Field Audit Form Review

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Nov 9, 2013 (4 years ago)

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2011 Safety Excellence Award Training


Field Audit Form Review

Houston Business Roundtable

Presented by
: Larry McElroy


Safety Audit Form


Current Form.
(Revised September 2010)


11 Page Document.


Will be emailed out
and can be found on
the HBR website.
www.houbrt.com


Use the Form as a
Format for your Audit.


Safety Audit Form Sections


28 Sections Audited:



Safety Training Education

Hazard Communication Program

Process Safety Management

Respiratory Protection Program

Hearing
Conservation Program

Emergency Evacuation Plan

Personal Protective Equipment

Substance Abuse Control
Program

Audit Inspection
Program

Behavioral Based Safety

Incident
Investigations

Recordkeeping

Medical / First Aid Program

Work Permits

Houskeeping

Fire Protection and Prevention

Environmental Management

Tool/Equipment Inspections

Electrical Safety

Sign, Signals and Barricades

LPG/Compressed Gases/Flammable Liquids

Ladders

Scaffolds

Excavation

Industrial Hygiene Program

Workforce Development

Best
Practices

Accident Prevention Program

Section 1:

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Management
Involvement in safety Programs

B.

Written
Safety Policy

C.

Safety
policy communicated to and understood by
all employees

X

D.

Safety
and Health Manual

E.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

F.

Written
operating procedures/work practices

X

G.

Safety
handbook for employees

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

H.

Annual safety

goals set for continuous improvement

I.

Company
safety recognition program in place

J.

Company
safety representative identified

K.

Safety
representative participates in safety
problems/activities

L.

Safety
representative inspects all jobsites

X

M.

Disciplinary
action program

N.

Copy
of all federal safety and health regulations
available on jobs and/or posted as required

X

O.

Participation in a safety professional association
(Safety Council, ABC, , ASSE, HBR, Etc.)

Section 1: Accident Prevention

Program, cont.

Section 26: Best Practices

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Are
Best Practice(s) Fully Implemented at Site

X

B.

Year
to Year Improvement in Site Statistics

X

C.

OSHA
Challenge, VPP, OSHA SHARP, OSHA Star

X

Section 26
-

Best Practices and Year to Year Improvements



Highlight Company Programs that are considered to be the
strongholds of your organizations.


Focus on a select few.


Emphasize Site and total Company EH&S Statistical Data.










SCORING: For each item listed below, decide if the entry meets the criteria as follows:

Audit Scoring System


Score


0
(Below Average)


No Program in place.


Score


1
(Average)


Program in place and
meets the minimum
requirements.


Employees in the field
have knowledge of
the program.

1 = Average

N/A = Not Applicable

0 = Below Average

2 = Above Average

3 = Excellent

SCORING: For each item listed below, decide if the entry meets the criteria as follows:

Audit Scoring System


Score


2
(Above Average)



The Program is in
place and exceeds
industrial standards.


Employees in the
field are
knowledgeable and
participation is high.


1 = Average

N/A = Not Applicable

0 = Below Average

3 = Excellent

2 = Above Average

SCORING: For each item listed below, decide if the entry meets the criteria as follows:

Audit Scoring System


Score


3 (Excellent)


The Program is in
place and exceeds
industrial standards.


Employees in the
field are
knowledgeable and
participation is high
and exceeds
requirements to the
extent to where it is
recognized as a
“Best Practice”.


1 = Average

N/A = Not Applicable

0 = Below Average

2 = Above Average

3 = Excellent

SCORING: For each item listed below, decide if the entry meets the criteria as follows:

Audit Scoring System


Score


N/A


Should be
checked if it is
non applicable.


Is not counted
against the
overall score.


Calculation is
based on an
overall
percentage.


1 = Average

0 = Below Average

2 = Above Average

3 = Excellent

N/A = Not Applicable

Section 29: Final Score


Section 29
-

Final Score


Each individual page is totaled
for the number of items
evaluated and the points scored.

(bottom of each page)


The Sum of the Sub
-
totals are then divided by the
sum of the number of items.

141

385

2.73

Number of Items Evaluated


Subtotal of Score Points

Sections 30
-
32:


Comments and Commitment



Completed by
auditors.



Importance of
Client comments.



Commitment
verified through
the audit
process.



Can be the tie
breaker section.


ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

Written Safety Policy:

A.

Corporate

B.
Site

X

i
.

Safety
policy communicated to and understood by all
employees

X

ii.

