Professional Documents
Culture Documents
HS Audit Guidelines FY19 06292018
HS Audit Guidelines FY19 06292018
HS Audit Guidelines FY19 06292018
1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 1 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
FY19
Health and Safety
Audit Guidelines
1
Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 2 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Health, Safety & Environment - ensures that our employees, clients, contractors, visitors and
guests are safe while at Sodexo locations.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 3 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Sodexo is the leader for Quality of Life Services. A safe and healthy workplace is essential to our well-being as 133,000
employees as well as that of our 9,000 clients (including 700 facilities management sites), and 15 million customers
served daily, and thousands of communities.
The Health and Safety Audit is built around Sodexo Health and Safety Strategic Objectives:
A key component of our program is the Health and Safety Audit, which beyond providing point in time account
compliance, serves as a leading indicator for exposure by service, business line, and operational area. This Audit can also
be used by onsite management to assess their account’s Health & Safety program against Sodexo, state and/or federal
OSHA regulations. This ensures a proactive approach to continuous improvement to the Sodexo Health and Safety
Management systems.
GENERAL MANAGER ACTION ITEM: Conduct the Health and Safety Audit biannually and when senior on-site management
changes to ensure that all key safety activities are in-place.
The Health and Safety Audit Program is part of Sodexo’s Health & Safety Management System. These audits are performed by
a reputable third-party company in order to receive a professional, independent and unbiased evaluation of Sodexo
operations against our Health & Safety policies and procedures.
These guidelines were created to assist operations in preparing for the Health and Safety Audit.
Progressing: 90 – 99.9%
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 4 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 5 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 6 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 7 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 8 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 9 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Post: Does the account have a Auditor to verify the Medical Provider poster is posted.
Poster located prominently on an Medical Provider Poster can be found on SodexoNet in the
employee bulletin board listing Report Claims Section.
Medical Providers for utilizing should
Exception: IL, OR, and NY not posted
employees be injured on the job
(Workers Compensation)? Key words: Medical Provider
Sample Medical Provider poster
A2
A3
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 10 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Is there documented evidence that Auditor to verify by asking a random employee when the last
disaster/emergency preparedness emergency drill was conducted. Documentation showing a drill
drill(s) have been conducted and was conducted in the last year.
A4 communicated to all employees Documentation of client based drill is acceptable.
within the last year? Additional resources:
California Suggestion: http://www.shakeout.org/california/
Can a random employee show (with Auditor to verify by asking one employee at random if they
a phone number, email, office, or know who to report a serious, immediate hazard to.
person) who to contact for reporting Sodexo values employee input and feedback.
A5
a serious, immediate hazard? Actively encourage employee involvement if you want your
program to succeed. It will ensure an established clear system
for reporting hazards and close calls.
Is a visitor sign in log being used and Any form of log is acceptable.
emergency evacuation information Auditor to verify all visitors are signing in and out on a log and
reviewed with all visitors? this log is being used. This does not include vendors.
• If client controls access and egress and requires sign
in/out. Compliant
• If not, client controlled, account must have a log in
place to be in compliance.
• Visitors are informed of emergency evacuation
information. (i.e. fire evacuation)
A sample Visitors Log can be found on Sodexo Net in the Form
A6 Center
Key Word: Visitors Log
Example:
Has the District or Regional Safety Auditor to validate by viewing DSC = District Safety Coordinator
Coordinator provided account safety or RSC = Regional Safety Coordinator follow-up report.
support within the last year? Examples of follow up report:
• Copy of on-site review
A7 • Copy of an email follow up on support with
incident/accident, and root cause analysis
• Copy of conference call with account manager
• Documentation of safety program support
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 11 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Key Definitions:
District Safety Coordinator (DSC) - This is a manager within a
Sodexo DM’s area that takes on the roles and responsibility of
being the Subject Matter Expert (SME) for Safety for the District
Manager’s region. The DSC is typically one of the GM’s or
Operational managers for one of the DM’s accounts.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 12 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 13 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Posting:
Is the 3 Checks for Safety poster displayed for employees to
review?
