YYK JSA GENERAL

• SafetyNet EHS Audit

  

• Safety audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Audit started on

  Date

• Audit completed on:

  Date

• Auditors summary

1.0 Previous Inspection

• Items from previous audit have been corrected

• Great job. This shows that safety is a priority.

• Items from previous audit were observed and have NOT been fully corrected

• ATTENTION: Items observed on this audit were repeat observances or uncorrected issues. It is imperative that all items be corrected to insure the safety of your staff and reduce risk of accidents or violation. If you need assistance or would like to discuss any item please call 877-354-5434.

• Risk rating of this facility observed from this audit 1=Best 10=Worst score

• This facility scored a low risk of injuries, accidents or safety violations based on the observations at the time of this audit

• This facility scored a moderate risk of accidents, injuries or violations based on the observations at the time of the audit.

• This facility scored an above average risk of accidents, injuries or violations based on the observations at the time of this audit. Any serious items should be corrected immediately.

• ATTENTION: The facility scored an extremely high risk score which will likely result in accidents, injuries or violations based on the observations at the time of this audit. Any serious items should be corrected immediately.

Manager Safety Awareness

• OSHA general duty clause hazards observed

• All managers have received formal training in safety and health management responsibilities?

  Acceptable

  Unsafe

• Managers verify employees are applying their safety training and following procedures?

  Acceptable

  Unsafe

• Management follows the rules and addresses the safety behavior of others?

  Acceptable

  Unsafe

• Employees feel they have a positive impact on identifying and resolving safety and health issues?

  Acceptable

  Unsafe

General Duty Safety Clause 5(a)(1) (GDC)

• OSHA general duty clause hazards observed

• General hazards observed that could cause injury

  Acceptable

  Unsafe

• General hazards observed that could cause injury

  Acceptable

  Unsafe

• General hazards observed that could cause injury

  Acceptable

  Unsafe

• General hazards observed that could cause injury

  Acceptable

  Unsafe

• General hazards observed that could cause injury

  Acceptable

  Unsafe

Chemical - RTK and GHS compliance - MSDS 1910.1200

• Chemical Hazards Observed

• Are open drums and containers stored on spill containment pallets or pans?

  Yes

  No

  N/A

• Are secondary bottles labeled to meet HMIS or GHS compliance? Do they contain HMIS information or pictograms to indicate hazards along with first aid and specific hazard warning instructions.

  Yes

  No

  N/A

• Is there an SDS binder available where chemicals are used and has it been updated in the last 12 months?

  Yes

  No

  N/A

• Is there an updated chemical inventory available with maximum quantity on hand and location?

  Yes

  No

  N/A

Chemical Handling and Storage 1910.120

• Chemical hazards observed

• Are open drums and containers stored on spill containment pallets or pans?

  Acceptable

  Unsafe

• Are quantities of more than a quart of flammable liquid stored in an approved flammable cabinet?

  Acceptable

  Unsafe

• Are metal flammable storage drums grounded properly to prevent sparks and fire?

  Acceptable

  Unsafe

• Are approved secondary containers utilized, are they labeled properly and are they compatible with its contents?

  Acceptable

  Unsafe

• Are any chemicals stored or being handled in an unsafe manner?

  Acceptable

  Unsafe

Compressed Gasses 1910 Subpart M

• Do you have compressed gas cylinders stored at your facility?

  Yes

  No

  N/A

• Do empty cylinders have their valves closed? 1910.253(b)(2)(iii)

  Acceptable

  Unsafe

• Are compressed gas cylinders stored to prevent tipping or falling?

  Acceptable

  Unsafe

• Are compressed gas cylinders capped with a metal protective cover when not in use?

  Acceptable

  Unsafe

Confined Space 1910.146

• Do you have confined spaces that have potentially hazardous conditions?

  Yes

  No

  N/A

• Are only trained personnel permitted to enter confined spaces? Do they have the appropriate equipment to enter the space safely?

  Acceptable

  Unsafe

• Do you have permit required or non permit required confined space posted properly?

  Acceptable

  Unsafe

Electrical Safety 1910 Subpart S

• Electrical hazards observed

• Do electrical panels and disconnects have 36" radial clearance for emergency access?

  Acceptable

  Unsafe

• Are there any electrical cords that are supplying equipment not considered temporary that should be hard wired?

  Acceptable

  Unsafe

• Were there excessive extension cords, surge protectors or overloaded circuits observed?

