Home › Journey Toward Safety Excellence › GAP Analysis GAP Analysis Share on:Please enable JavaScript in your browser to complete this form.General Information Your Work Email *Site Name *Site address (actual address and mailing address if different) *Key contact personnel, with titles and contact information (phone and email) *Union contact information with titles, phone, and email *Number of employees; Number of applicable contractors (those at the site over 1000 hours in a calendar quarter) *Type of work performed/products produced *North American Industrial Classification System number (NAICS) 6-digits or Standard Industrial Classification number (SIC) 4-digits *Year Injury and Illness Rates for the last 3 years Year *TCIR *DART *Year *TCIR *DART *Year *TCIR *DART *What do you hope to accomplish? *What is the timeline? *6 Months6 Months to 1 Year1 Year or MoreOtherIf Other, please Specify: Is the following in place at the workplace? Management Commitment Adequate expenditures for PPE, S/H training and maintaining safety proceduresYesNoN/ACommentsSafety / health goals established / achieved / revisited on a periodic basisYesNoN/ACommentsEHS policies have been communicated to all affected EmployeesYesNoN/AComments documented Programs PPE Planning Budget for employee participation in Safety & Health ProgramYesNoN/ACommentsBudget for safety & health training, correction of deficiencies, PPE andYesNoN/AComments Written Safety and Health Program All Employees and applicable Contractors are educated on S/H programYesNoN/ACommentsEnforcement Policy of S/H program is in placeYesNoN/ACommentsAll elements addressed in the S/H programYesNoN/AComments Top Management Leadership All levels of Management supportive of S/H programYesNoN/ACommentsOpen door policy for Employees to ManagementYesNoN/ACommentsSigned Safety Commitment Statement/letter postedYesNoN/ACommentsManagement participates in hazard identificationYesNoN/ACommentsCorrection of unsafe conditions in a timely mannerYesNoN/ACommentsCommunicates corrective actions to affected parties, including contractorsYesNoN/AComments Authority and Resources Safety work procedures readily availableYesNoN/ACommentsSafety manual accessibleYesNoN/ACommentsEmployees have authority and responsibility to enforce S/H programYesNoN/ACommentsAre S/H resources readily availableYesNoN/AComments Line Accountability All employees held accountable for safetyYesNoN/ACommentsManagement responsible for Employees' safetyYesNoN/ACommentsEmployees are supported in stopping work to correct unsafe conditions or actionsYesNoN/AComments Contractors Contractor's safety program equal to site's programYesNoN/ACommentsPre-qualification process in useYesNoN/ACommentsSafety training for ContractorsYesNoN/ACommentsMonitoring of Contractor performanceYesNoN/ACommentsResident Contractor list where applicableYesNoN/ACommentsContractor participation in site’s S/H programYesNoN/ACommentsJoint Site and Contractor safety meetings occurYesNoN/ACommentsEvaluation of contractor performed on a periodic basisYesNoN/AComments Employee Involvement At least 3 Meaningful ways of employee involvement in S/H programYesNoN/ACommentsPart of VPP committee/prepYesNoN/ACommentsParticipate in inspections/investigationsYesNoN/ACommentsProvided computer access if needed to access S/H informationYesNoN/ACommentsUnderstands employee OSHA rightsYesNoN/ACommentsCan provide Input to the S/H ProceduresYesNoN/ACommentsEmployee Suggestion System in placeYesNoN/ACommentsTraining development program for employeesYesNoN/AComments Safety and Health Program Evaluation Are periodic S/H program evaluations performedYesNoN/ACommentsWho is on Team for preparing evaluationYesNoN/ACommentsFindings tracked to completionYesNoN/AComments Pre-use Analysis Employee involvementYesNoN/ACommentsSampling / Air monitoring (lead, noise, metals, silica, heat stress – if any applies to site)YesNoN/ACommentsSampling results provided to all affected employeesYesNoN/ACommentsVentilation system provided if applicableYesNoN/ACommentsAdequate training on pre-use analysis resultsYesNoN/ACommentsCommunication analysis before putting into