Auditor to verify 3 Checks for Safety poster is being displayed in
an employee accessible area.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 14 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
B3
NFPA and HMIS labeling is acceptable.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 15 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Is a Safety Moment presented at the Auditor to verify by asking a random employee, supervisor, or
beginning of all account, face-to-face managers what is the last safety moment you heard presented
meetings? in a meeting with management. If one employee, supervisor, or
C2
manager answers correctly then points are awarded.
Safety Moment Link on SodexoNet
Key words: Safety Moment
Are Weekly Safety Messages All accounts are required to conduct a Weekly Safety Message.
communicated to employees? Adding a weekly safety message to Sodexo operations help
bridge the time between in-depth training meetings and help
employees retain what they’ve learned.
• The weekly safety message does not require employee
sign-off documentation.
• A weekly safety message may be as brief as a one line
C3
safety reminder, or last a couple of minutes. Whatever
you decide to do, keep in mind you are trying to
reinforce safe behavior and keep safety in the minds of
employees.
• A good time to have safety message is at the beginning
of a shift. Whether you give the safety message at the
beginning of the shift day or at some other time, it is
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 16 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 17 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 18 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 19 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Was the account’s previous fiscal Auditor to verify by having GM log into Sodexo Net and access
year's Health and Safety Audit the 3rd Party Audit Results to verify previous year’s corrective
D2
corrective action plan completed? action plan was completed.
CTM accounts will be N/A for FY2019
Are all restrooms that Sodexo Auditor to verify restrooms that Sodexo maintains are clean
maintains clean and sanitary? and sanitary.
D3 Toilet rooms enclosed, fixtures good repair, clean, hand soap,
sanitary towels, hand-drying devices provided, proper waste
receptacles.
Compressed gas cylinders stored in Auditor to verify compressed gases are stored correctly and
upright position, chained or secured secured.
and those not in use have protective Definition of a compressed gas – any gas, or mixture of gases,
caps in place? that is pressurized and contained in a cylinder or tank.
Examples of compressed gases: acetylene, anhydrous
ammonia, carbon dioxide, helium, etc.
• Ensure that the storage area is:
• properly labeled
• secure together or individually
D4 • away from ignition sources
• separate from oxidizing gases
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 20 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Electrical panels have minimum 36” Auditor to visually confirm that electrical panels are
of unobstructed workspace in front unobstructed as required. Barrier tape not required, but a plus.
and are closed?
D7
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 21 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Trash compactors, balers, or similar Auditor to verify that safety signage is in place.
mechanical machines are equipped
with adequate guards and safety
switches? Signage on machine
states: ONLY AUTHORIZED
PERSONNEL SHOULD BE ALLOWED
TO OPERATE OR SERVICE THIS
COMPACTOR or similar signage.
D8
Does compactor, balers, or similar Auditor to verify compactor, balers, or similar devices have
devices have controls in place to controls in place to prevent unauthorized Sodexo Managed
prevent unauthorized Sodexo employees from operating.
Managed employees from
D9 operating? Other acceptable controls
• Administrative Controls
• Interlocks
• Access control (Key pads)
• Secured Keys
Post: No Smoking signs posted on Auditor to verify signage is posted.
liquefied petroleum (LP) tanks. No
LP gas cylinders used indoors and LP
D10 gas cylinders are guarded to prevent
damage from vehicles?
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
Page 23 of 51
Issue Date: 08/01/2018 Approved By: VP HSE
Are ladders and step stools in good Auditor to verify ladders are maintained in good condition,
condition and of sufficient height to joints between steps and side rails tight, all hardware and
prevent over-reaching? fittings securely attached, and moveable parts operate freely.
The use of metal ladders must be prohibited in areas where the
ladder of the employee using the ladder could come in contact
with energized parts of equipment, fixtures, or circuit
conductors. The number of onsite ladders is determined by
E6
business need.
