• Check one piece of equipment

• Take picture of equipment and unit number

  Media

• Is the equipment operator qualified?

  Yes

  No

  N/A

• Are good house keeping practices employed in cab of equipment?

  Yes

  No

  N/A

• Seat and seat belt in good working condition?

  Yes

  No

  N/A

• Mirror adjusted properly and good working condition?

  Yes

  No

  N/A

• Back up alarm working proplery?

  Yes

  No

  N/A

• Check decibles 15' foot behind equipment - Above 90 dbs?

• Access steps and railing in good working condtion?

  Yes

  No

  N/A

• Are parking brakes capable of holding mobile equipment with typical load on max grade?

  Yes

  No

  N/A

Conveyance and storage of materials under pressure

• All compressed gas cyclinders secured in safe manner and properly capped when not in use?

  Yes

  No

  N/A

• Are oxygen clyinders stored from flammable materials and at least 25 feet from flammable gas cylinders?

  Yes

  No

  N/A

• Annual inspsection done on all pressure vessels/compressors?

  Yes

  No

  N/A

• Does all high pressure lines have the approved high pressure clamp? No raditor clamps?

  Yes

  No

  N/A

• Is compressed air used for cleaning purposes regulated to 30 pounds?

  Yes

  No

  N/A

• Are storage areas for cylinder bottles labled, "Full" and "Empty"?

  Yes

  No

  N/A

Lifting Operations

• All lifting implements such as straps, cables and chains have their load limit identified, as applicable?

  Yes

  No

  N/A

• All safety latches in place?

  Yes

  No

  N/A

• The objects the employees lift regularly weigh less than 50 lbs?

  Yes

  No

  N/A

Fire Protection

• Are no smoking signs/labels posted around flammable materials?

  Yes

  No

  N/A

• Flammable liquids stored an approved safety can and containers?

  Yes

  No

  N/A

• Are all spills properly handled?

  Yes

  No

  N/A

Unsafe Behavior

• All CRH FFE's being observed/safe behaivor observed during this audit?

  Yes

  No

  N/A

• Other / Notes

  Safe

  At Risk

  N/A

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