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Component Category Point Point Point Point Point

Sn.
Questioniers 5 4 3 2 1
Policy Statement
Established objectives
Safety Budget
Accountability
Supervisory / Management Training
Employee Training
Management
Involvement Investigations
and Risk Management on Meeting Agendas
Commitment
Facility Inspections
Approval of Safety Policies and Procedures
Safety Performance Responsibility
Claims Management
Claims Costs and Claims Trends
Safety Recommendations
Injury Reporting

Incident Investigation

Cultivates a Positive Culture


New Employee Safety Orientation
Accomodation

Job Profiles
Roles
and Performance Evaluations
Responsibilties
Management Roles
Timely Reporting

Claims Communications

Claims Training

Incident Investigation

Analysis

Return to Work (RTW) Team


Safety Orientation
Job Safety Training
Reporting Incidents and Injuries
Personal Protection Equipment (PPE)
Employee Roles
General Housekeeping
Hazard Reporting
Safe Work Practices
Teamwork
Appointed

Safety Coordinator
Authority
Leads Safety Committee
Safety Programs
Management Involvement
Analysis
Safety Coordinator
Emergency Action Team
Safety Training
Ergonomics
Continues Education
Self Audits
Risk Management
Facility Safety Inspections
Grounds Safety Inspections
Fleet Safety Inspections
Heavy Equipment Safety Inspections
Hazard Identification
ATV or Utility Vehicle Inspections
Hand and Power Tool Inspections
Ladder Safety Inspections
Behavioral Safety Inspections
Fleet Safety
Hazard Communication
Chemical Hygiene
Respiratory Protection
Lockout Tagout
Confined Space Entry
Hearing Conservation Program
Equipment / Machine Guarding
Electrical Safety
Fall Protection Systems
Hazard Identification Personal Protective Equipment
Hazard Specific Controls
Emergency Action Plan (EAP)
Fire Prevention Plan
Traffic Control Plan
Ergonomics
Manual Material Handling
Power Industrial Truck (PIT), often Forklift, but could be
other
Trenching and Excavation

Exposure Control Plan for Prevention of Bloodborne


Pathogens Exposure

Welding
Compressed Gas
Hand and Power Tool Program
Consumer Aggression
Violent Offenders

Hazard Identification:
Additional Worksite Hazards:
Define the
controls in place for
each as applicable.
Patient Handling
Working with Livestock
Hazard Identification: Working with Wildlife
Additional Worksite Hazards:
Define the Unexploded Ordinance
controls in place for
each as applicable. Handling Fire Arms or other weapons
Handling Explosives
Airplane Operations
Helicoptor Operations
Wildland Fire Fighting
Structural Fire Fighting
Working in or around waterways
Print Press Operation
Hazard Identification [type additionally identified hazards specific to your
Other Worksite Hazards: organization here]
Open positions are advertised in multiple venues for a
standardized amount of time.
Job postings include the job requirements.
Job postings include the requirement to pass a drug
screen before employment.
A formal application process is in place.
The application has been approved by legal counsel.
Application is reviewed and content is verfied by
appointed personnel.
References are provided by the candidate and checked by
the employer.
Written job desciptions are in place for all positions.
Job descriptions outline the physcial requirements of the
job.
Job descriptions include expectations of safe work
practices.
Potential candidates are screened by meeting the
minimum qualifications which have been defined.

Interviews are conducted by both human resources and


the supervisor to whom the candidate would report to.

Hiring managers have received training on appropriate


interview techniques and legal issues that may involve the
interview process.
During the interview process the candidates are
requested to elaborate on their work history and
experience.
During the interview process the candidates are
requested to explain gaps in employment.
During the interview process the candidates are asked if
they can perform the essential functions of the job with
or without accomodations.
Interview questions about prior workers compensation
Hiring & Onboarding Practices injuries are avoided.
Questions regarding the candidates perception of safety
are included in the interview process.
Hiring & Onboarding Practices

Post job offer background checks are conducted on


potential hires with their consent.
Post offer credit checks are conducted on potential hires
with their consent.
Job offers are made contingent upon the candidate
passing applicable post offer drug test, physical,
background check, motor vehicle check, etc.
Pre-employment/ post offer drug testing follows a lawful
chain of custody process.
Candidates who fail the post offer drug test have
opportunity to retest at their own expense.
Job offers are made contingent upon passing a pre-
employment / post offer physical.
Pre-employment physicals are designed to simulate the
physical requirements of the job.
Post offer physicals are medical certifications as required
by a regulatory agency.

Clean motor vehicle records are required for those who


have or may have the duty to drive as part of their job.

E-verify is used to confirm lawful working status.


Job offers are provided in writing and accepted by the
candidate's signature.
A probationary period is established, communicated, and
adhered to.
Medical benefits are provided to the employee by the
company.
Medical benefits are affordable, measured by most
employees participating.
New employees are eligible for medical benefits within
the first 90 days of employment.
Proper employment documents are signed by the
employee and turned in timely.
A point person reviews company policies with the new
hire.
Company commitment to safety and employee
accountability toward success is verbalized.

Emergency procedures are discussed and the new


employee is provided a facility tour to effectively identify
exit routes, fire extinguishers, and shelters in place.

Injury reporting procedures are provided in written and


oral format.
The Return to Work program and expectations are
provided.
If employees supply their own tools, the safety
requirements/conditions of the tools are provided in
Hiring & Onboarding Practices written and oral format.
Clear Expectations
Employees are informed of their empowerment to stop
an unsafe job.
Employees are paired with a mentor who provides on the
job training and observes the new employee.
Hiring & Onboarding Practices
Clear Expectations

Performance expectations are communicated to the


employee during the orientation process.
Employee performance is measured and reviewed with
the employee at pre-determined intervals, such as 1
month, 3 months, and 6 months.
Performance issues are addressed immediately through
coaching.

A progressive disciplinary action process is established


and described to address non-performers.

Workstations are verified to be ergonomically correct for


the new employee.

Training
New Employee Training for All

Training New Employee orientation conducted orally and written

Accident Reporting Procedures

Hazard Reporting Procedures

Emergency Procedures

Training Fire Prevention


Employee Orientation First Aid
Ergonomics
Back Injury Prevention
Slip and Fall Prevention
Introduction of Safety Committee Members
Safety Accountability
Return to Work Program
Personal Protective Equipment
Worksite Specific Hazards
Hazardous Chemicals
Equipment Operations
Fall Protection
Safe Use of Ladders
Electricity
Fleet Operations
Workzone Safety
Excavation / Trenching
Felling / Bucking Trees
Training
Job Specific Training Power Tools
Lockout Tagout
Hearing Conservation
Confined Space Entry
Respiratory Protection
Machine Guarding
Lone Work Procedures
Training conducted by knowledgable person on topic
Regular Refresher Training Scheduled
Additional training in areas of major loss sources
Training conducted when new hazards identified
Job Transfer Training
Safety is on the agenda in staff meetings
Safety materials are posted
Safety advertisements are done
Safety fairs or Safety days are used
Safety incentive programs exist
Safety newsletters are established
Safety Goals and Objectives are Communicated
Training Safety Committee notifies the company of meeting
Awareness
minutes availability
Accident analysis is shared with company employees

Hazard Alerts communicated with company employees

Safety recognition programs are in place

Employees and staff are informed of safety committee


members
A written incident management policy has been
developed and implemented.
A formal Return to Work program has been developed.
Employees have been trained in incident reporting
procedures.
All Incidents are reported, regardless of severity /
property damage.

An incident investigation program has been developed.

Injured employees are involved in the incident review


process.
Incident reviews lead to causation factors and drive
corrective action.
Incidents are managed to ensure prompt medical care to
injured employees.
Incidents are managed to ensure all injuries are reported
within 24 hours.
Incident Management
OSHA recordkeeping reports are completed immediately.

Temporary transitional jobs are designated so RTW can


begin immediately.
Employer sends RTW information to the doctor with the
injured employee.
Employer requires employee to return medical status
forms following every doctor visit.
Temporary duty status is reviewed following every visit to
the doctor.
All injuries are considered for participation in RTW.
Employees on transitional duty are managed to ensure
they are not working outside their restrictions.
Corrective actions are taken to prevent the reoccurrance
of the injury.
Employees are re-trained in any changes made because of
an incident.
Management instills a positive, cooperative culture for
Return to Work within the company.

A transitional duty team coordinator (TDTC) has been


assigned to facilitate transitional duty team meetings and
manage the workers' compensation claim process.

All injured employees immediately notify their supervisor,


human resources or the TDTC when injured.

The First Report of Injury is submitted to the workers


compensation carrier within 24 hours following
notification from the employee of an injury.
The medical status form is provided to the employee to
take to their first and subsequent visits with their health
care provider.

When the medical status form is received and the injured


employee is released to work, a transitional duty team
meeting is scheduled and held between human resources
(HR) and or the TDTC, the supervisor and the injured
employee; to review medical restrictions listed on the
medical status form and to collectively develop
transitional duty.