Sites that have more than 3 ladders on site, the Auditor will
physically inspect 3 at random to ensure safe/good condition.
Sites with less than 3 ladders on site, the Auditor will physically
inspect all ladders to ensure safe/good condition.
Tag it “Defective” and inform manager during audit if a
damaged ladder is observed.
Employees not observed carrying Auditor to verify
materials that obstruct their vision Employees make use of existing elevators, dumb waiters,
while traveling up or down stairs? loading docks to move materials from one elevation to another.
Employees use hand rail while Employees are not seen carrying items of excess weight, which
traveling up or down stairs? would require two hands, or size, which may obstruct vision
E7
while traversing stairs.
Hand rails are used when going up or down stairs.
If no employee observed, employee must demonstrate
knowledge of safe material handling procedures when using
stairs.
Does every flight of stairs (portable Auditor to verify
or fixed) having 4 or more risers and If no hand rail is in place, then work orders requesting
all winding stairs must be equipped installation of same must be submitted monthly, until
with standard stair railings or completed. If the account has documented work orders for
E8
standard handrail? installation or repair for aforementioned, then points are
awarded. If work orders exceed three months, then the account
must demonstrate that they have addressed the potential
hazard.
Does account management actively The Auditor must verify that the account uses floor warning
use approved floor hazard warning signs or cones at least 30” high.
E9 signs to prevent access to areas that
expose potential dangers (such as Observe floor hazard warning signs in use.
spills, damaged floors)?
Do Sodexo employees wear closed Auditor to verify
toe, closed top, closed heel, and To be awarded points, the Auditor must verify the following:
E10
rubber sole, slip resistant footwear? All Sodexo employees (including management) are wearing slip
resistant shoes.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
Employee parking lot and walkway Auditor will need to scan the employee parking area and path
leading into the workplace have leading into the workplace.
E12 adequate lighting and is free from If a slipping or tripping hazard exists, then the audit is scored
slipping or fall hazards (this includes “no”.
walkways free of snow and ice)?
Does account management have an Auditor to verify management has an inclement weather
inclement weather procedure in procedure in place to avoid potential employee slips and falls
place to protect employees from during inclement weather conditions.
exposure? Example: Wind, Rain, Snow and Ice
Example of Procedure:
Written procedure for checking parking lot and walk ways to
verify snow and ice removal.
E13 If client responsibility, manager must still demonstrate how
they are working with their clients to ensure an inclement
weather procedure is in place.
Example of Documentation:
• Copy of a client work program
• Copy of inclement weather schedule
• Copy of inclement weather plan
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Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
F4
Proper body mechanics observed Auditor to verify employees are using proper body mechanics
when any lifting takes place? when lifting.
If no one is observed lifting, then Auditor would ask a random
employee the proper body mechanics to lift a box from point A
to point B.
No twisting, bending, or over reaching and carrying load above
shoulders.
F5
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
Storage room safety check - Shelves Auditor to verify shelves and racks are in good condition and
and racks are of adequate strength stable. Products are stored properly and stable on shelves;
and are stable? Products are stored No items over 40 lbs. are stored below knuckles and above
F7
properly, stable and not overhanging shoulders; and not over hanging.
on shelves?
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Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
Is Personal Protective Equipment Auditor to verify PPE is available and employees are actively
(PPE) provided and actively worn? wearing them.
As referenced in the PPE Assessments.
For example, in food operations: cut resistant gloves, oven
mitts, splash proof goggles, etc.
PPE Type:
Head gear – Protects against falling objects, low hanging objects
Eye & Face gear – Protects against flying or blowing particles
like dust, sparks; splashing liquids; intense heat or light; blood
G2 borne pathogens
Hearing protection-Protects against constant machine noise or
intense bursts of sound energy
Respiratory protection- Protects against dangerous dusts, gases,
vapors, mists, TB, etc.
