WISCO - Occupational Program Assessment

• Unit:

  Select

• Document No.

• Date Assessment Started

  Date

• Unit Commander (Rank, Full Name)

• Unit Safety Representative Facilitating Inspection (Rank, Name)

• Report Prepared by

• The Units mishap prevention program conformance and effectiveness under the systemic processes of the AFSMS is:

  Select Met and Effective Met but Needs Minor Improvement(s) Met but Needs Significant Improvement(s) Was Not Effective N/A

  • Met and Effective
  • Met but Needs Minor Improvement(s)
  • Met but Needs Significant Improvement(s)
  • Was Not Effective
  • N/A

• Commander's Support of Safety

  Aggressively Supports

  Moderately Supports

  Little Support

• Unit Supervisor's Support of Safety

  Aggressively Supports

  Moderately Supports

  Little Support

• Mishap experience and trends:

• Mishap Program Recommendations for improvement and/or compliance:

OCCUPATIONAL

• DAFMAN 91-203, Air Force Occupational
  Safety, Fire and Health Standards

• DAFI 91-202, The US Air Force Mishap
  Prevention Program

• ARCNET PERFORMANCE

  

• Select Checklist(s) to run:

  Select JSTO Risk Management Personal Protective Equipment (PPE) Confined Space Fall Protection HAZCOM Program Hazardous Energy Control Material Handling Equipment Training for LSV/GVO/GMV Effectiveness of Mishap Prevention Programs Supervisor Responsibilities Safety Promotion USR Responsibilities MSR Responsibilities CC Involvement

  • JSTO
  • Risk Management
  • Personal Protective Equipment (PPE)
  • Confined Space
  • Fall Protection
  • HAZCOM Program
  • Hazardous Energy Control
  • Material Handling Equipment
  • Training for LSV/GVO/GMV
  • Effectiveness of Mishap Prevention Programs
  • Supervisor Responsibilities
  • Safety Promotion
  • USR Responsibilities
  • MSR Responsibilities
  • CC Involvement

Job Safety Training Outline (JSTO)

• JSTO Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Has each work center/shop supervisor created a work center-specific JSTO based on AFI 91-202 and OSHA requirements? AFI 91-202, Para. 1.6.28.7. 29 CFR 1960.59(a)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1960.59(a) Each agency shall provide appropriate safety and health training for employees including specialized job safety and health training appropriate to the work performed by the employee, for example: Clerical; printing; welding; crane operation; chemical analysis, and computer operations. Such training also shall inform employees of the agency occupational safety and health program, with emphasis on their rights and responsibilities.
  1960.59(b) Occupational safety and health training for employees of the agency who are representatives of employee groups, such as labor organizations which are recognized by the agency, shall include both introductory and specialized courses and materials that will enable such groups to function appropriately in ensuring safe and healthful working conditions and practices in the workplace and enable them to effectively assist in conducting workplace safety and health inspections. Nothing in this paragraph shall be construed to alter training provisions provided by law, Executive Order, or collective bargaining arrangements

• 1.6.28.7. Develop a work center-specific JSTO based on paragraph 14.1 on safety, fire protection/prevention and health requirements. (T-0) Documents will be maintained and centrally located, readily available to supervisor and individual. (T-0) The mandatory items can be documented as one item, i.e., course code for JSTO mandatory training. Job specific items and any additional training identified in a BE survey will be documented individually, as appropriate. (T-0)

• Has work center/shop supervisor provided and documented safety training to all newly assigned individuals (i.e., PCS, PCA or work center change to include deployment) on the hazards of their job before they start work and immediately when there is a change in equipment, processes, work environment or safety, fire and health requirements? AFI 91-202, Para. 14.1.1. 29 CFR 1960.59(a)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 14.1.1. Training Requirements. Supervisors will provide and document safety training to all newly assigned individuals (i.e., PCS, PCA or work center change to include deployment) on the hazards of their job before they start work and immediately when there is a change in equipment, processes, work environment or safety, fire and health requirements. Refresher training will be conducted and documented when employees demonstrate a lack of understanding of their required safety responsibilities or training such as is called for in AFMAN 91-203, Chapter 21, Hazardous Energy Control, has a specified frequency for recurrence. (T-1)

• 1960.59(a) Each agency shall provide appropriate safety and health training for employees including specialized job safety and health training appropriate to the work performed by the employee, for example: Clerical; printing; welding; crane operation; chemical analysis, and computer operations. Such training also shall inform employees of the agency occupational safety and health program, with emphasis on their rights and responsibilities.
  1960.59(b) Occupational safety and health training for employees of the agency who are representatives of employee groups, such as labor organizations which are recognized by the agency, shall include both introductory and specialized courses and materials that will enable such groups to function appropriately in ensuring safe and healthful working conditions and practices in the workplace and enable them to effectively assist in conducting workplace safety and health inspections. Nothing in this paragraph shall be construed to alter training provisions provided by law, Executive Order, or collective bargaining arrangements

• Has the JSTO been reviewed by the supervisor at least annually and does the review documentation include the date of the review and name of the person conducting the review? AFI 91-202, Para. 14.1.1.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 14.1.1.1. Supervisors will review and update the JSTO annually and/or when there is a change in equipment, processes or safety, fire and health requirements, to include procedural input as a result of a completed JHA. JSTO reviews will be accomplished by the supervisor and documented with the date of review and the person conducting the review. Safety, fire protection and health personnel will provide technical assistance to supervisors in developing a training outline to meet AFI/AFOSH requirements. JSTOs will be reviewed by safety inspectors during the scheduled safety assessment. (T-1)

• Does the work center JSTO describe specific hazards of the job such as crushing hazards, burn hazards, chemical exposure, ladder use and falls and describe the hierarchal controls used to reduce potential hazards of the workplace? AFI 91-202, Para. 14.1.2.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 14.1.2. Mandatory Items. The Job Safety Training Outline will be developed and used by supervisors to instruct all employees on work place specific hazards upon initial assignment and when work conditions or tasks change. The items below are mandatory, minimum topics the supervisor must ensure their employees receive training on prior to performing tasks in the work center. Topics addressed by other sources can be directly referenced in the JSTO to prevent redundancy and still adequately cover the required topics. Document training as specified in paragraph 1.6.27.7.1 Deployed and installation commanders may dictate more stringent requirements. (T-1)

• 14.1.2.1. Describe hazards of the job that apply to their work place. (T-1)
  14.1.2.1.1. Specific hazards such as crushing hazards, burn hazards, chemical exposure, ladder use and falls, etc.
  14.1.2.1.2. Hazards in the work environment such as flight line issues, weather hazards, loud noises in the shop, etc.
  14.1.2.1.3. Applicable safety guidance such as TOs, job guides, JHAs, manufacturer’s instructions, etc.
  14.1.2.1.4. Describe hierarchal controls used to reduce hazard potential of these work place hazards IAW the following concepts (Refer to AFMAN 48-146 and AFPAM 90-803 for additional and detailed guidance):
  14.1.2.1.4.1. Elimination. (T-1)
  14.1.2.1.4.2. Engineering controls. (T-1)
  14.1.2.1.4.3. Substitution.(T-1)
  14.1.2.1.4.4. Administrative controls. (T-1)

• Does the JSTO describe hazards in the work environment such as flight line issues, weather hazards or loud noises in the shop and describe the hierarchal controls used to reduce potential hazards of the workplace? AFI 91-202, Para. 14.1.2.1.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 14.1.2. Mandatory Items. The Job Safety Training Outline will be developed and used by supervisors to instruct all employees on work place specific hazards upon initial assignment and when work conditions or tasks change. The items below are mandatory, minimum topics the supervisor must ensure their employees receive training on prior to performing tasks in the work center. Topics addressed by other sources can be directly referenced in the JSTO to prevent redundancy and still adequately cover the required topics. Document training as specified in paragraph 1.6.27.7.1 Deployed and installation commanders may dictate more stringent requirements. (T-1)14.1.2.1. Describe hazards of the job that apply to their work place. (T-1)
  14.1.2.1.1. Specific hazards such as crushing hazards, burn hazards, chemical exposure, ladder use and falls, etc.
  14.1.2.1.2. Hazards in the work environment such as flight line issues, weather hazards, loud noises in the shop, etc.
  14.1.2.1.3. Applicable safety guidance such as TOs, job guides, JHAs, manufacturer’s instructions, etc.
  14.1.2.1.4. Describe hierarchal controls used to reduce hazard potential of these work place hazards IAW the following concepts (Refer to AFMAN 48-146 and AFPAM 90-803 for additional and detailed guidance):
  14.1.2.1.4.1. Elimination. (T-1)
  14.1.2.1.4.2. Engineering controls. (T-1)
  14.1.2.1.4.3. Substitution.(T-1)
  14.1.2.1.4.4. Administrative controls. (T-1)

• Does the JSTO describe applicable safety guidance such as TO's, job guides, JHA's, manufacturer's instructions, etc.? AFI 91-202, Para. 14.1.2.1.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 14.1.2.1. Describe hazards of the job that apply to their work place. (T-1)
  14.1.2.1.1. Specific hazards such as crushing hazards, burn hazards, chemical exposure, ladder use and falls, etc.
  14.1.2.1.2. Hazards in the work environment such as flight line issues, weather hazards, loud noises in the shop, etc.
  14.1.2.1.3. Applicable safety guidance such as TOs, job guides, JHAs, manufacturer’s instructions, etc.
  14.1.2.1.4. Describe hierarchal controls used to reduce hazard potential of these work place hazards IAW the following concepts (Refer to AFMAN 48-146 and AFPAM 90-803 for additional and detailed guidance):
  14.1.2.1.4.1. Elimination. (T-1)
  14.1.2.1.4.2. Engineering controls. (T-1)
  14.1.2.1.4.3. Substitution.(T-1)
  14.1.2.1.4.4. Administrative controls. (T-1)

• 14.1.2. Mandatory Items. The Job Safety Training Outline will be developed and used by supervisors to instruct all employees on work place specific hazards upon initial assignment and when work conditions or tasks change. The items below are mandatory, minimum topics the supervisor must ensure their employees receive training on prior to performing tasks in the work center. Topics addressed by other sources can be directly referenced in the JSTO to prevent redundancy and still adequately cover the required topics. Document training as specified in paragraph 1.6.27.7.1 Deployed and installation commanders may dictate more stringent requirements. (T-1)

• Does the JSTO describe and provide training for required use of PPE as determined by work place Risk Assessments, TO's, job orders or instructions, or recommendations from the safety office and BE? AFI 91-202, Para. 14.1.2.2. 29 CFR 1910.132(f)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 14.1.2.2. Required use of PPE as determined by a JHA, requirements directed by TO, job order or instruction, recommendations from the safety office and BE.
  14.1.2.2.1. Training must include donning, doffing, cleaning, maintaining, storing and disposal of PPE.
  14.1.2.2.2. Personnel who wear contact lens or have medical conditions or take medications that may affect the use or wear of PPE will be reminded that they must notify their supervisor immediately. (See paragraph 1.6.29.1).

• 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

• Does the JSTO describe the requirements for reporting unsafe equipment, conditions or procedures to the supervisor immediately and that this can be done without fear of retaliation? Shall include purpose and location of the AF Form 457 and purpose and means to access the ASAP Process. AFI 91-202, Para. 14.1.2.4. 29 CFR 1960.28

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1960.28(a) The purpose of employee reports is to inform agencies of the existence of, or potential for, unsafe or unhealthful working conditions. A report under this part is not a grievance.
  1960.28(b) This section provides guidance in establishing a channel of communication between agency employees and those with responsibilities for safety and health matters, e.g., their supervisor, the agency safety and health officials, safety and health committees, safety and health inspectors, the head of the agency, or the Secretary. These channels of communication are intended to assure prompt analysis and response to reports of unsafe or unhealthful working conditions in accordance with the requirements of Executive Order 12196. Since many safety and health problems can be eliminated as soon as they are identified, the existence of a formal channel of communication shall not preclude immediate corrective action by an employee's supervisor in response to oral reports of unsafe or unhealthful working conditions where such action is possible. Nor should an employee be required to await the outcome of such an oral report before filing a written report pursuant to the provisions of this section.