The employee provides the medical status form after


every medical visit to the TDTC. The TDTC then schedules
a meeting with the transitional duty team to discuss
updates to those restrictions and make adjustments to
the employee's RTW Plan.

If the employee is not released, the supervisor and or


TDTC makes weekly contact with employee and ensures
the contact log is updated.

Return to Work (RTW) The return to work plan is documented using the
Management Components transitional duty tracking form (or other form of
documentation) after every transitional duty team
meeting.
A copy of the transitional duty tracking form is provided
to the employee to provide at the next health care
provider's visit.
The return to work progress of injured employees is
regularly communicated to the workers compensation
carrier.

HR/TDTC keeps in contact with the claims examiner


throughout the process. HR/TDTC stays informed on
severity, lost time, and duration. TDTC ensures contact is
maintained between the examiner and the employee.
HR Specialist/TDTC monitors the claim until employee
reaches maximum medical improvement (MMI); HR/TDTC
asks claims examiner to close the claim.

Medical Status Forms, transitional duty tracking forms,


contact logs, FROI are filed for each injured worker.

The physical/mental demands of the department's


positon are listed in the job profile.
Return to work training is provided to all employees.
Return to work training is provided to all supervisors.

Regular RTW training and updates are incorporated into


safety committee meetings or other staff meetings.

RTW responsibilities are incorporated into position


descriptions and performance appraisals.

The number of transitional duty team meetings are


monitored and the outcome of the RTW effort is tracked.

A safety committee has been created.

The safety committee has some employees from each


workgroup.
The safety committee has members from both
management and employee groups.
Employees have been selected based on their interest in
safety, or their ability to help lead change.
A written Committee Charter has been developed.
Employees have been given permission to fully participate
in the safety committee activities.
The committee has been funded.

Recommendations made by the committee are


considered by management and drive change.
The committee meets regularly.

The committee has clear goals and objectives.


Meeting minutes are kept and posted where all
employees can see them.
The committee spreads safety awareness throughout the
company.
The committee performs incident reviews.
The committee makes recommendations from incident
reviews to prevent future incidents from occurring.
Safety Team.
The committee performs hazard assessments.

Committee members have training in hazard identification.

The committee has a designated chairperson.


Committee members review safety programs and make
suggestions for revisions.
Safety Committee members hold toolbox meetings with
their workgroups.
Safety committee members bring safety committee
information back from meetings to their workgroup.

Safety committee members bring concerns and issues to


the safety committee meetings from their workgroups.

The safety committee tracks its successes and shares


them throughout the organization.
The safety committee hosts safety events to raise
awareness and education.
Safety committee members are the eyes and ears of the
company.
The safety committee is viewed as a resource and trusted
group by the employees.
The committee members are renewed or replaced on a
scheduled basis.
Safety Committee members are rewarded for their
participation on the committee.
New employee orientation
Task specific training
Date, topic, and sign in sheet for safety trainings
Safety committee minutes
Date of safety inspections

Date of corrective items applicable to safety inspection

Progressive discipline for safety violations


Written safety program
Preventative maintenance
Repair logs
Incident investigation forms
Recordkeeping
First Report of Injury
OSHA 300 Logs (current and five years prior)

Employer Experience Reports, also known as, Loss Runs

Safety Data Sheets (SDS), formerly MSDS


Fire extinguisher inspections
Snow removal logs
Return to Work Program
Offers of Light Duty
Claims notes

Emergency drill evaluations

4 Performance just meets minimum standards

3 Performance is satisfactory - got the basics

2 Performance is good - going beyond the norm


1 Performance is very good - best practice adopted
0 Performance is excellent - innovative/industry leading
Safety Internal Audit Questionnaire
Focus / Target Evidence Corrective Action Target Date WHO 2018
Ref.# Risk control due date Points Comments
HSEQ INTEGRATED MANAGEM

Company:

Auditor Name

NCR
S. NO. AUDIT CRITERIA
RANK

MANAGE
1
1.1 Has the HSEQ Policy been defined and ap
management of the
Is it appropriate to organization?
the nature, scale and H
1.2 organization activities, products to
Does it include a commitment or service
customer s
1.3
improvement and prevention of pollution?
Does it include a commitment to comply with
1.4
and
Doeswith other requirements
it provide the frameworkto which the orga
for setting
1.5 objectives and targets?
1.6 Is it communicated to & understood by all emp
1.7 Is it available and deployed in the working area
is reviewed periodically to ensure t hat it r
1.8 appropriate to the organization
2 HEAL
2.1 Is health management procedure in place
Is there a program to monitor health of the
2.2 exposed to health hazards.
3 H
3.1 Is Hazard and Risk management procedure ava
3.2 Does all hazard associated with the activities id
Does the proposed control measures adequa
3.4 rate?
3.5 Does the control measures prioritized in a pro
3.6 Is there a system to review and re evaluate the
3.7 Ensure worker involvement in hazard identifica
3.8 Check the close-out of PDF Reports
4 E
4.1 IS Environmental Impact and aspects of the ac
4.2 Does the proposed mitigation measures ade
risk rate?
Does the mitigation measures prioritized in
4.3 PD)
4.4 Is there a system to review and re evaluate the
Is there a program to measure and mon
4.5
discharges to the environment?
5 WA
5.1 Are wastes categorized as recyclable (n
recyclable (non-hazardous), hazardous & bio-m
5.2 Is waste generated recorded and maintained
Does waste disposed through out approve
5.3 specialized contractor
5.3 Are Waste segregation bins available and deplo
6 LEGA
6.1 Does all applicable legal and other requiremen
6.2 Does the organization evaluating comp
requirement?
6.3 Are there records of the evaluation?
7 O
Are HSEQ Objectives and targets established
7.1 each relevant function and level?
7.2 Are objectives achievable and measurable?
7.3 Have programs been established for achie
targets?
Check that the means and timeframes for ach
7.4 target has been determined, and is adhered to
7.5 Check middle management awareness of obje
7.6 Check that responsibility has been assigned
objectives.
Check that a documented system is used to
7.7 progress for all objectives and targets.
8 EMERGEN
8.1 Are all emergency situations Identified?
8.2 Ensure emergency procedures of deferent situ
8.3 Ensure emergency drills are being carried out
9
9.1 Ensure approved vender list in place
9.2 Ensure that suppliers and contractors are
approval
9.3 Ensure verification of purchased product
9.4 Ensure purchased product that does not m
reported on NCR.
Ensure that last update of purchase proced
9.5
implementation.
10 IMPLE
10.1 Check the organization chart
10.2 Ensure that all roles and responsibilities are as
11 TRAINING AW
11.1 Ensure training program in place
11.2 Check the implementation of the training prog
11.3 Check the records of training and HSEQ awaren
12
12.1 Check the means of Communication (external
Ensure appropriate involvement of wo
12.2 investigation
12.3 Ensure meeting, Toolbox talks are being carried
12.4 Ensure safety signs, posters and safety flashes
13 C
Ensure document including records of H
13.1 controlled and approved
13.2 Ensure that HSEQ manuals and SOPs are contr
13.3 Ensure changes and current revisions statu
identified
Ensure that relevant version of applicable d
13.4
point of use.
14
14.1 Is there a documented procedure for control o
14.2 Are records suitably maintained, identified, sto
14.3 Are retentions periods know and adhered to?
14.4 Are records easily retrieved?
14.5 Are computer records backed up and suitably s
15 A
Are procedures in place to ensure that Acc
15.1 identified, reported and recorded?
15.2 Ensure accident investigations are being carrie
15.3 Ensure root causes are being identified
Ensure corrective and preventive actions are a
15.4 carried
Check theoutfollow-up
to preventprocess,
recurrence?
which ensures a
15.5 the specified time?
15.6 Is the effectiveness of action reviewed?
15.7 Does accident communicated to the employee
16 CONTROL OF M
16.1 Is equipment used identified?
Is calibration, undertaken within defin
16.2 frequencies?
16.3 Is the calibration status of equipment evident?
17 PR
17.1 Are inspection tests such as (load test, M
hydraulic test) undertaken
17.2 Is there a tracking system in place to identify u
17.3 Is there a preventive maintenance program for
17.4 Are storage conditions adequate?
18 NON CONFORMANC
18.1 Does non conformances identified, corrected a
18.2 Check whether the investigating nonconform
cause and taking actions in place to avoid recu
18.3 Evaluate the effectiveness of the action taken
18.4 Check the non conformance register.
19
19.1 Is Customer feedback recorded and maintaine
19.2 Is customer feed back analyzed and are
identified.
19.3 Are customer complaints recorded , and closed
19.4 TRANS
19.5 Is On line IVMS device Installed in the vehicles
Is IVMS report generated and reviewed and
19.6 the violations
19.7 Does all drivers holding ADSD Card.
19.8 Is journey management procedure in place
20
20.1 Is there an audit schedule in place?
20.2 Is the schedule properly implemented?
20.3 Is there an action plan to follow up audit findin
20.4 Are audit findings being close with in the assig
21
21.1 Are management reviews conducted at dete
documented?
Are all required agenda items discussed
21.2 improvement?
21.3 Is top management involved?
22
22.1
22.2
22.3
22.4

