Yard HSE Assessment
Safety Management System
Date
-
Month
-
Day
Year
Date
Assessor
First Name
Last Name
Email
example@example.com
Type of Assessment
Scheduled Safety Assessment
Walk Through
Progress
Draft Assessment
Closed Assessment
Yard Name
Section 1. Entrance to Yard
1. Road surface damage excessive or could cause damage to vehicles
2. Litter present along entrance to yard
Section 1. Number of Deficiencies Noted
Section 1. Notes
Section 1. Photo
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Section 2. Yard
1.Buildings in poor condition
2. Interior of building in poor condition
3. Housekeeping inadequate
4. Proper storage of chemicals
5. Proper storage of flammables
6. Chemicals properly labeled
7. Fire extinguisher inspection not current
8. Fire hazards
9. Electrical hazards present
10. Handwashing facilities not working
11. Potable water not available
12. Restroom facilities not sanitary
13. Excessive trip hazards
14. Spills present
15. Fence in poor condition
16. Gate in poor condition/ not working properly
17. Vegetation overgrowth
18. Unlevel ground/ Ruts
19. Yard lights not working
20. Traffic obstructions present
21. Material storage presents unnecessary hazards
Emergency Action Plan in place as per 29 CFR 1910.38
Other
Section 2. Number of Deficiencies Noted
Section 2. Notes
Section 2. Photo
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Additional Notes
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