1. Houston Business Roundtable Field Audit Form Review
2010 Safety Excellence Award Training
Field Audit Form Review
Presented by: Sharon Todd

2. Safety Audit Form Current Form. (Revised January 2006)
10 Page Document.
Will be ed out and can be found on the HBR website.
Use the Form as a Format for your Audit.

3. Safety Audit Form Sections
26 Sections Audited:
ITEM
FIELD
COMMENTS
SCORE 1 2 3
N/A
Written Safety Policy:
A. Corporate
B. Site
i. Safety policy communicated to and understood by all employees
ii. Safety and Health Manual
iii. Written procedures for safety activities (JSA, JHA , committee, etc.)
iv. Written operating procedures
v. Safety handbook for employees
Safety Training Education
Hazard Communication Program
Process Safety Management
Respiratory Protection Program
Hearing Conservation Program
Emergency Evacuation Plan
Personal Protective Equipment
Drug and Alcohol Control Program
Audit Inspection Program
Accident Investigations
Recordkeeping
Medical / First Aid Program
Accident Prevention Program
Work Permits
Houskeeping
Fire Protection and Prevention
Environmental Management
Tool/Equipment Inspections
Electrical Safety
Sign, Signals and Barricades
LPG/Compressed Gases/Flammable Liquids
Ladders
Scaffolds
Excavation
Others
Best Practices X X X X X

4. Section 1: Accident Prevention Program, cont.
ITEM
FIELD
COMMENTS
SCORE 1 2 3
N/A
vi. Annual safety goals set for continuous improvement
vii. Company safety recognition program in place
viii. Company safety representative identified
ix. Safety representative participates in safety problems/activities
x. Safety representative inspects all jobsites X
xi. Disciplinary action program
xii. Copy of all federal safety and health regulations available on jobs and/or posted as required
xiii. Participation in a Contractor Safety Council

5. Section 26: Best Practices
ITEM
FIELD
COMMENTS
SCORE 1 2 3
N/A
Are Best Practice(s) Fully Implemented at Site X
B. Year to Year Improvement in Site Statistics
Section 26- Best Practices and Year to Year Improvements
Highlight Company Programs that are considered to be the strongholds of your organizations.
Focus on a select few.
Emphasize Site and total Company EH&S Statistical Data.

6. Audit Scoring System Score – 0 (Below Average) No Program in place.
Score – 1 (Average)
Program in place and meets the minimum requirements.
Employees in the field have knowledge of the program.
0 = Below Average
1 = Average
2 = Above Average
3 = Excellent
N/A = Not Applicable

7. Audit Scoring System Score – 2 (Above Average)
The Program is in place and exceeds industrial standards.
Employees in the field are knowledgeable and participation is high.
0 = Below Average
1 = Average
2 = Above Average
3 = Excellent
N/A = Not Applicable

8. Audit Scoring System Score – 3 (Excellent)
The Program is in place and exceeds industrial standards.
Employees in the field are knowledgeable and participation is high and exceeds requirements to the extent to where it is recognized as a “Best Practice”.
0 = Below Average
1 = Average
2 = Above Average
3 = Excellent
N/A = Not Applicable

9. Audit Scoring System Score – N/A
Should be checked if it is non applicable.
Is not counted against the overall score.
Calculation is based on an overall percentage.
0 = Below Average
1 = Average
2 = Above Average
3 = Excellent
N/A = Not Applicable

10. Section 27: Final Score Section 27- Final Score
385
141
2.73
Section 27- Final Score
Each individual page is totaled for the number of items evaluated and the points scored.
Number of Items Evaluated
Subtotal of Score Points
(bottom of each page)
The Sum of the Sub-totals are then divided by the sum of the number of items.

11. Sections 28-30: Comments and Commitment
Completed by auditors.
Importance of Client comments.
Commitment verified through the audit process.
Can be the tie breaker section.

12. Houston Business Roundtable Field Audit Form Review
2010 Safety Excellence Award Training
Field Audit Form Review