There is no evidence that the Expectation is recognized to


The Expectation
There is recognized
is no implementation to beongoing
action an HSEQ or MS requirem
planned.
and weaknesses.
The Expectation
There is already
is no adequate partially
plan to implemented
implement and therb
this Expectation
Implementation
The progress
Expectation is is less than originally
being implemented and thereplanned
is an ade
Implementation progress
The Expectation is is in
currently accordance
fully met withwith or better
negligible nonct
There are adequate systems in place to ensure continuous
ATED MANAGEMENT SYSTEM INTERNAL AUDIT CHECKLIST

Date of Audit:

Designation Company Representatives

TOTAL SCORE :
RESULT

AUDIT CRITERIA | YES | AUDITOR’S COMMENT SCORE


NO | N/A
|
MANAGEMENT RESPONSIBILITY
HSEQ POLICY STATEMENT
been defined and approved by the top
eanization?
nature, scale and HSEQ impacts of the
products
mitment to or service
customer satisfaction, continual
ention of pollution?
mitment to comply with relevant legislation,
ments to which
amework the organization
for setting subscribes?
and reviewing HSEQ
& understood by all employees?
yed in the working area?
y to ensure t hat it remains relevant and
nization
HEALTH MANAGEMANT PROGRAM
procedure in place
monitor health of the employees that are
rds.
HAZARD IDENTIFICATION
agement procedure available?
ed with the activities identified?
ntrol measures adequate to reduce the risk
res prioritized in a proper order (ERIC PD)
ew and re evaluate the hazards?
ment in hazard identification
PDF Reports
ENVIRONMENTAL ASPECTS
t and aspects of the activities Identified?
tigation measures adequate to reduce the
easures prioritized in a proper order (ERIC
ew and re evaluate the impact?
to measure and monitor emissions and
onment?
WASTE MANAGEMENT SYSTEM
ed as recyclable (non-hazardous), non-
ous), hazardous & bio-medical wastes
rded and maintained
through out approved and authorized
bins available and deployed.
LEGAL AND OTHER REQUIREMENT
and other requirement identified?
on evaluating compliance with legal
e evaluation?
OBJECTIVES AND TARGETS
and targets established and maintained at
and level?
le and measurable?
established for achieving objectives and
and timeframes for achieving objectives and
ined, and is adhered to,
ment awareness of objectives.
ty has been assigned for achieving the set
ted system is used to maintain and review
es and targets.
EMERGENCY PREPAREDNESS AND RESPONSE
tions Identified?
edures of deferent situation are in place?
are being carried out periodically
PURCHASING
r list in place
and contractors are being evaluated for
urchased product
duct that does not meet specification is
e of purchase procedure at the point of
IMPLEMENTATION AND OPERATION
chart
d responsibilities are assigned.
TRAINING AWARENESS AND COMPETENCE OF STAFF
m in place
tion of the training program
aining and HSEQ awareness
COMMUNICATIONS
mmunication (external and internal)
involvement of workers in incident
x talks are being carried out.
ters and safety flashes are deployed
CONTROL OF DOCUMMENT
cluding records of HSEQ standard are
d
als and SOPs are controlled and approved
urrent revisions status of documents are
ersion of applicable documents are at the
CONTROL OF RECORDS
procedure for control of records?
intained, identified, stored and disposed?
know and adhered to?
ved?
acked up and suitably stored?
ACCIDENTS AND INCIDENTS
ce to ensure that Accidents, Incidents are
d recorded?
gations are being carried out
being identified
reventive actions are appropriate and being
ecurrence?
ocess, which ensures action is taken within
ction reviewed?
icated to the employees?
CONTROL OF MONITORING AND MEASURING DEVICES
tified?
rtaken within defined / appropriate
of equipment evident?
PREVENTIVE MAINTENANCE
uch as (load test, MPI, Ultra sonic and
en
m in place to identify un valid Certificate.
aintenance program for the equipment?
adequate?
NON CONFORMANCE AND CORRECTIVE AND PREVENTIVE ACTION
s identified, corrected and action taken?
vestigating nonconformity, determining its
s in place to avoid recurrence.
ess of the action taken
ance register.
CUSTOMER SATISFATION
ecorded and maintained.
ck analyzed and area for improvement
ts recorded , and closed out.
TRANSPORTATION AND ROAD SAFETY
Installed in the vehicles
ed and reviewed and action taken against
ADSD Card.
procedure in place
INTERNAL AUDTITING
ule in place?
y implemented?
o follow up audit findings and close it?
close with in the assigned time frame?
MANAGEMENT REVIEW
ws conducted at determined intervals and
nda items discussed including continual
olved?
GENERAL OBSERVATIONS

DEFINITION SCORE
ctation is recognized to be an HSEQ MS requirement.
eongoing
an HSEQ 0
or MS requirement but is only partially being complied with nd shows significant gaps
planned.
1
implemented
ment and there
this Expectation is an adequate
beyond plan
the current in place
level to fully implement it.
of compliance. 2
n originally
ted and there planned
is an adequate plan in place to fully implement it. 3
rdance
et withwith or better
negligible than the plan.
noncompliance. 4
e to ensure continuous compliance and improvement.
DATE
AUDIT CHECKLIST GUIDE PAGE

PROCESS : PROCESS OWNER :

PROCESS SUPPLIER(S) : PROCESS CUSTOMER(S) :

POLICY REQUIREMENTS:
(Review whether there is consistency with the
PROCESS TOOLS / RESOURCES: overall goal of the top management. Check if PERSONNEL REQUIREMENTS:
(Review whether needed resources such as top management is monitoring the process
(Review awareness, applied knowledge,
production equipment, tooling, utilities, work performance)
authority, responsibility, training records,
environment, PPEs, monitoring devices are contribution, motivation, physiological
available, maintained, calibrated, etc.) attributes, etc.)

INPUT REQUIREMENTS : PROCESS DESCRIPTION: OUTPUT REQUIREMENTS :


(Review whether required information / (Describe the purpose and scope of the (Review planned results, output criteria,
materials are available, complete, accurate process. Review whether all the items quality objective, input requirement of the
and clear. Check also previous issues that surrounding it are sufficient to achieve its next process, etc.)
resulted to customer complaints.) purpose)

METHOD PROCEDURE : RECORDS REQUIREMENTS :


(Review whether needed information and (Review inspection results, checksheets, job
instruction are available, being consistently traveller, process sheets; completeness,
implemented, current, clear, understood, timeliness, accuracy, retrievability,
communicated, etc.) traceability, identification of records)

ISO / TS CLAUSES :
NONCONFORMANCE HANDLING :
(Review whether relevant ISO/TS clauses
(Review disposition if output is different from
requirements are effectively addressed)
what is expected, responsibility for quality,
controls applied in case of nonconformance,
countermeasures, etc.)
ISO / TS CLAUSES :
NONCONFORMANCE HANDLING :
(Review whether relevant ISO/TS clauses
(Review disposition if output is different from
requirements are effectively addressed)
what is expected, responsibility for quality,
PERFORMANCE INDICATOR : controls applied in case of nonconformance,
countermeasures, etc.)
(Review whether performnace metrics is suitable
and effective to meet the objectives, performance
trends, improvement plans, analysis, etc.)
Prepared by:
AUDIT PLAN Approved by:

Relevant ISO / TS 16949:2002 Clauses


Process
MANAGEMENT RESPONSIBILITY
Owner

Involvement Ö Ö Ö Ö Ö
Policy Statement Ö Ö Ö Ö Ö Ö Ö Ö
Established objectives Ö Ö Ö Ö Ö Ö Ö
Safety Budget Ö Ö Ö Ö Ö Ö Ö
Accountability Ö Ö Ö Ö Ö Ö Ö
Supervisory / Management Training Ö Ö Ö Ö
Employee Training Ö Ö Ö Ö Ö
Investigations Ö Ö Ö
Risk Management on Meeting
Agendas Ö Ö Ö
Facility Inspections Ö Ö Ö Ö Ö Ö Ö
Approval of Safety Policies and
Procedures Ö Ö Ö
Safety Performance Responsibility Ö Ö Ö
Claims Management Ö Ö Ö
Claims Costs and Claims Trends Ö Ö Ö
Safety Recommendations Ö Ö Ö

Relevant ISO / TS 16949:2002 Clauses


Process
MANAGEMENT ROLES
Owner

Page 30 of 131
Prepared by:
AUDIT PLAN Approved by:

Relevant ISO / TS 16949:2002 Clauses


Process
MANAGEMENT RESPONSIBILITY
Owner
Process
MANAGEMENT ROLES
Owner

Injury Reporting Ö Ö Ö Ö Ö Ö Ö
Incident Investigation Ö Ö Ö Ö Ö Ö
Cultivates a Positive Culture Ö Ö Ö Ö Ö Ö