Safety
and Health Manual

iii.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

iv.

Written
operating procedures

X

v.

Safety
handbook for employees

X

vi.

Annual
safety goals set for continuous improvement

vii.

Company
safety recognition program in place

viii.

Company
safety representative identified

ix.

Safety
representative participates in safety
problems/activities

x.

Safety
representative inspects all jobsites

X

xi.

Disciplinary
action program

xii.

Copy
of all federal safety and health regulations
available on jobs and/or posted as required

X

xiii.

Participation
in a Contractor Safety Council

Section 1

Accident Prevention Program

1. Accident Prevention Program

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A


i
.

Safety
policy communicated to and understood by all
employees

X

ii.

Safety
and Health Manual

iii.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

iv.

Written
operating procedures

X

v.

Safety
handbook for employees

X

vi.

Annual
safety goals set for continuous improvement

vii.

Company
safety recognition program in place

viii.

Company
safety representative identified

ix.

Safety
representative participates in safety
problems/activities

x.

Safety
representative inspects all jobsites

X

xi.

Disciplinary
action program

xii.

Copy
of all federal safety and health regulations
available on jobs and/or posted as required

X

xiii.

Participation
in a Contractor Safety Council

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A


i
.

Safety
policy communicated to and understood by all
employees

X

ii.

Safety
and Health Manual

iii.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

i
.

Safety
policy communicated to and understood by all
employees

X

ii.

Safety
and Health Manual

iii.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

iv.

Written
operating procedures

X

v.

Safety
handbook for employees

X

vi.

Annual
safety goals set for continuous improvement

vii.

Company
safety recognition program in place

viii.

Company
safety representative identified

ix.

Safety
representative participates in safety
problems/activities

x.

Safety
representative inspects all jobsites

X

xi.

Disciplinary
action program

xii.

Copy
of all federal safety and health regulations
available on jobs and/or posted as required

X

xiii.

Participation
in a Contractor Safety Council

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Management
Involvement in safety Programs

B.

Written
Safety Policy

X

C.

Safety
policy communicated to and understood by all
employees

X

D.

Safety
and Health Manual

E.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

F.

Written
operating procedures

X

G.

Safety
handbook for employees

X

H.

Annual
safety goals set for continuous improvement

I.

Company
safety recognition program in place

J.

Company
safety representative identified

K.

Safety
representative participates in safety
problems/activities

L.

Safety
representative inspects all jobsites

X

M.

Disciplinary
action program

N.

Copy
of all federal safety and health regulations
available on jobs and/or posted as required

X

O.

Participation
in a Contractor Safety Council

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Management
Involvement in safety Programs

B.

Written
Safety Policy

X

C.

Safety
policy communicated to and understood by all
employees

X

D.

Safety
and Health Manual

E.

Written
procedures for safety activities (JSA, JHA ,
committee, etc.)

X

F.

Written
operating procedures

X

G.

Safety
handbook for employees

X

H.

Annual
safety goals set for continuous improvement

I.

Company
safety recognition program in place

J.

Company
safety representative identified

K.

Safety
representative participates in safety
problems/activities

L.

Safety
representative inspects all jobsites

X

M.

Disciplinary
action program

N.

Copy
of all federal safety and health regulations
available on jobs and/or posted as required

X

O.

Participation
in a Contractor Safety Council

Removed

Added

Removed

Removed

Added

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

High
noise area and operations identification (Owner
or Contractor?)

X

B.

Hearing
protection and records training

X

Sections 2 & 6

Training and Hearing Protection

2. Safety Training Education

6. Hearing Conservation Program

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
new hire orientation

X

B.

Tool
box talks/safety meetings

X

C.

Specific
safety training for all employees (permits,
vessel entry, etc.)

X

D.

Safety
incidents and activities reviewed with all
employees

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
new hire orientation

X

B.

Tool
box talks/safety meetings

X

C.

Specific
safety training for all employees (permits,
vessel entry, etc.)

X

D.

Safety
incidents and activities reviewed with all
employees

X

E.

Skills
training for all craft workers

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
new hire orientation

X

B.

Tool
box talks/safety meetings

X

C.

Specific
safety training for all employees (permits,
vessel entry, etc.)

X

D.

Safety
incidents and activities reviewed with all
employees

X

E.

Skills
training for all craft workers

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

High
noise area and operations identification (Owner
or Contractor?)

X

B.

Hearing
protection and records training

X

C.

Noise
Monitoring

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

High
noise area and operations identification (Owner
or Contractor?)

