IWEA SAFETY COMMITTEE PLANT SAFETY AUDIT (Revised 03/2016)

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1 IWEA SAFETY COMMITTEE PLANT SAFETY AUDIT (Revised 03/2016) Name and Address of contact persons for IWEA: Inspector: Date: Name of Facility for Plaque: Place a "1" in the Column That Applies OFFICE, PROGRAMS, TRAINING, DOCUMENTATION YES Partial NO N/A 1 New Employee Training Written Program in place & used 2 Emergency Action Plan written (ie: tornado, chem leak, routes etc) 3 Emergency Action Plan annual training completed (last 12 mo.) 4 Fire Protection - Annual training completed in last 12 months. 5 Fire Protection - Written procedure in place 6 Industrial Hygiene/Blood Borne Pathogen - Annual training done 7 Industrial Hygiene/Blood Borne Pathogen written program available 8 First Aid / CPR classes - Training completed in last 24 mo. 9 Lock out/tag out - Machine Guarding written program in place 10 Lock out/tag out - Machine Guarding training completed (12 mo.) 11 Lock out/tag out equipment specific procedures written/reviewed? 12 Confined Space written program in place 13 Confined Space annual training completed (last 12 mo.) 14 Confined Space documentation permits available for review 15 Air monitors are maintained and serviced min every 12 mo. 16 Personal Protective Equipment PPE annual training completed 17 Hearing Conservation Program - Annual training completed 18 Basic Electrical Safety (includes arc flash) Annual training done 19 Fall Protection - Annual training completed in last 12 months. 20 Hazard Communication written program - Including SDS availability 21 Hazard Communication annual training completed (last 12 months) 22 OSHA Poster and other Required Postings are available 23 OSHA 300 log is posted at correct dates and is kept on file LAB YES Partial NO N/A 24 Container available and marked for broken glass (Lab) 25 Chemical Hygiene Plan available 26 Employee safety showers, eye wash stations are operational 27 Lab. hood certification - every 12 months 28 PPE Signage for Lab 29 No Food/Drink signage posted 30 Is PPE available to Lab. Techs, other employees & visitors 31 Biohazard signs on refrigerators - No food allowed 32 Are acids, caustics and flammables separated

2 GENERAL PLANT SAFETY YES Partial NO N/A 33 Stair-rails/hand-rails present on all staircases with 4 or more risers 34 Steps are slip resistant / anti-slip surface and free of debris 35 Proper area lighting over walkways and steps/stairs 36 Explosion proof light fixtures are installed where needed. 37 GFCI outlets near water sources and areas with wet conditions. 38 Electrical switches or cover plates are not missing. 39 Fire extinguishers (Sealed, full pressure & checked each month) 40 Employee safety showers, eye wash stations are operational 41 Security for facility fences / gates / no trespassing signs in place 42 First Aid cabinets and kits available and stocked (BBP available) 43 "No Smoking" signs posted near flammables and 8 ft from doorway 44 Man lift and elevators tested monthly (state certificate available) SHOP/MAINTENANCE YES Partial NO N/A 45 Ladders are in good condition? 46 Ladders are stored on racks or chained to wall so not to fall over. 47 Electrical panels have min. of 30 of clearance in front of each. 48 Electrical panels circuits are clearly marked with ID 49 All panels have arc flash warnings posted 50 Panels are in good condition clean, dry, no exposed conductors 51 Exit doors clearly marked (or marked no Exit/purposed) 52 Extension cords are in good condition? 53 Tools/attachments are in good working condition & stored properly 54 All gas cylinders are stored properly - chained down with caps on 55 All Cylinders are marked properly with contents 56 Proper labeled containers for rags, sharps, oils and gasoline. 57 Waste oil labeled and stored with containment device/wall. 58 Bulk oil is stored with containment device/wall in place. 59 Appropriate Flammables storage available grounded 60 Are there emergency spill kits available? 61 Using OSHA compliant gas cans & chemical storage cabinets 62 No spark producing activity (hot work) near combustible materials 63 "No Smoking" signs posted near flammables and 8 ft from doorway 64 Combustibles are not stored under staircases/steps 65 Overhead cranes & lifting equipment: load limits are labeled. 66 Cranes and hoists checked every 12 months 67 Rigging equipment in good condition PRE-TREATMENT / SCREENING / HEADWORKS YES Partial NO N/A 68 Adequate illumination in work areas 69 Grating & floor drains covered (no open holes) 70 All open basins have 30 safety buoys and safety lines in place 71 Hand rails Installed where needed & correct height & condition 72 Elevated work areas have kick plates to protect employees below 73 Proper ventilation is provided in all interior areas. 74 Good housekeeping is practiced 75 LO/TO is used if equipment is down for repairs (cards, locks etc) 76 Equipment emergency stop buttons in place & labeled 77 Auto start equipment have warning signs posted. 78 Piping clearly marked i.e. non-potable water, waste water 79 Electrical panels have min. of 30 of clearance in front of each. 80 Electrical panels circuits are clearly marked with ID 81 All panels have arc flash warnings posted 82 Panels are in good condition clean, dry, no exposed conductors 83 Exit doors clearly marked (or marked no Exit/purposed) 84 Warning signs (PPE, no smoking, hearing, conf. space, wet floor) 85 Chemical tanks and containers properly labeled with contents 86 Equipment does not have exposed moving parts 87 All fire extinguishers checked / serviced every 12 months 88 Emergency lighting checked/repaired every 12 months