  Acceptable

  Unsafe

• Are electrical panels, disconnects and breakers labeled as to what they control?

  Acceptable

  Unsafe

• Observed electrical panels and disconnects or junction boxes with open slots, uncapped conduit holes, discontinued circuits or uncovered wiring.

  Acceptable

  Unsafe

• Are electrical panels and disconnects labeled with amperage and voltage?

  Acceptable

  Unsafe

• Are the facilities maintenance employees trained and using safe Arc Flash 70E and electrical safety procedures when working on HOT circuits?

  Acceptable

  Unsafe

Emergency Equipment 1910.157 and 120

• Emergency equipment issues

• Spill kits available where required, inspected and adequate for amount and type of chemicals on site?

  Acceptable

  Unsafe

• Are eyewash stations, showers and fire blankets available, inspected and working properly?

  Acceptable

  Unsafe

• Are first aid kits available, applicable for the facility, stocked and readily available?

  Acceptable

  Unsafe

Emergency Preparedness 1910.38

• Emergency preparedness issues observed

• Evacuation plan displayed and understood by all employees?

  Acceptable

  Unsafe

• Are there equipment specific energy control procedures in place and utilized?

  Acceptable

  Unsafe

• Evacuation plan and maps displayed and understood by all employees?

  Acceptable

  Unsafe

• Do employees know where to go (a safe zone) and do you have roll call procedures in place?

  Acceptable

  Unsafe

• Do you conduct mock drills annually to prepare workers and staff for an emergency?

  Acceptable

  Unsafe

• Are emergency numbers posted and up to date in a conspicuous location?

  Acceptable

  Unsafe

• Do you have spill kit or emergency supply's stored in a location that is safely accessible in an emergency evacuation?

  Acceptable

  Unsafe

Fire Prevention 29 CFR 1910.39

• Fire prevention hazards observed

• Oily rags and combustible refuse stored in covered metal containers?

  Acceptable

  Unsafe

• Fire alarm system functioning correctly?

  Acceptable

  Unsafe

• Are Fire Extinguishers inspected monthly, documented and clear of obstructions?

  Acceptable

  Unsafe

• Have automated sprinkler systems and risers been certified within the last 5 years and are they clear of materials?

  Yes

  No

  N/A

• Is paper, trash and flammable material stored away from potential fire or combustion hazards?

  Yes

  No

  N/A

Environmental Hazards

• Environmental issues were observed!

• Do you conduct weekly documented hazardous waste area inspections?

  Acceptable

  Unsafe

• Is hazardous waste labeled legibly and properly with contents, accumulation start date and EPA I.D.?

  Acceptable

  Unsafe

• Observed potential sewer or storm drain pollution.

  Acceptable

  Unsafe

• Have employees that handle hazardous waste been trained on spill and leak procedures?

  Acceptable

  Unsafe

Ergonomics: Title 8 section 5110 and 5(a)(1) (GDC)

• Ergonomic hazards observed

• Can work be done without repetitive twisting, bending or lifting? Is the work area above shoulder level?

  Acceptable

  Unsafe

• Can employees keep their hands or wrists in a neutral position when they are working?

  Acceptable

  Unsafe

• Where workers are exposed to strains and sprains do you conduct warmup exercises or rotate workers to prevent repetitive motion injuries?

  Acceptable

  Unsafe

• If workers have to push or pull objects using great amounts of force, are mechanical aids provided?

  Acceptable

  Unsafe

• Are there sufficient rest breaks, in addition to scheduled rest breaks, to relieve stress from repetitive-motion tasks?

  Acceptable

  Unsafe

• Is work arranged so that workers are not required to lift and carry too much weight?

  Acceptable

  Unsafe

• Are pressure points on body parts such as wrists, forearms and backs of thighs avoided?

  Acceptable

  Unsafe

• Are workers exposed to excessive vibration from tools or equipment?

  Acceptable

  Unsafe

• Are chairs and work benches adjusted, positioned, and arranged to minimize strain on the body?

  Acceptable

  Unsafe

• Are tools, instruments, and machinery shaped, positioned, and handled so that tasks can be performed comfortably?

  Acceptable

  Unsafe

• Are mechanical assists available to the worker performing materials-handling tasks?

  Acceptable

  Unsafe

Exits 1910 Subpart E

• Means of egress deficiencies observed

• Exits clear of obstructions?