• 14.1.2.4. Requirements for reporting unsafe equipment, conditions or procedures to supervisor immediately. Procedures must include notification to employees that reporting unsafe conditions or work related injury or illnesses can be reported without fear of retaliation. (T-0)
  14.1.2.4.1. Purpose and location of AF Form 457, USAF Hazard Report. (T-1)
  14.1.2.4.2. Purpose and means to access the ASAP process. (T-1)

• Does JSTO cover work centers emergency action plans? AFI 91-202, Para. 14.1.2.3. 29 CFR 1910.38(c)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.38(a) Application. An employer must have an emergency action plan whenever an OSHA standard in this part requires one. The requirements in this section apply to each such emergency action plan.
  1910.38(b) Written and oral emergency action plans. An emergency action plan must be in writing, kept in the workplace, and available to employees for review. However, an employer with 10 or fewer employees may communicate the plan orally to employees.
  1910.38(c) Minimum elements of an emergency action plan. An emergency action plan must include at a minimum:
  1910.38(c)(1) Procedures for reporting a fire or other emergency;
  1910.38(c)(2) Procedures for emergency evacuation, including type of evacuation and exit route assignments;
  1910.38(c)(3) Procedures to be followed by employees who remain to operate critical plant operations before they evacuate;
  1910.38(c)(4) Procedures to account for all employees after evacuation;
  1910.38(c)(5) Procedures to be followed by employees performing rescue or medical duties; and
  1910.38(c)(6) The name or job title of every employee who may be contacted by employees who need more information about the plan or an explanation of their duties under the plan.
  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.
  1910.38(e) Training. An employer must designate and train employees to assist in a safe and orderly evacuation of other employees.
  1910.38(f) Review of emergency action plan. An employer must review the emergency action plan with each employee covered by the plan:
  1910.38(f)(1) When the plan is developed or the employee is assigned initially to a job;
  1910.38(f)(2) When the employee's responsibilities under the plan change; and
  1910.38(f)(3) When the plan is changed.

• 14.1.2.3. Emergency action and fire prevention plans applicable to the work place; refer to emergency management plans for additional information. Location and use of emergency and fire protection equipment (i.e. alarms, AEDs and extinguishers) will also be addressed. (T-1)

• Does JSTO cover work centers fire prevention plan to include the location and use of fire protection equipment such as alarms, AEDs, and fire extinguishers AFI 91-202, Para. 14.1.2.3. 29 CFR 1910.39(d)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.39(a) Application. An employer must have a fire prevention plan when an OSHA standard in this part requires one. The requirements in this section apply to each such fire prevention plan.
  1910.39(b) Written and oral fire prevention plans. A fire prevention plan must be in writing, be kept in the workplace, and be made available to employees for review. However, an employer with 10 or fewer employees may communicate the plan orally to employees.
  1910.39(c) Minimum elements of a fire prevention plan. A fire prevention plan must include:
  1910.39(c)(1) A list of all major fire hazards, proper handling and storage procedures for hazardous materials, potential ignition sources and their control, and the type of fire protection equipment necessary to control each major hazard;
  1910.39(c)(2) Procedures to control accumulations of flammable and combustible waste materials;
  1910.39(c)(3) Procedures for regular maintenance of safeguards installed on heat-producing equipment to prevent the accidental ignition of combustible materials;
  1910.39(c)(4) The name or job title of employees responsible for maintaining equipment to prevent or control sources of ignition or fires; and
  1910.39(c)(5) The name or job title of employees responsible for the control of fuel source hazards.
  1910.39(d) Employee information. An employer must inform employees upon initial assignment to a job of the fire hazards to which they are exposed. An employer must also review with each employee those parts of the fire prevention plan necessary for self-protection.

• 14.1.2.3. Emergency action and fire prevention plans applicable to the work place; refer to emergency management plans for additional information. Location and use of emergency and fire protection equipment (i.e. alarms, AEDs and extinguishers) will also be addressed. (T-1)

Risk Management

• Risk Management Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• afi 90-802, RISK MANAGEMENT https://static.e-publishing.af.mil/production/1/af_se/publication/afi90-802/afi90-802.pdf

• Are all personnel trained on Risk Management principles? Is training documented? AFI 91-202, Para. 1.6.27.3.<br>

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.3. Ensure safety and health training, to include risk management, is provided to all personnel based on requirements from regulatory guidance, and the specific needs of the organization. (T-1)

• Do commanders Ensure assigned personnel receive periodic RM refresher briefings and presentations directed and is training documented? AFI 90-802, Para. 2.9.4, 4.2.3.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.9.4. Ensure assigned personnel receive periodic RM refresher briefings and presentations as
  directed under paragraph 4.2.3.2 This responsibility may be delegated as necessary to meet
  the intent of this instruction.

• 4.2.3.2. Periodically receive and review RM refresher briefings and presentations as directed by MAJCOM, wing or unit-level commanders. Personnel that cannot attend the live RM refresher briefing and presentation should review the briefing and presentation at their earliest opportunity.
  

• Has unit commander ensured RM principles, processes, tools and techniques are established and documented, as appropriate, to address specific operations, missions, and activities (on and off-duty). As a minimum are the procedures and tools: Standardized across similar operations, missions, and activities; Identify and clearly establish specific risk acceptance authority levels and thresholds for elevating risk acceptance decisions for operations and activities; designed to provide commanders, supervisors and personnel with meaningful data to help improve local RM processes and provide for more effective risk mitigation efforts. AFI 90-802, Para. 2.9.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.9.3. Ensure RM principles, processes, tools and techniques are established, as appropriate, to address specific operations, missions, and activities (on and off-duty). (T-1). As a minimum these processes, procedures and tools should:
  2.9.3.1. Be standardized across similar operations, missions, and activities, whenever possible.
  2.9.3.2. Identify and clearly establish specific risk acceptance authority levels and thresholds for elevating risk acceptance decisions for operations and activities. These levels can vary depending upon specific operations or activities, units, personnel involved, etc. The intent is to ensure that as risk levels increase, risk acceptance and associated Go or NoGo decisions are elevated to obtain appropriate commander or supervisory oversight and
  approval.
  2.9.3.3. Be designed to provide commanders, supervisors and personnel with meaningful data to help improve local RM processes and provide for more effective risk mitigation efforts.

• Has Commanders and/or Functional Managers ensured all work centers/shop supervisors have conducted and documented hazard assessments to determine if hazards are present and take actions necessary to protect workers from injury, illness or death IAW 29 CFR 1910.132. DAFI91-202, Para 1.6.28.5, 29 CFR 1910.132(d)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• DAFI 91-202, Para. 1.6.28.5. Use risk management techniques to analyze work environment and job tasks for
  hazards. Conduct a Deliberate Risk Assessment or JHA of job tasks as required to determine potential hazards for each work task. It shall be accomplished when new equipment is installed, equipment is modified/relocated or new procedures are
  implemented in critical or hazardous operations (T-1) Refer to paragraph 13.6, Job
  Hazard Analysis (JHA), for additional guidance.

• 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

Personal Protective Equipment (PPE)

• 29 CFR 1910.132, Personal Protective Equipment https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.132

• Personal Protective Equipment (PPE) Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Does PPE Training describe when PPE is necessary? DAFMAN 91-203, Para. 14.2. ; 29 CFR 1910.132(f)(1)(i)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Does PPE Training cover right type of PPE for specific work activity? DAFMAN 91-203, Para. 14.2. ;29 CFR 1910.132(f)(1)(ii)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Does PPE Training cover how to properly don, doff, adjust, and wear PPE? DAFMAN 91-203, Para. 14.2. ; 29 CFR 1910.132(f)(1)(iii)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Does PPE Training include limitations/Hazards of specific PPE? DAFMAN 91-203, Para. 14.2. ; 29 CFR 1910.132(f)(1)(iv)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Does PPE Training cover pre-use inspections, proper care, maintenance, useful life and disposal of the PPE? DAFMAN 91-203, Para. 14.2. ; 29 CFR 1910.132(f)(1)(v)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Does PPE Training require employee to demonstrate proper use and understanding of PPE? DAFMAN 91-203, Para. 14.2. ; 29 CFR 1910.132(f)(2)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

Confined Space

• 29 CFR 1910.146, Permit-required confined spaces https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.146

• Confined Space Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Has Commander and/or Functional manger Identified, in writing, to the OSM their designated representative(s) to the CSPT and certified the representative(s) is/are competent in confined space program requirements and are properly trained?

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 23.4.6.1. Identify, in writing, to the OSM their designated representative(s) to the CSPT and certify the representative(s) is/are competent in confined space program requirements and are trained according to paragraph 23.10. (T-1)

• Has Commander and/or Functional Manger ensured the workplace has been evaluated and Identified all the unit’s confined spaces. Has the designated representative compiled an inventory and provided that inventory to the installation CSPT. DAFMAN 91-203, Para. 23.4.6.2. and 29 CFR 1910.146(c)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 23.4.6.2. Ensure the workplace is evaluated for permit and non-permit required confined spaces. (T-1) Require the designated representative to compile an inventory of the identified confined spaces in the organization and provide a copy to the installation CSPT. (T-1) In addition to items listed in paragraph 23.4.2.2.3, the inventory shall include, at a minimum, the number of spaces (quantity), type (with every entry point uniquely identified and listed) and exact location (e.g., grid coordinates, Global Positioning Satellite coordinates, if available, highlighted maps, if necessary). (T-1) Newly identified confined spaces or changes to any spaces on the inventory will be immediately reported to the CSPT to ensure proper testing, evaluation and classification of each confined space within the organization. (T-1)

• 1910.146(c)(1) The employer shall evaluate the workplace to determine if any spaces are permit-required confined spaces.
  
  NOTE: Proper application of the decision flow chart in Appendix A to section 1910.146 would facilitate compliance with this requirement.

• Has Commander and/or Functional manger developed and implemented a written confined space program? Has the program been reviewed and approved by the Confined Spaces Program Team (CSPT)? DAFMAN 91-203 Para. 23.4.6.4 29 CFR 1910.146(c)(4)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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.

• 23.4.6.4. Ensure a written confined space program, developed and approved by the CSPT, is implemented IAW 29 CFR § 1910.136 and this chapter. (T-0) Master Entry Plan(s), when required, shall be routed through the CSPT for approval. (T-1) Note: The requesting unit, not the CSPT, will lead the development of the unit’s Confined Space Program and Master Entry Plan(s). (T-1)

• Has Commander and/or Functional Manger ensured all exposed employees are informed of identified permit-required spaces, by posting danger signs or by any other equally effective means, of the existence and location of and the danger posed by the permit spaces? DAFMAN 91-203, Para. 23.4.6.3., 29 CFR 1910.146(c)(2)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 23.4.6.3. Require that all exposed personnel are informed of the identified permit-required spaces. (T-0)

• 1910.146(c)(2) If the workplace contains permit spaces, the employer shall inform exposed employees, by posting danger signs or by any other equally effective means, of the existence and location of and the danger posed by the permit spaces.
  
  NOTE: A sign reading DANGER -- PERMIT-REQUIRED CONFINED SPACE, DO NOT ENTER or using other similar language would satisfy the requirement for a sign.

• Does Commander and/ or Functional Manager ensure required equipment needed to support entry into confined spaces is procured, available and properly maintained in an operational condition? The following equipment must be available, testing and monitoring equipment, ventilating, communications equipment, personal protective equipment, lighting, rescue and emergency equipment as needed, equipment needed for safe ingress and egress by authorized entrants, and barriers and shields as required. DAFMAN 91-203, Para. 23.4.6.5. 29 CFR 1910.146(d)(4)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.146(d)(4) Provide the following equipment (specified in paragraphs (d)(4)(i) through (d)(4)(ix) of this section) at no cost to employees, maintain that equipment properly, and ensure that employees use that equipment properly:
  1910.146(d)(4)(i) Testing and monitoring equipment needed to comply with paragraph (d)(5) of this section;
  1910.146(d)(4)(ii) Ventilating equipment needed to obtain acceptable entry conditions;
  1910.146(d)(4)(iii) Communications equipment necessary for compliance with paragraphs (h)(3) and (i)(5) of this section;
  1910.146(d)(4)(iv) Personal protective equipment insofar as feasible engineering and work practice controls do not adequately protect employees;
  1910.146(d)(4)(v) Lighting equipment needed to enable employees to see well enough to work safely and to exit the space quickly in an emergency;
  1910.146(d)(4)(vi) Barriers and shields as required by paragraph (d)(3)(v) of this section.
  1910.146(d)(4)(vii) Equipment, such as ladders, needed for safe ingress and egress by authorized entrants;
  1910.146(d)(4)(viii) Rescue and emergency equipment needed to comply with paragraph (d)(9) of this section, except to the extent that the equipment is provided by rescue services; and
  1910.146(d)(4)(ix) Any other equipment necessary for safe entry into and rescue from permit spaces.

• DAFMAN 91-203 Para. 23.4.6.5. Ensure all personnel assigned duties and responsibilities that support confined space program tasks are properly trained according to paragraph 23.10. (T-0) All equipment and training will be approved by the CSPT prior to purchase or implementation. (T-1)

• Do Commander and/ or Functional Managers ensure all personnel assigned duties and responsibilities that support permit-required confined space program tasks are properly trained, equipped and qualified? Is training documented? Has training been approved by the CSPT. Training categories are Entry Supervisor, entrant and attendant, atmospheric monitoring, and rescue and emergency team member. DAFMAN 91-203, Para. 23.4.6.5. 29 CFR 1910.146(g)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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.

