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QA1_a Safety Bulletin Board established and current. (SP 2)(29 CFR 1903.2) - Is the “You Have a Right to a Safe & Healthful Workplace” Poster (OSHA 2203 or OSHA 3165 or Labor Law #85204) posted? (.5 pts) |
Yes |
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QA1_b Are Emergency Phone Numbers posted? (.5 pts) |
Yes |
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QA1_c Is the Safety Policy Statement posted? (1 pts) |
Yes |
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QA1_d Is the Fire Evacuation Diagram posted? (.5 pts) |
Yes |
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QA1_e Safety Bulletin Board established and current. (SP 2)(29 CFR 1903.2) - Is the OSHA 300A Summary posted (From February 1 to April 30)? (.5 pts) |
Yes |
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QA2_a Does management has a Safety Policy Manual (hard copy) or can they display an electronic version (Safety & Health Homepage) within a reasonable time (10 minutes)? (3 pts) |
Yes |
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QA3_a Current OSHA Record keeping Log (SP 9) (29 CFR 1904.2) - Is the OSHA 300 Log being used to document work related injuries and illnesses within 7 days? (.5 pts) |
Yes |
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QA3_b Are OSHA logs with backup accident reports on file for past five years or since unit opened, if shorter time? Note: OSHA log and summary must be completed, signed, and filed each year, even if no accidents. (.5 pts) |
Yes |
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QA4_a Chemical safety in the workplace. (SP 13) (29 CFR 1910.1200) - Are Material Safety Data Sheets (MSDS) readily available for each hazardous material in the workplace? (1 pts) |
Yes |
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QA4_b Are Material Safety Data Sheets (MSDS) readily available for each hazardous material in the workplace? (2.5 pts) |
Yes |
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QB1_a Established Safety Committee complete with documented meeting minutes for last six months. (SP 3)(OSHA's General Duty Clause) - Does a safety committee exist? Applies to units with 10 or more employees. Note: The sum of employees includes all management, full time, client employees under our management, and part time employees. (1 pts) |
Yes |
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QB1_b Are safety committee meetings held monthly? (2.5 pts) |
Yes |
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QB2_a A safety topic is reviewed each month with all employees and documented. (SP 5) - a. For the past 12 months, has the management team reviewed a workplace safety topic each month with at least 90% of its employees? (3 pts) |
Yes |
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QC1_a Unit conducts monthly Safety Inspection Guide with corrective action plans implemented to correct unsafe conditions or unsafe acts. (SP 4) - Has unit performed monthly safety inspections to identify possible hazards? Note: At minimum, four safety inspections in the last six months. (2 pts) |
Yes |
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QC1_b Does unit management take corrective action to address possible hazards? (2 pts) |
Yes |
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QC1_c Employees do not wear loose fitting clothing and jewelry and tie back long hair while operating equipment or when near moving equipment? (2 pts) |
Yes |
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QC1_d Are walkways, fire aisles, and stairways clear of materials and tripping/slipping hazards? (2 pts) |
Yes |
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QC1_e Are stepladders or straight ladders in good condition and of sufficient height to prevent over-reaching? Note: The use of metal ladders must be prohibited in areas where the ladder or the employee using the ladder could come in contact with energized parts of equipment, fixtures, or circuit conductors. (2 pts) |
Yes |
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QC1_f Do extension cords being used have a grounding conductor (ground prong) and are they free of splices or damage to the its insulation? Note: This also applies to portable electrical tools and machinery that should have a grounding conductor or it must be double insulated. (2 pts) |
Yes |
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QC1_g Are the workshop areas clean, orderly, and adequately illuminated? (2 pts) |
Yes |
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QC2_a Approved floor hazard warning signs (35") in place and used. (SP 5) - Does unit management actively use approved floor hazard warning signs to prevent access to areas that expose potential dangers? (2 pts) |
Yes |
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QC3 All chemical containers are appropriately labeled? (SP 13) (29 CFR 1900.1200) (2 pts) |
Yes |
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QC4_a Employees exposed to hazards are protected with personal protective equipment and clothing. (SP 4) (29 CFR 1910.132 & .133) - Did unit management conduct a hazard assessment within the last 12 months? (1.5 pts) |
Yes |
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QC4_b Is Personal Protective Equipment (PPE) provided and actively worn? (2 pts) |
Yes |
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QC5_a Is all machinery or equipment capable of movement, required to be de-energized or disengaged and locked out/tagged out during cleaning, servicing, adjusting or setting up operations. (SP 4) (29 CFR 1910.147) - Are Energy Control Procedures developed for equipment that contains stored hazardous energy? Note: Does not apply to cord and plug equipment if the plug is under the complete control of the employee performing the service or maintenance. (1.5 pts) |
