AUDIT TYPE:

                              EQUIPMENT MANAGEMENT SAFETY PROGRAM

AUDIT ITEM: 1

FOCUS:

Management Accountability

     Does management have written equipment testing procedures and user-training

          programs designed to manage the risk associated with equipment use and to respond

          to training needs associated with equipment problems?

RATING:

     Excellent             Written testing procedures and training for employees with

                                       documentation.

     Good                    Testing procedures documented, but training for employees is OJT

                                       (i.e., not documented).

     Fair                      Testing procedures conducted but not documented/No training program.

     Unsatisfactory     No testing procedures or training program.

COMMENTS:

AUDIT ITEM: 2

FOCUS:

Plan Content

     Has the agency implemented a written equipment management program to control the

          risk of operating and maintaining fixed and portable equipment?

     Do the written criteria include the characteristics of equipment function, maintenance

          requirements and equipment history, used to identify equipment to be included in the

          program?

     Is there a current, accurate, unique inventory kept of all equipment included in the

          program, regardless of the equipment’s purpose?

RATING:

     Excellent              Complete program, including specific criteria/Inventory of all equipment.

     Good                     Basic, written program with minimal criteria/Inventory of some

                                        equipment.

     Fair                       Partially written program/No  inventory.

     Unsatisfactory     No program/No inventory.

COMMENTS:

AUDIT ITEM: 3

FOCUS:

Training

     Is there a system or means in place of providing orientation and training to individuals

          who use and/or maintain the equipment?

RATING:

     Excellent              Formal training conducted by manufacturer or private company and

                                        documented.

     Good                     Occasional documented orientations and/or training.

     Fair                       Non-documented training and OJT.

     Unsatisfactory     No orientation or training.

COMMENTS:

AUDIT ITEM: 4

FOCUS:

Repair Procedures

     Is there a procedure for corrective action when problems are identified and are they

          corrected in a timely manner?

     How are scheduled and unscheduled maintenance repairs handled?

RATING:

     Excellent              Formal, written procedures with complete work order system and

                                        follow-up.

     Good                     Written procedures, but incomplete work order system.

     Fair                       Informal procedures and spotty repair records.

     Unsatisfactory     No procedures in place or maintenance performed.

COMMENTS:

AUDIT ITEM: 5

FOCUS:

Personal Protective Equipment

     Are there procedures for employees to follow in order to obtain personal protective

          equipment (PPE) as well as directions or assistance in the correct use of PPE?

RATING:

     Excellent             Formal, written procedures to obtain, use and maintain PPE.

     Good                    Verbal procedures to obtain, use and maintain PPE.

     Fair                      PPE available, but without directions on its use and maintenance.

     Unsatisfactory     No distribution procedures or assistance available.

COMMENTS:

AUDIT ITEM: 6

FOCUS:

Confined Space Entry

     Is there a written confined space entry program?

     Have permit and non-permit locations been identified?

     Are tests conducted to ensure the oxygen level in the confined space is within the safe

          range of 19 – 21% ?

RATING:

     Excellent             Written program, including training, locations identified and test

                                       conducted and documented.

     Good                    Minimal written procedures, locations identified and tests conducted, but

                                       not documented.

     Fair                      Locations identified, but no written program or oxygen level testing

                                       performed.

     Unsatisfactory     No program, identification of permit/non-permit spaces, or oxygen

                                        testing performed.

COMMENTS:

AUDIT ITEM: 7

FOCUS:

Lockout/Tagout

     Are there written lockout/tagout procedures for the agency and for outside vendors?

RATING:

     Excellent              Complete written procedures for the agency and outside vendors,

                                        including documented training.

     Good                     Complete written procedures for the agency or outside vendors, but no

                                        documented training.

     Fair                       Informal, non-documented procedures for the agency or outside vendors,

                                        with no training provided.  

     Unsatisfactory     No written procedures for the agency or outside vendors.

COMMENTS:

AUDIT ITEM: 8

FOCUS:

Boiler Certificates

     Are the operator certificates for the boiler operations (low & high pressure vessels)

          current?

RATING:

     Excellent             All certificates present and current.

     Good                     All certificates present, and most current.

     Fair                       Some certificates present, but most not current.

     Unsatisfactory     No certificates present.

COMMENTS:

AUDIT ITEM: 9

FOCUS:

Electrical Equipment Maintenance

     Are there procedures in the Electrical Maintenance Program for routine inspections

          (including: cleaning, testing, repairing, and servicing) of electrical power system

          apparatus such as: switchgears; air, vacuum, molded case, and/or oil circuit breakers;

          air disconnect switches; battery stations/chargers; cables and busses; transformers

          surge arrestors; protective relays; uninterruptible power supply systems; motors; and

          infrared/thermo graphic inspection equipment?

RATING:

     Excellent              Routine Inspections and maintenance performed on a regular basis and

                                        documented fully.

     Good                     Inspections and maintenance performed periodically with minimal

                                        documentation.

     Fair                     &