  Acceptable

  Unsafe

• Are doors on cold-storage rooms provided with inside release mechanisms that release the latches and open the doors?

  Acceptable

  Unsafe

• Where exit doors open directly onto a street, alley, or other area where vehicles may be operated, are adequate barriers and warnings provided to prevent employees from stepping directly into traffic?

  Acceptable

  Unsafe

• Emergency exit lighting and illuminated exits in place and operable?

  Acceptable

  Unsafe

• Where exits are not visible are directional signs provided?

  Yes

  No

  N/A

• Are exit doors able to open from the direction of exit travel without the use of a key or special knowledge or effort?

  Acceptable

  Unsafe

Machine Guarding 1910 Subpart O

• Machine Guarding Hazards Observed

• Guards firmly secured and not easily removable?

  Acceptable

  Unsafe

• Observed removed or damaged machine guards. SERIOUS HAZARDObserved removed or damaged machine guards. SERIOUS HAZARD

  Acceptable

  Unsafe

• Guards prevent workers from reaching under, around or behind guarded area?

  Acceptable

  Unsafe

• Foot trundle or foot pedal safety guards are in place?

  Acceptable

  Unsafe

• Point-of-operation guards provided and in place?

  Acceptable

  Unsafe

• Observed bypassed safety switches or interlocks. SERIOUS HAZARD<br>

  Acceptable

  Unsafe

• Pinch points and inward running rollers are properly guarded?

  Acceptable

  Unsafe

• Belts, chains, gears, sprockets, pulleys and flywheels guarded?

  Acceptable

  Unsafe

• Machine controls within easy reach of the operator?

  Acceptable

  Unsafe

• Guards provided for any other hazardous moving part of the machine?

  Acceptable

  Unsafe

Lockout Tagout (Control of Hazardous Energy) 29CFR 1910.147

• Control of hazardous energy (LOTO) issues observed

• Have written Lockout/Tagout procedures been developed for all hazardous equipment?

  Yes

  No

  N/A

• Have the required periodic audits of energy control procedures been performed and documented? 1910.147(c)(6)(ii)

  Acceptable

  Unsafe

• Is Lockout/Tagout equipment available? Are all lockouts documented?

  Yes

  No

  N/A

• Have employees performing lockout tagout been effectively trained?

  Yes

  No

  N/A

Housekeeping 1910.22

• Housekeeping hazards observed

• Entry and walkways kept clear of materials and blockage?

  Acceptable

  Unsafe

• Walkways adequately and clearly marked?

  Acceptable

  Unsafe

• Floor surfaces even and uncluttered?

  Acceptable

  Unsafe

• Are footpaths in good condition?

  Acceptable

  Unsafe

• Are railings in good condition?

  Acceptable

  Unsafe

• Are fall preventive measures in place and used where gaps occur in railings?

  Acceptable

  Unsafe

• Stairs and risers kept clear?

  Acceptable

  Unsafe

• Are liquid spills removed quickly?

  Acceptable

  Unsafe

• Intersections kept clear of boxes, pallets, etc?

  Acceptable

  Unsafe

Inspections and Procedures 5(a)(1) (GDC)

• Control of hazardous energy (LOTO) or Inspection issues observed

• Are weekly hazardous waste inspections performed if applicable?

  Acceptable

  Unsafe

• Are you conducting monthly period safety inspections to document a safe work environment?

  Acceptable

  Unsafe

• Do you inspect eyewash stations, emergency lighting, fire extinguishers and any other emergency equipment regularly?

  Yes

  No

  N/A

Machine Shop and Maintenance Areas 1910.215, Subpart P,Q,O

• Machine shop was inspected

• When welding is the proper ventilation in place, is there a shield to protect other workers and are employees trained on safe welding and hot work procedures?

  Acceptable

  Unsafe

• Are maintenance records kept to show PM or other regular maintenance on equipment and to verify equipment in facility is kept in safe working condition?

  Acceptable

  Unsafe

• Bench Grinders - Shields in place, tool rest adjusted within 1/16", grinder securely mounted, no non-ferrous material in wheel? 1910.215(b)(1)(iii)

  Acceptable

  Unsafe

• Table Saws - Are table saw and portable saw blades properly guarded to prevent injury?

  Acceptable

  Unsafe

• Are ladders over 6' and other equipment safely secured to prevent falling?

  Acceptable

  Unsafe

• Are hand tools in safe working order? Are electrical cords in good condition?

