2010 Safety Excellence Award Training

Field Audit Form Review

Houston Business Roundtable

Presented by: Sharon Todd

Safety Audit Form

Current Form. (Revised January 2006)

10 Page Document. Will be emailed out

and can be found on the HBR website. www.houbrt.com

Use the Form as a Format for your Audit.

Safety Audit Form Sections

26 Sections Audited:

Safety Training Education

Hazard Communication Program

Process Safety Management

Respiratory Protection Program

Hearing Conservation Program

Emergency Evacuation Plan

Personal Protective Equipment

Drug and Alcohol Control Program

Audit Inspection Program

Accident Investigations

Recordkeeping

Medical / First Aid Program

Work Permits

Houskeeping

Fire Protection and Prevention

Environmental Management

Tool/Equipment Inspections

Electrical Safety

Sign, Signals and Barricades

LPG/Compressed Gases/Flammable Liquids

Ladders

Scaffolds

Excavation

Others

Best Practices

Accident Prevention Program

Section 1:

X

X

X

X

X

ITEM FIELD COMMENTS SCORE

0 1 2 3 N/A

Written Safety Policy:

A. Corporate

B. Site

i. Safety policy communicated to and understood by all employees

ii. Safety and Health Manual

iii. Written procedures for safety activities (JSA, JHA , committee, etc.)

iv. Written operating procedures

v. Safety handbook for employees

ITEM FIELD COMMENTS SCORE

0 1 2 3 N/A

vi. Annual safety goals set for continuous improvement

vii. Company safety recognition program in place

viii. Company safety representative identified

ix. Safety representative participates in safety problems/activities

x. Safety representative inspects all jobsites Xxi. Disciplinary action program

xii. Copy of all federal safety and health regulations available on jobs and/or posted as required

X

xiii. Participation in a Contractor Safety Council

Section 1: Accident PreventionProgram, cont.

Section 26: Best Practices

ITEM FIELD COMMENTS SCORE

0 1 2 3 N/A

A. Are Best Practice(s) Fully Implemented at Site X

B. Year to Year Improvement in Site Statistics X

Section 26- Best Practices and Year to Year Improvements

Highlight Company Programs that are considered to be the strongholds of your organizations.

Focus on a select few. Emphasize Site and total Company EH&S Statistical Data.

Audit Scoring System

Score – 0 (Below Average)

No Program in place.

Score – 1 (Average)

Program in place and meets the minimum requirements.

Employees in the field have knowledge of the program.

1 = Average N/A = Not Applicable 0 = Below Average 2 = Above Average 3 = Excellent

Audit Scoring System

Score – 2 (Above Average)

The Program is in place and exceeds industrial standards.

Employees in the field are knowledgeable and participation is high.

1 = Average N/A = Not Applicable 0 = Below Average 3 = Excellent2 = Above Average

Audit Scoring System

Score – 3 (Excellent) The Program is in

place and exceeds industrial standards.

Employees in the field are knowledgeable and participation is high and exceeds requirements to the extent to where it is recognized as a “Best Practice”.

1 = Average N/A = Not Applicable 0 = Below Average 2 = Above Average 3 = Excellent

Audit Scoring System

Score – N/A Should be

checked if it is non applicable.

Is not counted against the overall score.

Calculation is based on an overall percentage.

1 = Average 0 = Below Average 2 = Above Average 3 = ExcellentN/A = Not Applicable

Section 27: Final Score

Section 27- Final Score Each individual page is totaled

for the number of items evaluated and the points scored.

(bottom of each page)

The Sum of the Sub-totals are then divided by the sum of the number of items.

141

385

2.73

Number of Items Evaluated

Subtotal of Score Points

Sections 28-30: Comments and Commitment

• Completed by auditors.

• Importance of Client comments.

• Commitment verified through the audit process.

• Can be the tie breaker section.

2010 Safety Excellence Award Training

Field Audit Form Review

Houston Business Roundtable