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Finishing
BSP Finishing
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
Stripping Form N/A
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
Percentage Score
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
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
Electrical Safety
Double insulated tools provided
*
Pass
Fail
Not Applicable
N/A
na
GFCI's are provided on outlets near water supply
*
Pass
Fail
Not Applicable
N/A
na
In use covers used
*
Pass
Fail
Not Applicable
N/A
na
Access - Planned Work
Product is stored properly
*
Pass
Fail
Not Applicable
N/A
na
Safe access provided to perform the work
*
Pass
Fail
Not Applicable
N/A
na
Horses not over loaded
*
Pass
Fail
Not Applicable
N/A
na
Silica Control Plan
Silica control plan in place
*
Pass
Fail
Not Applicable
N/A
na
Employees trained on plan
*
Pass
Fail
Not Applicable
N/A
na
Water and Vacuum assisted tools available
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 3: Tools, Material Handling, & Specific Equipment
Score
Percent Score
N/A Number Section 3
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 & Gas 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
Employee's trained
*
Pass
Fail
Not Applicable
N/A
na
No "locked on" tools
*
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
Ladder Safety
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Provided type is adequate
*
Pass
Fail
Not Applicable
N/A
na
Welding/Cutting
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Combustible material removed
*
Pass
Fail
Not Applicable
N/A
na
Flashback arrestors installed
*
Pass
Fail
Not Applicable
N/A
na
Powder Actuated Tools
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Employees are certified to use the tool
*
Pass
Fail
Not Applicable
N/A
na
Acid Washing
Inspected before use
*
Pass
Fail
Not Applicable
N/A
na
In safe condition
*
Pass
Fail
Not Applicable
N/A
na
Procedures developed for process
*
Pass
Fail
Not Applicable
N/A
na
Employee's trained on PPE
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 4 People and Behaviors
Score
Percentage Score
N/A Number Section 4
Electrical Procedures
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
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
Safe lifting practices observed, mesh, etc.
*
Pass
Fail
Not Applicable
N/A
na
Ladders used on level ground
*
Pass
Fail
Not Applicable
N/A
na
Working within the confines of the ladder
*
Pass
Fail
Not Applicable
N/A
na
Employees not above height requirement of the ladder
*
Pass
Fail
Not Applicable
N/A
na
Grinders and concrete saw being used in a safe manner
*
Pass
Fail
Not Applicable
N/A
na
Welding leads repair free
*
Pass
Fail
Not Applicable
N/A
na
Powdered actuated tool charges stored/disposed of properly
*
Pass
Fail
Not Applicable
N/A
na
Signage posted in area of powdered actuated tool use
*
Pass
Fail
Not Applicable
N/A
na
Other employees clear from washing
*
Pass
Fail
Not Applicable
N/A
na
Procedures are followed while filling acid tanks
*
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
Areas left clean at finishing
*
Pass
Fail
Not Applicable
N/A
na
Environment/Traffic
Equipment/employees visible-lighting on
*
Pass
Fail
Not Applicable
N/A
na
Pinch points
*
Pass
Fail
Not Applicable
N/A
na
Clear out of racks and runways when Travelift is passing
*
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
Material Storage
Securely stacked
*
Pass
Fail
Not Applicable
N/A
na
Ergonomic access to materials
*
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
Eyewash and emergency shower available and inspected
*
Pass
Fail
Not Applicable
N/A
na
Environmental
Pad clean/free puddle acid
*
Pass
Fail
Not Applicable
N/A
na
Water treatment functioning
*
Pass
Fail
Not Applicable
N/A
na
Product 20' from pad edge
*
Pass
Fail
Not Applicable
N/A
na
Wet blast only
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 6: Miscellaneous Items, Observations, & Conditions
Comments
