health & safety site verification audit procedural training f300-0015b revno: 0 / 01-11 omni...

Health & SafetySite Verification Audit

Procedural TrainingF300-0015b RevNo: 0 / 01-11

Omni Facility ServicesHealth & Safety

Site Verification AuditTraining 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 ofOmni Facility Services

24300 Southfield Road * Suite 220 * Southfield, MI 48075

C O M P L E T I O N



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ACCOUNT NAME: DATE OF AUDIT: LOCATION/SITE: AUDITOR(s): OFS MANAGER: AUDIT AREA:

1)2)

3)

4)

EMERGENCY PLAN [SP-08] SITE MSDS BOOK

SITE HAZARD ASSESSMENT [SP-07] SAFETY POLICY [SP-02]

MSDS LOCATION SIGNS (in janitor closets) HAZ. COMM POLICY [SP-05]

ALL CONTAINERS LABELED SAFETY GLASSES AVAILABLE

GOGGLES AVAILABLE NEXT TO CHEM. MIXER ALL SITE SPECIFIC PPE ONSITE AND UTILIZED

SAFETY GLOVES AVAILABLE FIRST AID / SPILL KIT / EYE WASH NOT BLOCKED

ALL STAFF MSDS/HAZ COMM TRAINED ALL STAFF SAFETY POLICY TRAINED

DRESS CODE,INCLUDING PANTS, UTILIZED CHEMICALS STORED AND CRIB ORGANIZED

BLOODBORNE PATHOGEN CLEAN-UP KIT CURRENT MONTH'S SAFETY TOOLBOX COMPLETE

Y E S NO

CREW HANDLING CHEMICALS PROPERLY? CHEMICALCREW FOLLOWING WET FLOOR POLICIES? OSHA

TRASH / LIFTING POLICIES OBSERVED? PHYSICALPOWER CORDS IN WORKING ORDER? BIOLOGICAL

HANDS KEPT OUT OF TRASH CANS? ERGONOMIC

ACTION ITEM OFS

CLIE

NT

CORRECTIVE ACTION

SITE SAFETY OBSERVATIONAL AUDIT

ACTION DATE

CLOSE DATE

POSTINGS

Complete the 'Site Information' section above in complete detail.Perform a detail review of the OFS offi ce, cribs and other OFS controlled areas within the facility and/or location being audited. Document in OFS checklist below.Perform safety observational audit of the site & document all observations below in the appropriate areas. Use the topic guides to assist you & check off the 5 observation points as Transfer all non-completed Action Plans from last audit over to Action Plan section of this audit. Then document any new action items from current verification audit.

CHE CK T HOSE IT E MS T HAT ARE VE RIFIE D AS COMP LE T E OR IMP LE ME NT E D

UNLABLED CONTAINERS / UNKWN GASES OR VAPER / LEAKING CONTAINERS /

CHEMICAL SPILLS / NO BLEACH STORED ONSITE - UN-SECURED / ETC.ALL CONTAINERS LABLED / MSDS LOCATION SIGNS POSTED IN ALL CRIBS - J C'S / PPE

AVAILABLE AND UTILIZED AS REQUIRED / EYE WAS HOSE INSTALLED OR EYE WASH STATION MOVIG PARTS - MACHINE GUARDS / SLIPS & FALLS / UNEVEN SURFACES /

ELECTRICAL HAZARDS / NOISE CONCERNS / EXCESSIVE HEAT-COLD / LADDERS-

BLOOD - BODILY FLUIDS / NEEDLES-MEDICAL WASTE / MOLD / INSECTS-PESTS

UNSAFE ACTS OR CONDITIONS / IMPROPER USE OF MACHINERY / POOR

LIGHTING / BLIND SPOTS - TRAFFIC CONCERNS / OTHER WORKER SAFETY

SITE AUDIT TOPIC GUIDES (TO ASSIST IN YOUR OBSERVATIONAL AUDIT)

SITE INFORMATION

PROCEDURE

OFS CONTROL CHECK LIST


CREW & CRIB

SITE MATERIAL

OMNI FACILITY SERVICES COPYRIGHT – REPRODUCTION PROHIBITED F300-0015 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 F300-0015 with revisions of ‘3’ or earlier as of February 1, 2011.

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.

C O M P L E T I O N




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 SiteWho conducted the auditDate of auditArea 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.


ACCOUNT NAME: Omn i Fa ci l i ty Servi ces DATE OF AUDIT: 1/7/2011LOCATION/SITE: Home Offi ce - Mi chi ga n AUDITOR(s): M. Ca d otteOFS MANAGER: Ahmed Boomrod AUDIT AREA: En ti re Offi ce Area

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Y E S NO




ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL

SITE SAFETY ACTION PLANS

ACTION DATE

CLOSE DATE

POSTINGS












SITE INFORMATION

C O M P L E T I O N




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.



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Y E S NO




ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS











C O M P L E T I O N




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.



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Y E S NO




ACTION ITEM OFS

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS











C O M P L E T I O N




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!