• 23.4.6.5. Ensure all personnel assigned duties and responsibilities that support confined space program tasks are properly trained according to paragraph 23.10. (T-0) All equipment and training will be approved by the CSPT prior to purchase or implementation. (T-1)

• Is the Confined space designated representative competent in confined space program requirements and are they properly trained?

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 23.4.6.1. Identify, in writing, to the OSM their designated representative(s) to the CSPT and certify the representative(s) is/are competent in confined space program requirements and are trained according to paragraph 23.10. (T-1)

• Are rescue procedures developed and implemented that cover 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? 29 CFR 1910.146(d)(9)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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

• Does the commanders designated representative ensure cancelled and expired permits are maintained for one year and reviewed annually by the CSPT? 29 CFR 1910.146(e)(6)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.146(e)(6)
  The employer shall retain each canceled entry permit for at least 1 year to facilitate the review of the permit-required confined space program required by paragraph (d)(14) of this section. Any problems encountered during an entry operation shall be noted on the pertinent permit so that appropriate revisions to the permit space program can be made.

• 1910.146(d)(14)
  Review the permit space program, using the canceled permits retained under paragraph (e)(6) of this section within 1 year after each entry and revise the program as necessary, to ensure that employees participating in entry operations are protected from permit space hazards.

• Are commanders designated representative(s) and/or supervisors trained initially with the CSPT's train-the-trainer and unit specific training plan? Does their training include hands-on training? DAFMAN 91-203 Para. 23.10.2

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 23.10.2. Commander’s designated representative(s) and/or supervisor will be trained with initial, train-the-trainer and unit specific training. (T-1) They shall ensure training is provided to those with active roles in the confined space program on initial training and unit-specific procedures. (T-0) Training will ensure that personnel receive classroom and hands-on training to develop proficiency in their expected duties. (T-0)

• Are personnel who are required to test the atmospheric conditions in confined spaces training initially and annually thereafter? Has training been certified? Is training based on manufactures instructions and include calibration and care of atmospheric testing and monitoring equipment.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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.

• 23.10.2.1. Personnel required to test the atmospheric conditions in a confined space shall be trained using manufacturer’s instructions or other information to develop effective training. (T-0) Supervisors shall contact the BE representative for assistance in developing training. (T-1) If unable to support this requirement, the BE representative will assist in identifying a training resource. (T-1)
  23.10.2.2. Training will ensure that the individual, with atmospheric testing duties, are proficient in the use, calibration (user level and manufacturer requirements) and care of atmospheric testing and monitoring equipment. (T-0) This includes testing and calibration of direct reading portable gas monitors. In addition, if entry is required to conduct tests the tester shall also meet the training requirements of an entrant. (T-0)
  23.10.2.2.1. Annual training on the use, calibration and care of atmosphere testing and monitoring equipment will be conducted to maintain proficiency. (T-1)
  23.10.2.2.2. Supervisors will maintain a list of personnel trained and knowledgeable to conduct atmospheric testing and monitoring of confined spaces for their shop by name, name of trainer and date completed training; and provide a copy to the commander’s designated representative. (T-1)

• Is a training program that includes classroom portion and hands-on portion established to ensure safe work practices and techniques been developed by the unit and approved by CSPT? DAFMAN 91-203, Para.23.10.2. 29 CFR 1910.146(g)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 23.10.2. Commander’s designated representative(s) and/or supervisor will be trained with initial, train-the-trainer and unit specific training. (T-1) They shall ensure training is provided to those with active roles in the confined space program on initial training and unit-specific procedures. (T-0) Training will ensure that personnel receive classroom and hands-on training to develop proficiency in their expected duties. (T-0)

• 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.

Fall Protection

• 29 CFR 1910.28, Duty to have fall protection and falling object protection https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.28

• Fall Protection Authorzed User Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Has the unit commander appointed in writing, a competent person as the Unit Fall Protection Program Administrator? Does the Program Administrator work with the occupational safety office on developing, implementing, monitoring and evaluating the units fall protection program to include training? DAFMAN 91-203 13.3.2.2

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.3.2.2. Unit Fall Protection Program Administration. The unit fall protection program will be administered and managed by a competent person as defined in paragraph 13.3.2.4 The unit commander will assign a person to act as an administrative liaison between the unit and the installation Occupation Safety office. (T-1) The competent person will be identified in writing by the unit commander and meet the requirements of ANSI/ASSP Z359.0 and ANSI/ASSP Z359.2. (T-1) This includes providing and evaluating fall protection training, and, as applicable, developing, implementing, monitoring and evaluating the fall protection program to assure unit compliance with ANSI/ASSP Z359.2 and as defined in 29 CFR § 1910.21(b). (T-0)

• Has unit fall protection program administrator assessed the units fall protection self-inspection checklist annually? Has the final report been routed to unit commander for review and signature? Are a minimum of 3 years of completed assessments kept on file? DAFMAN 91-203, Para. 13.3.3

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.6.6.5. Prepare and accomplish self-inspection checklist annually IAW TO 00-25-245. (T-1). Checklist shall include all relevant information on fall protection and fall arrest systems, e.g., proper care, maintaining and inspection of fall protection and fall arrest systems equipment, training program, etc. (T-1). The self-inspection shall be documented and maintained until the next self-inspection is performed. (T-1) Exception: Components of a PFAS that have been professionally installed and certified and is inspected IAW manufacturer's instruction, at the interval recommended by the manufacturer, and by a person qualified to perform the inspection will not require self-inspection. (T-1).

• 13.3.3. Fall Protection Assessments.

• 13.3.3.1. The unit fall protection program administrator will assess the compliance of the fall protection program requirements, with assistance of the competent/qualified person, as needed. (T-1) Findings will be documented and corrected. (T-1)

• 13.3.3.1.1. Final report will be routed to the unit commander for review and signature within 10 days of assessment completion. (T-1)

• 13.3.3.1.2. The unit fall protection program administrator will maintain a minimum of three (3) years of completed assessments. (T-1)

• Are Fall Protection Competent Persons trained IAW OSHA and ANSI Z359.2 standards and are they appointed in writing by the commander? (Look for fall protection competent person training certificate) DAFMAN 91-203, Para. 13.3.2.4., 29 CFR 1910.140(b)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Competent person means a person who is capable of identifying existing and predictable hazards in any personal fall protection system or any component of it, as well as in their application and uses with related equipment, and who has authorization to take prompt, corrective action to eliminate the identified hazards.

• 13.3.2.4.1. Be trained and meet the responsibilities outlined in ANSI/ASSP Z359.2 and as defined in 29 CFR § 1910.140(b). (T-0)

• 13.3.2.4.2. Be designated in writing by the unit commander. (T-1)

• Are competent persons for fall protection retrained at least every two years? DAFMAN 91-203 Para. 13.7.5.1

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.7.5. Recurring Training. Recurring training shall be performed at least annually. (T-1) The training shall establish employee proficiency, include an in-depth review of current and previous procedures and introduce a new or revised control methods and procedures, as necessary. (T-1)

• 13.7.5.1. Personnel trained as competent and authorized persons shall be retrained at least every two years. (T-1) Annual refresher training shall be conducted the year following attendance in the initial course. (T-1)

• When personnel are exposed to fall hazards, have unit commanders and/or Functional Managers implemented a written fall protection program to include a unit fall protection policy? DAFMAN 91-203 Para. 13.3.1 29 CFR 1910.28(a)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.28(a)(1)
  This section requires employers to provide protection for each employee exposed to fall and falling object hazards. Unless stated otherwise, the employer must ensure that all fall protection and falling object protection required by this section meet the criteria in § 1910.29, except that personal fall protection systems required by this section meet the criteria of § 1910.140.

• 13.3.1. Unit Fall Protection Policy. A policy statement will be developed that states the commander’s commitment to providing a safe workplace for employees working at heights. (T-1) The policy will also provide general goals and guidance for the fall protection program. (T-1) An example statement can be found in ANSI/ASSP Z359.2.

• Has a fall hazard survey been completed by the competent person for all locations where workers are exposed falls greater than four (4) feet. (Includes inspections, routine maintenance, fixed ladders, Hi-lifts, Mobile elevated platforms) DAFMAN 91-203, Para. 13.4.1. 1910 Subpart I App B

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2. Assessment and selection. It is necessary to consider certain general guidelines for assessing the foot, head, eye and face, and hand hazard situations that exist in an occupational or educational operation or process, and to match the protective devices to the particular hazard. It should be the responsibility of the safety officer to exercise common sense and appropriate expertise to accomplish these tasks.
  
  3. Assessment guidelines. In order to assess the need for PPE the following steps should be taken:
  
  a. Survey. Conduct a walk-through survey of the areas in question. The purpose of the survey is to identify sources of hazards to workers and co-workers. Consideration should be given to the basic hazard categories:

• 13.4.1. A fall hazard survey will be conducted in all work areas where employees are exposed to fall hazards. (T-1) The survey team will be led by the unit competent/qualified person(s) and comprised of the work center supervisors, authorized persons, installation occupational safety office and F&ES Flight. (T-1) Team composition allows all personnel to have input on the hazards and best ways to protect against those hazards. Refer to ANSI/ASSP Z359.2 for additional guidance about fall hazard surveys.

• Do authorized persons recieve training prior to being exposed to a fall hazard and annually therafter when exposed to a fall hazard? DAFMAN 91-203 Para. 13.7

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.7. Training. Before employees are exposed to a fall hazard, training shall be completed in accordance with 29 CFR § 1910.30, Training Requirements. (T-0) Trainers conducting fall protection and rescue training shall meet the requirements of ANSI/ASSP Z490.1, Criteria for Accepted Practices in Safety, Health and Environmental Training. (T-1)

• 13.7.1. Qualified and competent persons will be trained in accordance with ANSI/ASSP Z359.2 to meet requirements found in 29 CFR § 1910.21(b) and 29 CFR § 1910.140(b). (T-0) Personnel trained as a qualified person must also meet the training requirements of a competent person before applying fall protection system principles. (T-1)

• 13.7.2. Authorized personnel will be trained by a competent or qualified person trainer in accordance with ANSI/ASSP Z359.2. (T-1)

• 13.7.3. Program administrators shall be trained on all equipment and practices applicable to the scope of work in accordance with ANSI/ASSP Z359.2. (T-1)

• 13.7.4. Retraining. Supervisors shall ensure authorized persons are retrained in accordance with 29 CFR § 1910.30(c). (T-0)

• 13.7.5. Recurring Training. Recurring training shall be performed at least annually. (T-1) The training shall establish employee proficiency, include an in-depth review of current and previous procedures and introduce a new or revised control methods and procedures, as necessary. (T-1)

• 13.7.5.1. Personnel trained as competent and authorized persons shall be retrained at least every two years. (T-1) Annual refresher training shall be conducted the year following attendance in the initial course. (T-1)

• Does Fall Hazard Survey include the following items DAFMAN 91-203 13.4.2:

• Identification of fall hazards and include details of each hazard

• Pertinent information about the fall hazards to include showing its basic configuration. (T-1) Note: Use of graphics, drawings and/or photographs are highly encouraged.

• Identification of environmental factors that will affect the installation, use, inspection, maintenance and dismantling of any fall protection system. (T-1)

• A risk assessment to determine the level of risk for each fall hazard identified. (T-1) Assign risk assessment codes (RACs), as necessary. Refer to AFI 91-202, The US Air Force Mishap Prevention Program, for additional guidance on RACs.

• Appropriate abatement actions, as required by AFI 91-202. (T-1)

• Selected fall protection method(s) for each identified hazard. Note: If personal fall arrest systems are selected, the calculation of all clearances will be included in the written fall protection procedures. Employees shall not use PFAS until adequate clearances are available.

• When workers are exposed to falls of four (4) feet or more have written procedures been developed IAW OSHA and ANSI Standards? (Task Authorization) DAFMAN 91-203, Para. 13.5.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.5.2. Written procedures shall include:
  13.5.2.1. Purpose of the fall protection procedure. (T-1)
  13.5.2.2. Location and photographs/diagrams of the fall hazard(s) and fall protection system setup. (T-1)
  13.5.2.3. Appropriate standards, regulations or requirements for the task(s) conducted. (T-1)
  13.5.2.4. Training requirements for the fall protection procedure based on the fall protection equipment required. (T-1)
  13.5.2.5. Fall protection system design parameters. (T-1) Note: Include fall calculations based on identified equipment and equipment design parameters, which include a detailed list of PPE and who developed the procedure, when it was developed, system certifications and inspection logs.
  13.5.2.6. Equipment requirements. (T-1)
  13.5.2.7. Procedures documenting how to safely erect, use and dismantle the fall protection equipment. (T-1)
  13.5.2.8. Preparatory actions to be conducted by the supervisor to ensure authorized persons know the fall protection and rescue procedures. (T-1)
  13.5.2.9. Steps to take when work is completed, e.g., clean up, storage. (T-1)

• Have detailed written rescue plans been developed for each area where workers are exposed to falls from heights? Is the rescue plan posted in the work area? DAFMAN 91-203, Para. 13.5.2.10. 29 CFR 1910.140(c)(21)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.140(c)(21)
  The employer must provide for prompt rescue of each employee in the event of a fall.

