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Wells BSP Form
Date
Total Score
Location
*
Please Choose a Location
Great Lakes
Midwest
Mountain States
Site
*
Crystal Lake - Production
Green Bay - Office
Naperville - Office
Sebring - Production
Valders - Field
Valders - Production
Waukesha - Field
Waukesha - Machinery
Waukesha - Office
Site
*
Albany
Field
Rosemount
Sealant
Wells
Site
*
West Division Field
West Division Plant
West Division Sealant
N/A Number Section 1
Section 1: Safety Administration & Leadership
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
*
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
Score
N/A Number
Industrial Equipment
Operators certified/sticker
*
Pass
Fail
Not Applicable
N/A
na
Safety devices present/operational
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
Daily inspection(s) Complete
*
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
Walk/Working Surfaces
Safe access to elevated surfaces
*
Pass
Fail
Not Applicable
N/A
na
Fall protection provided – guardrails, handrails, hole covers, gates
*
Pass
Fail
Not Applicable
N/A
na
Ice/water hazards protected
*
Pass
Fail
Not Applicable
N/A
na
Changes in elevation identifiable
*
Pass
Fail
Not Applicable
N/A
na
Safe clearance from mobile equipment
*
Pass
Fail
Not Applicable
N/A
na
Work Plans and JHA's
Comments
Section 3: Tools, Material Handling, & Specific Equipment
Score
N/A Number
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
Guards in place and misc. devices in place
*
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
Stressing Equipment
Employees trained
*
Pass
Fail
Not Applicable
N/A
na
Operators certified
*
Pass
Fail
Not Applicable
N/A
na
Daily inspection performed on stressing equipment/chucks
*
Pass
Fail
Not Applicable
N/A
na
Depressing
Employees trained
*
Pass
Fail
Not Applicable
N/A
na
Daily inspection performed on depressing equipment
*
Pass
Fail
Not Applicable
N/A
na
Correct retainer pin used
*
Pass
Fail
Not Applicable
N/A
na
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
Strand Cutter
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
Blades show no signs of wear or damage
*
Pass
Fail
Not Applicable
N/A
na
Employee trained
*
Pass
Fail
Not Applicable
N/A
na
Magnetic Rails
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Clean/stored in a safe manner
*
Pass
Fail
Not Applicable
N/A
na
Mesh Carts
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
Loaded properly with the correct amount of mesh
*
Pass
Fail
Not Applicable
N/A
na
Tarp Carts
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
Tarps properly rolled on the carts
*
Pass
Fail
Not Applicable
N/A
na
Guards are in place
*
Pass
Fail
Not Applicable
N/A
na
Hydraulic Beds
Area is clear before opening and closing the bed
*
Pass
Fail
Not Applicable
N/A
na
Signage is posted
*
Pass
Fail
Not Applicable
N/A
na
Hydraulics are not leaking
*
Pass
Fail
Not Applicable
N/A
na
Steam/Airlines
Only trained and authorized employees open/work on lines
*
Pass
Fail
Not Applicable
N/A
na
Lines are properly maintained
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 4 People and Behaviors
Score
N/A Number
Industrial Equipment
No observed operator violations-seat belts speed, capacity issues, etc.
*
Pass
Fail
Not Applicable
N/A
na
Employees clear of equipment tires & pinch points
*
Pass
Fail
Not Applicable
N/A
na
Only approved attachments rated and used
*
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
Walk/Working Surfaces
Work area kept free from obstructions
*
Pass
Fail
Not Applicable
N/A
na
Liquid or material spills cleaned up immediately
*
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
Cords being used in bad condition-frayed wires, missing ground
*
Pass
Fail
Not Applicable
N/A
na
Cords kept from water hazards/GFCI
*
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
Flagmen posted during stressing operations
*
Pass
Fail
Not Applicable
N/A
na
No hot work/grinding around stressed beds
*
Pass
Fail
Not Applicable
N/A
na
Employees removed from danger zones (On, behind, beside the bed) while stressing
*
Pass
Fail
Not Applicable
N/A
na
Strand cutter used properly-position & strand cut length
*
Pass
Fail
Not Applicable
N/A
na
Proper release & rail movement tools used for magnetic rail
*
Pass
Fail
Not Applicable
N/A
na
Hands/feet clear before engaging rail
*
Pass
Fail
Not Applicable
N/A
na
Mesh is pulled from the mesh cart, no riders on cart
*
Pass
Fail
Not Applicable
N/A
na
Tarps rolled/unrolled from ground, no access
*
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
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
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 pouring the bed
*
Pass
Fail
Not Applicable
N/A
na
Material Storage
Securely stacked
*
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
Forming placed safely and out of the way
*
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
Comments
Section 6: Miscellaneous Items, Observations, & Conditions
Comments