Relevant ISO / TS 16949:2002 Clauses


Process
MANAGEMENT ROLES
Owner

Injury Reporting Ö Ö Ö Ö Ö Ö
Incident Investigation Ö Ö Ö Ö Ö Ö Ö
Cultivates a Positive Culture Ö Ö Ö Ö

Material planning Ö Ö Ö Ö Ö

Material receiving / issuance Ö Ö Ö Ö

Parts and components preparation Ö Ö Ö Ö Ö

Finish goods storage Ö Ö Ö Ö Ö

Process equipment maintenance Ö Ö Ö Ö Ö Ö Ö

Facility utilities maintenance Ö Ö Ö Ö Ö Ö Ö

Measuring devices calibration Ö Ö Ö Ö Ö Ö

Page 31 of 131
Prepared by:
AUDIT PLAN Approved by:

Relevant ISO / TS 16949:2002 Clauses


Process
MANAGEMENT RESPONSIBILITY
Owner

Personnel recruitment Ö Ö Ö Ö Ö

Training and development Ö Ö Ö Ö Ö Ö

Billing and collection Ö Ö Ö Ö

General affairs Ö Ö Ö Ö Ö Ö

Information technology Ö Ö Ö Ö Ö

Business planning Ö Ö Ö Ö Ö Ö Ö

Management review Ö Ö Ö Ö Ö Ö

QMS internal audit Ö Ö Ö

Complaint handling Ö Ö Ö Ö Ö

Documentation management Ö Ö Ö Ö Ö Ö Ö Ö Ö

Continual improvement programs Ö Ö Ö Ö Ö Ö Ö Ö

Work condition management Ö Ö Ö Ö Ö Ö

Health and safety programs Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö

Environmental programs Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö
Lead Auditor
Control plan audit Ö Ö Ö Ö Ö Ö Ö Ö Ö Ö

Page 32 of 131
Prepared by:
AUDIT PLAN Approved by:

Relevant ISO / TS 16949:2002 Clauses


Process
MANAGEMENT RESPONSIBILITY
Owner

Page 33 of 131
Date:

Revision:

Time Frame
Description

MAR

MAY

NOV
OCT

DEC
AUG
APR

JUN
FEB
JAN

SEP
JUL
Ö Ö MANAGEMENT RESPONSIBILITY

Ö Ö Product quality planning

Ö First article qualification

Contract review

Production scheduling

Ö Purchasing

Ö Ö In-coming inspection

Ö Parts machining

Ö Ö Heat treating

Ö Ö Metal forging

Ö Ö Parts plating

Ö Ö Parts coating

Ö Ö Outsourced process review

Time Frame
Description

Page 34 of 131
Date:

Revision:

Time Frame
Description

MAR

MAY

NOV
OCT

DEC
AUG
APR

JUN
FEB
JAN

SEP
JUL
Description

MAR

MAY

NOV
OCT

DEC
AUG
APR
FEB

JUN
JAN

SEP
JUL
Ö Parts assembly

Ö Ö Ö Ö Work-in-process inspection

Ö Ö Ö Ö Outgoing inspection

Time Frame
Description

MAR

MAY

NOV
OCT

DEC
AUG
APR
FEB

JUN
JAN

SEP
JUL
Ö Product packaging

Ö Product delivery

Sales order allocation

Material planning

Ö Material receiving / issuance

Parts and components preparation

Ö Finish goods storage

Process equipment maintenance

Facility utilities maintenance

Ö Ö Measuring devices calibration

Page 35 of 131
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Time Frame
Description

MAR

MAY

NOV
OCT

DEC
AUG
APR

JUN
FEB
JAN

SEP
JUL
Personnel recruitment

Ö Training and development

Billing and collection

General affairs

Information technology

Ö Ö Ö Business planning

Ö Ö Ö Management review

Ö Ö Ö QMS internal audit

Ö Ö Complaint handling

Ö Ö Documentation management

Ö Ö Ö Continual improvement programs

Ö Work condition management

Ö Ö Ö Health and safety programs

Ö Ö Ö Environmental programs

Ö Ö Ö Control plan audit

Page 36 of 131
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Page 37 of 131
DATE
AUDIT CHECKLIST NOTES
PAGE

INTERVIEWED CLASSIFICATION
AUDIT FINDINGS AREA
PERSON MA MIN OFI
Audited by: Acknowledged by:
Safety Dashboard Questi
Category Component QUESTIONNAIRE
Not Applicable
Demonstrates a strong
Management Commitment Involvement commitment to safety in all
aspects

Implementation of Taqa Sanjel


Management Commitment Policy Statement Policy.

Set Annual HSE goals And


Management Commitment Established objectives Strattegic Objectives:

Management Commitment Safety Budget ???

Management Commitment Accountability

Management Commitment Supervisory / Management Training

Management Commitment Employee Training

Management Commitment Investigations

Risk Management on Meeting


Management Commitment Agendas

Management Commitment Facility Inspections

Approval of Safety Policies and


Management Commitment Procedures
Management Commitment Safety Performance Responsibility

Management Commitment Claims Management

Management Commitment Claims Costs and Claims Trends

Management Commitment Safety Recommendations

Roles and Responsibilties Injury Reporting


Management Roles

Roles and Responsibilties Incident Investigation


Management Roles

Roles and Responsibilties Cultivates a Positive Culture


Management Roles

Roles and Responsibilties New Employee Safety Orientation


Human Resources Roles

Roles and Responsibilties Accomodation


Human Resources Roles

Roles and Responsibilties


Human Resources Roles Job Profiles

Roles and Responsibilties Performance Evaluations


Human Resources Roles
Roles and Responsibilties Timely Reporting
Human Resources Roles

Roles and Responsibilties Claims Communications


Human Resources Roles

Roles and Responsibilties Claims Training


Human Resources Roles

Roles and Responsibilties Incident Investigation


Human Resources Roles

Roles and Responsibilties Analysis


Human Resources Roles

Roles and Responsibilties Return to Work (RTW) Team


Human Resources Roles

Employee Roles Safety Orientation

Employee Roles Job Safety Training

Employee Roles Reporting Incidents and Injuries

Employee Roles Personal Protection Equipment (PPE)

Employee Roles General Housekeeping

Employee Roles Hazard Reporting

Employee Roles Safe Work Practices

Employee Roles Teamwork


Safety Coordinator Appointed

Safety Coordinator Authority

Safety Coordinator Leads Safety Committee

Safety Coordinator Safety Programs

Safety Coordinator Management Involvement

Safety Coordinator Analysis

Safety Coordinator Emergency Action Team

Safety Coordinator Safety Training

Safety Coordinator Ergonomics

Safety Coordinator Continues Education

Safety Coordinator Self Audits

Safety Coordinator Risk Management

Hazard Identification Facility Safety Inspections

Hazard Identification Grounds Safety Inspections


Hazard Identification Fleet Safety Inspections

Hazard Identification Heavy Equipment Safety Inspections

Hazard Identification ATV or Utility Vehicle Inspections

Hazard Identification Hand and Power Tool Inspections

Hazard Identification Ladder Safety Inspections

Hazard Identification Behavioral Safety Inspections

Hazard Identification Fleet Safety


Hazard Specific Controls

Hazard Identification Hazard Communication


Hazard Specific Controls

Hazard Identification
Chemical Hygiene
Hazard Specific Controls

Hazard Identification Respiratory Protection


Hazard Specific Controls
Hazard Identification Lockout Tagout
Hazard Specific Controls

Hazard Identification Confined Space Entry


Hazard Specific Controls

Hazard Identification Hearing Conservation Program


Hazard Specific Controls

Hazard Identification Equipment / Machine Guarding


Hazard Specific Controls

Hazard Identification Electrical Safety


Hazard Specific Controls

Hazard Identification Fall Protection Systems


Hazard Specific Controls

Hazard Identification Personal Protective Equipment


Hazard Specific Controls
Hazard Identification Emergency Action Plan (EAP)
Hazard Specific Controls

Hazard Identification Fire Prevention Plan


Hazard Specific Controls

Hazard Identification Traffic Control Plan


Hazard Specific Controls

Hazard Identification Ergonomics


Hazard Specific Controls

Hazard Identification Manual Material Handling


Hazard Specific Controls

Hazard Identification Power Industrial Truck (PIT), often


Hazard Specific Controls Forklift, but could be other

Hazard Identification Trenching and Excavation


Hazard Specific Controls
Hazard Identification Exposure Control Plan for Prevention
Hazard Specific Controls of Bloodborne Pathogens Exposure

Hazard Identification:
Additional Worksite Hazards: Welding
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Compressed Gas
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Hand and Power Tool Program
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Consumer Aggression
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Violent Offenders
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Patient Handling
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Working with Livestock
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Working with Wildlife
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Unexploded Ordinance
Define the controls in place for
each as applicable.
Hazard Identification:
Additional Worksite Hazards: Handling Fire Arms or other weapons
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Handling Explosives
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Airplane Operations
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Helicoptor Operations
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Wildland Fire Fighting
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Structural Fire Fighting
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Working in or around waterways
Define the controls in place for
each as applicable.

