Site Safety Review Template - 1
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Fw: Site Safety Review Template
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Clark, Mike
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Site Safety Review Template
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From: "Clark, Mike" <mike.clark@firstgroup.com>
To: "Perrone, Jennifer C." <jperrone@coab.us>
Subject: Fw: Site Safety Review Template
Thread-Topic: Site Safety Review Template
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Date: Mon, 22 Jul 2019 19:46:07 +0000
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Clark, Mike
SMTP
mike.clark@firstgroup.com
Perrone, Jennifer C.
Site Safety Review Template
________________________________
From: Doyle, Mike <Mike.Doyle@firstgroup.com>
Sent: Monday, July 22, 2019 2:52 PM
To: Clark, Mike <mike.clark@firstgroup.com>
Subject: FW: Site Safety Review Template
From: McCloskey, Timothy
Sent: Monday, July 22, 2019 2:25 PM
To: Schultz, Brian (Jacksonville) <brian.schultz@firstgroup.com>;
Siegel, Marc <marc.siegel@firstgroup.com>; Rischow, William
<william.rischow@firstgroup.com>; Holbrook, Brian
<Brian.Holbrook@firstgroup.com>; Kowsari, Seena
<Seena.Kowsari@firstgroup.com>; Schieren, William
<william.schieren@firstgroup.com>; Siegel, Marc
<marc.siegel@firstgroup.com>; FreyIII, Robert
<Robert.FreyIII@firstgroup.com>; Campbell, James C
<James.Campbell@firstgroup.com>; Magolan, Gordon
<Gordon.Magolan@firstgroup.com>; Murphy, Mark
<mark.murphy@firstgroup.com>; Harvey, Jake <jake.harvey@firstgroup.com>;
Tetreault, David <David.Tetreault@firstgroup.com>; Wade, Ray
<ray.wade@firstgroup.com>; Isaacoff, Ed <Ed.Isaacoff@firstgroup.com>;
Booth, Tim <tim.booth@firstgroup.com>; Fliedner, Ed
<ed.fliedner@firstgroup.com>; Reck, Steve <steve.reck@firstgroup.com>;
Curci, Robert <Robert.Curci@firstgroup.com>; Maurice, Karin
<karin.maurice@firstgroup.com>; Rumball, Todd
<Todd.Rumball@firstgroup.com>; Striegel, Scott
<scott.striegel@firstgroup.com>; Rishworth, Corey
<corey.rishworth@firstgroup.com>; Cawthon, William
<william.cawthon@firstgroup.com>; Satterfield, Joe
<joe.satterfield@firstgroup.com>; Kircus, James
<James.Kircus@firstgroup.com>; Fullard, Rodney
<rodney.fullard@firstgroup.com>; Price, Richard
<richard.price@firstgroup.com>; Coleman, Steve
<steve.coleman@firstgroup.com>; Bean, Matthew
<matthew.bean@firstgroup.com>; Lackey, Daryl
<daryl.lackey@firstgroup.com>; Murphy, Cary
<Cary.Murphy@firstgroup.com>; Doyle, Mike <Mike.Doyle@firstgroup.com>;
Velez, Johnny <Johnny.Velez@firstgroup.com>; Rivera, Anselmo
<anselmo.rivera@firstgroup.com>; Craver, Jim
<jim.craver@firstgroup.com>; Yoder, Kevin <kevin.yoder@firstgroup.com>;
Hart, Robert <robert.hart@firstgroup.com>; Shealy, Ross
<Ross.Shealy@firstgroup.com>; Muskett, Allan
<Allan.Muskett@firstgroup.com>; Diana, Robert
<Robert.Diana@firstgroup.com>; Ron Capezzuto
<ron.capezzuto@firstgroup.com>; Valladares, Alex
<Alex.Valladares@firstgroup.com>; Malin, Anthony
<Anthony.Malin@firstgroup.com>; Liles, David
<David.Liles@firstgroup.com>; Lopez, Hector
<HectorJavier.Lopez@firstgroup.com>; Lopez, Gaspar
<Gaspar.Lopez@firstgroup.com>; McGlamery, Brian
<Brian.McGlamery@firstgroup.com>; Alvarez, Rafael
<Rafael.Alvarez@firstgroup.com>; Mendez, Roberto
<Roberto.Mendez@firstgroup.com>; Lopez, Gaspar
<Gaspar.Lopez@firstgroup.com>; Milan, Derek
<Derek.Milan@firstgroup.com>; Cardona, Luis
<Luis.Cardona@firstgroup.com>; Upadhyay, Ayan
<Ayan.Upadhyay@firstgroup.com>; Valladares, Alex
<Alex.Valladares@firstgroup.com>; Carney, Adam
<Adam.Carney@firstgroup.com>; Shuster, John
<John.Shuster@firstgroup.com>; Burke, Michael
<Michael.Burke@firstgroup.com>; Dietrich, Thomas
<Thomas.Dietrich@firstgroup.com>; Martin, Edward
<edward.martin@firstgroup.com>; Thompson, Douglas
<Douglas.Thompson@firstgroup.com>
Cc: Domish, Dale <dale.domish@firstgroup.com>; Cavelle, George
<George.Cavelle@firstgroup.com>; Breeden, Steve
<steve.breeden@firstgroup.com>; Stack, Jason
<jason.stack@firstgroup.com>
Subject: FW: Site Safety Review Template
Please see the attached new version of the FVS Site Safety Review.