Arm & hand covering- Protects against cuts, burns, cold, bumps,
electrocution, caustic liquids, blood borne pathogens
Foot & leg protection – Protects against slippery floors, heavy
objects that could roll or flat, objects on wheels, burns from
spills or sparks.
Evidence of properly maintained Auditor to verify PPE properly maintained and No damaged PPE
G3 (clean) PPE in use? allowed to be worn.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
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Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
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Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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1910.147(c)(6)
Periodic inspection.
1910.147(c)(6)(i)
The employer shall conduct a periodic inspection of the energy
control procedure at least annually to ensure that the
procedure and the requirements of this standard are being
followed.
1910.147(c)(6)(i)(A)
The periodic inspection shall be performed by an authorized
employee other than the ones(s) utilizing the energy control
procedure being inspected.
1910.147(c)(6)(i)(B)
The periodic inspection shall be conducted to correct any
deviations or inadequacies identified.
1910.147(c)(6)(i)(C)
Where lockout is used for energy control, the periodic
inspection shall include a review, between the inspector and
each authorized employee, of that employee's responsibilities
under the energy control procedure being inspected.
1910.147(c)(6)(i)(D)
Where tagout is used for energy control, the periodic inspection
shall include a review, between the inspector and each
authorized and affected employee, of that employee's
responsibilities under the energy control procedure being
inspected, and the elements set forth in paragraph (c)(7)(ii) of
this section.
1910.147(c)(6)(ii)
The employer shall certify that the periodic inspections have
been performed. The certification shall identify the machine or
equipment on which the energy control procedure was being
utilized, the date of the inspection, the employees included in
the inspection, and the person performing the inspection.
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Document #: 1.1
Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
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Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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annually to all employees, or when Training resources available on Safety page on SodexoNet
new chemicals are Introduced?
(29 CFR 1910.1200)
Is Blood Borne Pathogen Auditor to verify documentation showing training was reviewed
Precautions Training provided to with all new hires and annually for all employees.
employees with occupational Training resources available on Safety page on SodexoNet
J11
exposure? (29 CFR 1910.1030) Applies to Healthcare & First Aid Trained Staff
Applies to Healthcare & First Aid
Trained Staff
Is Equipment Training provided on Auditor to verify documentation showing training was reviewed
J12 all equipment employees are with all new hires and annually for all employees.
expected to use? Training resources available on Safety page on SodexoNet
Is Work Place Violence Training Auditor to verify documentation showing training was reviewed
J13 provided? with all new hires and annually for all employees.
Training resources available on Safety page on SodexoNet
Is Heat Stress Prevention Training Auditor to verify documentation showing training was reviewed
J14 provided? with all new hires and annually for all employees.
Training resources available on Safety page on SodexoNet
Contractors Working in Sodexo Auditor to verify documentation showing contractor orientation
Areas (i.e. Temp Labor): For training was reviewed with all contractors working in Sodexo
J15 account with contractors on site, areas.
have pre-job orientations been Training resources available on Safety page on SodexoNet
completed?
K. Fleet/Vehicle Safety
Vehicle Safety - Applies to All Auditor to verify a driver’s responsibility form is reviewed and
Sodexo Drivers who operate client or signed annually by all Sodexo drivers.
Sodexo owned or leased vehicles in Note: Points are automatically deducted if the Auditor observes
the conduct of their business. Is the the failure to wear a seat belt or the manually use of a cell
K1
Driver Responsibilities form phone/texting. Immediately report to the GM.
reviewed and signed by all Sodexo Drivers Responsibility form can be found on Sodexo Net in the
drivers within the last 12 months? forms center.
Key words: Driver’s Responsibility
Vehicle Safety - Does the account Auditor to verify a motor vehicle records check was completed
manager retain a copy of the current for all Sodexo drivers annually and retained on file.
motor vehicle record check for all
K2
Sodexo drivers within the last 12
months?