  Acceptable

  Unsafe

Noise Exposure 1910.95

• Noise from equipment or process was found to exceed safe Decibel levels of 85 DB

• Are noise levels in any areas at or above 90 decibels for an 8 hour period?

  Acceptable

  Unsafe

• If yes are employees required to wear hearing protection and is it well stocked and readily available?

  Acceptable

  Unsafe

• Do you have a written Hearing Conservation Program?

  Yes

  No

  N/A

• Do you conduct annual audiometric testing for workers exposed to excessive noise?

  Acceptable

  Unsafe

• Are areas posted where hearing protection is required?

  Acceptable

  Unsafe

Personal Protective Equipment -PPE 1910.132

• PPE hazards

• Personal protective equipment is well stocked and available for the hazards present at this facility?

  Acceptable

  Unsafe

• Fall protection PPE is available where applicable and areas where required are posted to restrict access to trained personnel only?

  Acceptable

  Unsafe

• Are respirators or dust masks being utilized properly where applicable?

  Acceptable

  Unsafe

• Do you have a written Respiratory Program if respirator use is required? Are all employees using respirators trained?

  Yes

  No

  N/A

• Have all workers using PPE been trained on the proper use, fit and limitations of the PPE?

  Acceptable

  Unsafe

• Are engineering controls in place to protect workers before PPE is utilized?

  Acceptable

  Unsafe

Employee Training 29CFR part 128

• Employee training issues observed

• Blood Borne Pathogens - Does the employer have documentation of training, including the contents of the training sessions, names and qualifications of trainers, names and job titles of those trained? (Note: Documentation must be kept for three years.) 1910.1030(h)(2)(ii)

  Acceptable

  Unsafe

• Confined Space - Does the employer have documentation of each employee’s name, the signatures or initials of trainers and the dates of the train- ing? 1910.146(g)(4)

  Acceptable

  Unsafe

• Facility conducts comprehensive employee hazard training and ensures all participate; in addition, employees can demonstrate proficiency in, and support of areas covered by training?

  Acceptable

  Unsafe

• Hazard Communication - Does the employer maintain documentation of the employee name and contents of haz- ardous communication training? 1910.1200(h)(3)

  Acceptable

  Unsafe

• Lockout Tagout - Does the employer have certification that training has been accomplished and kept up to date including each employees name and training dates? 1910. 147(c)(7)(iv)

  Acceptable

  Unsafe

• New Employee Training: are all employees being trained properly before beginning work for specific hazards associated with their task and general hazards in the facility. Additionally are they trained where emergency equipment and supplies are located and what to do in an emergency or spill of a chemical?

  Acceptable

  Unsafe

• Other training deficiencies noted where applicable

  Acceptable

  Unsafe

• Personal Protective Equipment - Does the employer have certification with employee’s name, date and subject for personal protective equipment training? 1910.132(f)(4)

  Acceptable

  Unsafe

• Respirator training, fit testing and medical evaluations are completed when required?

  Acceptable

  Unsafe

Office Areas

• Office areas were inspected and hazards were found.

• Exit paths are free of boxes/materials at all times?

  Acceptable

  Unsafe

• Aisles, walkways, and work areas are free of trip and fall hazards (i.e. torn carpets, turned up edges of door mats, boxes etc.)

  Acceptable

  Unsafe

• Illuminated exit and emergency lighting working properly?

  Acceptable

  Unsafe

• First aid kits and fire extinguishers available and inspected regularly?

  Acceptable

  Unsafe

• 36” clearance is maintained in front of all electrical panels and fire extinguishers?

  Acceptable

  Unsafe

• Electrical cords and plugs are in good condition: not frayed, taped, spliced, covered with carpet or the ground prong missing?

  Acceptable

  Unsafe

• Work and storage areas are free of improper storage (e.g., heavy, high and/or unstable storage)

  Acceptable

  Unsafe

• Shelf and wall units over 6' or by exit aisles are secured to prevent tip over?

  Yes

  No

  N/A

• Computer work stations and work areas are ergonomically correct and workers are working safely?

  Acceptable

  Unsafe

• The use of space heaters is kept to a minimum and the area around them kept clear of combustible materials?

  Yes

  No

  N/A

Postings: State and Federal - Department of Labor and State required.

• State and federal required posting

• State and federal posters are current and the information that is required to be filled out by the employer is up to date?