• 13.5.2.10. A detailed rescue plan, which includes: (T-1)

• 13.5.2.10.1. Coordination with outside rescue agencies (installation F&ES Flight, contracted rescue unit, etc.) to determine requirements to ensure prompt rescue of fallen personnel as part of preplanning. (T-1) Ensure the outside rescue agency completes pre-planning prior to work start.

• 13.5.2.10.2. Procedures to contact the rescue agency if a fall occurs. (T-1)

• 13.5.2.10.3. Training on actions an authorized person can take to attempt self-rescue, when possible. (T-1)

• 13.5.2.10.4. Actions to be taken by the organization to rescue fallen authorized personnel, when possible. (T-1)

• 13.5.2.10.5. Location of rescue anchorage. (T-1)

• 13.5.2.10.6. Equipment needed. (T-1)

• 13.5.2.10.7. Location of attachment to fallen employee’s harness. (T-1)

• 13.5.2.10.8. Specific actions to achieve successful rescue. (T-1)

• 13.5.2.10.9. Required training for rescuers. (T-1)

• Are all PFAS components marked to indicate compliance with OSHA and ANSI Z359.1 and is equipment still serviceable IAW manufactures specifications? 29 CFR 1910.140(c)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.140(c) General requirements. The employer must ensure that personal fall protection systems meet the following requirements. Additional requirements for personal fall arrest systems and positioning systems are contained in paragraphs (d) and (e) of this section, respectively.

• Are anchorage points certified by a Qualified Person to ensure it can withstand a 5000 pound load for each PFAS connected? (look for certification documentation) AFMAN 91-203, Para. 13.4.6.7. 29 CFR 1910.140(c)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.140(c)(13)
  Anchorages, except window cleaners' belt anchors covered by paragraph (e) of this section, must be:
  1910.140(c)(13)(i)
  Capable of supporting at least 5,000 pounds (22.2 kN) for each employee attached; or
  1910.140(c)(13)(ii)
  Designed, installed, and used, under the supervision of qualified person, as part of a complete personal fall protection system that maintains a safety factor of at least two.

• 13.8.3. Supervisors shall ensure all PFAS components receive a thorough inspection at least quarterly. (T-1) This inspection shall be documented and maintained for at least one year. (T-1) Exception: Components of a PFAS that have been professionally installed and certified will be inspected in accordance with manufacturer’s instructions, at the interval recommended by the manufacturer, and by a person qualified to perform the inspection. Inspection shall be documented and maintained. (T-1)
  13.8.4. Supervisors shall maintain manufacturer’s instructions and performance testing information for PFAS used by their employees. (T-1)

• Are falls from heights, regardless of whether an injury or damage has occurred, reported to the occupational safety office and investigated by a competent person and occupational safety personnel? A mishap investigation will be accomplished to determine the cause of the fall and used to correct any issues found in procedures, equipment or rescue, as applicable. DAFMAN 91-203 13.9.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.9. Fall Mishap Reporting. Falls from heights, regardless of whether an injury or damage has occurred, will be reported to the servicing occupational safety office and investigated by a competent person and occupational safety personnel. (T-0) A mishap investigation will be accomplished to determine the cause of the fall and used to correct any issues found in procedures, equipment or rescue, as applicable. (T-0)

Hazard Communication (HAZCOM)

• 29 CFR 1910.1200, Hazard Communication https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.1200

• AFI 90-821, HAZARD COMMUNICATION (HAZCOM) PROGRAM https://static.e-publishing.af.mil/production/1/af_sg/publication/afi90-821/afi90-821.pdf

• HAZCOM Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Does work area supervisor understand requirements of their HAZCOM? AFI 90-821, Para. 2.6.9.3.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.6.9.3.1. Review USAFSAM’s AF supervisor HAZCOM training initially and as
  needed to maintain competency. Contact PH for guidance on accessing USAFSAM’s
  supervisor HAZCOM training. (T-1)

• Has work area supervisor developed and implemented a written work area-specific HAZCOM program. This information shall be accessible by all assigned employees in the work area either electronically or hard copy. AFI 90-821, Para .2.6.9.3.2. 29 CFR 1910.1200(e)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.1200(e)(1)
  Employers shall develop, implement, and maintain at each workplace, a written hazard communication program which at least describes how the criteria specified in paragraphs (f), (g), and (h) of this section for labels and other forms of warning, safety data sheets, and employee information and training will be met, and which also includes the following:

• 2.6.9.3.2. Develop and implement a written work area-specific HAZCOM program
  IAW Chapter 3. This information shall be accessible by all assigned employees in the
  work area either electronically or hard copy. (T-0)

• Has work area supervisor developed a area-specific HAZCOM training plan using USAFSAM’s work area-specific training plan template. Has training plan been approved by Bioenvironmental, Fire and Emergency Services, and Occupational Safety Office? AFI 90-821, Para. 2.6.9.3.3. 29 CFR 1910.1200(h)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.1200(a)(1)
  The purpose of this section is to ensure that the hazards of all chemicals produced or imported are classified, and that information concerning the classified hazards is transmitted to employers and employees. The requirements of this section are intended to be consistent with the provisions of the United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS), Revision 3. The transmittal of information is to be accomplished by means of comprehensive hazard communication programs, which are to include container labeling and other forms of warning, safety data sheets and employee training.

• 2.6.9.3.3. Develop a work area-specific HAZCOM training plan, if one does not exist,
  using USAFSAM’s work area-specific training plan template. (T-0) Ensure BE, PH,
  SEG, F&ES, and any other locally determined organizations as necessary, review and
  approve new or modified work area-specific HAZCOM training plans for technical
  accuracy and completeness prior to implementation in the work area. (T-3)

• Are Written work-area specific HAZCOM programs readily accessible (in either paper or electronic format) to all employees? AFI 90-821, Para. 3.1. 29 CFR 1910.1200(h)(2)(iii)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.1200(h)(2)
  Information. Employees shall be informed of:
  1910.1200(h)(2)(i)
  The requirements of this section;
  1910.1200(h)(2)(ii)
  Any operations in their work area where hazardous chemicals are present; and,
  1910.1200(h)(2)(iii)
  The location and availability of the written hazard communication program, including the required list(s) of hazardous chemicals, and safety data sheets required by this section.

• 3.1. Written Work-Area Specific HAZCOM Programs. Supervisors of work areas whose
  employees use, handle and/or will potentially be exposed to hazardous chemicals not exempted as
  described in paragraph 1.2.4. must prepare and implement a written work area-specific
  HAZCOM program. (T-0) Written programs must be readily accessible (in either paper or
  electronic format) to all employees. Where personnel must travel between work areas during a
  work shift (e.g., their work is carried out at more than one geographical location such as flight line
  operations), the written work-area specific HAZCOM program may be kept at the primary work
  area facility. The written work area-specific HAZCOM program will be included in the work area
  Job Safety Training Outline (JSTO). (T-2) Reference AFI 91-202, The US Air Force Mishap
  Prevention Program, for additional information on preparing a JSTO. There is no requirement to
  maintain additional copies of the written work area-specific HAZCOM program in a separate
  binder, file, or other medium. Written work-area specific HAZCOM programs will include the
  following criteria or a description of how each of the following criteria will be met:
  

• Does the written work area-specific HAZCOM program include a list of the hazardous chemicals present in the work area? (the list may be compiled for the work area as a whole or for specified and readily distinguishable portions of the work area) AFI 90-821, Para. 3.1.1. 29 CFR 1910.1200(e)(1)(i)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.1200(e)(1)(i)
  A list of the hazardous chemicals known to be present using a product identifier that is referenced on the appropriate safety data sheet (the list may be compiled for the workplace as a whole or for individual work areas);

• 3.1.1. Hazardous Chemical List. The written work area-specific HAZCOM program must
  include a list of the hazardous chemicals present in the work area (the list may be compiled for
  the work area as a whole or for specified and readily distinguishable portions of the work area).
  The product identifier that is used on the SDS must be cross-referenced to the list. (T-0) The
  EESOH-MIS authorization report with product data may serve as the work area hazardous
  chemical list. Work area supervisors will, at least annually, reconcile SDSs on file (if files
  outside of Enterprise Data Repository and EESOH-MIS are maintained) and the work area
  hazardous chemical list and maintain documentation of the reconciliation. (T-1).
  

• Is the written work area-specific HAZCOM program included in the work area Job Safety Training Outline (JSTO). AFI 90-821, Para. 3.1. 29 CFR 1910.1200(h)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.1200(h)(1)
  Employers shall provide employees with effective information and training on hazardous chemicals in their work area at the time of their initial assignment, and whenever a new chemical hazard the employees have not previously been trained about is introduced into their work area. Information and training may be designed to cover categories of hazards (e.g., flammability, carcinogenicity) or specific chemicals. Chemical-specific information must always be available through labels and safety data sheets.

• 3.1. Written Work-Area Specific HAZCOM Programs. Supervisors of work areas whose
  employees use, handle and/or will potentially be exposed to hazardous chemicals not exempted as
  described in paragraph 1.2.4. must prepare and implement a written work area-specific
  HAZCOM program. (T-0) Written programs must be readily accessible (in either paper or
  electronic format) to all employees. Where personnel must travel between work areas during a
  work shift (e.g., their work is carried out at more than one geographical location such as flight line
  operations), the written work-area specific HAZCOM program may be kept at the primary work
  area facility. The written work area-specific HAZCOM program will be included in the work area
  Job Safety Training Outline (JSTO). (T-2) Reference AFI 91-202, The US Air Force Mishap
  Prevention Program, for additional information on preparing a JSTO. There is no requirement to
  maintain additional copies of the written work area-specific HAZCOM program in a separate
  binder, file, or other medium. Written work-area specific HAZCOM programs will include the
  following criteria or a description of how each of the following criteria will be met:
  

• Has Supervisor ensured labels on containers of hazardous chemicals used in their work area meet 29 CFR 1910.1200(f)(6) through 29 CFR 1010.1200(f)(10) requirements, remain affixed to their containers, and are not obliterated or covered? AFI 90-821, Para. 3.1.3.1. 29 CFR 1910.1200(f)(6)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.1200(f)(6)
  Workplace labeling. Except as provided in paragraphs (f)(7) and (f)(8) of this section, the employer shall ensure that each container of hazardous chemicals in the workplace is labeled, tagged or marked with either

• 3.1.3.1. Supervisors will ensure labels on containers of hazardous chemicals used in their
  work area meet 29 CFR 1910.1200(f)(6) through 29 CFR 1010.1200(f)(10) requirements,
  remain affixed to their containers, and are not obliterated or covered. (T-0)

• Does work area specific HAZCOM training include all of the following: AFI 90-821, Para. 3.1.6.2. 29 CFR 1910.1200(h)(3)

• The location and details of the work area-specific written HAZCOM program, including the hazardous chemical list and SDSs for the work area. AFI 90-821, Para. 3.1.6.2.1. 29 CFR 1910.1200(h)(2)(iii)

• Identification of operations or processes, including non-routine processes, in the work area where hazardous chemicals are present or used. (T-0) Supervisors may use the hazardous chemical authorization in EESOH-MIS or BE assessment letters as sources of information to meet this training requirement. AFI 90-821, Para. 3.1.6.2.2. 29 CFR 1910.1200(h)(3)(i)

• Identification of the hazard categories (e.g., flammability, carcinogenicity) or specific chemicals present in the work area. Including, but not limited to, those with specific regulatory requirements (e.g., asbestos, benzene, beryllium, cadmium, formaldehyde, hexavalent chromium, methylene chloride, and lead) and identification of chemicals that pose physical, health, simple asphyxiation, combustible dust, and pyrophoric gas hazards, as well as hazards not otherwise classified. AFI 90-821, Para. 3.1.6.2.3.