Vehicle Safety - Does account Auditor to verify monthly vehicle safety inspections are being
K3 complete monthly vehicle completed on all client or Sodexo owned or leased vehicles use
inspections for those client or in daily operations. Account should have at least 4 of the last 6
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Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
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Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
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Issue Date: 08/01/2018 Approved By: VP HSE
Sodexo owned or leased vehicles months. Modified variations that are specific to the account are
used in daily operations? acceptable.
Vehicle Safety: All Sodexo drivers Auditor to verify training videos have been reviewed with all
have completed Drivers Safety Sodexo drivers.
Training videos? Training resources are available on SodexoNet on the EHS page.
K4
The following drivers training videos must be reviewed with all
drivers annually.
• Winter Driving Safety
• Backing, Parking and Intersections
• Texting and Driving: The Facts
Drivers Safety Training Signoff Form can be found on the EHS
page in the Vehicle Safety Section.
Key words: Vehicle Safety
Golf Cart Safety: All drivers must Auditor to verify Golf Cart Safety training was completed for all
have a valid Drivers' License and golf cart drivers.
receive the following training:
operator training, golf cart safety Training resource on SodexoNet in the forms center:
K5
procedures, battery recharging, Key words: Golf Cart Safety training
distracted driving, and refueling
safety procedures?
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Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
Director of H&S
Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
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Issue Date: 08/01/2018 Approved By: VP HSE
L. Injury/Illness Reporting, SALUS Root Cause Analysis and Investigation, and First Aid
Is a First Aid Kit(s) easily accessible Auditor to verify first aid kits are accessible.
to the work area? (29 CFR 1910.151) These supplies need to be stored in an area available for
emergency access.
If available within close proximity (same building), then point is
given.
L4
Client resources are acceptable as long as they are available
during our normal working hours.
Nursing stations, security personnel or client first aid that offer
these supplies and operate during employee’s hours of
operation are acceptable.
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Health and Safety Audit Guidelines – FY 2019 Rev. #: 11
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Document Location: Health & Safety Policy Manual Document Owner: Rev. Date: 06/29/2018
Programs
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Issue Date: 08/01/2018 Approved By: VP HSE
Is a First Aid/CPR trained and Auditor to verify at least one employee must be trained in basic
certified employee(s) available? (29 first aid and CPR techniques.
CFR 1910.151) Training is available through Cintas and local First Aid health
service vendors.
If available with close proximity (same building or 4 minutes
L5 time), then point is given.
Also, acceptable if client nurse station or security personnel
offer immediate first aid / CPR to employees during hours of
operation and are within close proximity (same building and/or
4 minutes).
Is an Emergency eye wash station Auditor to verify an eye wash station is available and operating
available and operating properly properly within the immediate work area where employees are
within the immediate work area exposed to corrosive materials.
where employees are exposed to DOES NOT SATISFY SAFETY REQUIREMENT:
corrosive materials? (29 CFR Bottled Eyewash or other Personal Wash units such as single
1910.151) head Drench Hoses are considered to be supplemental
equipment only.
"A personal wash unit may be kept in the immediate vicinity of
employees working in a potentially hazardous area. The main
purpose of these units is to supply immediate flushing. With this
accomplished, the injured individual should then proceed to a
plumbed or self- contained Eyewash and flush the eyes for the
required 15-minute period."
The Auditor will not test the self-contained portable eye wash
station, but will inspect the fluid level and expiration date.
Points will not be awarded if either is deficient.
L6
Tepid Water:
Range should be 60°-100°F.
If temperature is above 100°F, issue Auditor comment to GM to
address the need to tepid water.
Simultaneous Operation:
In laundries and facilities management, the Drench Shower and
Eye Wash Unit must be fully operable at the same time to
properly flush both the skin, eyes, and face.
All flushing equipment must be located in areas that are
accessible within 10 seconds (roughly 55 feet) of anywhere
where corrosive chemicals are mixed, dispensed, and/or stored.
This is commonly referred to in the industry as the 10 second
rule.
