Templates:Safety Compliance Assessment Process Blank

Part of having successful Health , Safety and environmental ( HSE) process in place  is also having method of performance Measurement and self evaluation  that Containualy Identifies those areas needing improvement to meet established goals or standards of Excellence.

the Safety Compliance Assessment Process Provides a systemic Methods of Evaluating and quantifying performance in a detailed but uncomplicated fashion, and Evaluate the administrative elements separate from the field execution elements.

This Evaluation process gives those performing the assessment an agenda of critical Items ot review and when performing follow-Up evaluation, can prompt the evaluator to revisit past deficiencies for the purpose of measuring improvement and /or verifying abatement.

For management and supervision, the final report presents the bottom line results ” Pass/Fail”, without having to read and interpret and entire report summary.However , management it’s encouraged to review detail of even the highest graded evaluations to identify strengths and weaknesses and develop early recognition of positive and negative performance trends.if negative trends are detected early, early corrective actions can be implemented and thereby prevent personnel injury or environmental damage.Beyond the score sheet (Page 1)  the detail is there and it reveals, by program element , the areas of strength and weakness,with the detail and assessor’s comments immediately available for further Review .

in addition to providing a consistent means of evaluation, this process is well studied to both those performing the evaluation and those will use the information to improve their safety culture.

Following below you can download Blank template off Safety Compliance Assessment Process ( SCAP)

SCAP Table of content

General

1.RECORD KEEPING & RECORDS
2.ACCIDENT INVESTIGATION & STATISTICS
3.TRAINING
4.AIR RECEIVERS

Subpart D

5.HOUSEKEEPING, LADDERS & WALKING/WORKING SURFACES

Subpart E&L EmergFire

6.EMERGENCY ACTION & FIRE PREVENTION PLAN & FIRE PROTECTION
7.PLATFORMS AND MANLIFTS

Subpart G

8.VENTILATION
9.HEARING CONSERVATION PROGRAM

Subpart H

10.FLAMMABLE AND COMBUSTIBLE LIQUIDS
11.COMPRESSED GAS AND CYLINDERS
12.PROCESS SAFETY MANAGEMENT

Subpart I

13.PPE PROGRAMS, JOB SAFETY ANALYSIS, & ERGONOMIC

Subpart I Resp IH

14.RESPIRATORS & INDUSTRIAL HYGIENE

Subpart J

15.MARKING PHYSICAL HAZARDS & ACCIDENT PREVENTION SIGNAGE
16.LOCKOUT/TAGOUT PROGRAM
17.CONFINED SPACE PROGRAM

Subpart K

18.FIRST AID, BLOODBORNE PATHOGEN & DRUG FREE WORKPLACE PROGRAM

Subpart M

19.EGRESS

Subpart N

20.CRANE & BELOW THE HOOK LIFTING DEVICES
21.POWERED INDUSTRIAL TRUCKS (FORKLIFTS, ETC.)

Subpart O

22.MACHINE GUARDING
Subpart P

23.HAND HELD & PORTABLE TOOLS

Subpart Q

24.HOT WORK – CUTTING, WELDING, BRAZING

Subpart S

25.ELECTRICAL SAFETY

Subpart Z

26.LABORATORIES
27.ASBESTOS
28.HAZARD COMMUNICATION
29.CHROMIUM VI
30.CONTRACTORS
31.HAZMAT
32.TRANSPORTATION VEHICLES FOR EMPLOYEES/MATERIALS
33.SECURITY

The following template can be used to help your organization develop a written Safety Compliance Assessment Process. This template cannot be used as is – you must customize the template to meet the needs of your organization. We have made this template easier for you to customize by adding visual prompts that identify some areas where your input is needed. These are identified by Red highlighted, red text in the template. You may also change any of the text in the template to meet your organization’s needs – for example, Company department names, job titles, listed responsibilities and audiologist.

Disclaimer. This sample written Safety Compliance Assessment Process Blank template cannot be used as is. You must customize the template to meet the needs of your organization. HSSE WORLD does not guarantee that this template is or can be relied on for compliance with any law or regulation, assurance against preventable losses, or freedom from legal liability. We make no representations or warranties of any kind whatsoever, either express or implied, in connection with the use of this template. HSSE WORLD will not be liable for your use of the template as customized by you. All safety programs and policies, including this template and the information you supply to complete it, should be reviewed by your legal counsel and/or risk management staff.