• Proper labeling of hazardous chemicals, including an explanation of the labels received on shipped containers and the work area labeling system. AFI 90-821, Para. 3.1.6.2.4. 29 CFR 1910.1200(h)(3)(iv)

• How to access and read SDSs, including the order of information and how employees can obtain and use the appropriate hazard information. AFI 90-821, Para. 3.1.6.2.5. 29 CFR 1910.1200(h)(3)(iv)

• Controls (engineering controls, administrative controls, and personal protective equipment) workers must use to minimize or eliminate exposure to hazardous chemicals while performing a specific process (e.g., the specific respirator for a specific spray-painting process). (T-0) Supervisors shall refer to the BE assessment letters for specific control requirements. AFI 90-821, Para. 3.1.6.2.6. 29 CFR 1910.1200(h)(3)(iii)

• Emergency procedures, such as recognition of a spill or accidental chemical release (e.g., visual, odor, alarm) and escape procedures to include the locations of emergency eye wash stations, showers, and monitoring capabilities. AFI 90-821, Para. 3.1.6.2.7.

• Methods and observations that may be used to detect the presence or release of a hazardous chemical in the work area (such as monitoring conducted by the employer, continuous monitoring devices, visual appearance or odor of hazardous chemicals when being released, etc.). AFI 90-821, Para. 3.1.6.2.8. 29 CFR 1910.1200(h)(3)(ii)

• Additional training on expanded standards as required by OSHA. (T-0) Expanded standards are regulated by 29 CFR 1910.1001-1053. Refer to BE assessment letters to determine if expanded standards apply in a work area. AFI 90-821, Para. 3.1.6.2.9.

• Does Work area supervisor, at least annually, assess worker knowledge of basic HAZCOM concepts and work area-specific HAZCOM procedures? Is completion of the annual knowledge assessment documented? AFI 90-821, Para. 3.1.6.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 3.1.6.3. Supplemental Worker Training. Training for all potentially affected employees is required when a new chemical hazard is introduced in the work area. The work area-specific training plan must be updated with the information concerning the new hazard or chemical and reviewed and approved by BE, PH, SEG, F&ES, and any other locally determined organizations as necessary. (T-1)

Hazardous Energy Control Program (HEC)

• 29 CFR 1910.147, The control of hazardous energy (lockout/tagout) https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.147

• DAFMAN 91-203, Air Force Occupational
  Safety, Fire and Health Standards https://static.e-publishing.af.mil/production/1/af_se/publication/dafman91-203/dafman91-203.pdf

• HEC Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Has work center/shop supervisor implemented a Hazardous Energy Control Program? DAFMAN 91-203 Para. 21.2 29 CFR 1910.147(c)(1)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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.

• 21.2. Hazardous Energy Control Program. Work center/shop supervisors shall:
  21.2.1. Establish a hazardous energy control program. (T-0) When required, develop procedures for tagout only processes. Note: The employer shall demonstrate that the tagout program will provide a level of safety equivalent to that obtained by using a lockout program. (T-0)

• Does work center/shop supervisor ensure authorized employees receive training defined in 29 CFR 1910.147(c)(7)? Is training documented? DAFMAN 91-203, Para. 21.3. 29 CFR 1910.147(c)(7)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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.

• 21.3. Training.

• 21.3.1. Authorized and affected employees as defined by OSHA will receive training in accordance with 29 CFR § 1910.147(c)(7). (T-0) Supervisors shall verify training for authorized and affected employees is accomplished. (T-0)

• 21.3.2. Retraining. Authorized employees and affected employees shall be retrained, e.g., change in their job assignments, a change in machinery, equipment or processes that present a new hazard, when there is a change in the energy control procedures or other conditions as specified in 29 CFR § 1910.147(c)(7)(iii). (T-0)

• 21.3.3. Documentation. All related training shall be documented in accordance with AFI 91-202. (T-1)

• Has work center/shop supervisor or authorized employee completed a work center assessment to identify equipment and machinery for which LOTO/HEC program applies? DAFMAN 91-203, Para. 21.4.1.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 21.4.1.1. Identification of equipment and machinery for which the hazardous energy control program applies. (T-0)

• Does work center/shop supervisor ensure a periodic inspection is conducted and documented for each maintenance/servicing activity? Inspections shall be conducted by two authorized employees, one acting as an inspector and one performing the maintenance/servicing activity to ensure compliance with all program elements. DAFMAN 91-203, Para. 21.4.1. 29 CFR 1910.147(c)(6)(i)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 21.4.1. Shop hazardous energy control program periodic inspections shall be conducted by authorized employees, one acting as an inspector and one performing the maintenance/servicing activity, at least annually, to ensure compliance with all program elements. (T-0) Periodic inspections shall be designed to identify and correct any deviations or inadequacies observed. (T-0) The inspection shall be documented to include the date of the inspection and the unit representative conducting the inspection. (T-0) The organization shall certify that the periodic inspections have been performed. (T-0) The certification shall identify the machine or equipment on which the energy control procedures was being utilized, the date of the inspection, the employees included in the inspection, and the person performing the inspection. (T-0) An authorized employee other than the one(s) utilizing the energy control procedure shall conduct periodic inspections of the energy control procedure. (T-0)

• 1910.147(c)(6)(i) The employer shall conduct a periodic inspection of the energy control procedure at least annually to ensure that the procedure and the requirements of this standard are being followed.
  
  1910.147(c)(6)(i)(A) The periodic inspection shall be perfomed by an authorized employee other than the ones(s) utilizing the energy control procedure being inspected.
  
  1910.147(c)(6)(i)(B) The periodic inspection shall be conducted to correct any deviations or inadequacies identified.

• Has work center/shop supervisor ensured written procedures are created for all equipment/machinery where employees are exposed to potentially hazardous energy? Do the written procedures include all required information IAW 29 CFR 1910.147(c)(4)(ii)(A) thru 1910.147(c)(4)(ii)(D)?

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 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.
  
  1910.147(c)(4)(ii)(A)
  A specific statement of the intended use of the procedure;
  
  1910.147(c)(4)(ii)(B)
  Specific procedural steps for shutting down, isolating, blocking and securing machines or equipment to control hazardous energy;
  
  1910.147(c)(4)(ii)(C)
  Specific procedural steps for the placement, removal and transfer of lockout devices or tagout devices and the responsibility for them; and
  
  1910.147(c)(4)(ii)(D)
  Specific requirements for testing a machine or equipment to determine and verify the effectiveness of lockout devices, tagout devices, and other energy control measures.

• Do work center/shop supervisors ensure appropriate number and type of Lockout devices and tagout devices are available to each authorized employee? 29 CFR 1910.147(c)(5)(i)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.147(c)(5)(i) Locks, tags, chains, wedges, key blocks, adapter pins, self-locking fasteners, or other hardware shall be provided by the employer for isolating, securing or blocking of machines or equipment from energy sources.

• Do lockout devices and tagout devices meet the following requirements, singularly identified; shall be the only devices(s) used for controlling energy; shall not be used for other purposes; capable of withstanding the environment to which they are exposed for the maximum period of time that exposure is expected? 29 CFR 1910.147(c)(5)(i)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.147(c)(5)(ii)
  Lockout devices and tagout devices shall be singularly identified; shall be the only devices(s) used for controlling energy; shall not be used for other purposes; and shall meet the following requirements:
  
  1910.147(c)(5)(ii)(A)
  Durable.
  
  1910.147(c)(5)(ii)(A)(1)
  Lockout and tagout devices shall be capable of withstanding the environment to which they are exposed for the maximum period of time that exposure is expected.
  
  1910.147(c)(5)(ii)(A)(2)
  Tagout devices shall be constructed and printed so that exposure to weather conditions or wet and damp locations will not cause the tag to deteriorate or the message on the tag to become illegible.
  
  1910.147(c)(5)(ii)(A)(3)
  Tags shall not deteriorate when used in corrosive environments such as areas where acid and alkali chemicals are handled and stored
  
  1910.147(c)(5)(ii)(C)(2)
  Tagout devices. Tagout devices, including their means of attachment, shall be substantial enough to prevent inadvertent or accidental removal. Tagout device attachment means shall be of a non-reusable type, attachable by hand, self-locking, and non-releasable with a minimum unlocking strength of no less than 50 pounds and having the general design and basic characteristics of being at least equivalent to a one-piece, all environment-tolerant nylon cable tie

• Are Lockout and tagout devices standardized and identifiable within the facility in at least one of the following criteria: Color; shape; or size; and additionally, in the case of tagout devices, print and format shall be standardized? 29 CFR 1910.147(c)(5)(i)<br>

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.147(c)(5)(ii)(B)
  Standardized. Lockout and tagout devices shall be standardized within the facility in at least one of the following criteria: Color; shape; or size; and additionally, in the case of tagout devices, print and format shall be standardized
  
  1910.147(c)(5)(ii)(D)
  Identifiable. Lockout devices and tagout devices shall indicate the identity of the employee applying the device(s)

• When lockout or tagout devices must be temporarily removed from the energy isolating device and the machine or equipment energized for testing or positioning, does work center/shop supervisor ensure machine specific written procedures are followed. 29 CFR 1910.147(f)(1) and 1910.147(f)(1)(i) through 1910.147(f)(1)(v)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.147(f)(1)
  Testing or positioning of machines, equipment or components thereof. In situations in which lockout or tagout devices must be temporarily removed from the energy isolating device and the machine or equipment energized to test or position the machine, equipment or component thereof, the following sequence of actions shall be followed:
  
  1910.147(f)(1)(i)
  Clear the machine or equipment of tools and materials in accordance with paragraph (e)(1) of this section;
  
  1910.147(f)(1)(ii)
  Remove employees from the machine or equipment area in accordance with paragraph (e)(2) of this section;
  
  1910.147(f)(1)(iii)
  Remove the lockout or tagout devices as specified in paragraph (e)(3) of this section;
  
  1910.147(f)(1)(iv)
  Energize and proceed with testing or positioning;
  
  1910.147(f)(1)(v)
  Deenergize all systems and reapply energy control measures in accordance with paragraph (d) of this section to continue the servicing and/or maintenance.

MATERIAL HANDLING EQUIPMENT

• Powered Industrial Truck Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Boom Lift Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Scissor Lift Training:

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• 29 CFR 1910.179, Materials Handling and Storage https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.179

• DAFMAN 91-203, Air Force Occupational
  Safety, Fire and Health Standards https://static.e-publishing.af.mil/production/1/af_se/publication/dafman91-203/dafman91-203.pdf

• 29 CFR 1910.178, Powered industrial trucks https://www.osha.gov/laws-regs/regulations/standardnumber/1910/1910.178

Material Handling

• Do Commanders in units requiring training on powered materials handling and lifting equipment designate qualified personnel as instructors to train and supervise the operator trainee? 29 CFR 1910.178(l)(2)(iii)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.178(l)(2)(iii)
  All operator training and evaluation shall be conducted by persons who have the knowledge, training, and experience to train powered industrial truck operators and evaluate their competence.

• 12.6.1. MHE operator qualification and training will be provided by the organization
  responsible for the operation or equipment and will be in accordance with applicable DAF
  guidance, OSHA requirement or manufacturer’s instructions or guidance. (T-0) Organizations
  requiring MHE training shall designate qualified personnel as unit instructors for unit trainees.
  (T-1) Appropriate shop supervisor and vehicle control officer or noncommissioned officer
  shall keep the list of approved instructors, with the background and experience on the type(s)
  of equipment the instructor is providing training. (T-1)

• Is the list of approved instructors for powered materials handling and lifting equipment retained on file by the using agency and the vehicle operations section? Are names and grades of instructor candidates provided to the vehicle operations officer who thoroughly screens each for background and experience in the type of equipment for which instruction shall be given? DAFMAN 91-203, Para.  12.6.1. 29 CFR 1910.178(l)(2)(i)(A)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.178(l)(2)(i)(A)
  Under the direct supervision of persons who have the knowledge, training, and experience to train operators and evaluate their competence

• 12.6.1. MHE operator qualification and training will be provided by the organization
  responsible for the operation or equipment and will be in accordance with applicable DAF
  guidance, OSHA requirement or manufacturer’s instructions or guidance. (T-0) Organizations
  requiring MHE training shall designate qualified personnel as unit instructors for unit trainees.
  (T-1) Appropriate shop supervisor and vehicle control officer or noncommissioned officer
  shall keep the list of approved instructors, with the background and experience on the type(s)
  of equipment the instructor is providing training. (T-1)

• Do lesson plans (course content) for each piece of Materials handling and lifting equipment include formal instruction, hands-on demonstrations by the instructor with practical exercises performed by the trainee, and an evaluation of the trainee’s performance to confirm their knowledge of equipment operations and service instructions? DAFMAN 91-203, Para.  12.6.2., 29 CFR 1910.178(l)(3)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.178(l)(3)
  Training program content. Powered industrial truck operators shall receive initial training in the following topics, except in topics which the employer can demonstrate are not applicable to safe operation of the truck in the employer's workplace.
  1910.178(l)(3)(i)
  Truck-related topics:
  1910.178(l)(3)(i)(A)
  Operating instructions, warnings, and precautions for the types of truck the operator will be authorized to operate;
  1910.178(l)(3)(i)(B)
  Differences between the truck and the automobile;
  1910.178(l)(3)(i)(C)
  Truck controls and instrumentation: where they are located, what they do, and how they work;
  1910.178(l)(3)(i)(D)
  Engine or motor operation;
  1910.178(l)(3)(i)(E)
  Steering and maneuvering;
  1910.178(l)(3)(i)(F)
  Visibility (including restrictions due to loading);
  1910.178(l)(3)(i)(G)
  Fork and attachment adaptation, operation, and use limitations;
  1910.178(l)(3)(i)(H)
  Vehicle capacity;
  1910.178(l)(3)(i)(I)
  Vehicle stability;
  1910.178(l)(3)(i)(J)
  Any vehicle inspection and maintenance that the operator will be required to perform;
  1910.178(l)(3)(i)(K)
  Refueling and/or charging and recharging of batteries;
  1910.178(l)(3)(i)(L)
  Operating limitations;
  1910.178(l)(3)(i)(M)
  Any other operating instructions, warnings, or precautions listed in the operator's manual for the types of vehicle that the employee is being trained to operate.