Hazard Identification:
Additional Worksite Hazards: Print Press Operation
Define the controls in place for
each as applicable.

Hazard Identification [type additionally identified hazards


Other Worksite Hazards: specific to your organization here]

Hazard Identification [type additionally identified hazards


Other Worksite Hazards: specific to your organization here]

Hazard Identification [type additionally identified hazards


Other Worksite Hazards: specific to your organization here]

Hazard Identification [type additionally identified hazards


Other Worksite Hazards: specific to your organization here]
Hazard Identification [type additionally identified hazards
Other Worksite Hazards: specific to your organization here]

Open positions are advertised in


Hiring & Onboarding Practices multiple venues for a standardized
amount of time.
Job postings include the job
Hiring & Onboarding Practices requirements.
Job postings include the requirement
Hiring & Onboarding Practices to pass a drug screen before
employment.

A formal application process is in


Hiring & Onboarding Practices place.

Hiring & Onboarding Practices The application has been approved by


legal counsel.

Application is reviewed and content is


Hiring & Onboarding Practices verfied by appointed personnel.

References are provided by the


Hiring & Onboarding Practices candidate and checked by the
employer.
Written job desciptions are in place
Hiring & Onboarding Practices for all positions.
Job descriptions outline the physcial
Hiring & Onboarding Practices requirements of the job.

Job descriptions include expectations


Hiring & Onboarding Practices of safe work practices.

Potential candidates are screened by


Hiring & Onboarding Practices meeting the minimum qualifications
which have been defined.

Interviews are conducted by both


human resources and the supervisor
Hiring & Onboarding Practices to whom the candidate would report
to.

Hiring managers have received


training on appropriate interview
Hiring & Onboarding Practices techniques and legal issues that may
involve the interview process.

During the interview process the


Hiring & Onboarding Practices candidates are requested to elaborate
on their work history and experience.
During the interview process the
Hiring & Onboarding Practices candidates are requested to explain
gaps in employment.

During the interview process the


candidates are asked if they can
Hiring & Onboarding Practices perform the essential functions of the
job with or without accomodations.

Interview questions about prior


Hiring & Onboarding Practices workers compensation injuries are
avoided.

Questions regarding the candidates


Hiring & Onboarding Practices perception of safety are included in
the interview process.

Post job offer background checks are


Hiring & Onboarding Practices conducted on potential hires with
their consent.

Post offer credit checks are conducted


Hiring & Onboarding Practices on potential hires with their consent.

Job offers are made contingent upon


the candidate passing applicable post
Hiring & Onboarding Practices offer drug test, physical, background
check, motor vehicle check, etc.

Pre-employment/ post offer drug


Hiring & Onboarding Practices testing follows a lawful chain of
custody process.

Candidates who fail the post offer


Hiring & Onboarding Practices drug test have opportunity to retest
at their own expense.

Job offers are made contingent upon


Hiring & Onboarding Practices passing a pre-employment / post
offer physical.

Pre-employment physicals are


Hiring & Onboarding Practices designed to simulate the physical
requirements of the job.

Post offer physicals are medical


Hiring & Onboarding Practices certifications as required by a
regulatory agency.

Clean motor vehicle records are


required for those who have or may
Hiring & Onboarding Practices have the duty to drive as part of their
job.
E-verify is used to confirm lawful
Hiring & Onboarding Practices working status.
Job offers are provided in writing and
Hiring & Onboarding Practices accepted by the candidate's
signature.

A probationary period is established,


Hiring & Onboarding Practices communicated, and adhered to.

Medical benefits are provided to the


Hiring & Onboarding Practices employee by the company.
Medical benefits are affordable,
Hiring & Onboarding Practices measured by most employees
participating.

New employees are eligible for


Hiring & Onboarding Practices medical benefits within the first 90
days of employment.

Proper employment documents are


Hiring & Onboarding Practices signed by the employee and turned in
Clear Expectations timely.
Hiring & Onboarding Practices A point person reviews company
Clear Expectations policies with the new hire.
Company commitment to safety and
Hiring & Onboarding Practices employee accountability toward
Clear Expectations success is verbalized.

Emergency procedures are discussed


and the new employee is provided a
Hiring & Onboarding Practices facility tour to effectively identify exit
Clear Expectations routes, fire extinguishers, and shelters
in place.

Hiring & Onboarding Practices Injury reporting procedures are


Clear Expectations provided in written and oral format.

Hiring & Onboarding Practices The Return to Work program and


Clear Expectations expectations are provided.

If employees supply their own tools,


Hiring & Onboarding Practices the safety requirements/conditions of
Clear Expectations the tools are provided in written and
oral format.

Hiring & Onboarding Practices Employees are informed of their


Clear Expectations empowerment to stop an unsafe job.
Employees are paired with a mentor
Hiring & Onboarding Practices who provides on the job training and
Clear Expectations observes the new employee.

Performance expectations are


Hiring & Onboarding Practices communicated to the employee
Clear Expectations during the orientation process.

Employee performance is measured


Hiring & Onboarding Practices and reviewed with the employee at
Clear Expectations pre-determined intervals, such as 1
month, 3 months, and 6 months.

Hiring & Onboarding Practices Performance issues are addressed


Clear Expectations immediately through coaching.

A progressive disciplinary action


Hiring & Onboarding Practices process is established and described
Clear Expectations to address non-performers.

Workstations are verified to be


Hiring & Onboarding Practices ergonomically correct for the new
Clear Expectations employee.
New Employee Training for All
Training

New Employee orientation conducted


Training orally and written
Training Accident Reporting Procedures
Employee Orientation
Training Hazard Reporting Procedures
Employee Orientation
Training Emergency Procedures
Employee Orientation
Training Fire Prevention
Employee Orientation
Training First Aid
Employee Orientation
Training Ergonomics
Employee Orientation
Training Back Injury Prevention
Employee Orientation
Training Slip and Fall Prevention
Employee Orientation
Training Introduction of Safety Committee
Employee Orientation Members
Training Safety Accountability
Employee Orientation
Training Return to Work Program
Employee Orientation
Training Personal Protective Equipment
Job Specific Training
Training Worksite Specific Hazards
Job Specific Training
Training Hazardous Chemicals
Job Specific Training
Training Equipment Operations
Job Specific Training
Training Fall Protection
Job Specific Training
Training Safe Use of Ladders
Job Specific Training
Training Electricity
Job Specific Training
Training Fleet Operations
Job Specific Training
Training Workzone Safety
Job Specific Training
Training Excavation / Trenching
Job Specific Training
Training Felling / Bucking Trees
Job Specific Training
Training Power Tools
Job Specific Training
Training Lockout Tagout
Job Specific Training
Training Hearing Conservation
Job Specific Training
Training Confined Space Entry
Job Specific Training
Training
Job Specific Training Respiratory Protection

Training Machine Guarding


Job Specific Training
Training Lone Work Procedures
Job Specific Training
Training Training conducted by knowledgable
Job Specific Training person on topic
Training Regular Refresher Training Scheduled
Job Specific Training
Training Additional training in areas of major
Job Specific Training loss sources
Training Training conducted when new
Job Specific Training hazards identified
Training Job Transfer Training
Job Specific Training
Training Safety is on the agenda in staff
Awareness meetings
Training Safety materials are posted
Awareness
Training Safety advertisements are done
Awareness
Training Safety fairs or Safety days are used
Awareness
Training Safety incentive programs exist
Awareness
Training Safety newsletters are established
Awareness
Training Safety Goals and Objectives are
Awareness Communicated
Safety Committee notifies the
Training company of meeting minutes
Awareness availability
Training Accident analysis is shared with
Awareness company employees
Training Hazard Alerts communicated with
Awareness company employees
Training Safety recognition programs are in
Awareness place
Training Employees and staff are informed of
Awareness safety committee members
A written incident management
Incident Management policy has been developed and
implemented.
A formal Return to Work program has
Incident Management been developed.
Employees have been trained in
Incident Management incident reporting procedures.

All Incidents are reported, regardless


Incident Management of severity / property damage.

An incident investigation program has


Incident Management been developed.
Injured employees are involved in the
Incident Management incident review process.
Incident reviews lead to causation
Incident Management factors and drive corrective action.
Incidents are managed to ensure
Incident Management prompt medical care to injured
employees.

Incidents are managed to ensure all


Incident Management injuries are reported within 24 hours.

OSHA recordkeeping reports are


Incident Management completed immediately.
Temporary transitional jobs are
Incident Management designated so RTW can begin
immediately.

Employer sends RTW information to


Incident Management the doctor with the injured employee.