Yes |
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QC5_b Are authorized employees provided at least one lock and one tag? (2 pts) |
Yes |
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QC5_c At time of audit, is unit management supporting company lockout/tagout procedures? Note: If machinery or equipment is damaged or missing its guard, it must be locked out and/or tagged out. (2 pts) |
Yes |
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QC6 Are employees with occupational exposures to blood borne pathogens or bodily fluids offered Hepatitis B vaccinations? (SP 4) (29 CFR 1910.1030) (2 pts) |
Yes |
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QC7 Are employees working with potential close contact with infectious TB are offered the purified protein derivative (PPD) Mantoux Skin Test? (SP 4) Note: Applies to Health Care and Senior Services (2 pts) |
NA |
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QC8 Are rotating or moving parts of equipment guarded to prevent physical contact? (SP 4)(29 CFR 1910.212) (2 pts) |
Yes |
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QC9 If asbestos or presumed asbestos containing materials is present, then is a client asbestos management plan is in place? (SP 4) (29 CFR 1926.1101 & 1910.1001) (2 pts) |
NA |
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QC10 Are permit-required and non-permit required confined spaces identified and properly classified? (SP 4) (29 CFR 1910.148) (2 pts) |
Yes |
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QC11 Is a respiratory protection program established where employees are exposed to air contaminants. (29 CFR 1910.134) (2 pts) |
NA |
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QC12 Employees required to wear respirators have been fit tested? (29 CFR 1910.134) (2 pts) |
NA |
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QC13 Are high noise work areas identified and controls taken? Hearing conservation required for areas where noise exposure exceeds action level of 85 Dba @ 8-hour time weighted average. (SP 4) (29 CFR 1910.95) (2 pts) |
NA |
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QD1 Is an Accident Prevention Review conducted for new employees and annually for all employees? (SP 5) (2 pts) |
Yes |
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QD2 Is Slip, Trip, and Fall Prevention Training provided? Note: includes ladder safety (SP 5) (29 CFR 1910.24-.27) (2 pts) |
Yes |
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QD3 Is Back Injury Prevention Training provided? (SP 5) (2 pts) |
Yes |
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QD4 Is Fire Safety & Emergency Evacuation Training provided? (SP 4) (29 CFR 1910.38) (2 pts) |
Yes |
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QD5 Is Personal Protective Equipment Training provided? (SP 4) (29 CFR 1910.132 & .133) (2 pts) |
Yes |
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QD6 Is Chemical Hazard Communication Training provided? (SP 13) (29 CFR 1910.1200) (2 pts) |
Yes |
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QD7 Is Bloodborne Pathogen Precautions Training provided? (SP 4) (29 CFR 1910.1030) (2 pts) |
Yes |
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QD8 Is Tuberculosis Precautions Training provided? (SP 4) Note: Applies to Health Care and Senior Services (2 pts) |
NA |
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QD9 Is Asbestos Awareness Training provided? (SP 4) (29 CFR 1910.1001) (2 pts) |
Yes |
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QD10 Is Lockout/Tagout Training provided for all authorized and affected employees? (SP 4) (29 CFR 1910.147) (2 pts) |
Yes |
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QD11 Are employees trained on safe operation of equipment and machinery? (29 CFR 1910.264) (2 pts) |
Yes |
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QD12 Is Electrical Safety Training provided? (29 CFR 1910.303) (2 pts) |
Yes |
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QD13 Is the Confined Space entry policy trained to all effected employees? (SP 4) (29 CFR 1910.146) (2 pts) |
Yes |
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QD14 If applicable, is Power Industrial Truck Training provided for authorized operator(s)? (SP 4) (29 CFR 1910.178) (2 pts) |
NA |
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QE1 Is the Driver Responsibilities form reviewed and signed by the Sodexho driver within the last 12 months? (on file). (SP 6) (2 pts) |
Yes |
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QE2 Does the unit manager retain a copy of the current motor vehicle record check for the Sodexho driver within the last 12 months? (on file)(SP 6) (2 pts) |
Yes |
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QF1 Does unit management complete the "First Report of Injury" on all incidents and accidents and conducts a timely Employee Injury Investigation within 24 hours for all employee injuries and corrective action taken? (SP 7) (2 pts) |
Yes |
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QF2 Is a First Aid Kit(s) easily accessible to the work area. (SP 7) (29 CFR 1910.151) (2 pts) |
Yes |
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QF3 Is a First Aid/CPR trained and certified employee(s) available? (SP 7)(29 CFR 1910.151) (2 pts) |
Yes |
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QF4 Is an Emergency eyewash available and does it properly work within the immediate work area where employees are exposed to corrosive materials? (SP 7) (29 CFR 1910.151) (2 pts) |
Yes |
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Employee’s wear approved slip-resistant shoes. (1 pts) |
Yes |