serviceYesNoN/ACommentsPre-use & non-routine activities analyses conductedYesNoN/ACommentsRegulatory lighting requirements met for work areasYesNoN/AComments Hazard Analysis Analysis of routine task (i.e. SOPs, JHA work instruction)YesNoN/ACommentsEating areas are separate from work areasYesNoN/ACommentsJHAs/JSAs – performed and employees trained on themYesNoN/ACommentsEmployee involvement in hazard analysis processesYesNoN/ACommentsWritten IH monitoring In placeYesNoN/ACommentsMonitoring strategy developedYesNoN/ACommentsBaseline monitoring complete including contractorsYesNoN/ACommentsErgonomic concerns identified where applicableYesNoN/AComments Trend Analysis Trends identified and used as leading indicatorsYesNoN/ACommentsLeading indicators have been establishedYesNoN/ACommentsInformation being trended is relevant to S/H program performanceYesNoN/AComments Routine Inspections Monthly inspections of site to cover entire site quarterlyYesNoN/ACommentsHousekeeping program in placeYesNoN/ACommentsInspection findings documented, tracked to completion & shared with all affected personnelYesNoN/ACommentsManagement and Labor inspections performedYesNoN/ACommentsEmployee lead inspectionsYesNoN/ACommentsRoutine inspections of required equipment (i.e. Ladders, fork trucks, fire extinguishers, etc.)YesNoN/ACommentsFirst use inspections of required equipment (i.e. vehicles, Fork trucks scaffold, PPE, etc.)YesNoN/ACommentsWork areas inspected for proper utility connections and use (i.e. air, water, steam, etc.)YesNoN/AComments Employee Hazard Reporting System Anonymous way to report hazard or emergencyYesNoN/ACommentsSystem in place to provide feedback anonymous concerns reportedYesNoN/ACommentsContractor hazard reporting system in placeYesNoN/ACommentsDocumented reporting systemYesNoN/ACommentsEmployees and Contractors know how to report to a safety issueYesNoN/AComments Accident/Incident Investigations Are all accidents/incidents/near misses reported and documentedYesNoN/ACommentsAccurate reporting of all accident/incidents and tracked to completionYesNoN/ACommentsAll employees participate in reportingYesNoN/ACommentsEmployees who participate in investigations trained root cause methods employedYesNoN/ACommentsIncident/Accident databases accessible by all affected employeesYesNoN/AComments Certified Professional Resources Certified Industrial Hygienist/Certified Safety Professional or Health Professionals onsite or readily available as appropriate for workplaceYesNoN/ACommentsHazard Elimination or Control Engineering Controls Engineering analysis of potential workplace hazards and implemented controls (i.e. machine guards, ventilation systems, or safety interlocks)YesNoN/ACommentsEngineering review process for capital projects or new equipment to improve S/H issuesYesNoN/AComments Administrative Controls Work rotation or rescheduling process in place (i.e. job rotation, weather related work, etc.)YesNoN/ACommentsSafety procedures in placeYesNoN/ACommentsTraining – safety procedures, PPE, computer, inspections, emergencies, electrical, etc.YesNoN/ACommentsApplicable warning signs in placeYesNoN/ACommentsWork practices adequateYesNoN/AComments Safety and Health Rules Rules/standards established, followed and enforcedYesNoN/ACommentsSite safety manual available to all employees, including contractorsYesNoN/AComments Personal Protective Equipment Required PPE provided to all employees as applicable for tasks performedYesNoN/ACommentsEmployees trained on proper use of PPEYesNoN/ACommentsEmployee use PPE when job requiresYesNoN/ACommentsEmployees are medically qualified for PPE as needed (i.e. respiratory protection program).YesNoN/AComments Hazard Control Programs Written Hazard Communication ProgramYesNoN/ACommentsMSDS available to all employees, including ContractorsYesNoN/ACommentsContractor MSDS available to affected employeesYesNoN/ACommentsContainers labeled, including secondary containersYesNoN/ACommentsWarning signs, Noise, Asbestos, Radiation, or regulated areasYesNoN/ACommentsIH monitoring data reported to individuals and areasYesNoN/ACommentsSafe Work Practices Examples of Safe Work Practices include