You will notice that it is very similar to the Safety audit we used in
2017 and 2018. The new version is a little more streamlined and has a
slightly different look , but you should not have any difficulty working
with it.
The thing that is of particular significance is the BE SAFE Tab.
You’ll recall that last time that tab scored out, but did not have any
point value. That was great back then, but now it does in fact carry
weight towards your final score.
Please don’t forget to target the known point killers from the last
wave. Fall Protection, Monthly Training, Facility Inspections, CO
Alarms, Service Truck safety kits, and Flammables all took a heavy toll
on our scores . Let’s strive to overcome the challenges and go after
the low hanging fruit. PLEASE prep now, so you’ll be ready for the
upcoming Site Safety Reviews. The process will begin in September.
The location GM will be given a couple of weeks prior to notice but that
is not enough time. It is critical to prepare now long in advance and
be ready. In the last wave it was obvious which locations prepared and
which did not. Their scores reflect a huge swing.
I’d suggest starting with a hard look at your last audit. If it’s
marked in RED we should have already addressed it. We certainly don’t
want to see a repeat of the same RED items. I’m sure we can handle it.
If I can help in any way, please do not hesitate to contact me.
From: McCloskey, Timothy
Sent: Wednesday, July 10, 2019 3:33 PM
To: Domish, Dale <dale.domish@firstgroup.com
<mailto:dale.domish@firstgroup.com> >; Cavelle, George
(George.Cavelle@firstgroup.com <mailto:George.Cavelle@firstgroup.com> )
<George.Cavelle@firstgroup.com <mailto:George.Cavelle@firstgroup.com> >;
Stack, Jason <jason.stack@firstgroup.com
<mailto:jason.stack@firstgroup.com> >; Breeden, Steve
<steve.breeden@firstgroup.com <mailto:steve.breeden@firstgroup.com> >
Subject: Site Safety Review Template
Please see attached Final version of the new FVS Site Safety Review.
It is very much similar to the one we used these last 2 years with a new
format and some streamlining.
Please let me know if you have any questions. I’d like to see us roll
it out and begin performing the reviews starting in late August. I’d
suggest starting at our locations which had any WC incidents and/or
poor results on previous audit first.
Tim McCloskey
Manager Maintenance Safety and Support
326 NW Camrose Street
Port St. Lucie, Florida 34983
Mobile: (727) 234-3286
Fax: TBA
timothy.mccloskey@firstgroup.com
<mailto:timothy.mccloskey@firstgroup.com>
www.firstgroupamerica.com <http://www.firstgroupamerica.com/>
This email (and any attachment) is intended solely for the addressee
and may contain confidential information. If you have received this
email in error, please notify us immediately and delete it. Reading,
disclosing, copying or disseminating any portion of this transmission
without authorization is prohibited. For more information on our range
of services, please visit http://www.firstgroupplc.com
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Perrone, Jennifer C.
SMTP
jperrone@coab.us
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Comments
Location:
Completed by:
Date:
Location #
OSHA 300 Log of Work Related Injuries and Illnesses
Documented Reasonable Suspicion for Manager and Supervisors
Exit signs at all exits and properly illuminated where required
At least 24 inches of space available for all exit path ways and exits
All Employees (Techs, Dispatch, Drivers, Attendants, and Managers) are wearing PPE as required
Stored ladders are chained or otherwise secured to prevent sliding or tip-over hazards
Walk-up ladders/work platforms are in serviceable condition with steps and hand rails free from damage
Grinders, saws, compressors & similar equipment have guards properly installed (no equipment in use with guards/brackets missing/not installed)
Extension cords/ power strips are not piggy-backed on one another
Personal heaters are not plugged into extension cords (must be plugged directly into the wall outlet)
Injury Preventability Determined Properly
Fire extinguishers are not blocked by debris/chairs/equipment and have 36 inches of clearance in front/sides
Description of events leading to identified actions
Specify the Opportunity for Improvement
Winter Action Plans
Eye wash stations are not blocked (36 inches clearance in front/sides) within 100 feet of work areas
Emergency Fuel Shut Off Switch Signage is visible from the fueling station on the island within 75 feet
PPE available at shop and office entrance for visitors
Specific Area of Deficiency (Tab and Item Number)
Action Planning Checklist
Expected Completion
Eye wash stations ANSI approved
Key are not left in company vehicles and kept in secure location
Random selected/not tested properly documented and Hire Right is notified
Snow Cleats available and employees instructed on use
Meeting Dates and Frequency
Meeting Minutes
List of committee members posted for all employees
SDS for each chemical used, stored at the facility, and available to everyone during normal business operations
Smoke detectors installed and operational throughout office environment of the facility
Be Safe
Facility Inspections
OSHA
OSHA 301/Canada WCB Injury/Illness Incident Reports
FORM Process Documentation Completed and Sent to TPA / Canada WCB
The location has adequate numbers of fall-protection equipment available for all employees required to work on elevated surfaces
All employees using fall protection are provided annual refresher training. Documentation is maintained on site.