• 12.6.2. Lesson plans for each vehicle or equipment type, shall be accomplished by the unit in accordance with AFMAN 24-306. (T-1) Lesson plans shall include formal instruction, hands on demonstrations by the instructor with practical exercises performed by the trainee and an evaluation of the trainee’s performance to confirm their knowledge of equipment operations and service instructions. (T-1)

• Does a qualified instructor for materials handling equipment evaluate each operator at least once every three (3) years and provide refresher training in relevant topics any time there is reason to believe there is a need? DAFMAN 91-203, Para.  12.6.3. 29 CFR 1910.178(l)(4)(iii)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.178(l)(4)(iii)

• An evaluation of each powered industrial truck operator's performance shall be conducted at least once every three years.

• 12.6.3. MHE training will be in accordance with applicable technical data and manufacturer’s
  instructions, e.g., cranes, hoists, conveyors, forklifts. (T-1) A qualified instructor shall
  evaluate each operator at least once every three (3) years and provide refresher training, as
  applicable. (T-1) MHE shall be operated only by properly trained, and qualified personnel or
  trainees under direction supervision of a qualified trainer/instructor. (T-1) The operator shall be
  familiar with all operating controls and be instructed in the operations to be performed. (T-1) Training
  should include warnings, manufacturer’s instructions and requirements from this manual and
  OSHA guidelines, as applicable.

• Are Materials Handling Equipment and lifting equipment operator’s evaluations kept on file for review? 29 CFR 1910.178(l)(6)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• Material Handling Equipment Parked Inside Warehouses. When parking gasoline-or diesel-powered material handling equipment in general purpose warehouses has the responsible group commander provided written approval with recommendations by the installation FES Flight, BE office and Occupational Safety office. DAFMAN 91-203, Para. 12.2.3. 29 CFR 1910.178(c)(2)(xi)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.178(c)(2)(xi) If storage warehouses and outside storage locations are hazardous only the approved power-operated industrial truck specified for such locations in this paragraph (c)(2) shall be used. If not classified as hazardous, any approved power-operated industrial truck designated as Type D, E, G, or LP may be used, or trucks which conform to the requirements for these types may be used

• 12.2.3. MHE Parked Inside Warehouses. Gasoline or diesel-powered MHE parked in general
  purpose warehouses must be approved by the group commander responsible for the designated
  warehouse, with recommendations by the installation F&ES Flight, BE and Occupational
  Safety office. (T-2) The equipment shall be parked so it does not block fire aisles, fire-fighting
  equipment, fire alarm boxes, stairways, elevators or fire exits. (T-0) The warehouse supervisor
  shall conduct daily inspections to ensure powered materials handling equipment is parked in
  designated locations, equipment does not contain excessive grease and lint, and gasoline lines, tanks, oil seals and so forth are not leaking. (T-1) A minimum of 10-foot clearance shall be
  maintained between parked equipment and combustible materials. (T-1)

• Does unit certify that each operator of Materials Handling Equipment and lifting equipment has been trained and evaluated as required by this Paragraph 1910.178 (l)? The certification shall include the name of the operator, the date of the training, the date of the evaluation, and the identity of the person(s) performing the training or evaluation. 29 CFR 1910.178(l)(6)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.178(l)(6)
  Certification. The employer shall certify that each operator has been trained and evaluated as required by this paragraph (l). The certification shall include the name of the operator, the date of the training, the date of the evaluation, and the identity of the person(s) performing the training or evaluation.

• Are wire ropes, chains and hooks associated with overhead and gantry cranes inspected monthly and are the inspections separately documented? 29 CFR 1910.179(j)(3)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.179(j)(3)
  Periodic inspection. Complete inspections of the crane shall be performed at intervals as generally defined in paragraph (j)(1)(ii)(b) of this section, depending upon its activity, severity of service, and environment, or as specifically indicated below. These inspections shall include the requirements of paragraph (j)(2) of this section and in addition, the following items. Any deficiencies such as listed shall be carefully examined and determination made as to whether they constitute a safety hazard:
  1910.179(j)(3)(i)
  Deformed, cracked, or corroded members.
  1910.179(j)(3)(ii)
  Loose bolts or rivets.
  1910.179(j)(3)(iii)
  Cracked or worn sheaves and drums.
  1910.179(j)(3)(iv)
  Worn, cracked or distorted parts such as pins, bearings, shafts, gears, rollers, locking and clamping devices.
  1910.179(j)(3)(v)
  Excessive wear on brake system parts, linings, pawls, and ratchets.
  1910.179(j)(3)(vi)
  Load, wind, and other indicators over their full range, for any significant inaccuracies.
  1910.179(j)(3)(vii)
  Gasoline, diesel, electric, or other powerplants for improper performance or noncompliance with applicable safety requirements.
  1910.179(j)(3)(viii)
  Excessive wear of chain drive sprockets and excessive chain stretch.
  1910.179(j)(3)(ix)
  [Reserved]
  1910.179(j)(3)(x)
  Electrical apparatus, for signs of pitting or any deterioration of controller contactors, limit switches and pushbutton stations.

• Has a periodic, complete inspection been performed by a qualified person at intervals between 1 and 12 months, and is the inspection documented? 1910.179(j)(3)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.179(j)(3)
  Periodic inspection. Complete inspections of the crane shall be performed at intervals as generally defined in paragraph (j)(1)(ii)(b) of this section, depending upon its activity, severity of service, and environment, or as specifically indicated below. These inspections shall include the requirements of paragraph (j)(2) of this section and in addition, the following items. Any deficiencies such as listed shall be carefully examined and determination made as to whether they constitute a safety hazard:
  1910.179(j)(3)(i)
  Deformed, cracked, or corroded members.
  1910.179(j)(3)(ii)
  Loose bolts or rivets.
  1910.179(j)(3)(iii)
  Cracked or worn sheaves and drums.
  1910.179(j)(3)(iv)
  Worn, cracked or distorted parts such as pins, bearings, shafts, gears, rollers, locking and clamping devices.
  1910.179(j)(3)(v)
  Excessive wear on brake system parts, linings, pawls, and ratchets.
  1910.179(j)(3)(vi)
  Load, wind, and other indicators over their full range, for any significant inaccuracies.
  1910.179(j)(3)(vii)
  Gasoline, diesel, electric, or other powerplants for improper performance or noncompliance with applicable safety requirements.
  1910.179(j)(3)(viii)
  Excessive wear of chain drive sprockets and excessive chain stretch.
  1910.179(j)(3)(ix)
  [Reserved]
  1910.179(j)(3)(x)
  Electrical apparatus, for signs of pitting or any deterioration of controller contactors, limit switches and pushbutton stations.

• Are hoist and crane operators designated and trained? Is the training documented? Does the training incorporate a practical exam? 29 CFR 1910.179(b)(8)

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1910.179(b)(8) Designated personnel-Only designated personnel shall be permitted to operate a crane covered by this section

TRAINING FOR LSV/GVO/GMV (does not include materials handling equipment/ Forklift)

• Training for Low Speed Vehicles/GVO/GMV (does not include materials handling equipment/ Forklift):

  Select Compliant Recommended Improvement Area (RIA) Failure

  • Compliant
  • Recommended Improvement Area (RIA)
  • Failure

• Has the owning organizations ensured every GVO has a written plan of instruction, IAW AFI 24-301, AFMAN 24-306, and Paragraph 4.7, to include identifying vehicle operational environment, usage requirements and manufacturer recommendations? AFI 91-207, Para. 2.2.2.4.

  Yes

  No

  N/A

• Select Cause:

  Select CC Involvement Training Safety Promotion Support Supervisor Responsibilities Effectiveness of Mishap Prevention Programs Risk Management ADWSR Supplements and Operating Instructions Facility License Clearing Barrel Inspections NCI/NCE Program Personal Protective Equipment (PPE)

  • CC Involvement
  • Training
  • Safety Promotion Support
  • Supervisor Responsibilities
  • Effectiveness of Mishap Prevention Programs
  • Risk Management
  • ADWSR
  • Supplements and Operating Instructions
  • Facility License
  • Clearing Barrel Inspections
  • NCI/NCE Program
  • Personal Protective Equipment (PPE)

• Select all vehicles operated by unit.

  Select UTV/ATV High Lift Passenger Van Bus Bobtail Staircase Truck Deicer Sweeper Truck Snow Blower Truck Snow Plow Loader Dump Truck Warehouse Tug 25K Loader Aircraft Tow Aerial Boom Lift Scissor Lift Low Speed Vehicle

  • UTV/ATV
  • High Lift
  • Passenger Van
  • Bus
  • Bobtail
  • Staircase Truck
  • Deicer
  • Sweeper Truck
  • Snow Blower Truck
  • Snow Plow
  • Loader
  • Dump Truck
  • Warehouse Tug
  • 25K Loader
  • Aircraft Tow
  • Aerial Boom Lift
  • Scissor Lift
  • Low Speed Vehicle

• Are UTV/ATV trainers certified to provide Specialty Vehicle Institute of America or DoD-Component-Approved specialty vehicle training to operators? AFI 91-207, Para. 4.4.6.3

  Yes

  No

  N/A

• Are UTV/ATV operators trained before being allowed to operate UTV/ATV's? AFI 91-207, Para. 4.4.6.3

  Yes

  No

  N/A

• Do Commanders and/or Functional Managers ensure proper PPE is available and worn at all times by UTV/ATV operators? AFI 91-207, Para. 2.3.3.2.

  Yes

  No

  N/A

• If UTV/ATV's are operated in a traffic, industrial or pedestrian environments, is there a risk assessment on file signed by the Installation Commander? AFI 91-207, Para. 2.2.2.3., 2.3.3.1.

  Yes

  No

  N/A

• Do trainers use QTP24-3-B214 Oversized Cargo Truck Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-B192 Passenger Van Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-B111 Bus Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-C355 Bobtail Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-C604 Staircase Truck Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-C600 Deicer Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-D594 Sweeper Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-D577 Snow Blower Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-D575 Snow Plow Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-D630 Loader Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-D531 Dump Truck Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-E801 Warehouse Tug Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Do trainers use QTP24-3-E935 25K Loader (Halverson) Vehicle Training Package to train operators? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Are Trainers utilizing QTP 24-3-L350 Aircraft Tow Vehicle Training Package? AFI 91-207, Para. 4.7.3

  Yes

  No

  N/A

• Are all vehicle-mounted elevating and rotating work platform operators trained and is training documented? DAFMAN 91-203, Para. 16.3.1.

  Yes

  No

  N/A

• Are all scissor lift operators trained and is training documented? DAFMAN 91-203, Para. 16.3.1.

  Yes

  No

  N/A

• Do training plans for LSV meet minimum mandatory requirements for Training and Training Plans in AFMAN 24-306? AFI 91-207, Para. 1.3.4.10., 4.7.1.

