Revised Nuclear Maintenance Layered Safety Audit - REV 2

8/13/2019 Revised Nuclear Maintenance Layered Safety Audit - REV 2

1/13

FINAL SCORE: 100.00%

LAYERED SAFETY AUDIT FOR NUCLEAR MAINTENANCE

Lead Auditor: Date:

Auditor: Site:

Part I

Documentation/SuppliesAll Company/S& sites must !a"e t!e #ollo$in% items: es No N/A

1. Access to OSHA 1926 & 1910

2. Hazard Communication - MSDS Fies a!aia"e.

#. Site S$eciic Saet 'an com$eted and si(ned.

). Outa(e-s$eciic Saet 'an *+it, SAs com$eted and si(ned.

). Su"stance A"use 'oic *aso $osted cons$icuous/

and SiteState s$eciic i necessar

6. Adeuate oiets & Hand +as,in( aciities

'andatory Posters (Posted Conspicuously): es No N/A

1. OSHA o" Saet & Heat, 'rotection

2. Site 3!acuation 'rocedures *+,ere a$$ica"e

#. 4i(,t to Medica 4ecords

). 3mer(enc ee$,one 5um"ers

. 5ame & ',one 5um"er o Cosest Medica Faciit

6. 7or8ers Com$ Carrier 5otiication

:. OSHA #00 ;A; *Fe"ruar 1-A$ri #0

ur 4e$orts

to su$$ort a in>uries re$resented on o(

2. 7ee8 Su$er!isor Saet Meetin(s & Saet Committee

#. ?e,a!ior ?ased rainin( *Du'ont SO' or ot,er acce$ted $ro(ram

). 5ear Miss 4e$orts

. Desi(nated Com$etent or @uaiied 'ersons

- 4i((in(

- Conined S$aces

- Dai Crane on ot,er eui$ment ins$ection o(s.

- 3ca!ations

- Scaod 3rectiondismantin(ins$ection *= scaodin( is

su"contracted/ a etter rom t,e Scaodin( Su"contractor must

"e on ie statin( t,at t,e are ins$ectin( on t,e com$ans

"e,a.

- Annua Crane Certiications

- O$erator @uaiication 4ecords

. Cient and a$$ica"e Com$anS&7 saet $rocedures readia!aia"e to t,e site mana(ement team.


2/13

Documentation / Certi#ication Re*uirements (Continued): es No N/A

6. Saet Audit Fies +it, Correcti!e Action Forms Attac,ed

:. Conined S$ace 3ntr 'ans'ermits (enera ie

10. Saet $romise cear dis$aed and si(ned.

12.a. A acti!ities reuirin( SAHAs ,a!e "een identied

12.". 4euired HASAs com$eted and used as $art o "riein(s.

+rainin% Re*uirements: es No N/A

1. Com$anS&7 5e+-,ir Orientation rainin( *ot,er

2. Hazcom rainin(

#. S$eciat trainin(/ as reuired

). 4es$irator rainin( Fit estin(

. Conined S$ace Su$er!isorAttendant3ntrant

6. Moc8-u$ trainin(

Field O,ser"ations: es No N/A

1. Communication s8is *su$er!isor to cre+ cre+ to cre+

2. Hazard 4eco(nition and miti(ation

#. Si(ns and ?arricades

). Su$er!isor in!o!ement +it, ied acti!ities.

. Conined s$ace Hot +or8 documentation com$iance.

6. Contro o sta(in(+or8 areas.

:. 're->o" "riein(s.

- 7or8ers 8no+ed(e o ocation o Bo+ Dose 7aitin( Areas

- 7or8ers 8no+ed(e o +or8 area dose rates

- 7or8ers 8no+ed(e o +or8 area contamination e!es

- 7or8ers 8no+ed(e o radioo(ica $ostin(s and "arriers

9. Com$ressed (as cinders

< Site emer(enc and 3m$oee concerns contact num"ers $osted in cratarea.