X

B.

Hearing
protection and records training

X

C.

Noise
Monitoring

X

Removed

Added

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

PPE
Assessment/Evaluation

B.

Head
protection worn by everyone in the designated
area and hard hats are in good condition

X

C.

Eye/face
protection provided and used where operation
of machines present potential eye or face injury

X

D.

Hearing
protection provided where required

X

E.

Approved
respiratory protection provided and used
where required

X

F.

Safety
harnesses, lifelines and lanyards are provided
and used where required

X

Section 8

Personal Protective Equipment

B.

Head
protection worn by everyone in the designated
area and hard hats are in good condition

X

C.

Eye/face
protection provided and used where operation
of machines present potential eye or face injury

X

D.

Hearing
protection provided where required

X

E.

Approved
respiratory protection provided and used
where required

X

F.

Safety
harnesses, lifelines and lanyards are provided
and used where required

X

G.

Dress
code and minimum PPE standard

X

H.

Safety
harness and lanyards meet inspection
requirements

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

PPE
Assessment/Evaluation

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

PPE
Assessment/Evaluation

B.

Employee
provided by Employer

C.

Head
protection worn by everyone in the designated
area and hard hats are in good condition

X

D.

Eye/face
protection provided and used where operation
of machines present potential eye or face injury

X

E.

Hearing
protection provided where required

X

F.

Approved
respiratory protection provided and used
where required

X

G.

Safety
harnesses, lifelines and lanyards are provided
and used where required

X

H.

Dress
code and minimum PPE standard

X

I.

Safety
harness and lanyards meet inspection
requirements

X

J.

Proper
Gloves

X

8. Personal Protective Equipment

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

PPE
Assessment/Evaluation

B.

Employee
provided by Employer

C.

Head
protection worn by everyone in the designated
area and hard hats are in good condition

X

D.

Eye/face
protection provided and used where operation
of machines present potential eye or face injury

X

E.

Hearing
protection provided where required

X

F.

Approved
respiratory protection provided and used
where required

X

G.

Safety
harnesses, lifelines and lanyards are provided
and used where required

X

H.

Dress
code and minimum PPE standard

X

I.

Safety
harness and lanyards meet inspection
requirements

X

J.

Proper
Gloves

X

Added

Added

Sections 10 & 11

Audits and BBS

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
program in place

B.

Employee
participation

1.
Tracked

X

2.
Documented

3.
Communicated

4.

Employee
Feedback

X

C.

Management
involvement and review

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
plan/procedure format for conducting safety
audits/inspections

B.

Audit
results documented

C.

Corrective
action implemented and documented

X

D.

Problems
and remedies communicated throughout
company

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
plan/procedure format for conducting safety
audits/inspections

B.

Audit
results documented

C.

Corrective
action implemented and documented

X

D.

Problems
and remedies communicated throughout
company

E.

Frequency
of Audits

10. Audit Inspection Program

11. Behavioral Based Safety

Added Section

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
plan/procedure format for conducting safety
audits/inspections

B.

Audit
results documented

C.

Corrective
action implemented and documented

X

D.

Problems
and remedies communicated throughout
company

E.

Frequency
of Audits

Added

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

First
-
aid
supplies

X

B.

Qualified
personnel (first
-
aid card minimum)/CPR

Section 14

Medical/First Aid Program

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

First
-
aid
supplies

X

B.

Qualified
personnel (first
-
aid card minimum)/CPR

C.

Emergency
service set up

D.

Emergency
telephone numbers posted

X

E.

Medical
personnel available for advice and consultation

F.

In
compliance with blood borne pathogens standard

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

First
-
aid
supplies

X

1.

Process
to manage

2.

Process
to monitor supply

3.

Resource
adequate for number of employees on site

B.

Qualified
personnel (first
-
aid card minimum)/CPR

C.

Emergency
service set up

D.

Emergency
telephone numbers posted

X

E.

Medical
personnel available for advice and consultation

F.

In
compliance with blood borne pathogens standard

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

First
-
aid
supplies

X

1.

Process
to manage

2.

Process
to monitor supply

3.

Resource
adequate for number of employees on site

B.

Qualified
personnel (first
-
aid card minimum)/CPR

C.

Emergency
service set up

D.

Emergency
telephone numbers posted

X

E.

Medical
personnel available for advice and consultation

F.

In
compliance with blood borne pathogens standard

X

14. Medical/First Aid Program

Added

Added

Added

Sections 18 & 20

Environmental and Electrical

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
Environmental Policy Statement

B.

