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The following is Du-All Safety's formal safety assessment outline, used to conduct assessments of facilities and operations. This environmental health and safety assessment is conducted to identify regulatory compliance of Cal/OSHA (CCR Title 8), and Cal/EPA, DTSC (CCR Title 22). A confidential written report identifying the environmental health and safety status is produced. This report identifies specific recommendations for corrective action and their priority. The report will include a recommended safety plan of action draft, employee safety training matrix, and recordkeeping protocols.

Safety Assessment

I. Site, facility and equipment inspection, and risk assessment report of:

A. Conditions

1. Inspect the building(s) and all operations
2. Engineering controls
3. Administrative controls
4. Conduct personal protective equipment assessments
5. Determine if and where respiratory protection is needed
6. Determine if there are permit and/or non-permit confined spaces.
7. Determine if any employee group is potentially exposed to Bloodborne Pathogens.
8. Determine if/where fall protection is needed.
9. Determine if/where lockout / tagout training is needed.
10. Review heavy equipment operations, including, Forklift, manlift, sizzorlift, boom-truck, dump-truck, back-hoe, etc.
11. Review the emergency action planning and major their components for compliance.

B. Equipment Inspections

1. Use
2. Guarding
3. Work Surfaces
4. Ergonomic Issues
5. Noise Surveys of Loud Equipment Using DbA Meter

C. Hazardous Material and Waste

1. Storage
2. Separation
3. Containment
4. Labeling & Signage
5. MSDS & Chemical Inventory
6. Emergency Equipment

II. Review & Report on All Appropriate and Required Environmental Health and Safety Programs, Record Keeping, Permits, and Postings:

1. Report will include an employee safety training matrix draft specific to the departments and their operations.
2. Report will include a safety plan of action draft prioritized based on the appropriate regulatory requirements and the risk assessment provided.
3. Complete review of all written safety programs, policies, and materials, including comments and update recommendations. (list of written safety materials for review on following page)

Requested Material for Safety Assessment

Please have the following written programs and material available for Du-All Safety's review during the facility safety assessment (Some may not apply).

1. Asbestos Management.
2. Injury and Illness Prevention Program.
3. Lockout / Tagout Program & required annual review documentation.
4. Hazard Communication (HazCom) Program.
5. Hazardous Material Management Program.
6. Chemical Inventory & MSDSs
7. Fire and Evacuation Program.
8. Emergency Action Plan for each building.
9. Bloodborne Pathogen / Infection Control Program.
10. Hearing Conservation Program.
11. Respiratory Protection Program.
12. Confined Space Program and required annual review documentation.
13. Personal Protective Equipment (PPE) Policy.
14. Fall Protection Program.
15. Workplace Violence Policy.
16. Hotwork.
17. Heat Illness Prevention.
18. Bay Area Air Quality Management District Permits
19. Site and Facility maps.
20. Past 3 years of the OSHA Log 300.
21. Past safety committee minutes.
22. Employee safety training material & records (including supervisors/managers safety classes).
23. Past safety inspection and/or facility audit reports.
24. Accident investigation records including Workers Comp. loss run reports.
25. New hire orientation safety material.
26. Prop. 65 information and contractor safety material.
27. Return to Work Program.
28. Training matrix.
29. Any other safety polices, plans, or programs.

©2008 Du-All Safety, LLC (510) 651-8289