9. Senior site and COC mana(ers $erorm o"ser!ations o ast trac8$ro>ects and irst time su$er!isors.

11. Saet su$er!isors met +it, irst ine su$er!isors and seconded crat tore!ie+ Com$anS&7 Saet e$ectations.

1#. a. as8 s$eciic SA *or SA "ein( $ro$er used as $art o $re->o""riein(s.

1#.". Su$er!isororeman conductin( ied audits o +or8 tas8s anddocumentin( im$ementation o as8-s$eciic SA *or SA on orm.


3/13

Part I - Documentation Score

O,ser"ations:

0 1 0 - 0

E'F Poss. Pts. Deductions Score

Part II - Field Audit Report

I. ouse0eepin% 1eneral appearance2 orderliness2 $aste/tras! disposal2

al0$ays/passa%e$ays clear2 materials/e*uipment properly stored.

0

Score

3aseline"alue


4/13

II.

0

Score

III. Ladders & Sca##olds Ladders at proper an%les2 tied o##2 appropriate #or 4o,2 sca##olds erected

properly2 ta%%ed accurately

O,ser"ations: (Deduct 5 points #or eac! "iolation)

10 2.2 22. - 0 22.


I6.

0

Score

3aseline"alue


5/13

6. E7ca"ations Sloped/S!ored properly2 access/e%ress2 spoil properly placed #rom ed%e2

3arricaded/%uarded2 trenc! ,o7es appro"ed2 competent person.


10 2.2 0 - 0 0


6I. oistin%/Li#tin% E*uip. C!ain #alls2 come-a-lon%s2 tu%%ers2 c!o0ers/slin%s2 etc.


1 2.2 ##.: - 0 ##.:


6II. +ools & E*uipment


10 2.2 22. - 0 22.


3aseline

"alue

3aseline"alue

Po$er tools2 !and tools2 electrical cords2 !oses2 !andles2 %au%es2 personnel 0ni"es2 ,o7cutters2 etc.

3aseline

"alue


6/13


7/13

PAR+ II RESL+S

Note: In Part 82 t!e total points possi,le in eac! cate%ory are o,tained ,y multiplyin% t!e ,aseline points ,y t!e

e7posures modi#ication #actor (E'F). +!e #ollo$in% ta,le pro"ides t!e E'F ,ased on pro4ect manpo$er.

'anpo$er E'F0 - 0 1.2

1 - 100 1.0

101 - 10 1.:

11 - 200 2.00

201 - 20 2.2

20 - 00 #.00

00 - 1000 ).00

+otal 'anpo$er #or t!is Pro4ect: E'F #or t!is Pro4ect: 8.8;

Note: !en any o# t!e +otal Points O,taina,le> "alue.

Part II +otal Points Recei"ed: 1)6.2

Part II +otal O,taina,le Points: 1)6.2

Percent 6alue ? ota 'oints 4ecei!ed 100.00%

ota O"taina"e

FINAL SCORE

0 E 100 10 Di"ided ,y 100.00%

Score Score +otal


8/13

OBSERVATIONS

Date:

Observation ActionLocation /S!ervisor

Re"#$Co%!&ete

B':

DateCo%!&ete$/

S!ervisor#sInitia&s


9/13


10/13

Layered Safety Audit Ratings

Docum

entation

Hous

ekeeping

FallP

rotection

Laddersand

Scaffolds

PPE

Exc

avations

Hoisting/LiftingEquipment

ToolsandEquipment

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%100% 100% 100% 100%

LAYERED SAFETY AUDIT RATIN(S

RATIN(S


11/13

Dou!entation 100%

"ouse#ee$ing D&'(0)

*a++ ,rotetion D&'(0)

Ladders and Saffo+ds 100%

,,- D&'(0)

-a/ations D&'(0)"oisting(Lifting -ui$!ent 100%

oo+s and -ui$!ent 100%

*ire $re/ention 100%

or# ,er!its 100%

L( 100%

/era++ Sore 100.00%


12/13

Firepr

evention

Wor

kPermits

L/T

verallScore

100% 100% 100% 100.00%


13/13

Documents

Revised Nuclear Maintenance Layered Safety Audit - REV 2