  Yes

  No

  N/A

Effectiveness of Mishap Prevention Programs

• Do supervisors report all mishaps that occur on-duty and all off-duty mishaps involving assigned military personnel, and related subsequent Airmen absences to the supporting safety office IAW DAFI 91-204. DAFI 91-202, Para. 1.6.28.10.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 16.3.1. Training shall be provided to each affected employee who is required to perform work on mobile elevating work platforms and scaffolding. (T-0) Supervisors shall train each employee:
  16.3.1.1. In accordance with 29 CFR § 1910.30, Training Requirements – Walking-Working Surfaces, and applicable manufacturer’s instructions. (T-0)
  16.3.1.2. Involved in erecting, disassembling, moving, operating, repairing, maintaining, inspecting or performing work on a scaffold in accordance with 29 CFR § 1926.454, Training Requirements – Scaffolds. (T-0)
  16.3.1.3. Required to use vehicle-mounted elevating and rotating work platforms before using this equipment. (T-0) This shall include “hands-on-training” prior to actual “on-the-job” training tasks. (T-1)

• Do functional managers correct hazards in their areas of responsibility? AFI 91-202, Para. 4.8.1.4.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.8.1. Responsibilities.
  4.8.1.1. Each installation establishes a program to abate hazards based on a priority system. (T-1)
  4.8.1.2. Commanders, supervisors and employees at all levels are responsible for abating hazardous conditions.
  4.8.1.3. Commanders protect national resources, both human and material, and have the responsibility to take action in implementing safety measures.
  4.8.1.4. Functional managers correct hazards in their areas of responsibility. (T-1)
  4.8.1.5. The safety office helps commanders assess and prioritize abatement actions and provide the commander with follow-up support until the hazard is eliminated.
  4.8.1.6. Send projects beyond the capability of local commanders to the parent MAJCOM/FOA/DRU. (T-1)

• Do Commanders send projects beyond the capability of local commanders to the parent MAJCOM/FOA/DRU? AFI 91-202, Para. 4.8.1.6.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.8.1. Responsibilities.
  4.8.1.1. Each installation establishes a program to abate hazards based on a priority system. (T-1)
  4.8.1.2. Commanders, supervisors and employees at all levels are responsible for abating hazardous conditions.
  4.8.1.3. Commanders protect national resources, both human and material, and have the responsibility to take action in implementing safety measures.
  4.8.1.4. Functional managers correct hazards in their areas of responsibility. (T-1)
  4.8.1.5. The safety office helps commanders assess and prioritize abatement actions and provide the commander with follow-up support until the hazard is eliminated.
  4.8.1.6. Send projects beyond the capability of local commanders to the parent MAJCOM/FOA/DRU. (T-1)

• Do Commanders and work center/shop supervisors utilize the hierarchy of controls to mitigate identified hazards? AFI 91-202, Para. 4.9.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.9. Hazard Control Hierarchy. See AFMAN 48-146 and AFPAM 90-803 for additional and detailed guidance.

• Do Commanders and work center/shop supervisors work to abate RAC's 1,2,3 as soon as possible? AFI 91-202, Para. 4.10.2.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.10.2. Hazard abatement in nonmilitary-unique workplaces must:
  4.10.2.1. Abate RACs 1, 2 and 3 hazards as soon as possible. (T-1)
  4.10.2.2. Identify abatement actions for RACs 4 and 5 hazards as soon as possible. (T-1)

• Do work center/shop supervisors post AF Form 1118 on, at or as near as possible to the hazard. However, where the nature of the hazard or workplace is such that this is not practical, post notices in a prominent place where all employees can see them. The workplace supervisor must ensure the posted AF Form 1118 is maintained in good condition and employees are kept informed of any changes. AFI 91-202, Para. 4.12.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.12. Posting Notification of Hazards. The fire, safety or health officials will complete the AF Form 1118 identifying RAC 1, 2 and 3 hazards IAW paragraph 15.1 and forward to the supervisor for posting not later than the end of the next duty day. (T-1) The control number for the AF Form 1118 will be assigned by the installation wing safety office. (T-1) This will ensure the control number is compatible with the associated AF Form 3, Hazard Abatement Plan, should it become required. A copy of the AF Form 1118 will be sent to the installation wing safety office by the office assigning the RAC. (T-1) Supervisors must alert all affected employees and contractors of the hazardous condition, any interim control measures and permanent corrective actions underway or programmed. (T-1) Supervisors post the AF Form 1118 in the workplace immediately upon receipt. AF Form 979, Danger Tag, may be used for this purpose on equipment. Refer to AFMAN 91-203 for additional guidance.

• 4.12.1. Location. Post AF Form 1118 on, at or as near as possible to the hazard. However, where the nature of the hazard or workplace is such that this is not practical, post notices in a prominent place where all employees can see them. The workplace supervisor must ensure the posted AF Form 1118 is maintained in good condition and employees are kept informed of any changes. (T-1) If adverse conditions are present, enclose the notice in a suitable protective cover. (T-1)
  4.12.2. Removal. The issuing office will be the authority to remove a posted AF Form 1118. (T-1) Removal of notices will only occur after the hazard has been corrected, or three (3) working days (excluding weekends and federal holidays), whichever is later, following validation by the issuing authority. (T-0)

• Do Squadron commanders or functional managers conduct a semiannual review of AF Forms 3 pertaining to their areas of responsibilities and reflect that review in Part IV--Semi-Annual Review Records of the AF Form 3? Do they notify Safety Personnel of any changes in the hazard abatement status? AFI 91-202, Para. 4.13.3.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.13.3. Squadron commanders or functional managers will conduct a semiannual review of AF Form 3 pertaining to their areas of responsibilities and reflect that review in Block 38 of the AF Form 3. (T-1)
  4.13.3.1. Commanders/functional managers notify the safety personnel of any changes in hazard abatement status and annotate changes on the AF Form 3.
  4.13.3.2. Squadron commanders or functional managers will conduct a semiannual review of AF Forms 3 pertaining to their areas of responsibilities and reflect that review in Part IV--Semi-Annual Review Records of the AF Form 3. (T-1)
  4.13.3.3. Completed hazard abatement projects must be certified by the appropriate agency; safety, fire, or health, to ensure the hazard was abated properly. (T-1) Certification in this particular instance means the appropriate official has performed a site visit to verify the hazard has been fully abated.

• Do commanders ensure an AF Form 457, USAF Hazard Report, or equivalent product is readily available to all personnel? AFI 91-202, Para. 4.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 4.3. Hazard Reporting System. Commanders must ensure an AF Form 457, USAF Hazard Report, or equivalent product is readily available to all personnel. (T-1) The AF Form 457 and its related process requirements meets the 29 CFR Part 1960 mandate for an employee hazard reporting system. Additionally, hazards may be submitted using the Airman Safety Action Program (ASAP) and MAJCOM specific hazard reporting forms. Readily available is defined as not being under lock and key or only accessible through electronic means when a member does not have immediate access to a government computer. Personnel have the option to submit hazard reports anonymously, to the responsible supervisor, or to the local safety office. To preserve easy access to the hazard report and anonymity when desired, commanders will consider posting the AF Form 457 in commonly visited areas like break rooms, training rooms, and debrief rooms, as well as safety bulletin boards. Any person assigned, attached or under contract to the Air Force may report a hazard. A hazard report may be submitted on any event that includes hazards, errors, unsafe procedures, practices or conditions that affects flight, occupational, weapons, systems or space safety. This process is not designed for readdressing hazards that are already being managed for abatement through another process such as a CE work request, job order, project or mishap investigation.

Supervisor Responsibilities

• 29 CFR 1960, Basic Program Elements for Federal Employees OSHA https://www.osha.gov/laws-regs/regulations/standardnumber/1960

• Have work center supervisors implemented and provided resoures for their mishap prevention program? AFI 91-202, Para. 1.6.28.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.1. Direct implementation and provide resources for the mishap prevention program (T-0)

• Do Work Center/Shop Supervisors Understand and enforce the safety and health standards that apply to their areas, operations and operations involving their subordinates? (must demonstrate knowledge and responsibilities with relation to risk management and mishap prevention) AFI 91-202, Para. 1.6.28.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.2. Understand and enforce the safety and health standards that apply to their areas, operations and operations involving their subordinates. (T-0) Demonstrate knowledge of their roles and responsibilities with relation to risk management and mishap prevention. (T-0)

• Do work center supervisors not require personnel to work in environments and conditions hazardous to their safety or health without first providing adequate elimination, substitution, engineering controls, administrative controls, and/or PPE? AFI 91-202, Para. 1.6.28.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.3. Shall not require personnel to work in environments and conditions hazardous to their safety or health without first providing adequate elimination, substitution, engineering controls, administrative controls, and/or PPE. (T-0)

• Do work center supervisors provide safe working conditions by:

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 29 CFR 1960.9, Supervisory responsibilities https://www.osha.gov/laws-regs/regulations/standardnumber/1960/1960.9

• 1.6.28.4.1. Ensuring required guards, interlocks, enclosures, other protective equipment and tools are provided, used, properly maintained, and inspected daily prior to use. (T-0)

• 1.6.28.4. Shall provide safe working conditions by:

• 1.6.28.4.2. Providing required safety related training. (T-0)

• 1.6.28.4.3. Providing proper required PPE. (T-0)

• 1.6.28.4.4. Exercising control over job tasks to ensure personnel follow all precautions and safety measures, including the proper use of PPE. (T-0)

• 1.6.28.4.5. Taking immediate action to correct any violation of safety rules observed or reported to them. (T-0)

• 1.6.28.4.6. Ensuring actions are taken to promptly eliminate hazards and correct deficiencies, and ensure any hazards identified by an AF Form 1118, Notice of Hazard, are added to the JSTO and employees are trained on the interim control measures and documented IAW paragraph 14.1, Job Safety Training Outline (JSTO). (T-1)

• 1.6.28.4.1. Ensuring required guards, interlocks, enclosures, other protective equipment and tools are provided, used, properly maintained, and inspected daily prior to use. (T-0)

• 1.6.28.4.2. Providing required safety related training. (T-0)

• 1.6.28.4.3. Providing proper required PPE. (T-0)

• 1.6.28.4.4. Exercising control over job tasks to ensure personnel follow all precautions and safety measures, including the proper use of PPE. (T-0)

• 1.6.28.4.5. Taking immediate action to correct any violation of safety rules observed or reported to them. (T-0)

• 1.6.28.4.6. Ensuring actions are taken to promptly eliminate hazards and correct deficiencies, and ensure any hazards identified by an AF Form 1118, Notice of Hazard, are added to the JSTO and employees are trained on the interim control measures and documented IAW paragraph 14.1, Job Safety Training Outline (JSTO). (T-1)

• Has Work Center/Shop Supervisors used risk management techniques to analyze work environment and job tasks for hazards? Conduct a Deliberate Risk Assessment or JHA of job tasks as required to determine potential hazards for each work task? AFI 91-202, Para. 1.6.28.5.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.5. Use risk management techniques to analyze work environment and job tasks for hazards. Conduct a Deliberate Risk Assessment or JHA of job tasks as required to determine potential hazards for each work task. It shall be accomplished when new equipment is installed, equipment is modified/relocated or new procedures are implemented in critical or hazardous operations (T-1) Refer to paragraph 13.6, Job Hazard Analysis (JHA), for additional guidance.

• Do Work Center/Shop Supervisors ensure planned workloads are assigned to qualified employees ensuring they understand the work to be completed along with the potential hazards and abatement for those hazards? AFI 91-202, Para. 1.6.28.9.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.9. Planned workloads will be assigned to qualified employees ensuring they understand the work to be completed along with the potential hazards and abatement for those hazards. (T-0)

• Do Work Center/Shop Supervisors provide and document work area specific safety, fire protection and health OJT to all DoD employees and volunteers before assigning them duty tasks requiring this training? This includes OSHA, AFOSH directives, AFPDs, AFIs, AFMANs, etc. Review JSTO annually, update and retrain employees when new tasks or equipment are added, or when existing tasks change, whichever comes first. AFI 91-202, Para. 1.6.28.8.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.8. Provide and document work area specific safety, fire protection and health OJT to all DoD employees and volunteers before assigning them duty tasks requiring this training. (T-0) This includes OSHA, AFOSH directives, AFPDs, AFIs, AFMANs, etc. Review JSTO annually, update and retrain employees when new tasks or equipment are added, or when existing tasks change, whichever comes first. (T-0)
  1.6.28.8.1. The home station supervisor shall ensure a copy of the documented training is sent with the deploying personnel and the deployed supervisor shall collect the documentation from the deployed individual. (T-1)
  1.6.28.8.2. Ensure subordinates receive a safety briefing from the temporary duty (TDY) locations safety staff on known hazards associated with TDY locations. (T-1) Provide and document job safety training at the TDY locations as specified in paragraph 1.6.28.13 (T-1) The TDY supervisor will ensure the individual is provided a copy of the documented training to return to the home station supervisor. (T-1)

• Have Work Center/Shop Supervisors Conducted and documented monthly spot inspections of their work areas? Look on SharePoint for Documentation AFI 91-202, Para. 1.6.28.14.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.14. Conduct and document monthly spot inspections of their work areas IAW paragraph 3.7 of this instruction. (T-1)

• Do Work Center/Shop Supervisors ensure safety program requirements are part of measurement of non-supervisory personnel’s performance appraisals using guidance provided by AF/A1? AFI 91-202, Para. 1.6.28.19.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.28.19. Ensure safety program requirements are part of measurement of non-supervisory personnel’s performance appraisals using guidance provided by AF/A1. (T-1)

Safety Promotion Support

• Do unit leaders endorse a Learning Culture by showing a willingness to change procedures and practices based on uncovered hazards and mistakes? Is A Flexible Culture is continuously promoted and reinforced by leadership actions throughout organizations by empowering personnel to recommend procedural and behavioral changes to manage risk AFI 91-202, para. 13.1.3.4.2.3., 13.1.3.4.2.4.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.1.3.4.2.3. A Learning Culture exists when the organization is not afraid to change direction, processes, or way of doing business simply because it’s always been done that way. Leaders endorse a Learning Culture by showing a willingness to change procedures and practices based on uncovered hazards and mistakes.