  Acceptable

  Unsafe

Warning Signs and Labels 1910.16

• Warning signs, labels and postings

• Warning signs, stickers or labels were placed in areas or on equipment to notify or warn employees of specific hazards.

  Acceptable

  Unsafe

• Are areas where PPE is critical and hazards are prevalent posted to remind workers to wear their assigned PPE?

  Acceptable

  Unsafe

Written Plans and Procedures. Title 8 3203 and OSH act

• Written plans and procedures were checked.

• Is your company's General Safety or IIPP written program up to date and being applied? Has it been reviewed and signed by an officer of the company in the last year?

  Acceptable

  Unsafe

• Do you have required written plans such as a respiratory protection program , a chemical hygiene plan, a lockout tagout program or noise exposure program in place and being applied per the plan?

  Acceptable

  Unsafe

• Do you have a written emergency preparedness program or fire safety program and is it complied with?

  Acceptable

  Unsafe

• Do you have documented employee accountability program in place with progressive discipline for safety violations?

  Acceptable

  Unsafe

Dock and Warehouse Safety 1910 Subpart N

• Dock and warehouse hazards observed

• Loading area is clean and uncluttered to prevent falling objects, slips, trips or fall hazards?

  Acceptable

  Unsafe

• Are heavy or bulky objects stored on lower shelves?

  Acceptable

  Unsafe

• Pallets must be in good condition. Empty pallets must be stored flat or in a contained area to prevent injury. No broken or protruding wood or nails. No pallets on edge. Avoid storing empty pallets in quantities or densities in excess of O.H. fire sprinkler combustible load ratings.

  Acceptable

  Unsafe

• Are rack uprights and beams in good condition? Bent racks and beams must be repaired or replaced.

  Acceptable

  Unsafe

• All rack uprights over 6' should be bolted down to prevent tipping or falling?

  Acceptable

  Unsafe

• Guardrails and/or covers are provided to protect personnel from the hazards of open sides of stairs, platforms, floor openings, floor holes, mezzanines, equipment pits, and other possible fall hazards.

  Acceptable

  Unsafe

• Aisles and forklift zones are indicated to protect pedestrians?

  Acceptable

  Unsafe

• Fall hazards are protected with restraint and signage?

  Acceptable

  Unsafe

• Wheel chock required and utilized when loading or unloading trailers with forklifts?

  Acceptable

  Unsafe

• Are open docks with a fall hazard that exceeds 36" protected with a restraint and warning signage?

  Acceptable

  Unsafe

Forklifts and Pallet Jacks 1910.178

• Forklift hazards observed

• Do forklift and lift operators have current training certifications and are they operating the trucks safely?

  Acceptable

  Unsafe

• Have electric pallet jack operators been trained and certified on their use?

  Yes

  No

  N/A

• Forklifts - Are daily or pre-shift industrial truck inspections being done and documented? 1910.178(g)(7)

  Acceptable

  Unsafe

• Are forklifts in safe working condition? Tires good, horn works, backup alarm operational, no cracks in hoses, chains even and greased, etc.

  Acceptable

  Unsafe

• Are current forklift safety rules posted in areas where forklifts are used?

  Acceptable

  Unsafe

Unsafe or Unsafe condition observed

• An unsafe act was observed by the auditor

Element

• Was an employee or manager involved?

  Employee

  Manager

  Temp employee

• Description of unsafe act

• Department or Area

• Equipment or machine involved

• Spoke with employee and reported to manager

• Had to stop employee and council on safe procedures

• Photo of issue

  Media

• Name

• Description of unsafe act

• Spoke with manager involved

• Add media

  Media

• A contractor or visitor was involved

• Name if possible

• Company

• Description of unsafe act

• Add media

  Media

• An unsafe condition was observed

Element

• Select Equipment Hazard Environmental Ergonomic Noise Chemical Slip trip or fall Guarding Design Cut or scrape Pinch or crush

  • Equipment
  • Hazard
  • Environmental
  • Ergonomic
  • Noise
  • Chemical
  • Slip trip or fall
  • Guarding
  • Design
  • Cut or scrape
  • Pinch or crush

• Describe the unsafe condition

• Drawings

  Drawing

• Photo

  Media

• Reported to manager

• A plan was made to correct the item/s

• Reviewed audit items with staff

• Reviewed with:

• Safety Manager Signature

  Sign

• Supervisor Or Manager Signature

  Sign

• I have received and acknowledged the attached safety audit.

• Select date

  Date