Verify all vehicle lift devices have been inspected by a certified company within the last 12 months
All vehicles on the property follow the reverse parking requirements
Maintenance Training
Alternative Fuels Vehicle Maintenance
Shop Safety
Verify the location utilizes Hazardous Tools and Shop Equipment Quick Reference Guide and it is available for all technicians within the work center
Collision Register at all locations
(DOT Reportable Collision & Post Accident Testing Register)
Substance Abuse Rosters updated and approved monthly
Managing Risk
Alternative Fuels
The Location utilizes EIOS for managing Haz-Com, this is a web-based program that supports storm water, training, chemical inventories, etc.…
Toolbox talks (Previous 12 Months documentation required) - See Comment
Categories
Pts Per Category
Weighted Pts
A) Alternative Fuel Maintenance Requirements
Points Available (Must equal 100)
Points Earned
Items Available
MM, SM or TIC can articulate Safety Critical Behaviors
Location maintains Inspection Documents for Harness and Fall Arrest Devices. Documentation is required prior to each use.
Service Truck properly stocked with safety equipment and road call kit
Exit doors are obstruction free, accessible, Emergency Exits easily open to the outside and are not restricted by locking devices or alarms.
First aid kit properly located, stocked, accessible to all employees, inspected monthly, and not blocked (36 inches of clearance in front/sides)
The location has a Certified First Aid Provider on site (applies where hospital or clinic is more than 15 min away)
Proper fuel training has been conducted
Snow Removal Signs Available and Salt, sand, etc., is available for snow removal
Injury Reported to TPA Within 24 hours and Reviewed Within 72 hours
All Collisions are reported and reviewed within 72 hours
B) Winter Safety
Weighted Result
Total
Category Result
Strong
Highly Effective
Some Improvement Needed
Much Improvement Needed
Is Location Compliant?
Inspection Item
Tab
Section
Item #
C) Fall Protection 29CFR (Part 1926.501)
Concatenated Tab, Section, and Item #
Alternative Fuels
Ladders are aluminum, fiberglass or composite materials
The location shows evidence of Near Miss/Hazard reporting. Entered in the Safety Toolbox under Contacts.
Location has documentation of initial fall protection training for all employees working on elevated surfaces over 4FT
Mandatory safety meetings properly documented (Must show mandatory training sessions for the past 12 months).
Returning drivers (LOA, WC, TD, FMLA, ETC…) Completed make-up training sessions, prior to work, and training is properly documented
Emergency Management Plan for Adverse Weather
FY20 Site Safety Review Categories
FY19
Category
FY20
Category
FY20 Site Safety Review
Verify evidence of the use of the touchpoint tracker for the location leadership. (The touchpoint tracker is a crucial part of the coaching toolkit.)
Random notification and testing conducted properly
Verify D&A testing procedures for employee return from leave
Can technicians articulate what a risk assessment is and give examples of how they are performed
The location has an active fall-protection policy on file and available for all employees working at heights over 4FT
The location can provide a copy of the torque wrench calibration certificate and torque log
Safe access to enter and exit the pit
Pits with attached work areas at pit level must have a compliant CO monitor
Pits over 25ft in length must have a means of egress on both ends
All containers in shop labeled correctly
Steering wheel covers, wheel chocks, battery turned off or disconnected and key in possession of technician for all vehicles being serviced
Previous five years OSHA logs (300, 301, 300A) on file at the facility
Safety glasses, Nitrile gloves, and fire extinguisher are available at the fueling stations. PPE is used while fueling
GHS training completed for all shop personnel
Preventing Injuries
Location has completed Alternative Fuels Training for all technicians and only properly trained technicians are completing maintenance on alternative fuels systems
Documented Emergency Evacuation procedures in place for autogas leaks in the repair facility
No maintenance is conducted on any
ALTERNATIVE FUELS SYSTEM
without the fuel system being defueled
No
MAJOR
vehicle maintenance is conducted on any vehicle that has not been properly defueled prior to the maintenance being conducted
Defueling is conducted at a designated location, outside of the facility
Propane/Natural Gas leak detectors are installed and operational
Welding and other Hot-Work is performed away from propane storage, and fuel handling areas
No possible gaseous fuel ignition sources are present within the facility where alternative fuel maintenance is conducted
Safety/Warning Signs for Alternative Fuel Maintenance are in place within shop and exterior of the facility
No alternative fuel vehicles are stored within the shop facility overnight
Location has DOT and Non-DOT Drug and Alcohol Chain of Custody (COC) Forms available and they are able to explain the process in place to identify the proper use of DOT and NON DOT COC
forms
BeSafe
Facility Parking Risk Assessments (must be dated within the last 12 months)
Touchpoints are focused on Safety Critical Behaviors and completed on a recurring basis. This is validated through staff and employee conversations
FGA service vehicles must be outfitted with conspicuity tape and a rotating amber beacon or Omni directional flashing strobe lamp
Additional Comments
Who is responsible to complete this action?
FY20 Site Safety Review
There is evidence of Positive Reinforcement (R+) being utilized as a form of communication and culture change
Management can articulate the use of discretionary effort at their location with positive examples from their employees
The location utilizes the Safety Toolbox to capture weekly debrief sessions and Safety Leadership Activities
All pits must be equipped with a fire extinguisher
Air Aware or Pro-Tech 8505 CARBON MONOXIDE ALARMS in shop and meeting testing and or calibration meeting calibration requirements
Pits must have a means of fall protection such as covers or guardrails
Eye wash station inspected monthly for plumbed or per manufacter for gravity feed
If installed, verify all fire suppression systems are not blocked by items being stored within 18 inches of the fire suppression stanchions and annual inspections are on file
Collision preventability determined correctly with sufficient evidence to support determination
FVS Total
First Vehicle Services
Add the number of inspected categories from column M here.