Employer requires employee to return


Incident Management medical status forms following every
doctor visit.
Temporary duty status is reviewed
Incident Management following every visit to the doctor.
All injuries are considered for
Incident Management participation in RTW.
Employees on transitional duty are
Incident Management managed to ensure they are not
working outside their restrictions.

Corrective actions are taken to


Incident Management prevent the reoccurrance of the
injury.

Employees are re-trained in any


Incident Management changes made because of an incident.

Management instills a positive,


Return to Work (RTW) cooperative culture for Return to
Management Components Work within the company.

A transitional duty team coordinator


(TDTC) has been assigned to facilitate
Return to Work (RTW) transitional duty team meetings and
Management Components manage the workers' compensation
claim process.

All injured employees immediately


Return to Work (RTW) notify their supervisor, human
Management Components resources or the TDTC when injured.
The First Report of Injury is submitted
Return to Work (RTW) to the workers compensation carrier
Management Components within 24 hours following notification
from the employee of an injury.

The medical status form is provided


Return to Work (RTW) to the employee to take to their first
Management Components and subsequent visits with their
health care provider.

When the medical status form is


received and the injured employee is
released to work, a transitional duty
team meeting is scheduled and held
Return to Work (RTW) between human resources (HR) and
Management Components or the TDTC, the supervisor and the
injured employee; to review medical
restrictions listed on the medical
status form and to collectively
develop transitional duty.

The employee provides the medical


status form after every medical visit
to the TDTC. The TDTC then schedules
Return to Work (RTW) a meeting with the transitional duty
Management Components team to discuss updates to those
restrictions and make adjustments to
the employee's RTW Plan.

If the employee is not released, the


supervisor and or TDTC makes weekly
Return to Work (RTW)
contact with employee and ensures
Management Components the contact log is updated.

The return to work plan is


documented using the transitional
Return to Work (RTW) duty tracking form (or other form of
Management Components documentation) after every
transitional duty team meeting.

A copy of the transitional duty


Return to Work (RTW) tracking form is provided to the
Management Components employee to provide at the next
health care provider's visit.
The return to work progress of
Return to Work (RTW) injured employees is regularly
Management Components communicated to the workers
compensation carrier.

HR/TDTC keeps in contact with the


claims examiner throughout the
process. HR/TDTC stays informed on
Return to Work (RTW) severity, lost time, and duration.
Management Components TDTC ensures contact is maintained
between the examiner and the
employee.

HR Specialist/TDTC monitors the


claim until employee reaches
Return to Work (RTW) maximum medical improvement
Management Components (MMI); HR/TDTC asks claims examiner
to close the claim.

Medical Status Forms, transitional


Return to Work (RTW) duty tracking forms, contact logs,
Management Components FROI are filed for each injured worker.

The physical/mental demands of the


Return to Work (RTW) department's positon are listed in the
Management Components job profile.
Return to Work (RTW) Return to work training is provided to
Management Components all employees.
Return to Work (RTW) Return to work training is provided to
Management Components all supervisors.

Regular RTW training and updates are


Return to Work (RTW) incorporated into safety committee
Management Components meetings or other staff meetings.

RTW responsibilities are incorporated


Return to Work (RTW) into position descriptions and
Management Components performance appraisals.

The number of transitional duty team


Return to Work (RTW) meetings are monitored and the
Management Components outcome of the RTW effort is tracked.

A safety committee has been created.


Safety Committee

The safety committee has some


Safety Committee employees from each workgroup.
The safety committee has members
Safety Committee from both management and
employee groups.

Employees have been selected based


Safety Committee on their interest in safety, or their
ability to help lead change.
A written Committee Charter has
Safety Committee been developed.
Employees have been given
Safety Committee permission to fully participate in the
safety committee activities.

Safety Committee The committee has been funded.

Recommendations made by the


Safety Committee committee are considered by
management and drive change.
The committee meets regularly.
Safety Committee

The committee has clear goals and


Safety Committee objectives.

Meeting minutes are kept and posted


Safety Committee where all employees can see them.

The committee spreads safety


Safety Committee awareness throughout the company.

The committee performs incident


Safety Committee reviews.

The committee makes


recommendations from incident
Safety Committee
reviews to prevent future incidents
from occurring.

The committee performs hazard


Safety Committee assessments.
Committee members have training in
Safety Committee hazard identification.
The committee has a designated
Safety Committee chairperson.
Committee members review safety
Safety Committee programs and make suggestions for
revisions.

Safety Committee members hold


Safety Committee toolbox meetings with their
workgroups.
Safety committee members bring
Safety Committee safety committee information back
from meetings to their workgroup.

Safety committee members bring


concerns and issues to the safety
Safety Committee committee meetings from their
workgroups.

The safety committee tracks its


Safety Committee successes and shares them
throughout the organization.

The safety committee hosts safety


Safety Committee events to raise awareness and
education.
Safety committee members are the
Safety Committee eyes and ears of the company.
The safety committee is viewed as a
Safety Committee resource and trusted group by the
employees.

The committee members are renewed


Safety Committee or replaced on a scheduled basis.

Safety Committee members are


Safety Committee rewarded for their participation on
the committee.
New employee orientation
Recordkeeping

Task specific training


Recordkeeping

Date, topic, and sign in sheet for


Recordkeeping safety trainings
Safety committee minutes
Recordkeeping

Date of safety inspections


Recordkeeping

Date of corrective items applicable to


Recordkeeping safety inspection
Progressive discipline for safety
Recordkeeping violations
Written safety program
Recordkeeping

Preventative maintenance
Recordkeeping

Repair logs
Recordkeeping
Incident investigation forms
Recordkeeping

First Report of Injury


Recordkeeping

OSHA 300 Logs (current and five years


Recordkeeping prior)
Employer Experience Reports, also
Recordkeeping known as, Loss Runs
Safety Data Sheets (SDS), formerly
Recordkeeping MSDS
Fire extinguisher inspections
Recordkeeping

Snow removal logs


Recordkeeping

Recordkeeping Return to Work Program

Offers of Light Duty


Recordkeeping

Claims notes
Recordkeeping

Emergency drill evaluations


Recordkeeping
rd Questionnaire
Excellent Good
10 5
Members of management are actively involved in Members of management attend
the safety management process through some safety meetings and establish
participation in each meeting to modeling and safety in correspodence to
coaching safe behavior. employees.

Management has drafted and stands behind the Management has signed the safety
organization's safety policy statement. policy statement.

Clear objectives are set on an annual basis and Objectives are written but no metric
communicated to the entire organization. Metrics developed to measure efforts.
are established to identify successes.

Funds are adequately allocated for safety efforts. Funds are allocated for safety on a
Individual departments budget for safe operations. request basis.

All levels of employment are equally accountable for


safe operations. Safety accountability is written into Safety accountability written into job
job descriptions. Accountability parameters are descriptions.
established.

Management hosts and participates in risk Members of management attend


management and safety training on a scheduled safety training given to employees on
basis. a scheduled basis.

Managers and supervisors have a role in providing The safety coordinator provides all
or arranging for job specific safety training. safety training.

Management and supervisors are effective with


timely investigation of reported incidents or The safety coordinator conducts all
accidents. Their report is documented with investigations and recommends
recommendations for corrective action and corrective action to management.
established completion dates.

Safety is an active agenda item in each management Safety is occassionally on the agenda
meeting. in management meetings.
Management is involed with all facility safety Management participates in safety
inspections. inspections at least once per year.

Management gives the Safety


Management always reviews and signs off on Coordinator the responsibility to
approved safety policies and procedures. approve safety policies and
procedures.
Individual departments have established metrics to Individual departments review their
identify and address their safety performance. injury trends and are responsible for
Department supervisors are held accountable to addressing them.
their safety commitments.

Managers and supervisors are actively involved in Human Resources and /or the Safety
claims management through timely investigations to Coordinator handles all claims
serving on the RTW Team management activities.

Managers and supervisors are aware of claims costs


and trends specific to their department. They are Human Resources and/or the Safety
charged with implementing controls to reduce or Coordinator generates reports that
mitigate costs and trends related to safety failures. are specific to each department. The
A charge back system or other effective reports are reviewed with the
accountability process is in place for each respective manager or supervisor.
department's performance.

Managers provide written responses to safety The Safety Coordinator is responsible


committee recommendations and follows through for all Safety Committee
on completion items. recommendations.

Supervisors complete the First Report of Injury Injuries are reported to supervisors,
(FROI) and submit to HR within 24 hour of notice. but HR or Safety Coordinator
Supervisors and managers are accountable for completes the FROI timely.
accurate completion of FROI.

Supervisors thoroughly complete an Incident HR or Safety Coordinator is


Investigation Report and submit to HR within 24
hours of notice. Supervisors and managers are held responsible for all incident
investigations.
accountable for incomplete investigations.

Provides recognition and feedback for employee Provides recognition and coaching
who deliberately work safely. Provides timely broadly to the organization via email,
coaching to employees who are observed working in staff meetings, or other means.
unsafely.