The Safety Showers and or Eyewash Stations must be located on
the same level as the hazard and the path of travel shall be free
from obstructions.
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Healthcare Wide Hazards - Applies Auditor to verify documentation showing training was reviewed
to Healthcare Segments: with all new hires and annually for all employees.
HC3 Is Tuberculosis Precautions Training Training resources available on Environment, Health and
provided to employees with Safety page on SodexoNet.
occupational exposure?
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The floor surface area around the fat Auditor to verify area around the oil disposal container is kept in
disposal container(s) (i.e. drum) is clean condition.
FS6
kept in clean condition?
Is safe access and egress provided in Auditor to determine if the traffic flow from kitchen to server
kitchens and frequently traveled area is safe and defined by the operation.
corridors? For instance, the risk of collision is reduced through a window in
FS7
the door, the doors are marked as “IN and OUT”, staff is trained,
warning signs on cooler/freezer doors, etc.
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Is the automatic fire protection Auditor to verify fire extinguishing systems in the Kitchen Hoods
system for the commercial kitchen has been inspected annually.
hood(s) inspected and serviced by If ventilation hood does not work, check to see if the manager
FS8
qualified person(s) and service submitted work order or scheduled work with in the last
inspection tag current within the last month.
12 months?
Are commercial kitchen hood(s) and Auditor to verify the hood systems are clean and there is no
filter(s) clean and free of grease excessive grease accumulation. If not, then work orders are
FS9
accumulation? submitted at least monthly until addressed.
Does the dish room and commercial Auditor to visually check to ensure ventilation performance and
kitchen hoods ventilation system lighting is working properly.
work and operate efficiently? There are several things to look for when determining whether
a commercial kitchen ventilation system is getting enough
replacement make up air. Signs that a kitchen is not properly
ventilated should cause Sodexo managers to immediately
rectify the situation to prevent the development of dangerous
health or fire hazards.
Here is a list of some of the most common signs that a
commercial hood, exhaust fan, filter, ductwork or replacement
make up air system is not functioning properly:
Doors do not open and close properly: If outward opening doors
are difficult to open or are slamming shut, this is a sign that
adequate replacement air is not returning to the commercial
kitchen. Check filters and fans and ensure they are clean and in
good working order.
FS10
Smoke lingering in the kitchen: A smoky commercial kitchen is
not properly ventilated. Smoke should be effectively drawn out
by the commercial hood, and directed out through the
ductwork with the fans.
Pilot lights go out: When pilot lights are extinguishing
intermittently, it is likely due to drafting and improper air
circulation from the commercial kitchen ventilation system.
Extinguished pilot lights can cause a buildup of gas fumes and
lead to high carbon monoxide levels. Also, the potential for
dangerous explosion of the fumes is present.
Problems with the motors of exhaust fans: When a
commercial hood exhausts fan breaks, it is usually because the
motor is overworked. The motor will have to work harder when
replacement make up air systems are not working in
conjunction with the commercial vent hood.
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In wet or damp locations, are outlets Auditor to verify wet or damp locations have GFCI (ground fault
protected by GFCI (ground fault circuit interrupter) installed on outlets.
FS12
circuit interrupter)?
Is Knife Safety Training provided to Auditor to verify documentation showing training was reviewed
those employees using knives? with all new hires and annually for all employees.
FS13
(OSHA's General Duty Clause) Training resources available on Safety page on SodexoNet
Is Burn Prevention Training Auditor to verify documentation showing training was reviewed
FS14 provided? with all new hires and annually for all employees.
Training resources available on Safety page on SodexoNet
FM Facilities Management Specific Guidelines
In wet or damp locations, are Auditor to verify the following:
portable electrical tools and In wet or damp locations are portable electrical tools and
equipment UL rated and protected equipment UL rated and protected by GFCI. Look for test re-set
by GFCI? switch on electrical plug or wall socket.