All managers have attended two day Safety Leadership Training
All employees attended company required safety meetings (Random check of 5 employees)
General Manager attendance at safety meetings (Must have signature on file for each month)
Location maintains a copy of the Sharps Injury log (annual requirement)
Emergency lighting installed and operational throughout the facility
Panel covers for greater than 50 volts permanently marked "High Voltage"
Floors, aisles, and walkways clear of obstructions. Aisles and walkways are visibly marked
Floor openings and holes are protected
Overhead storage are guarede with a "kick plate" at floor level and fall protection at the edges. Weight ratings are known
Handrails present on straiways with 4 or more steps. Stairways are at least 22 inches wide and have slip resistant surfaces
Battery charging installations are located in areas designated for that purpose
Batteries are charged in a properly ventilated room
Used batteries are properly stored on site
An approved 5-bar safety cage is used for inflation of changed and repaired tires.
Remote-mounted pressure regulator, gauge, air hose with quick couple disconnect at the regulator end, and a clip-on air chuck used for inflation.
Safe operating procedures are posted in the tire maintenance area.
The safety cage is inspected for cracks at welds, structural damage, and cracked, broken, bent or corroded components, prior to each use.
Approved device for removing wheels from axles (wheel dollies) is available and used.
Ventilation system operational, if so equipped
Air pressure is regulated to a max of 30 psi at the point of use throughout the shop for non-tool and non-inflation applications..
Pressurized grease guns restricted to 55 psi
Shop Equipment on PM schedule.
Small engine powered start-alls or air compressors are installed in the open bed of a pick up and the pick up has a fixed glass rear window.
Each service vehicle is equipped with a stocked spill control kit and fire extinguisher.
All air compressors have their exhaust vented or plumbed to the exterior of the body.
A fan has been installed in the front of the MRU to blow air out of the MRU.
All air compressors are to the rear of the MRU next to the roll-up door.
Vent and 12 volt fan is installed behind air compressor in the MRU wall.
Fan is wired to come on the instant that the air compressor is started and remain on until the air compressor is cut off.
Limit switch is installed on roll-up door which prevents the air compressor from running with the door closed.
Fuel tank on the air compressor is converted to draw fuel directly from the MRU fuel tank.
No gas powered generators are in enclosed MRU.
Marine deep cycle batteries and inverter are installed.
Marine deep cycle batteries are stored in approved, enclosed marine storage boxes.
Batteries are wired to recharge while the vehicle is in motion or running and are isolated from the cranking system of the MRU when the engine is off.
No gas powered start all’s or jump starting devices.
No gas powered welding equipment in the MRU.
A carbon monoxide / smoke detector has been installed in the rear of the MRU.
Carbon monoxide detector is a hardwired unit that has an alarm.
One detector in installed in the box portion of the MRU and one is installed in the driver’s area of the MRU cab.
A) Machine Guarding (29 CFR Subpart O)
There is sufficient clearance around machines to allow for safe operation, servicing and handling
Machinery and equipment with grinders, vises, and drill presses are securely anchored to the floor or mounted to the table
D) Flammable & Combustible Material
”No Smoking" signs posted at flammable/combustible liquid storage areas and all welding areas
Oily rags, dirty uniforms, and other combustibles stored in covered, approved containers
Flammable/combustible material containers stored in proper locations with content/hazard labels
No "OPEN TOP" containers used for storage. Parts-washer lid closed when not in use
E) Ladders
Ladders are in good condition with no broken/bent rungs or visible damage, sharp edges, or splinters - OSHA approved
F) Vehicle Maintenance
Proper ventilation is provided and used when vehicles are running in the shop
G) Pits
Two fresh air vents are mounted on the front of the MRU box. There is to be one vent installed on the left and right rear sides of the MRU.
Air compressor exhaust is routed out the roof of the MRU.
Battery jumper packs installed for use to jump start vehicles. These units are recharged using the inverter system on the MRU.
The facility, restrooms, common areas, and yard are clean and orderly. Restrooms are properly stocked with soap, bath tissue and paper towels? Waste receptacles regularly emptied? Availability
of drinking water?
C) PPE (29 CFR 1910 Subpart I, Appendix B)
D) Fire Protection (29CFR 1910 Subpart L)
Fire extinguishers mounted in accessible location & clearly designated with sign
Extinguishers inspected and recharged with monthly/annual inspections noted on the tags
E) Exits (29CFR 1910 Subpart E)
Non-exits (that could be mistaken for an exit) marked "Not an Exit."
