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Precast/Production Floor
Precast/Production Floor
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
N/A Number Section 2
Section 2: Main OSHA & RMP Programs
Score
Percent Score
Overhead Crane
Annual and monthly inspections preformed on cranes
*
Pass
Fail
Not Applicable
N/A
na
Operators certified
*
Pass
Fail
Not Applicable
N/A
na
Clear walkway provided
*
Pass
Fail
Not Applicable
N/A
na
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
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
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
Electrical employees identified
*
Pass
Fail
Not Applicable
N/A
na
Clear access to panel
*
Pass
Fail
Not Applicable
N/A
na
Breakers labeled
*
Pass
Fail
Not Applicable
N/A
na
Permanent equipment wired
*
Pass
Fail
Not Applicable
N/A
na
Panels in good condition - Doors closed, no missing breakers, no missing knockouts, secured to wall
*
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 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
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
Chop Saws
Employee trained
*
Pass
Fail
Not Applicable
N/A
na
Guards in place
*
Pass
Fail
Not Applicable
N/A
na
Saw secured and material bench is stable
*
Pass
Fail
Not Applicable
N/A
na
Mobile 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
*
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
Overhead Crane
Daily inspection
*
Pass
Fail
Not Applicable
N/A
na
Load weights compared to capacity
*
Pass
Fail
Not Applicable
N/A
na
Safe picks observed
*
Pass
Fail
Not Applicable
N/A
na
Employees clear of pick
*
Pass
Fail
Not Applicable
N/A
na
Rigging
Daily inspection
*
Pass
Fail
Not Applicable
N/A
na
Safety latches in place
*
Pass
Fail
Not Applicable
N/A
na
No defective rigging used
*
Pass
Fail
Not Applicable
N/A
na
Configuration good
*
Pass
Fail
Not Applicable
N/A
na
Rigging clear
*
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
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
Brick hold down and push stick device used
*
Pass
Fail
Not Applicable
N/A
na
No observed operator violations-seat belts, capacity, etc.
*
Pass
Fail
Not Applicable
N/A
na
Employee clear of equipment & pinch points
*
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
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 in required areas
*
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
Exits clear and marked
*
Pass
Fail
Not Applicable
N/A
na
Air Quality
Sweeping/Vacuums used before debris blow down
*
Pass
Fail
Not Applicable
N/A
na
Equipment shut off when not in use
*
Pass
Fail
Not Applicable
N/A
na
Comments
Section 6: Miscellaneous Items, Observations, & Conditions
Comments
