|
Area |
Satisfactory |
Action Required |
Corrective Action (date) |
|
Safety Officer |
|
Person assigned |
|
|
|
|
Written job description |
|
|
|
|
Written Program |
|
Safety Policy Statement |
|
|
|
|
Written programs |
|
|
|
|
Responsibilities defined |
|
|
|
|
Safety Plan of Action |
|
|
|
|
Safety Rules |
|
|
|
|
Operating Procedures Posted |
|
|
|
|
Administrative procedures |
|
|
|
|
Written Fire Prevention Plan |
|
|
|
|
Written Emergency Plan |
|
|
|
|
Management Responsibility |
|
Sufficient staff & resources |
|
|
|
|
Management commitment |
|
|
|
|
Communication w/ employees |
|
|
|
|
Program Enforcement |
|
Written enforcement policy |
|
|
|
|
Records of disciplinary action |
|
|
|
|
Managers held accountable |
|
|
|
|
Hazard Identification |
|
Department Inspections |
|
|
|
|
Hazard Analysis for each task |
|
|
|
|
Purpose Inspections |
|
|
|
|
Safety reviews for changes |
|
|
|
|
Hygiene Inspections |
|
|
|
|
Hazard control procedures |
|
|
|
|
Hazard Control |
|
All hazards classified |
|
|
|
|
No employee in hazard areas |
|
|
|
|
Correction documentation |
|
|
|
|
Corrective actions taken |
|
|
|
|
Personal Protective Equipment Program |
|
Hazard Analysis Completed |
|
|
|
|
PPE Assessment Completed |
|
|
|
|
Replacement as required |
|
|
|
|
Adequate stocks available |
|
|
|
|
Training completed |
|
|
|
|
Communication |
|
Periodic Safety Communication |
|
|
|
|
Means For Communication |
|
|
|
|
Employee Participation |
|
|
|
|
Training |
|
Safety Orientation Program |
|
|
|
|
Pre-Assignment Task Training |
|
|
|
|
Annual re-training |
|
|
|
|
Training records maintained |
|
|
|
|
Supervisors training |
|
|
|
|
Specialized training |
|
|
|
|
Accident Investigation and Corrective Action |
|
Supervisors trained |
|
|
|
|
Accident investigation forms |
|
|
|
|
All accidents investigated |
|
|
|
|
Corrective actions identified |
|
|
|
|
Corrective actions taken |
|
|
|
|
Written records |
|
|
|
|
Trends evaluated |
|
|
|
|
First-aid responders trained |
|
|
|
|
Notes
|