F) Electrical Hazard Prevention (29CFR 1910 Subpart S)
Electrical appliances, equipment & tools grounded, free of splices or damage (extension cords are not spliced/taped)
Switches, receptacles (Indoor/Outdoor GFCI where required) & junction boxes provided with covers & plates, openings enclosed with appropriate covers
3’ clearance in front of electrical panels and breaker panels. 3' aisle clear to panels
Switches & Circuit breakers labeled. Circuit breakers indicate "on" or "off" position
A) First Aid
Current emergency action plan posted in multiple locations throughout the facility
Engine off & keys removed while fueling, clear signage. "No Smoking" & "Engine Off" signs posted
Spill control stations located onsite and fully stocked (including fuel island)
A) DOT Drug and Alcohol Testing
A) Collisions
B) Workplace Injuries
Visitors log in place and in use - (validate 60 days of sign in sheets)
Emergency evacuation diagram posted
Written emergency evacuation plan in place
Cylinder lines have been bled, no pressure reading
Noise levels are acceptable throughout the shop
Paint booth ventilation systems operational
Only trained employees are permitted to use welding, cutting or brazing equipment
Pressure regulators are used for gas and pressures for which they are intended
Portable units have safety ground connections
"No Smoking" or "Open Flame" signs posted throughout shop
Ventilation system on PM schedule
At least one non-drive wheel is chocked during vehicle maintenance
Proper tools are being used for jobs (including wheel torque)
Forklifts are inspected prior to use each shift
Each forklift operator is trained and certified
Emergency phone numbers and STRATA emergency information posted on safety board
Hazardous Materials Inventory maintained in appropriate location
Work areas are free of debris, tools, parts and equipment not in use
Cylinders are legibly marked to identify contents
Cylinders are secured to prevent them from falling or rolling
Oxygen and acetylene cylinders separated by 20ft
Empty cylinders marked "empty" with valves closed and caps on
Spark arresters properly installed on each torch set
All lifts and jack stands are in good condition and used properly
Appropriate materials and equipment (hoists, forklifts) to handle heavy objects
LP gas powered forklifts are parked with the tank service valve closed and away from ignition sources
LP gas tanks are stored in their upright position in a designated area away from ignition sources
Policy of "No welding performed on tanks, vehicles or drums which have contained hazardous materials unless they have been cleaned and certified that no residual materials or vapors
are present." is adhered to
Hotwork is performed away from combustible material and/or approved welding screen used
SDS's available for all chemicals at the facility
Floors and stairways are free of liquids and trip hazards
Shop layout and appearance is reasonably neat and orderly
Cylinders stored with valve caps on, caps closed and away from heat sources
Work areas are adequately illuminated, explosion proof fixtures where required
Lockout/Tagout procedures are followed
Proper ventilation system is provided and used when vehicles are running in the shop
Hoists and cranes inspected annually by a qualified person
Keys are removed from forklifts when unattended
Blue Safety Board posted in a prominent position and reflects current data
Random selections properly tested in appropriate month
Energy Control Training (LOTO) completed for all shop personnel
Daily Weekly and Monthly Safety Inspections FVS FRM 105 rev 5
There is evidence of post collision counselling and retraining
There is evidence of post injury counselling and retraining
H) Battery Charging
I) Wheel Maintenance (1910.147)
I) General Housekeeping (1910.176, .36)
J) Compressed Gases (1910.101)
K) Work Environment (1910.36, .95 .94)
L) Welding (Hot Work) (1910.252, .253)
M) Vehicle Maintenance (1910.147, .244)
N) Materials Handling/Storage (1910.178, .179)
B) Safety Posters - Signs
D) Fueling
E) Hazard Communications (HazComm)
B) Technicians with CDLs
Tech 1
Tech 2
Tech 3
Name
CDL/Appropriate Current License on File (DOT)
Substance Abuse Policy Jan. 2018
D&A Test Results and COC
Notification of Testing document
I-9 Process Completed
Current Physical Examination Certificate
Part I—Investigative Consumer Report Disclosure & Release. Most current revision date is Oct. 2018
Files
Add any Local or State Requirements below
Employee Handbook Acknowledgement Form 2019
Green Dot Program used for all equipment and machines
Maintenance Training & Files
DOT Compliance
J) Facility Equipment
K) Service Vehicles (Open Bed Trucks)
L) Service Vehicles (Mobile Repair Unit)
C) Security
A) Assessments
A) Training
C) Technicians with CDLs (State Requirements)
A) Safety Leadership
Remainder of Points
Points per category
If Shop Safety or OSHA are not reviewed remove the corroponding value below
If any other category is not reviewed remove the value for the corresponding cell in Column N "Weighted Pts"
A) Management
G) Walking & Working Surfaces (29CFR 1910.22,.23,.24)
B) PPE & Hazardous Tools
C) Checklist
Maintenance
All items listed with a Non-Compliance rating are required to be listed in this action plan table. Each item must be evaluated by the Reviewer and corrections coordinated with management
at the location. Upon successful completion of the action plan checklist a copy of the checklist should be forwarded to the RSM and RVP.
Any item listed in Yellow on a specific tab is required to have an action plan documented and the corrective action implemented PRIOR to the Reviewer leaving the facility.
B) SST/Safety Committees
General Manager:
Safety Manager:
H) Emergency Precautions (1910.38, .120)
M) Safety Meetings
Safety culture is the way safety is perceived, valued, and prioritized.
This can be explained by the commitment at all levels of the organization. Also described as the way the organization reacts when no one is watching.
Several examples can be viewed by the inspector as they evaluate the location. The organization with a strong safety culture exhibit this through the actions of the employees who feel
responsible for safety at every level.
Consider interviewing drivers and engage their opinions of the examples listed in lines 1-8 of this section. A location with a true safety culture may not incorporate all of the items
listed, however the increased exposure to such actions can demonstrate an inclusion of a safe employee and company safety culture.
Locations who do not demonstrate such examples clearly are in need of improving their safety culture.
S.C.B.'s are
Collision Prevention - On Road Risk
**
Proper Backing
Injury Prevention
** 3-point Contact
Shop-Specific Injury Prevention
** Housekeeping (oil spills, tools/materials)
** Use of PPE
** Use of Lock-out / Tag-out
This can be accomplished through observing interactions with employees as well as postings and memos.
Discretionary Effort:
The level of effort performers could give if they wanted to, but which is beyond what is required.