Ensures all employees receive adequate safety Provides an employee handbook or


orientation. The orientation is completed other written document for new
thoroughly by knowledgeable personnel. The employee to review and sign in
orientation is documented accurately with topics receipt of the information.
and dates.

Works with supervisors and management to address Assists employees with special
documented requests for special safety needs of accomodation requests without
employees. involving supervisor.
Safety standards are expected but not
Safety standards are incorporated to job profiles. formally written.

Safety is incorporated into performance evaluations Safety is incorporated into


performance evaluations only for line
for all levels of the organization. staff.
Reports all First Report of Injuries to the insurer Attempts to submit FROIs within 24
within 24 hours. Has designated a back up if out of hours, but often other tasks promote
the office. later reporting.

Serves as the point of contact for the insurer to Supervisor, Safety Coordinator, and/or
begin processing the claim. HR serves as initial point of contact.

Provides or arranges training for supervisors on


accurate completion of the FROI. Holds supervisors Completes incomplete information on
the FROI for the supervisors.
accountable for incomplete reports.

Provides or arranges training for supervisors on


accurate completion of the Incident Investigation Completes the Incident Investigation
Report. Holds supervisors accountable for Report.
incomplete reports.

Reviews reports provided by the insurance carrier


and communicates internally on status of claims and Reviews reports from the insurance
injury trends. Works with management and Safety carrier, but no action is taken.
Coordinator on identified needs.

Serves as coordinator for the RTW process.


Coordinates RTW meetings and documents results. Coordinates light duty with supervisor
Assists with finding light duty tasks. Documents and employee.
RTW job offers. Tracks progressive healing process.

Actively participates in new employee orientations. Signs off on new employee


Asks questions andunderstanding is evidenced. orientation.

Actively participates in job specific safety training. Signs off on Job Safety Training.
Demonstrates understanding.
Reports injuries or incidents as soon as possible and Injury and incident reporting is usually
within the same workday. timely.
Always wears the required PPE. Keeps PPE clean Uses PPE when Safety Coordinator or
and well maintained. Supervisor is present.
Maintains good housekeeping in work areas. Uses
warning or caution signs if work area will be Cleans work area when told to do so.
disturbed.

Reports hazards to supervisor. Takes initiative to Reports only serious hazards.


address hazard if within the employees control.

Plans work with safety forecasting. Arranges work Follows safety rules and guidelines as
process safely. Controls or mitigates hazards before they are written.
starting task.

Helps coworkers work safely. Openly communicates Will work as a team and talk safety as
hazards and controls of tasks. Informs others as other employees do. Does not
information is available. address safety on his/her own.
Safety management is a half time
Safety management is a full time position. position.

Can stop work if conditions or practices are unsafe. Works with supervisor on resolving
safety issues.
Chairs committee and takes on the
Delegates projects, follows up on completion. committee work load.

Drafts, formalizes, and works to implement safety Proposes safety programs to


programs. Evaluates program effectiveness management and waits for approval.
annually. Implements via email memo.

Reports quarterly to Executive Management on Emails communications to


State of Safety. management as needed.

Analyzes accident reports and loss reports from Reviews information and provides
insurance carrier. Works to implement effective direction. Follow through and metrics
corrective action. Has established metrics to
identify success. lack.

Does not participate in the existing


Participates in the Emergency Action Team. Emergency Action Team.
Organizes safety training programs at least Safety training is held at least
quarterly. Establishes metric for results of safety annually. The training is documented.
training.

Provides or arranges ergonomic assessments for


new employees, existing employees, and injured
employees. Follows up with management to ensure Ergonomic assessments are
conducted when requested. Training
recommendations have been implemented. is conducted for new employees.
Provides ergonomic training to all employees
annually.

Continues growing through company


Poignant in self growth and development in regard experience. Does not have time or
to safety leadership. Attends at least one safety budget to attend safety conferences
seminar or conference per year. or seminars.

Conducts an audit of the organization's safety Conducts self audits on an


management program at least annually. Formally unscheduled basis. Compiles report
recommends improvement needs to management of findings and communicates to
and promotes the identified needs be incorporated management. Awaits for
into annual objectives. management direction.

Thoroughly understands organizational risks. Has Spends 95% of time in an office


ability to visit field work and analyze work practices. setting. Understands risk by
Incorporates risk mitigation measures into all job description but has not thoroughly
categories. analyzed the risks.

Conducted frequently and corrective action is Conducted annually and corrective


documented. action is documented.
Conducted frequently and corrective action is Conducted annually and corrective
documented. action is documented.
Pre-operational inspections documented with Monthly inspections conducted.
timely corrective action.
Pre-operational inspections documented with Monthly inspections conducted.
timely corrective action.
Pre-operational inspections documented with Monthly inspections conducted.
timely corrective action.
Pre-operational inspections documented with Monthly inspections conducted.
timely corrective action.
Pre-operational inspections documented with Monthly inspections conducted.
timely corrective action.

Work activities are reviewed on a scheduled interval Work activites are addressed on an
with timely feedback provided to employees. unscheduled, as needed basis.

Company specific driving rules, seat belt use,


distraction prevention, fleet inspection, and driver
training in place. Motor vehicle records are checked
initially and annually for persons regularly required
to drive a company vehicle.

Written program in place to include new employee


training, list of hazardous chemicals, employee
access to safety data sheets, defined labeling Written program in place with some
requirements, personal protective equipment missing elements. Employee training
requirements, and additional training should a new in place.
chemical or process be introduced into the
workplace.

A written chemical hygiene plan is in place: standard


procedures in place for handling and storing
hazardous chemicals, fume hoods are adequately
maintained and verified functioning. Certain
procedures require permission and oversight from
the employer prior to performing. Medical
monitoring program is in place for affected
employees if applicable. Employee training is
conducted initially and annually. The program is
reviewed annually to evaluate its effectiveness.

Written respiratory protection


program is in place to include
Respiratory hazards quantified and controlled by program administrator, medical
engineering practices. questionnaire, fit testing, equipment
inspection, and training.
Locks and tags are available for
Equipment specific hazardous energy control employees performing service or
procedures are documented. Employees receive maintenance on equipment. Training
training intially and annually. Periodic inspections has been conducted for authorized
are conducted and documented. employees.

Spaces are identified and employees are trained to


never enter OR a written program is in place. Entry Spaces are not identified but
occurs only by permit. Atmospheres are monitored employees may have an occasional
before and during entry. Attendant always present need to enter a confined space. Entry
without other assigned duties. Emergency rescue occurs with proper ventilation and an
plans in place. Employees trained in confined space attendant present.
entry procedures and rescue procedures. An
annual review of the program is in place.

Noise is established safe through engineering


controls OR a written hearing conservation program Effective hearing protection is
is in place that includes baseline and annual required when working with or
audiograms, new employee and annual training, around noisy equipment.
and properly chosen hearing protection.

Machines and equipment are


Equipment and power tools with guards will not guarded. The guards can be removed
operate without the guards in place. Employees but only with a lockout tagout
receive training on machine guarding requirements. process.

Only qualified personnel work on electrical systems.


Electrical systems are adequately guarded. Cord Only qualified personnel work on
powered equipment is inspected. Cords are not electrical systems. Electrical systems
covered with tape and ground pin is never removed. are adequately guarded. Cord
Ground Fault Circuit Interuppters (GFCI) or ground powered equipment is inspected and
assurance program are in place. Inspections look addressed appropriately. Safety
for electrical safety and needs for permanent awareness program provided for all
wiring. Safety awareness program provided for all employees.
employees.

Fall protection plans are in place.


Employees are protected by engineered fall Employees are trained in use,
protection systems while working on elevated work maintenance, and requirements of
surfaces. personal fall protection.

A certified hazard assessment has been conducted. Personal Protective Equipment is


Employees are provided appropriate PPE and are available for use, but employees
trained in its use. decide when to use it.
A written EAP is in place and addresses potential A written plan is in place. Facility
emergencies at the specific workplace. Employees plans are posted. Employees are
receive training initially and annually. Physical drills shown exits when they begin their
are performed and evaluated on a scheduled basis. employment

A written fire prevention plan is in place and The fire prevention plan is known, but
followed. not written.

Workzones are established following the Manual of


Uniform Traffice Control Devices (MUTCD)
guidelines. Internal traffic control plans are Construction zones are set up to
identified and followed. Site specific training occurs
for affected employees. Flaggers are trained control public motorists. Awareness
is discussed for internal traffic control.
specifically for their duties. Reflective attire is worn Reflective attire is worn.
when onsite. Public service announcements are
provided to the community. Law enforcement is
requested to patrol the site.

An ergonomics process has been established.


Employees are trained in risk factors and prevention Employees are trained initially and
methods. Engineering methods are used to annually in ergonomics. Symptoms of
maintain anatomically correct postures while injury are reported timely and action
minimizing repetition and force. A reporting system is taken.
is in place for symptoms of cumulative injury. High
risk tasks are analyzed for improvement.