Spill
Prevention Plan

C.

Environmental
Risk Assessment

D.

Communication
of Site Environmental Concerns

E.

Notification
to Owner of leak or upset

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
Environmental Policy Statement

B.

Spill
Prevention Plan

C.

Environmental
Risk Assessment

D.

Communication
of Site Environmental Concerns

E.

Notification
to Owner of leak or upset

F.

Green
Initiatives

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
assured grounding program/GFCI

X

B.

Electrical
tools grounded or double insulated

X

C.

Electrical
panels labeled

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
assured grounding program/GFCI

X

B.

Electrical
tools grounded or double insulated

X

C.

Electrical
panels labeled

X

D.

State
licensed/certification/qualified

18. Environmental Management

20. Electrical Safety

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
Environmental Policy Statement

B.

Spill
Prevention Plan

C.

Environmental
Risk Assessment

D.

Communication
of Site Environmental Concerns

E.

Notification
to Owner of leak or upset

F.

Green
Initiatives

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
assured grounding program/GFCI

X

B.

Electrical
tools grounded or double insulated

X

C.

Electrical
panels labeled

X

D.

State
licensed/certification/qualified

Added

Added

A.

Portable electric tools

X

B.

Tools are maintained in safe condition

X

C.

All power operated tools properly guarded

X

D.

Abrasive wheels and tools properly equipped and used

X

E.

Woodworking tools properly equipped and used

X

F.

Inspection Program

X

G.

Powder actuated tools

X

H.

Powered Industrial Trucks

X

I.

Personnel Baskets

X

J.

Lifting equipment (come
-
alongs

and
chainfalls
)

X

K.

Hydraulic cranes

X

L.

Gantry cranes

X

M.

Crawler cranes

X

N.

Overhead hoists

X

O.

Drum hoists

X

P.

Power platforms, aerial lifts, scissor lifts, JLG’s, etc.

X

Q.

Suspension scaffolds

X

S.

Contractor owned equipment

X

R.

Wire rope/chain/slings

X

ITEM

FIELD

COMMENTS

SCORE

0

1

2

3

N/A

Section 19

Tools/Equipment Inspections

H.

Wire
rope/chain/slings, Lifting equipment (come
-
alongs

and
chainfalls
)

X

I.


Mobile Equipment (power industrial trucks, man lifts,
cranes, fork lifts, ’s

X

B.

Tool Training in Place

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Inspection
Program

X

B.

Tool
Training in Place

X

C.

Portable
electric tools

D.

Tools
are maintained in safe condition

X

E.

All
power operated tools properly guarded

X

F.

Abrasive
wheels and tools properly equipped and used

X

G.

Powder
actuated tools

X

H.

Wire
rope/chain/slings, Lifting equipment (come
-
alongs

and
chainfalls
)

X

I.


Mobile Equipment (power industrial trucks, man lifts,
cranes, fork lifts, ’s

X

19. Tools/Equipment Inspections

Removed

Removed

Removed

Combined

Combined

Combined

Combined

Combined

Combined

Combined

Combined

Combined

Combined

Rearranged

Added

Added

Added

Section 21

Signs, Signals, and Barricades

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

“Danger
" and "Caution" signs available and used to
warn against potential hazards or to caution against
unsafe practices

X

B.

Safety
instructions and directional signs posted where
required

X

C.

Accident
prevention tags available and used where
required

X

D.

Flagmen
used where required

X

E.

Crane
and hoist signals posted and used

X

F.

Barricades
provided where needed

X

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

“Danger
" and "Caution" signs available and used to
warn against potential hazards or to caution against
unsafe practices

X

B.

Safety
instructions and directional signs posted where
required

X

C.

Accident
prevention tags available and used where
required

X

D.

Flagmen
used where required

X

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

“Danger
" and "Caution" signs available and used to
warn against potential hazards or to caution against
unsafe practices

X

B.

Safety
instructions and directional signs posted where
required

X

C.

Accident
prevention tags available and used where
required

X

D.

Flagmen
used where required

X

E.

Crane/Signalman
Training verified

F.

Crane
and hoist signals posted and used

X

G.

Barricades
provided where needed

X

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

“Danger
" and "Caution" signs available and used to
warn against potential hazards or to caution against
unsafe practices

X

B.

Safety
instructions and directional signs posted where
required

X

C.

Accident
prevention tags available and used where
required

X

D.

Flagmen
used where required

X

E.