This is not an inspection to determine if the location is meeting a TP quota. It is an opportunity for the reviewer to determine whether the TPs being conducted are positive in nature.
Additionally, please explain to Leadership that retaining their TPTs allows them to follow up on any constructive TPTs they have had in the past. This will help shape desired behaviors.
Check to see managers or facilitators are logging Debrief sessions into the Debrief section of the Safety Toolbox database.
New staff needs to attend training with in 90 days of hire.
Verify with certificates.
Training must be specific to the OEM fuel system.
Maintenance SOP's
MO10-P (Propane)
MO10-L (Liquid Natural Gas)
MO10-C (Compressed Natural Gas)
Minor Vehicle Maintenance can be completed inside the facility, without defueling, if the maintenance does not involve the alternative fuel systems within the vehicle. HOWEVER the fuel
tank valve must be closed while inside the maintenance facility.
Examples include normal daily maintenance activity such as, Tire/Brake changes, Battery repair/replacement, PM Inspections, Oil Changes, Engine Maintenance not involving the fuels systems.
Diesel and regular fuel systems are not subject to defueling prior to vehicle maintenance.
Often times shops have items such as electric motors for garage doors, heat sources such as gas water heaters with pilot lights, refrigerators, grinders and torch sets where metal cutting
is completed, welders, etc..
Tanks must be 10' from any structures, potential ignition sources, or intake vents.
Signs can be ordered through First Market Place - Kromatic
SOP M010
Any grinder, drill press, or vice must be secured to the floor or table. The table must be secured to the floor. Items not meeting this standard at the time of inspection are required
to be taken out of service until the correction are made.
The tables can also be attached to a wall if that is available.
Any machine part, function, or process which may cause injury must be safeguarded. All equipment in use must have original manufactured equipment guards/covers for use within any First
Group maintenance facility. This can be verified through on-line research of the manufacturers operators manual.
Compressors are not required to be located in a protective cage, however all manufacturer's guards and covers must be in place for safe operation. Compressors that have exposed belts
or pulleys must be immediately removed from service until the guards and covers are installed.
Several locations are operating key cutting machines and often have removed the guards or covers from the cutting wheels. Key machines must be secured to a table, and all guards in place
for authorized use.
This risk assessment should be documented in the electronic maintenance tracking program. This is documented through selection of the checkbox in the work order requirement.
REVIEWER IS REQUIRED TO INTERVIEW TECHNICIANS TO DETERMINE THEIR ABILITY TO ARTICULATE WHAT IS REQUIRED FOR A SAFETY RISK ASSESSMENT - CAN THEY EXPLAIN WHAT THEY CHECKED, WHAT PPE IS
REQUIRED, ETC...
NOTE--- If this cannot be articulated by the techs on the floor completing the tasks, this item is required to be documented as Not-compliant.
The Hazardous Tools and Shop Equipment Quick Reference and Safe Work Procedures guide. This guide is a 48 page document Dated November 2008 is the guide all shops should have for reference
of all the hazardous tools that could be in the work centers.
This guide provides the necessary PPE requirements for each tool, and inspection requirements as well.
SOP M008 - Torque Wrench and Torque Control Tooling Use, Care & Maintenance
The minimum requirements for all fall protection programs should contain the following:
1. Written Program.
2. Statement of Policy.
3. Workplace Evaluation.
4. Training.
5. Fall Hazard Control Procedures.
6. Protective Materials and Hardware.
7. Fall Protection Systems.
8. Guardrail Systems.
9. Safety Net Systems.
10. Additional Fall Protection Requirements.
11. Fall Protection Plan.
12. Subcontractor Responsibilities.
13. Definitions.
Minimum standards should address how to Inspect the harness and restraint device and how to wear the harness.
Signs should be posted throughout shop and fueling area, anywhere there is combustible material.
The flammable locker/lockers are required to have a "no smoking" sign affixed directly to the locker.
Open top containers can be utilized for daily use to transfer liquids only but must be emptied when not in use.
Haz Com Labeling can be found in OSHA Standard 29CFR 1910.1200… requires proper labeling of storage containers and daily use containers.
Containers are required to have the following
1. The identity of the chemical (Found on the Safety Data Sheet)
2. The appropriate hazard warning (can be a symbol or picture) (Also found on the Safety Data Sheet)
Any ladder that is damaged or unserviceable, if it cannot be repaired, must be destroyed and removed from the facility prior to departure of the assessor.
If the battery is required for testing the service of the vehicle the battery can be connected and then disconnected.
This could be the use of tailpipe extraction, mechanical ventilation or other sources.
The number and type of CO detectors depends on the building configuration and size. If the building has multiple floors, on both levels of the building.
Management should be able to provide the manufacture documents for the type of CO detectors in use to help determine if the sufficient number are in place.
In New York and New Jersey, when the Air Aware or Pro-tech monitor is replaced a new Defender monitor should be purchased. (Refer to the FGA CO Exposure Control Policy)
Safety equipment includes wheel chocks, safety triangles, fire extinguisher, spill control kit
When inspecting service vehicles. There should be no gasoline powered equipment in closed van-style vehicles. Pick-up trucks are acceptable to have compressors, however the truck must
have fixed rear glass which cannot be slid open.
This is a First Student Specific item. First Transit locations would have these items on the Service Truck. The road-call vehicle should be equipped with wheel chocks, reflective triangles,
first aid kit, 2 way radio, beacon or strobe light, fire blanket ,and fire extinguisher.
Verify the first aid kit is inspected monthly.