3 Additional Items Not Listed YES Partial NO N/A BIOLOGICAL / AERATION / OXIDATION YES Partial NO N/A 89 Adequate illumination in work areas 90 Grating & floor drains covered (no open holes) 91 All open basins have 30 safety buoys and safety lines in place 92 Hand rails Installed where needed & correct height & condition 93 Elevated work areas have kick plates to protect employees below 94 Proper ventilation is provided in all interior areas. 95 Good housekeeping is practiced 96 LO/TO is used if equipment is down for repairs (cards, locks etc) 97 Equipment emergency stop buttons in place & labeled 98 Auto start equipment have warning signs posted. 99 Piping clearly marked i.e. non-potable water, waste water 100 Electrical panels have min. of 30 of clearance in front of each. 101 Electrical panels circuits are clearly marked with ID 102 All panels have arc flash warnings posted 103 Panels are in good condition clean, dry, no exposed conductors 104 Exit doors clearly marked (or marked no Exit/purposed) 105 Warning signs (PPE, no smoking, hearing, conf. space, wet floor) 106 Chemical tanks and containers properly labeled with contents 107 Equipment does not have exposed moving parts 108 All fire extinguishers checked / serviced every 12 months 109 Emergency lighting checked/repaired every 12 months CLARIFIERS / SETTLING YES Partial NO N/A 110 Adequate illumination in work areas 111 Grating & floor drains covered (no open holes) 112 All open basins have 30 safety buoys and safety lines in place 113 Hand rails Installed where needed & correct height & condition 114 Elevated work areas have kick plates to protect employees below 115 Proper ventilation is provided in all interior areas. 116 Good housekeeping is practiced 117 LO/TO is used if equipment is down for repairs (cards, locks etc) 118 Equipment emergency stop buttons in place & labeled 119 Auto start equipment have warning signs posted. 120 Piping clearly marked i.e. non-potable water, waste water 121 Electrical panels have min. of 30 of clearance in front of each. 122 Electrical panels circuits are clearly marked with ID 123 All panels have arc flash warnings posted 124 Panels are in good condition clean, dry, no exposed conductors 125 Exit doors clearly marked (or marked no Exit/purposed) 126 Warning signs (PPE, no smoking, hearing, conf. space, wet floor) 127 Chemical tanks and containers properly labeled with contents 128 Equipment does not have exposed moving parts 129 All fire extinguishers checked / serviced every 12 months 130 Emergency lighting checked/repaired every 12 months

4 DISINFECTION / CHEMICAL TREATMENT / OUTFALL YES Partial NO N/A 131 Adequate illumination in work areas 132 Grating & floor drains covered (no open holes) 133 All open basins have 30 safety buoys and safety lines in place 134 Hand rails Installed where needed & correct height & condition 135 Elevated work areas have kick plates to protect employees below 136 Proper ventilation is provided in all interior areas. 137 Good housekeeping is practiced 138 LO/TO is used if equipment is down for repairs (cards, locks etc) 139 Equipment emergency stop buttons in place & labeled 140 Auto start equipment have warning signs posted. 141 Piping clearly marked i.e. non-potable water, waste water 142 Electrical panels have min. of 30 of clearance in front of each. 143 Electrical panels circuits are clearly marked with ID 144 All panels have arc flash warnings posted 145 Panels are in good condition clean, dry, no exposed conductors 146 Exit doors clearly marked (or marked no Exit/purposed) 147 Warning signs (PPE, no smoking, hearing, conf. space, wet floor) 148 Chemical tanks and containers properly labeled with contents 149 Equipment does not have exposed moving parts 150 All fire extinguishers checked / serviced every 12 months 151 Emergency lighting checked/repaired every 12 months 152 If applicable, are chlorine alarms tested & documented each month 153 PPE is available for specified disinfection/treatment method 154 UV systems properly set, warning signs in place BIOSOLIDS / DIGESTERS YES Partial NO N/A 155 Adequate illumination in work areas 156 Grating & floor drains covered (no open holes) 157 All open basins have 30 safety buoys and safety lines in place 158 Hand rails Installed where needed & correct height & condition 159 Elevated work areas have kick plates to protect employees below 160 Proper ventilation is provided in all interior areas. 161 Good housekeeping is practiced 162 LO/TO is used if equipment is down for repairs (cards, locks etc) 163 Equipment emergency stop buttons in place & labeled 164 Auto start equipment have warning signs posted. 165 Piping clearly marked i.e. non-potable water, waste water 166 Electrical panels have min. of 30 of clearance in front of each. 167 Electrical panels circuits are clearly marked with ID 168 All panels have arc flash warnings posted 169 Panels are in good condition clean, dry, no exposed conductors 170 Exit doors clearly marked (or marked no Exit/purposed) 171 Warning signs (PPE, no smoking, hearing, conf. space, wet floor) 172 Chemical tanks and containers properly labeled with contents 173 Equipment does not have exposed moving parts 174 All fire extinguishers checked / serviced every 12 months 175 Emergency lighting checked/repaired every 12 months YES Partial NO N/A Loss Prevention Disclaimer Safety and health are the responsibility of plant management. Our visits are intended to assist with identifying hazards and review guidelines for safety awards. These suggestions were developed from conditions observed at the time of the visit. They do not necessarily include every possible loss potential, violation of code, statute or regulation or exception to good practice, and are not a substitute for ongoing loss prevention programs designed and implemented by plant management.

5 and implemented by plant management.

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