Crane/Signalman
Training verified

F.

Crane
and hoist signals posted and used

X

G.

Barricades
provided where needed

X

21. Signs, Signals, and Barricades

Added

Sections 23 & 24

Ladders and Scaffolds

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Condition

X

B.

Inspection
of

X

C.

Training
on proper placement

X

D.

Job made ladders according to standards

E.

Retractable
devices

X

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Condition

X

B.

Inspection
of

X

C.

Training
on proper placement

X

D.

Job made ladders according to standards

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Condition

X

B.

Inspection
of

X

C.

Training
on proper placement

X

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Condition

X

B.

Inspection
of

X

C.

Training
on proper placement

X

E.

Retractable
devices

X

ITEM

FIELD

VERFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Condition

X

B.

Inspection
of

X

C.

Training
on proper placement

X

D. Retractable devices

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

B.

Training
-

User, Builder, Competent
Person

X

C.

Inspection
System/Program

X

A.

Training
-

User, Builder, Competent
Person

X

B.

Inspection
System/Program

X

C.

Fall
Protection for Builder

X

D.

Records
and Documentation

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written program in place

B.

Training
-

User, Builder, Competent
Person

X

C.

Inspection
System/Program

X

D.

Fall
Protection for Builder

X

E.

Records
and Documentation

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written program in place

B.

Training
-

User, Builder, Competent
Person

X

C.

Inspection
System/Program

X

D.

Fall
Protection for Builder

X

E.

Records
and Documentation

X

23. Ladders

24. Scaffolds

Added

Removed

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

B.

Pre
-
dig
procedures (Excavation permit)

C.

Daily
inspections by competent person

X

D.

Sloped
by classification, A, B, C/or supporting system
determined and utilized according to standard

X

Section 25

Excavation

A.

Pre
-
dig
procedures (Excavation permit)

B.

Daily
inspections by competent person

X

C.

Sloped
by classification, A, B, C/or supporting system
determined and utilized according to standard

X

D.

Trenching
requirements, bracing, other safeguards
according to standards

X

E.

Barricades
utilized

X

F.

Competent
person Identified

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
Program in place

B.

Pre
-
dig
procedures (Excavation permit)

C.

Daily
inspections by competent person

X

D.

Sloped
by classification, A, B, C/or supporting system
determined and utilized according to standard

X

E.

Trenching
requirements, bracing, other safeguards
according to standards

X

F.

Barricades
utilized

X

G.

Competent
person Identified

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Written
Program in place

B.

Pre
-
dig
procedures (Excavation permit)

C.

Daily
inspections by competent person

X

D.

Sloped
by classification, A, B, C/or supporting system
determined and utilized according to standard

X

E.

Trenching
requirements, bracing, other safeguards
according to standards

X

F.

Barricades
utilized

X

G.

Competent
person Identified

X

25. Excavation

Added

Sections 26 & 27

IH Program and Workforce Dev.

ITEM

FIELD

COMMENTS

SCORE

0

1

2

3

N/A

A.

Asbestos
Program

X

B.

Lead
Abatement Program

X

C.

Abrasive
blasting Program

X

D.

Industrial
Hygiene Program

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

1.

Written
program in place

X

2.

Exposure
Assessment

X

3.

Periodically
monitoring

X

4.

Employee
Communication

X

5.

Biological
Monitoring

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Formal
Craft Training

X

B.

Craft
Written Assessments

X

C.

Skills
Upgrade Training

X

D.

Performance
Verification

X

E.

Benefits
& Improvements

X

F.

Incentives
and Motivation

X

25. Other

26. Industrial Hygiene Program

27. Workforce Development

Removed Section

Added Section

Added Section

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Are
Best Practice(s) Fully Implemented at Site

X

B.

Year
to Year Improvement in Site Statistics

X

Section 28

Best Practices

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Are
Best Practice(s) Fully Implemented at Site

X

B.

Year
to Year Improvement in Site Statistics

X

C.

OSHA
Challenge, VPP, OSHA SHARP, OSHA Star

X

ITEM

FIELD

VERIFIED

COMMENTS

SCORE

0

1

2

3

N/A

A.

Are
Best Practice(s) Fully Implemented at Site

X

B.

Year
to Year Improvement in Site Statistics

X

C.

OSHA
Challenge, VPP, OSHA SHARP, OSHA Star

X

28. Best Practices & Year to Year Improvement

Added

2011 Safety Excellence Award Training


Field Audit Form Review

Houston Business Roundtable