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Mold Shop
BSP Mold Shop
Date
Total Score
Total Percentage Score
Location
Albany
Grand Forks
Rosemount
Wells
Wells (Field)
Denver
Section 1: Safety Administration & Leadership
N/A Number Section 1
Score
Percent Score
Safety Meetings
Weekly Toolbox Talk held
*
Pass
Fail
Not Applicable
N/A
N/A
Monthly mass safety meeting
*
Pass
Fail
Not Applicable
N/A
na
Morning RAP sessions held at board
*
Pass
Fail
Not Applicable
N/A
na
Accident Prevention
Pre-planning for tools/equipment
*
Pass
Fail
Not Applicable
N/A
na
Auditing of tools & equipment
*
Pass
Fail
Not Applicable
N/A
na
CAP items addressed in 5 days
*
Pass
Fail
Not Applicable
N/A
na
Incident Management
Incidents reported
*
Pass
Fail
Not Applicable
N/A
na
Investigated & reviewed with employees
*
Pass
Fail
Not Applicable
N/A
na
Corrective action taken
*
Pass
Fail
Not Applicable
N/A
na
Training
New hires received orientation & mentoring
*
Pass
Fail
Not Applicable
N/A
na
Employees are trained in area orientation & safety plan
*
Pass
Fail
Not Applicable
N/A
na
Policy Enforcement
All safety rules, safe working procedures, and written programs are enforced
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 2: Main OSHA & RMP Programs
N/A Number Section 2
Score
Percent Score
Rigging
Annual Inspection
*
Pass
Fail
Not Applicable
N/A
na
Rigging capacity tags
*
Pass
Fail
Not Applicable
N/A
na
Qualified riggers utilized
*
Pass
Fail
Not Applicable
N/A
na
Pick points in good condition
*
Pass
Fail
Not Applicable
N/A
na
Hazard Communication
Haz-com program available
*
Pass
Fail
Not Applicable
N/A
na
Chemical inventory complete
*
Pass
Fail
Not Applicable
N/A
na
Training for hazardous chemical in place
*
Pass
Fail
Not Applicable
N/A
na
PPE
PPE hazard assessment performed
*
Pass
Fail
Not Applicable
N/A
na
PPE is effective
*
Pass
Fail
Not Applicable
N/A
na
PPE is available
*
Pass
Fail
Not Applicable
N/A
na
Employees trained on PPE
*
Pass
Fail
Not Applicable
N/A
na
Machine Guarding
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
Guards are effective
*
Pass
Fail
Not Applicable
N/A
na
Isolation is effective
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained guard use
*
Pass
Fail
Not Applicable
N/A
na
Lockout/Tagout
LOTO procedures available
*
Pass
Fail
Not Applicable
N/A
na
Procedures are effective
*
Pass
Fail
Not Applicable
N/A
na
Devices available
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Work Plans and JHA's
Appropriate plans in place
*
Pass
Fail
Not Applicable
N/A
na
Plans are effective
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained on the plans
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 3: Tools, Material Handling, & Specific Equipment
N/A Number Section 3
Score
Percent Score
Hand Tools
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
No structural repairs
*
Pass
Fail
Not Applicable
N/A
na
No homemade tools
*
Pass
Fail
Not Applicable
N/A
na
Right for the job
*
Pass
Fail
Not Applicable
N/A
na
Electric Tools
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
Extension cords
*
Pass
Fail
Not Applicable
N/A
na
Employees trained
*
Pass
Fail
Not Applicable
N/A
na
Pneumatic Tools
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Airlines/hoses free from leaks
*
Pass
Fail
Not Applicable
N/A
na
Emplyoee's trained
*
Pass
Fail
Not Applicable
N/A
na
Material Handling
Training on safe lifting practices performed
*
Pass
Fail
Not Applicable
N/A
na
Lifting aids provided
*
Pass
Fail
Not Applicable
N/A
na
Ergonomic stations provide for task
*
Pass
Fail
Not Applicable
N/A
na
Saw Stop
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
PM's in place
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Up cut Saws
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
PM's in place
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Table Saws
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
PM's in place
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Hot Wire Machine
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Grinders and Presses
Tool rest
*
Pass
Fail