1)2)

3)

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Y E S NO




ACTION ITEM OFS

CLIE

NT

CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS











EMERGENCY PLAN [SP-08] SITE MSDS BOOK SITE HAZARD ASSESSMENT [SP-07] SAFETY POLICY [SP-02]


ALL CONTAINERS LABELED SAFETY GLASSES AVAILABLE GOGGLES AVAILABLE NEXT TO CHEM. MIXER ALL SITE SPECIFIC PPE ONSITE AND UTILIZED

SAFETY GLOVES AVAILABLE FIRST AID / SPILL KIT / EYE WASH NOT BLOCKED ALL STAFF MSDS/HAZ COMM TRAINED ALL STAFF SAFETY POLICY TRAINED

DRESS CODE,INCLUDING PANTS, UTILIZED CHEMICALS STORED AND CRIB ORGANIZED BLOODBORNE PATHOGEN CLEAN-UP KIT CURRENT MONTH'S SAFETY TOOLBOX COMPLETE


CREW & CRIB

SITE MATERIALPOSTINGSCHE CK T HOSE IT E MS T HAT ARE VE RIFIE D AS COMP LE T E OR IMP LE ME NT E D

C O M P L E T I O N




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.



1)2)

3)

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Y E S NO




ACTION ITEM OFS

CLIE

NT

CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS


CHECK T HOSE IT EMS T HAT ARE VE RIFIED AS COMP LET E OR IMP LEMENT E D















CREW & CRIB

SITE MATERIALPOSTINGSCHE CK T HOSE IT E MS T HAT ARE VE RIFIE D AS COMP LE T E OR IMP LE ME NT E D

H A L F D O N E !




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.



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Y E S NO




ACTION ITEM OFS

CLIE

NT

CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS


CHECK T HOSE IT EMS T HAT ARE VE RIFIED AS COMP LET E OR IMP LEMENT E D









C O M P L E T I O N




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.



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Y E S NO




ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS










SITE AUDIT TOPIC GUIDES (TO ASSIST IN YOUR OBSERVATIONAL AUDIT)Y E S NO













C O M P L E T I O N




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 22nd of December.



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Y E S NO




ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS











ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

12/21/10 1/7/11

ACTION DATE

CLOSE DATE

Dec '10 toolbox n ot d on e a t ti me of a u d i t.

Toolbox wa s completed on 12/22/10

C O M P L E T I O N




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.



1)2)

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Y E S NO




ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS











ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

12/21/10 1/7/11

1/7/11 1/7/11

1/7/11

1/7/11 1/7/11


On e bottle of gla ss clea n er ha d n o la ble i n J C ( ja n i tor

J a n '11 toolbox n ot d on e a t ti me of a u d i t

Cra ck i n floor by Ea st en try - possi ble tr i p ha za rd


Con ta i n er wa s removed - toolbox sched u led for 1/7 even . Crew

Sched u le for en d of mon th

Noti fi ed Property Ma n a gemen t of si tu a ti on for thei r a cti on .

ACTION DATE

CLOSE DATE

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.

C O M P L E T I O N






1)2)

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Y E S NO




ACTION ITEM OFS

CLIE

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CORRECTIVE ACTION

SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL


ACTION DATE

CLOSE DATE

POSTINGS











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.

ACTION ITEM OFS

CLIE

NT

CORRECTIVE ACTION

12/21/10 1/7/11

1/7/11 1/7/11

1/7/11

1/7/11 1/7/11


On e bottle of gla ss clea n er ha d n o la ble i n J C ( ja n i tor

J a n '11 toolbox n ot d on e a t ti me of a u d i t

Cra ck i n floor by Ea st en try - possi ble tr i p ha za rd


Con ta i n er wa s removed - toolbox sched u led for 1/7 even . Crew


Noti fi ed Property Ma n a gemen t of si tu a ti on for thei r a cti on .

ACTION DATE

CLOSE DATE

A L M O S T T H E R E




FINISHED? NO!

You now need to send a copy of your safety audit to the Safety Department via fax or email to: [email protected] 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.



1)2)

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Y E S NO




ACTION ITEM OFS

CLIE

NT

CORRECTIVE ACTION

12/21/10 1/7/11

1/7/11 1/7/11

1/7/11

1/7/11 1/7/11

Dec '10 toolbox n ot d on e a t

ti me of a u d i t.

On e bottle of gla ss clea n er

ha d n o la ble i n J C ( ja n i tor

J a n '11 toolbox n ot d on e a t

ti me of a u d i t

Cra ck i n floor by Ea st en try -

possi ble tr i p ha za rd

Toolbox wa s completed on

12/22/10

Con ta i n er wa s removed - toolbox

sched u led for 1/7 even . Crew


Noti fi ed Proper ty Ma n a gemen t of

si tu a ti on for thei r a cti on .


ACTION DATE

CLOSE DATE

POSTINGS











SITE INFORMATION

PROCEDURE



CREW & CRIB

SITE MATERIAL

C O M P L E T I O N



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

F I N I S H E D !



Certificate of Completionawarded by

Omni Facility Services

SAFETY

1st

This certifies that ______________________________________________ has completed the basic

training overview for the Health & Safety Site Verification Audit Training Module number F300-0015 as released on February 1, 2011 as revision 4/01-11 on this

________ Day of ____________, ______________ .day month year

name

______________________________________________Employee signature of completion

______________________________________________Supervision acknowledgement of completion

health & safety site verification audit procedural training f300-0015b revno: 0 / 01-11 omni...

Documents

successful safety audit

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audit procedure

entire audit

audit date of audit

safety program

account site

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