TECHNICAL SERVICE BULLETIN 288-11 – Service Trucks and Service Vehicle
Steps are free of slip and trip hazards.
Fixed ladders must have at least 3 inches of space between the ladder and the wall it is mounted to in order grip the side rails.
Check previous 12 month mandatory safety meeting sign in sheets to ensure General Manager signed attendance at these meetings.
Ensure correct sign in sheets were used for each meeting, showing correct meeting information, including topic, at top of sheet and that the GM has signed attendance for at least one
in-service meeting per month.
All employees having returned from any LOA status must have completed all make-up training prior to returning to duty. Reviewers should verify all employees who have returned to work
after the date of the last safety audit to ensure this is accomplished.
Check previous 12 months mandatory safety meetings sign in sheets to ensure all meetings took place as required.
Sign in sheets should provide date, time, instructor and topics.
Log of Recordable Injuries for current calendar year logged correctly
State First Report of Injury form or OSHA Form 301 completed and on file for each recordable injury on log
All locations are required to maintain a Sharps injury log per 29CFR 1910.1030
This log is required annually if a exposure event has occurred.
Is the agenda (pre meeting) and meeting minutes (post meeting) provided to the RSM
Is safety committee training provided where it is required by state law?
Employers must protect employees from workplace hazards such as machines, hazardous substances, and dangerous work procedures that can cause injury
Employers must:
1. Use all feasible engineering and work practice controls to eliminate and reduce hazards
2. Then use appropriate personal protective equipment (PPE) if these controls do not eliminate the hazards.
3. Remember, PPE is the last level of control!
Personal Protective Equipment includes footwear with non-slip and oil resistant soles for mechanics The non-slip and oil resistant requirements are stamped into the underside of all
ANSI approved work boots. They will state "OIL / SLIP" on the bottom of the work boot.
All other employees are required to wear closed toed and closed heal shoes, such as tennis shoes while in the yard. No "shape-up" style curved sole shoes are allowed to be worn.
Hi-Vis vests, safety glasses, shields ,aprons, ice cleats and bump caps as necessary.
Nitrile gloves provides protection against a wide variety of solvents, harsh chemicals, and petroleum products. Mechanics are required to wear Nitrile gloves when working with petroleum
products.
Check and document the eyewash station is clean and operable during your monthly inspections.
Shop Eye Wash stations are required to provide 15 minutes of continuous flow for emergency use.
Self Contained stations should have collection barrels under the eye wash so the cleaning solution does not drain on the floor and create a slip and fall hazard
.
The OSHA requirements
for emergency eyewashes and showers, found at 29 CFR 1910.151(c), specify that "where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities
for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate emergency use.
ANSI [Z]358.1-2004
-
Plumbed & Self-Contained Eyewash Equipment:
Plumbed & self-contained eyewash equipment shall be capable of delivering flushing fluid to both eyes of no less than 1.5 L per min. (0.4 gpm) for 15 min. For strong acid or caustic,
the eye/face wash should be immediately adjacent to the hazard. Installation, use and maintenance shall be conducted as per the following:
a) Performance of Plumbed & Self-Contained Eyewash Units
b) Performance of Control Valve
c) Performance Testing Procedures
d) Installation
e) Maintenance & Training
More complete information on means of egress can be found in the National Fire Protection Association document:
NFPA 101: Life Safety Code
Reviewer should verify all fire extinguishers for the facility and the busses are inspected annually by a third party vendor.
The monthly inspections can be completed for serviceability by the location but must be properly documented on the attached inspection tag for the extinguisher.
Extinguishers on busses do not require monthly inspections.
If the client or landlord will not provide proof the fire suppression system has been inspected, the location is required to have the inspection completed and documented.
If the client or landlord will not provide proof the fire suppression system has been inspected, the location is required to have the inspection completed and documented.
All emergency doors labeled as escape routes are required to open out.
All the emergency exits are not blocked, locked or prevent exit in any way.
A door from a room to an exit or escape route must be a side-hinged swinging type, and swing in the direction of exit travel when the room is occupied by more than 50 people or contains
high hazard contents
A sign reading “Exit” with an arrow indicating the directions must be placed in every location where the direction of travel to the nearest exit is not immediately apparent.
Damaged or altered electrical equipment should be thrown away immediately.
Make sure all electrical boxes have covers and there are no exposed wires.
Anytime we have electrical outlets exposed to moisture as in wash bays and outside plug ins , GFCI outlets must be used.
GFCI’s are able to detect the loss of current resulting from leakage through a person who is beginning to be shocked. If this situation occurs, the GFCI switches off the current in
the circuit. GFCI’s are different from circuit breakers and fuses because they detect leakage currents rather than overloads.
If too many devices are plugged into a circuit, the current will heat the wires to a very high temperature, which may cause a fire.
If the wire insulation melts, arcing may occur and cause a fire in the area where the overload exists, even inside a wall.
Ensure multiple items do not over load the power strip, for example refrigerators, microwaves, air conditioners and coffee makers.
Ensure multiple items do not over load the power strip, for example refrigerators, microwaves, air conditioners and coffee makers.
Includes mobile lifts, stationary lifts, and jack stands.
First Aid Kits should be hung in places they are easily accessible to the high traffic areas, don't hide them in the office.