FM1
*Not applicable to Patient
Transport
Do employees wash hands after Auditor to verify employees are washing hands.
eating, drinking, smoking, using the • Auditor to observe employees over a period of time. If
restroom, when visibly soiled, before hands are not washed between tasks then no points
FM2
and after patient transport, handling awarded.
linen, emptying trash, using
chemicals, etc.?
ASBESTOS: Auditor to verify
If asbestos or presumed asbestos This audit requirement applies to Asbestos containing Materials
containing materials (ACM) are (ACM) or Presumed ACM that exists in buildings built before
FM3 present, does Sodexo management 1981.
maintain a copy of client ACM • The account must have accessibility to Asbestos
management plan and are locations Management Plan. A copy of the program must be
identified with signage? presented to the Auditor.
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*Not applicable to Patient • In the event of that asbestos is suspected, the Asbestos
Transport. Discovery Checklist must be followed by on-site
management to ensure all necessary and appropriate
action is taken.
• Sodexo employees are NOT asbestos abatement
contractors and must NOT perform Class I or Class II
asbestos work.
• Locations are identified with signage, example:
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FM9
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1910.146). *Not applicable to whenever the employer has reason to believe either that there
Environmental Services and Patient are deviations from the permit space entry procedures required
Transport. or that the employee’s knowledge of these procedures is
inadequate. Employee rescue service personnel must make
practice rescues at least once every 12 months.
If applicable, are all energized parts Auditor should not enter energized parts (exposed wiring). This
of electrical circuits and equipment is a distance visual check only.
FM11
guarded against accidental contact
by approved cabinets or enclosures?
If applicable, are all disconnecting Auditor to verify circuit breakers are all labeled.
switches and circuit breakers labeled
to indicate their use or equipment
FM12 served?
Are the working/shop areas clean Auditor to verify work/shop areas are clean and orderly with
and orderly with sufficient lighting? sufficient lighting to easily read newsprint at arm’s length.
FM13
*Not applicable to Patient
Transport.
Are fall protection requirements Auditor to verify fall protection requirements are met when
implemented when working at working at heights of 48” of higher above a lower level.
heights of 48” or higher above a
FM14
lower level? Note: to include but limited to roof work, powered platforms,
*Not applicable to Patient aerial lifts, and vehicle mounted work platforms.
Transport and Laundry Services.
If aerial lifts or cranes are used, then Auditor to verify
equipment must be inspected prior These inspection records should include:
to use and only operated by a • Date of inspection
FM15
trained employee. Are inspections • Signature of the person who performed the inspection
documented and is there evidence • Serial number or other identifier.
that operators are trained? • Manufacturer's maintenance and inspection records
*Not applicable to Patient • Forms/checklist, or equivalent should be used.
Transport and Laundry Services.
Power Industrial Trucks: Auditor to verify a pre- inspection is performed on all powered
Is a pre-inspection performed on all industrial trucks.
powered industrial trucks (forklifts)? Commonly used types include:
*Not applicable to Patient High lift trucks, counterbalanced trucks, cantilever trucks, rider
FM16 Transport. trucks, forklift trucks, high lift trucks, high lift platform trucks,
low lift trucks, motorized hand trucks, pallet trucks, straddle
trucks, reach rider trucks, high lift order picker trucks,
motorized hand/rider trucks, and counterbalanced front/side
loader lift trucks.
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Observe dumping trash? Auditor to verify the following practices are followed:
• Are protective gloves worn?
• Roll barrels and other equipment containing trash
bags as close as possible to the dumpster.
• If the bag is too heavy, get help.
• With feet and body facing the dumpster, step closer
and toss the bag forward into the dumpster.
FM17 • Avoid twisting. Do not toss sideways.
• Use a step-up platform next to the dumpster to
empty trash bags. It will reduce lifting above
shoulder height.
• Place the dumpster next to the loading dock, if one
is available.
• Mechanized trash dumpster is a plus – trained
operator?