Manual material handling is minimized. Lifting


policies are in place. Mechanical equipment is Back safety training is conducted once
available and used by qualified personnel.
Employees are trained in injury prevention methods per year.
at least annually.

All operators are trained and authorized. The


equipment is inspected before operation and the All operators are trained and
inspection is documented. Safety issues are authorized. A pre-operational
addressed through the inspection process and a inspection is completed but
paper trail follows identified issues to completion. documentation lacks. Safe operations
Seat belts are required. Exhaust issues, if are enforced.
applicable, are effectively addressed.

Appropriate sloping, shoring, or shielding used for 5'


or deeper. Competent person inspects the trench
daily and as conditions change. Employees receive
training initially, annually, and site specific. Heavy
equipment and spoil always kept at least 2 feet
away from edge. Ladders provided for access and
exit. Atmosphere is tested prior to entry.
Full Exposure Control Program implemented:
Exposure group identified, initial and annual
training, training records kept, vaccines offerred and Program is written. Improvements are
declinations documented, engineering controls and necessary in implementation.
safe work practices identified and followed;
decontamination procedures in place. Effectiveness
is reviewed annually.

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Always Sometimes

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Always Sometimes

Always Sometimes

Always Sometimes
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Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes
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Always Sometimes

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Always Sometimes

Always Sometimes

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Always Sometimes

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Always Sometimes

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Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes
Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes
Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes
Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes
Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes
Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Always Sometimes

Yes Maybe

Yes Maybe
Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

(Monthly) (Quarterly)

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe
Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes Maybe

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes
Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes
Opportunity 2018
0 Points

No evidence of management being involved


in the safety process.

No evidence of management being involved


with the safety policy statement.

Management has not established safety


objectives.

There is no safety budget.

No evidence of accountability for safety


until mistakes are made.

No evidence of managers or supervisors


involvement in safety training.

No evidence of established safety training


needs.

Investigations are not conducted. Only first


reports of injury are completed.

No deliberate agenda for safety in


management meetings.
Management is not involved with facility
safety inspections.

Management isn't involved with approval of


safety policies and procedures.
The safety coordinator is responsible for the
organization's safety performance.

The company lacks claims management.

No formal analysis of costs or trends of


failures in safety is conducted.

There is no formal response to safety


committee recommendations.

Injury reporting lags.

No incident investigations are completed.

No visible effort in cultivating positive


culture.

New employees do not receive an adequate


new employee orientation.

No accomodations are made.

No safety standards are in place.

Safety is not incorporated into performance


evaluations.
Timely submission of FROI lags by evidence
of accident dates and date received by
insurance carrier.

No designated point of contact in place.

Supervisors are not involved in the FROI


process.

No incident investigations are completed.

Receives reports, but doesn't know what to


do with them or doesn't receive reports.

RTW teams are not used.

Is not required to participate in new


employee safety orientation.

Is not required to participate in Job Safety


Training.
Reports are only given if medical treatment
or property damage occur.

Does not wear PPE.

Housekeeping is generally not maintained.

Reports hazard after incident or injury.

No forethought put into safe work


processes.

Each employee is responsible for his/her


own safety.
Safety management is an additional duty.

No visible authority.

Effective safety committee leadership is not


visible.

Safety programs are incomplete and not


implemented.

No lines of communication with coordinator


and management.

No formal analysis in place.

There is no Emergency Action Team.

Safety training is done as needed and


documentation is sporadic.

Ergonomics process is reactive following


reported problems.

No continuing education.

No self audits.

Does not understand or manage the


organization's risks.

No evidence of facility inspections being


conducted.
No evidence of grounds inspections being
conducted.
No evidence of fleet inspections.

No evidence of heavy equipment safety


inspections.

No evidence of ATV or UTV inspections.

No evidence of inspections.

No evidence of inspections.

No evidence of behavioral safety


inspections.

No formal fleet program is in effect.

No written program or employee training in


place.

A necessary chemical hygiene plan is not in


place.

No written program, medical questionnaire,


fit testing, or training in place.
No lockout tagout program is in place.

No confined space entry program or


training is in place.

Noise exposures have not been evaluated.


Employees can wear ear plugs if they want
to.

There is no verification of adequate


machine guarding.

No visible electrical safety efforts in place.

Fall protection systems are not provided.

PPE is not provided.


An EAP does not exist.

No plans for fire prevention.

No visible efforts are in place for traffic


control plans.

Ergonomics is addressed reactively when


discomfort or cumulative injuries are
reported.

No visible efforts are in place to address


manual material handling.

Employees who know how to operate the


PIT are encouraged to pitch in. No
inspections are conducted.

No evidence of excavation safety in place.


A necessary exposure control program is
not in place.

[type your current hazard controls here]

[type your current hazard controls here]

[type your current hazard controls here]

[type your current hazard controls here]

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[type your current hazard controls here]

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[type your current hazard controls here]

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[type your current hazard controls here]

[type your current hazard controls here]

[type your current hazard controls here]

[type your current hazard controls here]

[type your current hazard controls here]


[type your current hazard controls here]

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never
Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

No

No
No

No

No

No

No

No

(Less)

No

No

No

No

No

No

No

No

No

No
No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No

No
No

No

No

No

No

No

No

No

No

No

No
Comments
Management Commitment

Involvement

Management Commitment Policy Statement

Management Commitment Established objectives

Management Commitment Safety Budget

Management Commitment Accountability

Supervisory / Management
Management Commitment Training

Management Commitment Employee Training

Management Commitment Investigations

Risk Management on Meeting


Management Commitment Agendas

Management Commitment Facility Inspections

Approval of Safety Policies and


Management Commitment Procedures

Safety Performance
Management Commitment Responsibility
Management Commitment Claims Management

Management Commitment Claims Costs and Claims Trends

Management Commitment Safety Recommendations


Questioniers Excellent
10

Members of management are actively involved in


Demonstrates a strong commitment the safety management process through
to safety in all aspects participation in each meeting to modeling and
coaching safe behavior.

Implementation of Taqa Sanjel Policy. Management has drafted and stands behind the
organization's safety policy statement.

Clear objectives are set on an annual basis and


Set Annual HSE goals And Strattegic communicated to the entire organization. Metrics
Objectives: are established to identify successes.

Funds are adequately allocated for safety efforts.


??? Individual departments budget for safe operations.

All levels of employment are equally accountable


for safe operations. Safety accountability is written
into job descriptions. Accountability parameters are
established.

Management hosts and participates in risk


management and safety training on a scheduled
basis.

Managers and supervisors have a role in providing


or arranging for job specific safety training.

Management and supervisors are effective with


timely investigation of reported incidents or
accidents. Their report is documented with
recommendations for corrective action and
established completion dates.

Safety is an active agenda item in each


management meeting.
Management is involed with all facility safety
inspections.

Management always reviews and signs off on


approved safety policies and procedures.

Individual departments have established metrics to


identify and address their safety performance.
Department supervisors are held accountable to
their safety commitments.
Managers and supervisors are actively involved in
claims management through timely investigations
to serving on the RTW Team

Managers and supervisors are aware of claims costs


and trends specific to their department. They are
charged with implementing controls to reduce or
mitigate costs and trends related to safety failures.
A charge back system or other effective
accountability process is in place for each
department's performance.

Managers provide written responses to safety


committee recommendations and follows through
on completion items.
Good
5

Members of management attend


some safety meetings and establish
safety in correspodence to
employees.

Management has signed the safety


policy statement.

Objectives are written but no metric


developed to measure efforts.

Funds are allocated for safety on a


request basis.

Safety accountability written into job


descriptions.

Members of management attend


safety training given to employees on
a scheduled basis.

The safety coordinator provides all


safety training.

The safety coordinator conducts all


investigations and recommends
corrective action to management.

Safety is occassionally on the agenda


in management meetings.
Management participates in safety
inspections at least once per year.

Management gives the Safety


Coordinator the responsibility to
approve safety policies and
procedures.

Individual departments review their


injury trends and are responsible for
addressing them.
Human Resources and /or the Safety
Coordinator handles all claims
management activities.

Human Resources and/or the Safety


Coordinator generates reports that
are specific to each department. The
reports are reviewed with the
respective manager or supervisor.

The Safety Coordinator is responsible


for all Safety Committee
recommendations.
Opportunity 2018
0 Points Comments

No evidence of management
being involved in the safety
process.

No evidence of management
being involved with the safety
policy statement.

Management has not established


safety objectives.

There is no safety budget.

No evidence of accountability for


safety until mistakes are made.

No evidence of managers or
supervisors involvement in safety
training.

No evidence of established safety


training needs.

Investigations are not conducted.


Only first reports of injury are
completed.

No deliberate agenda for safety in


management meetings.
Management is not involved with
facility safety inspections.

Management isn't involved with


approval of safety policies and
procedures.

The safety coordinator is


responsible for the organization's
safety performance.
The company lacks claims
management.

No formal analysis of costs or


trends of failures in safety is
conducted.

There is no formal response to


safety committee
recommendations.

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