ANSI Z308.1-2015 – Minimum Requirements for Workplace First Aid Kits
Basic kit – minimum contents
Required Items
Item / Minimum quantity
Adhesive 1" x 3" Bandages (16/Box)
Adhesive 1" x 5 Yards Tape Dispenser
Triple Antibiotic Ointment (10/Box)
Antiseptic Swabs (10/Box
Laerdal® CPR Face Shield
WaterJel® 4" x 4" Dressing
Burn Jel Packet
Instant Ice Pack
Eye Pads (4/Box)
4 oz. Eye Wash
First Aid and CPR Guide
Antiseptic Hand Sanitizer (10/Bag)
Emergency Medical Gloves (2 Pairs)
Non-Sterile 2" Clean Wrap
Bandage Scissors
Sterile 3" x 3" Gauze Pads (10/Box)
Blood Stopper Compress Dressing
Triangular Bandage
29 CFR 1910.151 (B)
Recognized providers of First Aid Training include: Red Cross, American Heart Association etc
Days since last Collision and Injury should be the number of calendar days since last “Preventable” event. Sleeping Children-Company Wide, should reflect the number on the Company’s
KPI Dashboard.
Boards and replacement numbers can be ordered through contacting Tim Listermann
This is a 2 page requirement.
Emergency shut off signs should be visible from all directions within the yard. Signs should be placed high enough to prevent visibility blockage when busses or large vehicles are parked
near the signs.
A good rule of thumb, if you cant see the sign from any point near the fuel island, you can't know where the shut off is during an emergency.
FT SSSP CORE 5.5.1 Facility Safety - Fueling (On Site)
FT SSSP CORE 5.5.2 Facility Safety - Fueling (Off Site)
SDS sheets are required to be available to all employees who are exposed to any chemicals on the property. Inspectors should evaluate to ensure the SDS folders are not secured in the
Maintenance area away from employees who might be exposed to oil, window washing fluid, fuel, etc... when the shop is closed.
49 CFR Section 382.603 states in part that "all persons designated to supervise drivers receive at least 60 minutes of training on alcohol misuse and at least an additional 60 minutes
of training on controlled substances use".
This training is required within 90 days of assignment to a supervisory role. The location must provide documented proof of this training for all supervisors.
Discuss Substance Abuse Rosters with management to ensure all new hires are added to the roster before performing a safety sensitive function. Ensure all terminated employees or those
on a leave of absence for more than 30 days are removed from the roster. Ensure rosters are approved monthly.
Random notifications should be evaluated to ensure tests are not completed at the same times each month. i.e. the first week of every month, or only on Thursdays,
Tests should be random to ensure the employees cannot predict when the tests are completed and or when they might be subject to possible testing.
All employees on a random list should be tested in the month of selection. Any employee working even a single day for that month must be tested.
Exceptions to the testing process require the employee to be out of work for the entirety of the month, i.e. summer break, or LOA. The employee is not tested utilizing the random program
upon return to work if they were absent for the entire month.
Verify the location is documenting reasons why an employee was selected and not tested. This is completed in the HireRight random draws section of that employee.
S.C.B.'s are
Collision Prevention - On Road Risk
** Proper Backing
Injury Prevention
** 3-point Contact
Shop-Specific Injury Prevention
** Housekeeping (oil spills, tools/materials)
** Use of PPE
** Use of Lock-out / Tag-out
Training Roster and documentation of training for Maintenance Personnel. See SOP M021 & M022 Lock Out Tag Out
Regardless of the decision to complete Tool-Box Talks at the Corporate level, this is a mandatory requirement and should reflect completion at the location of at least local training
having been completed. Contact your RMM for additional guidance.
GHS training is required for all techs. Those hired previous to Dec 2013 should be able to show evidence of original completion and should have been verified in previous audits.
Any new tech hired after Dec 2013 must complete GHS training and must have documented completion at the time of hire.
If the person was hired prior to the date of 3/30/2012, we are only required to have the paper I-9 on file. We can only run E-Verify requests on individuals hired after the date of 3/30/2012.
This can be locally generated and maintained in electronic format. Inspectors should review this log to ensure all DOT regulated accidents are documented.
Verify this log is properly maintained and the most recent collisions are documented on the log.
Reviewer will review all related documentation and information to evaluate and verify collisions identified as Non-Preventable.
Reviewer will confirm correct determination was made based upon the existence of verifiable and dated records.
Reviewer will confirm dates and times on available records to verify this timeline in addition to verbal review with manager.
Reviewer will confirm dated records to determination accuracy and interview manager in conjunction with this review.
Reviewer will verify documentation recorded on site and compare to records received to verify completion.
First's Occupational Rehabilitation Management (FORM) Documents
Employee Notice of Injury or Recurrence
Supervisors Report of Injury Investigation
Employee Work Status
Employee Post-Injury Responsibilities
Post Injury Instructions
Post Injury Checklist
Work Status Recap
First Fill - Employee Prescriptions
Transitional Duty Assignment
Transitional Duty Policy
Witness Report
Return to Duty Doctors Release
Any deviation from policy requires RSM approval
Signs may be purchased from First Market Place - Kromatic
Keys should not be left in company vehicles at any time. This includes mid-day, or overnight. All keys are required to be returned to a central collection site at the facility.
The EMP is required for all locations after April 2017.
All supervisor staff and dispatchers are required to have documented familiarization training. Locations should be capable of showing the attendance roster for all current staff members.
New staff members are required to undergo familiarization training within 90 days of assignment to the position. Locations should be able to provide documentation of such training.
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FVS SSR FY20 Final 7-8-19.xlsx
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