1. Houston Business Roundtable Field Audit Form Review
2011 Safety Excellence Award Training
Field Audit Form Review
Technical Support
Presented by: Ed Flores

2. *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.)

3. *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

4. *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

5. *16. HOUSEKEEPING ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 3 N/A1 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

6. *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

7. *20. ELECTRICAL SAFETY ITEM FIELD/OFFICE VERIFIED COMMENTS SCORE 1 2 31 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

8. Houston Business Roundtable Field Audit Form Review
2011 Safety Excellence Award Training
Field Audit Form Review
Technical Support