• 13.1.3.4.2.4. A Flexible Culture is continuously promoted and reinforced by leadership actions throughout organizations by empowering personnel to recommend procedural and behavioral changes to manage risk.

• Does unit leadership Ensure Airmen are provided safety awareness information and does the unit provide ongoing training into the mishap prevention program? Training should include hazard identification, control and reporting procedures. AFI 91-202, para. 13.1.3.4.2.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 13.1.3.4.2.3. A Learning Culture exists when the organization is not afraid to change direction, processes, or way of doing business simply because it’s always been done that way. Leaders endorse a Learning Culture by showing a willingness to change procedures and practices based on uncovered hazards and mistakes.

USR Responsibilities

• Does the USR advise the commander on safety matters, including latent conditions, which are deficiencies within the organization or supervision negatively affecting job performance, hazards or mishap outcome? AFI 91-202, Para. 2.2.2.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.2.2.1. Advise the commander on safety matters, including latent conditions, which are deficiencies within the organization or supervision negatively affecting job performance, hazards or mishap outcome. (T-2)

• Does USR conduct and document spot inspections in conjunction with facility managers when possible? AFI 91-202, Para. 2.2.2.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.2.2.2. Conduct and document spot inspections in conjunction with facility managers when possible and IAW paragraph 3.7 (T-2)

• Does the USR assist unit personnel with mishap reporting requirements. (T-1) Assist unit commander and supervisors in mishap investigation when required to include OSHA’s Rapid Response Report when needed. AFI 91-202, Para. 2.2.2.3.<br>

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.2.2.3. Assist unit personnel with mishap reporting requirements. (T-1) Assist unit commander and supervisors in mishap investigation when required to include OSHA’s Rapid Response Report. (T-2)

• Has the USR conducted and documented safety briefings and provide unit personnel with educational safety materials? AFI 91-202, Para. 2.2.2.5.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.2.2.5. Conduct and document safety briefings and provide unit personnel with educational safety materials. (T-2)

• Does the USR Facilitate the inspection and assessment process for their unit and accompany safety office personnel on the formal inspection and assessment? AFI 91-202, Para. 2.2.2.7.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 2.2.2.7. Facilitate the inspection and assessment process for their unit and accompany safety office personnel on the formal inspection and assessment. (T-2)

• Does the USRs and work center supervisor ensure appropriate follow-up actions (every 30 days) are conducted and documented until findings are closed. AFI 91-202, Para. 3.7.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 3.7.3. Work center/shop supervisors and USRs will ensure appropriate follow-up actions (every 30 days) are conducted and documented until findings are closed. (T-1) Documentation of spot inspections will include the following as a minimum. Local safety staffs may prescribe additional items. Local safety staffs may prescribe additional items.

• Does USR advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed? AFI 91-202, Para. 8.5.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 8.5.1. Advise the commander on safety related matters at least on a quarterly basis or more frequently as necessary and document key elements briefed. (T-2)

• Has the USR ensured mishap notification procedures are established in the unit and assist installation safety, unit commander, and supervisors with mishap investigations. AFI 91-202, Para. 8.5.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 8.5.3. Ensure mishap notification procedures are established in the unit and assist installation safety, unit commander, and supervisors with mishap investigations. (T-1)

• Comply with the safety program requirements to include attending USR meetings. AFI 91-202, Para. 8.5.6.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 8.5.6. Comply with the safety program requirements to include attending USR meetings. (T-1)

• Has the USR posted AFVA 91-209, Air Force Occupational Safety and Health Program, in a conspicuous location readily accessible to all employees and applicants for employment? AFI 91-202, Para. 8.5.7.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 8.5.7. Post AFVA 91-209, Air Force Occupational Safety and Health Program, in a conspicuous location readily accessible to all employees and applicants for employment. (T-1)

• Does USR provide the safety office with a current listing of all facilities owned/used by their unit for safety inspection purposes? AFI 91-202, Para. 8.5.9.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 8.5.9. Provide a Rapid Response Report for OSHA when requested by the safety office. (T-1)

MSR Responsibilities

• AFI 91-207, THE US AIR FORCE TRAFFIC SAFETY
  PROGRAM https://static.e-publishing.af.mil/production/1/af_se/publication/afi91-207/afi91-207.pdf

• Does the MSR act as focal point for information on motorcycle training, education, mentorship, AFSAS training module-MUSTT? AFI 91-207, para. 1.3.9.1.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.3.9.1. Be the focal point for information on motorcycle training, education, mentorship and AFSAS Training module-MUSTT. (T-1).

• Does the MSR assist the commander in identifying mentors to manage the unit’s mentorship program based on their riding experience, proficiency, and demeanor in riding? Note: Mentorship programs are encouraged but not mandatory. AFI 91-207, Para. 1.3.9.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.3.9.2. Assist commander in identifying mentors to manage the unit's mentorship program based on their riding experience, proficiency and demeanor in riding. (T-1).

• Does the MSR brief on-road motorcycle operators within 30-days of arrival or identification? AFI 91-207, Para. 1.3.9.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.3.9.3. Brief on-road motorcycle operators, within 30 duty-days of arrival or identification. Briefing topics will include items prescribed in Unit Motorcycle Safety Briefing Checklist, Attachment 2. (T-1). AFRC and ANG operators will complete initial motorcycle safety briefing within two unit training assemblies. (T-2).

• Does the MSR coordinate with the unit commander on the preseason/annual motorcycle safety briefing? AFI 91-207, Para. 1.3.9.4.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.3.9.4. Coordinate with the unit commander on the preseason/annual motorcycle safety briefing, see Attachment 3. (T-1).

• Does the MSR use the AFSAS MUSTT to track AF Military personnel on-road motorcycle operator’s training, briefings, and demographics? AFI 91-207, Para. 1.3.9.5.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.3.9.5. Use the AFSAS Training module-MUSTT to track AF Military personnel on-road motorcycle operator’s trainings, briefings and demographics. (T-1).

• Does the MSR review the unit’s MUSTT accounts annually for current training and ridership? AFI 91-207, Para. 1.3.9.5.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.3.9.5.2. Review unit MUSTT accounts annually for current training and ridership. (T-2).

CC Involvement

• Does Unit Commander ensure safety and occupational health program requirements and mishap prevention are part of the measurement of Squadron commanders and senior civilian supervisory personnel’s performance appraisals using guidance provided by AF/A1? DAFI 91-202, Para. 1.6.21.10.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.21.10. Ensures safety and occupational health program requirements and mishap prevention are part of the measurement of group/squadron commanders and senior civilian supervisory personnel’s performance appraisals using guidance provided by AF/A1. (T-0)

• Has the Commander directed implementation and provided resources for their units mishap prevention program? Have they established a management strategy that integrates safety and health into all operations and missions and ensure functional managers and supervisors take actions to mitigate hazards and reduce risk? DAFI 91-202, Para. 1.6.27.1., 1.6.27.2, 1.6.27.8

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.2. Implement a safety and health program in their unit or area of responsibility. Where commanders are not authorized full-time safety personnel, they will appoint a primary and alternate Unit Safety Representative (USR) to assist them in implementing their safety program. (T-1) Notify the installation safety office, in writing, of the appointment of USRs in order to schedule USRs for training. (T-1)

• 1.6.27.8. Establish a management strategy integrating safety and health into all operations and missions and ensure functional managers and supervisors take actions to mitigate hazards and reduce risk. (T-1)

• Has Unit Commander ensured safety and health training, to include risk management, is provided to all personnel based on requirements from regulatory guidance(OSHA, AFOSH, NFPA, etc.), and the specific needs of the organization? This includes providing necessary time and resources for USR's and Work Center/Shop Supervisors to attend safety training. DAFI 91-202, Para. 1.6.27.3.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.3. Ensure safety and health training, to include risk management, is provided to all personnel based on requirements from regulatory guidance, and the specific needs of the organization. (T-1)

• Does Unit Commander ensure a proactive mishap prevention program is implemented to include procurement and proper use of PPE, and facility compliance with AFOSH guidance and OSHA standards? DAFI 91-202, Para. 1.6.27.5.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.5. Ensure a proactive mishap prevention program is implemented to include procurement and proper use of PPE, and facility compliance with AFOSH guidance and OSHA standards. Note: Overseas installations will also need to consider host nation standards. (T-0)

• Are requests for equipment, products and services using purchase orders and/or Government Purchase Card reviewed for potential safety and health impacts by ensuring purchases are coordinated through installation safety office? DAFI 91-202, Para. 1.6.27.7

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.7. Ensure request for equipment, products and services using purchase orders and/or Government Purchase Card are reviewed for potential safety and health impact IAW AFI 64-117, Air Force Government-Wide Purchase Card (GPC) Program, and AFI 32-7086, Hazardous Materials Management. Note: Ensure government purchase card program addresses requirement to coordinate purchase of hazardous chemicals, munitions and industry equipment through the installation safety office. (T-2)

• Has the Unit Commander appointed a primary and alternate Unit Safety Representative to assist them in implementing their safety program? Did they notify the installation safety office inwriting, of the appointment of USRs in order to schedule USRs for training? DAFI 91-202, Para. 1.6.27.2.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.2. Implement a safety and health program in their unit or area of responsibility. Where commanders are not authorized full-time safety personnel, they will appoint a primary and alternate Unit Safety Representative (USR) to assist them in implementing their safety program. (T-1) Notify the installation safety office, in writing, of the appointment of USRs in order to schedule USRs for training. (T-1)

• Does the Unit Commander implement and use RM principles at all levels within the unit? DAFI 91-202, Para. 1.6.27.4.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.4. Implement and use RM principles at all levels within the unit. (T-2)

• Does Commander ensure hazard abatement actions needed to control identified hazards are implemented and follow-up actions are completed? Has Commander updated fire, safety and BE offices, as appropriate, on abatement actions every 180 days until the hazard(s) is abated? (look at AF Form 3 for commanders updates) DAFI 91-202, Para. 1.6.27.6.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.6. Ensure hazard abatement actions needed to control identified hazards are implemented and follow-up actions are complete. Update fire, safety and BE offices, as appropriate, on abatement actions every 180 days until the hazard(s) is abated. (T-1)

• Has Commander Ensured all personnel are briefed on the findings and recommendations contained in occupational and environmental health risk assessments and reports? DAFI 91-202, Para. 1.6.27.9.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.9. Ensure all personnel are briefed on the findings and recommendations contained in occupational and environmental health risk assessments and reports. (T-0) A copy of the survey report will be posted in a conspicuous location in the workplace for a period of 10 days after receipt to allow all employees free access to the findings. (T-0) These reports will be maintained on file in the workplace for a minimum of two years. (T-0)

• Has Commander communicated safety and health expectations to personnel in their command and hold them accountable for compliance with applicable standards? DAFI 91-202, Para. 1.6.27.11.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.11. Communicate safety and health expectations to personnel in their command and hold them accountable for compliance with applicable standards. (T-1)

• Has Unit Commander appointed a Motorcycle Safety Representative? DAFI 91-202, Para. 1.6.27.13.

  Yes

  No

  N/A

• Select Cause:

  Select ADWSR Oversight Commander Oversight Facility Manager Oversight Supervisor Oversight USR Oversight Lack of Effective Training Leadership Failed to Implement Corrective Actions MAJCOM Oversight MSR Oversight NCE Monitor Oversight Natural Event Unaware of Requirements

  • ADWSR Oversight
  • Commander Oversight
  • Facility Manager Oversight
  • Supervisor Oversight
  • USR Oversight
  • Lack of Effective Training
  • Leadership Failed to Implement Corrective Actions
  • MAJCOM Oversight
  • MSR Oversight
  • NCE Monitor Oversight
  • Natural Event
  • Unaware of Requirements

• 1.6.27.13. Appoint Motorcycle Safety Representatives IAW AFI 91-207, The US Air Force Traffic Safety Program. (T-1)

VERBAL OUT-BRIEF

• Out-Brief Date/ Time

  Date

• Out-Brief Attendees (Rank, Name/ Unit)

SIGNATURES (e-SSS)

• Occupational Safety Specialist

  Sign

• Occupational Safety Manager/Weapons Safety Manager

  Sign

• Chief of Safety

  Sign

• Unit Commander

  Sign

• Group Commander

  Sign

• Wing Commander

  Sign

• Final Report sent to Unit Commander

  Date