Machine Guarding & Hand Tools: Auditor must visually verify that guarding methods are in place,
Are correct safety guards in place such as, barrier guards, two-handed tripping devices, electronic
and properly installed for equipment safety devices, etc.
with rotating or moving parts (belts, Machine guarding must be provided to protect the operator and
fans, saw blades)? other employees in the area from such hazards as point of
For grinders, do side guards cover operation, ingoing nip points, rotating parts, flying chips and
FM18 the spindle, nut, flange and 75 sparks.
percent of the wheel diameter?
Is a work rest used and kept
adjusted within 1/8 inch of the
grinding wheel? *Not applicable to
Environmental Services, Patient
Transport and Laundry Services.
Machine Guarding: Are emergency Auditor to verify stop controls are in place and clearly
stop controls provided, or are circuit accessible.
breakers controlling machines
FM19 clearly marked and accessible?
*Not applicable to Environmental
Services and Patient Transport.
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Tools and equipment used by Auditor to verify tools and equipment are in safe working
employees are in safe working condition
condition and used for their One way to get injured on the job is using the wrong tool for the
intended use? job. Two important points to remember when using hand tools
is the selection of the tool for the job and the use of the tool for
the job.
Auditor’s will verify these general points:
• Keep your tools clean and in good condition.
• Choose the right tool for a specific job.
• Never use a tool not designed for the job you are doing.
• Never carry tools in your pockets.
• When chipping or cutting, wear eye protection.
FM20 • Be wary of the effect of your actions on other nearby
workers.
• Use a pulling motion to operate hand tools rather than
a pushing method.
• Never leave hand tools in areas where they may be
kicked off onto lower levels or where they may be a
tripping hazard.
• Never improvise.
• Don’t adapt or use “cheaters.”
• Never remove an electrical cord by jerking it; pull it
away from power by the plug.
• Always be sure that power tools are electrically safe.
Employees do not wear loose fitting Auditor to verify no employee is wearing loose clothing (open
clothing and jewelry and tie back cuffs, long un-tucked shirt tails) and un-restrained hair (hair
long hair while operating equipment falling beyond shoulder length) are entanglement hazards with
FM21 or when near moving equipment? equipment.
*Not applicable to Environmental
Services and Patient Transport.
HAZARD ENVIRONMENT: Auditor to verify if there is a job task that requires a respiratory
Is there a job task that requires a protection program. If yes, then the following must be
respiratory protection program or completed.
do employees voluntarily wear • A roster showing a list of all affected employees
respirators? Is a respiratory • Annual fit testing is conducted.
FM22
protection program established and • Annual training is conducted
fit testing conducted where • Respirators are being maintained and inspected
employees are exposed to air
contaminants and required to wear
respirators?
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Are flammable liquids (e.g. gasoline) Auditor to verify flammable liquids are stored properly.
stored in safety cans or inflammable
cabinets? *Not applicable to
Environmental Services, Patient
FM27 Transport and Laundry Services.
FM30
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CTM1
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NEW: Verify through personal Auditor to verify by asking manager if there are any lost time
interview and documented evidence accidents for the current FY. Can be verified by reviewing the
that there have been no lost work OSHA log for the current year.
CTM5 days due to a job-related injury this If any lost time accidents, no points are awarded.
fiscal year.
*Applies to CTM Accounts only. Additional information on this topic can be found in the CEM
Procedures Manual.
NEW: Verify through personal Auditor to verify by interviewing a CTM staff on their roles and
interview that Sodexo CTM staff is responsibilities during a facility emergency code situation.
aware of roles and responsibilities
CTM6
during facility emergency code Additional information on this topic can be found in the CEM
situations. Procedures Manual.
*Applies to CTM Accounts only.
NEW: No food or beverages are Auditor to verify NO food or beverages are being consumed in
being consumed in designated work designated work areas.
CTM7
areas. Additional information on this topic can be found in the CEM
*Applies to CTM Accounts only. Procedures Manual.
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