Houston Business Roundtable Field Audit Form Review 2011 Safety Excellence Award Training Field Audit Form Review Technical Support Presented by: Ed Flores
*1. ACCIDENT PREVENTION PROGRAM ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 3 N/A Company safety recognition program in place J. Company safety representative identified Safety representative participates in safety problems/activities Company representative inspects all jobsites X M. Disciplinary action program Copy of all federal safety and health regulations available on jobs and/or posted as required O. Jobsite safety activity plan Participation in a safety professional association (Safety Council, ABC, TCC, ASSE, HBR, Etc.)
*7. EMERGENCY EVACUATION PLAN ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 3 N/A A. Written procedure X B. Included in orientation Posted signal/alarm systems/evacuation routes D. Periodic training E. Emergency assembly area identified F. Annual Drills Conducted G. Emergency Lighting H. Exit Points
*12. INCIDENT INVESTIGATIONS ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 3 N/A A. Initial (within 24-hour) Incident Report B. Near-miss incident investigation report Formal Incident investigation format (root cause, corrective action, contributing factors) D. Serious injury, fatality/catastrophe procedure E. Incident communicated throughout company X
*16. HOUSEKEEPING ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 3 N/A 1 2 3 N/A Work areas, passageways, stairs, office spaces, field trailers, kitchen, break areas kept clean X B. Scrap and debris removed at regular intervals C. Waste containers identified
*17. FIRE PROTECTION AND PREVENTION ITEM FIELD/OFFICE VERFIED COMMENTS SCORE 1 2 3 N/A A. Fire protection program developed B. Fire extinguishers provided X C. Fire extinguisher training conducted D. Fire extinguisher inspection conducted Alarm or telephone system available for use in emergency "No smoking or open flame" signs posted and enforced where needed Fire Alarm systems (detectors, pull stations, detection heads, alarm panel Maintenance, Inspected and Tested H. Designated Smoking area identified
*20. ELECTRICAL SAFETY ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 3 1 2 3 N/A Written assured grounding program/GFCI X Electrical tools grounded or double insulated Electrical panels labeled/clear pathways D. State licensed/certification/qualified
Houston Business Roundtable Field Audit Form Review 2011 Safety Excellence Award Training Field Audit Form Review Technical Support