Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / Omni Facility Services Health & Safety Site Verification Audit Training Module This module is a controlled document within the Omni Facility Services document control system and falls under the championship of the Corporate Safety Department. Copying, altering and/or reproduction is strictly prohibited without the written consent of Omni Facility Services Southfield Road * Suite 220 * Southfield, MI 48075

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / sad OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 To the LEFT is a copy of our new Health & Safety Site Verification Audit form (or Safety Audit) which will replace the old Managing Vital Performance (MVP) form. The form’s coding is the same – just a change in the revision number (4) and revision date (01-11). If you control documents on your job site be sure to trash all revisions of F with revisions of ‘3’ or earlier as of February 1, This Safety Audit is designed to 1) verify that specific aspects of our safety program are properly installed and utilized on the job site and 2) also help identify potential safety concerns and correction them to avoid injury.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 The first step in conducing a successful safety audit using the Health & Safety Site Verification Audit form is to properly identify: Where the audit was done Account Site Who conducted the audit Date of audit Area audited This is recorded in the first section of the Safety Audit form titled: Site Information. Note: In some cases an account name and site name will be the same when there is only ONE [1] site for an entire account. Many accounts however, have multiple buildings or locations.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 Next, take a moment and review the Safety Audit form’s procedure section. This is your guide to conducting the safety audit and completing the form properly. Remember, failure to properly complete the form WILL result in non-recording thus requiring you to conduct the ENTIRE audit over again. But worse than that, it may also result in your failure to identify an unsafe act or condition which might lead to a direct injury. So take a moment to refresh yourself on the steps of the audit and further help guarantee your safety audit will be a success every time.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 Now that you have completed the site information section and reviewed your audit procedure, it’s time to begin your audit. First you need to conduct an audit of your controlled areas: office, janitor closets (JCs), cribs/cages and your crew – specifically their safety training.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 As you review each topic and item in this section check off ONLY those items that you can verify as in place and/or completed. Note: verify means you can produce physical evidence (form, document or binder as examples) that therefore allows you to check the box of a specific item. If you can not find or see an item then you can NOT check it off!

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 In this example audit we will assume we found at least one bottle with an improper / no label and we have yet to train our staff fully on the current month’s safety toolbox review. Note: if you trained ‘most’ of your crew on a specific topic you can NOT check it off. 100% of all site staff must be trained, and documented, before you can complete the item.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 With your check list completed you can either note your action items then or, as we will do in this example, enter them at the end of our audit. Now it is time to conduct the Site Safety Observational Audit. This is very similar to the old ‘MVP’ style safety audits you have done in the past. Walk the entire audit area (typically the entire site or area you ID’ed above in Site Information). As you observe your crew working check off the Yes/No boxes to the right of each observational question. Also, using the information on the right side of this section as a guide, keep an eye out for other potential safety violations or concerns – either OFS issues or general to the customer’s facility.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 In this sample audit we found that all 5 of our observational questions to be affirmative and thus we marked the ‘YES’ box to the right of each observational question. We also noted in our walk-through of the facility a crack in the floor by one of the entry doors. Since this is not an OFS related issue we will document this concern (Physical – slip, trips and falls) as a CLIENT related item and notify our customer (or in this case the property management company) of the issue.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 With our audit completed it is now time to fill our the final section of our safety audit form: Site Safety Action Plans. First step is to transfer any items that were not finished as of the last safety audit date. In this sample we did not finish our monthly safety review (toolbox talks) at the time of the last audit so that Action Item MUST be transferred over. However, since the last audit we did finish the training so we can ‘close’ that action item by putting in the date of the current safety audit and make a notation in the Corrective Action section as to what action was taken. In this case, we completed the audits on the 22 nd of December.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 Finally we can document the other action items we noted earlier in our audit. We had 2 items from our check list (Label issue and tool box review for the current month not done yet) and we also had our cracked entry floor observation during our walk-through. As you can see below, each item was issued an Action Date (audit date item first was recorded), what the item was (Action Item), a notation whether and OFS or CLIENT issue, and finally Corrective Action. Note: Corrective Action is completed ONLY when you have taken all the needed steps to CLOSE an item. Note: If you require additional room for your Action Items use the back side of the form. Just remember to keep your information short but complete.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 Note: If you require additional room for your Action Items use the back side of the form. Just remember to keep your information short but complete.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F RevNo: 4/01-11 FINISHED? NO! You now need to send a copy of your safety audit to the Safety Department via fax or to: AND keep a record in your site files. Note: It’s important to keep a record in your site files for several reasons: 1) your customer may want to look at them periodically, 2) you may want to track your safety efforts over time and 3) you need to be able to transfer over any ‘open’ Action Items to your next safety audit.

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / Thank you for your time. Safety is THE single most important act we MUST do each and every time we come to work. YOUR efforts to conduct safety audits is a very important factor in keeping yourself, your team and our customer safe. Finally, take note that not only are site managers / project managers authorized to conduct safety audits, but they may also train crew leaders and safety team members to conduct them as well. After all, safety is ALL or our responsibility. Thank you. ______________________________ Corporate Director of Safety

Health & Safety Site Verification Audit Procedural Training F b RevNo: 0 / Certificate of Completion awarded by Omni Facility Services SAFETY 1 st This certifies that ______________________________________________ has completed the basic training overview for the Health & Safety Site Verification Audit Training Module number F as released on February 1, 2011 as revision 4/01-11 on this ________ Day of ____________, ______________. daymonthyear name ______________________________________________ Employee signature of completion ______________________________________________ Supervision acknowledgement of completion