Not Applicable
N/A
na
Guards
*
Pass
Fail
Not Applicable
N/A
na
Grinding wheel
*
Pass
Fail
Not Applicable
N/A
na
Machines secured
*
Pass
Fail
Not Applicable
N/A
na
PM's in place
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Floor Sanders
Electrical cord in good condition
*
Pass
Fail
Not Applicable
N/A
na
Vacuums used with floor sanders
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Band Saws
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
PM's in place
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 4 People and Behaviors
Score
Percentage Score
N/A Number Section 4
Machine Guarding
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
Guards being used properly
*
Pass
Fail
Not Applicable
N/A
na
Limit switches not bypassed
*
Pass
Fail
Not Applicable
N/A
na
E-Stops working
*
Pass
Fail
Not Applicable
N/A
na
Lockout/Tagout
Following procedures
*
Pass
Fail
Not Applicable
N/A
na
Devices used properly
*
Pass
Fail
Not Applicable
N/A
na
Tag identifying employee
*
Pass
Fail
Not Applicable
N/A
na
LOTO documented on log
*
Pass
Fail
Not Applicable
N/A
na
Haz-com Procedures
Proper containers being used
*
Pass
Fail
Not Applicable
N/A
na
Containers properly labeled
*
Pass
Fail
Not Applicable
N/A
na
Chemicals stored properly
*
Pass
Fail
Not Applicable
N/A
na
PPE Procedures
Employees wearing appropriate PPE
*
Pass
Fail
Not Applicable
N/A
na
Head
*
Pass
Fail
Not Applicable
N/A
na
Eyes/Face
*
Pass
Fail
Not Applicable
N/A
na
Ears
*
Pass
Fail
Not Applicable
N/A
na
Lungs
*
Pass
Fail
Not Applicable
N/A
na
Hands/Arms
*
Pass
Fail
Not Applicable
N/A
na
Body
*
Pass
Fail
Not Applicable
N/A
na
Feet
*
Pass
Fail
Not Applicable
N/A
na
Work Plans/JHA's
Plans are followed
*
Pass
Fail
Not Applicable
N/A
na
Tools, Material Handling & Specific Equipment
Right tool used for the job
*
Pass
Fail
Not Applicable
N/A
na
Compressed air safety followed
*
Pass
Fail
Not Applicable
N/A
na
Safe lifting practices observed, mesh, etc.
*
Pass
Fail
Not Applicable
N/A
na
Material being feed through saws properly
*
Pass
Fail
Not Applicable
N/A
na
Push sticks used
*
Pass
Fail
Not Applicable
N/A
na
Guards used
*
Pass
Fail
Not Applicable
N/A
na
Employee Actions
Striking Against
*
Pass
Fail
Not Applicable
N/A
na
Struck by Objects
*
Pass
Fail
Not Applicable
N/A
na
Caught On/In/Between
*
Pass
Fail
Not Applicable
N/A
na
Falling
*
Pass
Fail
Not Applicable
N/A
na
Contact Temp. Extreme
*
Pass
Fail
Not Applicable
N/A
na
Contacting Electrical Current
*
Pass
Fail
Not Applicable
N/A
na
Inhaling
*
Pass
Fail
Not Applicable
N/A
na
Absorbing
*
Pass
Fail
Not Applicable
N/A
na
Overexertion
*
Pass
Fail
Not Applicable
N/A
na
Awkward Body Positions
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 5: Environment
Score
Score Percentage
N/A Number
Housekeeping
Housekeeping expectations set, known, and followed
*
Pass
Fail
Not Applicable
N/A
na
No trip/slip hazards
*
Pass
Fail
Not Applicable
N/A
na
Trash dumpsters maintained
*
Pass
Fail
Not Applicable
N/A
na
Air Quality
Ventilation system running
*
Pass
Fail
Not Applicable
N/A
na
Sweeping/Vacuums before debris blow down
*
Pass
Fail
Not Applicable
N/A
na
Ventilations shut offs open
*
Pass
Fail
Not Applicable
N/A
na
Hearing Conservation
Protection readily available
*
Pass
Fail
Not Applicable
N/A
na
Properly used
*
Pass
Fail
Not Applicable
N/A
na
Used when required
*
Pass
Fail
Not Applicable
N/A
na
Used during prolonged air tool use
*
Pass
Fail
Not Applicable
N/A
na
Material Storage
Securely stacked
*
Pass
Fail
Not Applicable
N/A
na
Ergonomic access to materials
*
Pass
Fail
Not Applicable
N/A
na
In defined area
*
Pass
Fail
Not Applicable
N/A
na
Scrap storage secure
*
Pass
Fail
Not Applicable
N/A
na
Emergency Equipment
Fire extinguishers
*
Pass
Fail
Not Applicable
N/A
na
Evacuation horn
*
Pass
Fail
Not Applicable
N/A
na
Evacuation/equipment maps posted
*
Pass
Fail
Not Applicable
N/A
na
Exits clear and marked
*
Pass
Fail
Not Applicable
N/A
na
Eyewash and emergency shower available and inspected
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 6: Miscellaneous Items, Observations, & Conditions
Comments