Confined space entry locations identified & labeledYesNoN/ACommentsLock out / Tag out program and logYesNoN/ACommentsConfined space entry permit and logYesNoN/ACommentsEquipment opening (i.e. Line breaking) procedureYesNoN/ACommentsHigh voltage programYesNoN/ACommentsHot work permitsYesNoN/ACommentsS/H concerns, suggestions, recommendations, findings tracked to completionsYesNoN/ACommentsSite specific Safe work practices in placeYesNoN/AComments Preventative Maintenance (PM) PM inspections, findings tracked to completion (fork trucks, shops, tools, manlifts, cranes, etc.)YesNoN/ACommentsFire equipment inspectionsYesNoN/ACommentsEmergency Alarms systems testedYesNoN/ACommentsSafety devices are inspected, tested, and controlled (i.e. relief valves, interlocks, etc.)YesNoN/ACommentsPM documentation completed and maintainedYesNoN/ACommentsDocumented PM inspection schedule established per manufacturer recommendations or industry standardsYesNoN/ACommentsHave required studies been completed (i.e. Arc flash, Infrared, seismic, etc.)YesNoN/AComments Hazard Correction Tracking Safety concerns tracked to completion, root cause identified and communicatedYesNoN/ACommentsSafety concerns are tracked and readily available to all employees to see tracking.YesNoN/ACommentsSafety concerns/suggestions process is in placeYesNoN/ACommentsSafety concerns/suggestions corrections are made in a timely mannerYesNoN/ACommentsSafety concerns/suggestions are documentedYesNoN/AComments Occupational Healthcare Program Record keepingYesNoN/ACommentsMedical surveillance for Hearing, Respirator, Chemical Specific, HazWoper is conducted as applicableYesNoN/ACommentsFirst aid supplies or assistance available as neededYesNoN/ACommentsCPR & AED qualified personnel on-site if neededYesNoN/AComments Disciplinary System Written progressive disciplinary procedureYesNoN/ACommentsAll employees (managers, supervisors and employees) are treated the sameYesNoN/ACommentsContractor disciplinary system in placeYesNoN/ACommentsProcedure knowledgeable to all Employees and ContractorsYesNoN/AComments Emergency System Emergency drills include all Employees and Contractors including all Shift Workers and performed annuallyYesNoN/ACommentsVisitor orientation addresses what to do in case of emergencyYesNoN/ACommentsSite Employees and Contractors are trained on emergency scenariosYesNoN/ACommentsNatural and External hazards addressed in emergency programYesNoN/ACommentsContracted Outside Rescue Services availableYesNoN/AComments Supervisors / Specialists Training matrix for all Employees of regulatory & Company required trainingYesNoN/ACommentsDesignated Trainers where required (i.e. forklift, etc.)YesNoN/ACommentsDocumented frequency of training requirementsYesNoN/AComments Employees Specialized training for certain trades/jobs/competent employees where applicable (i.e. trenching, scaffolding, scaffold inspection, Lead, Asbestos)YesNoN/ACommentsDesignated where needed (i.e. hazard recognition)YesNoN/ACommentsAre Employee computer literate that are required to take computer-based training (CBT)YesNoN/ACommentsFrequency of training documentedYesNoN/ACommentsEmployees involved in critiquing refresher training needsYesNoN/AComments Emergencies Hands on training and/or book training including Blood borne Pathogen, CPR, AED, Confined Space RescueYesNoN/ACommentsContractor emergency response/evacuation trainingYesNoN/ACommentsDocumented frequency of training and drillsYesNoN/ACommentsDrills and events critiqued and documentedYesNoN/AComments Personal Protective Equipment (PPE) Employees trained on PPE they useYesNoN/ACommentsFrequency of training documentedYesNoN/ACommentsEmployees can readily access PPEYesNoN/ACommentsPPE inspection and maintenance procedures communicatedYesNoN/ACommentsEmployees use PPE properly and know limitationsYesNoN/AComments Managers Specialized training for Management – consistent and regularYesNoN/ACommentsFrequency of training documentedYesNoN/AComments Process Safety Management Appropriate PSM areas identifiedYesNoN/ACommentsReduction of Haz Chems considered or Inventories ControlledYesNoN/ACommentsEmployee participation in PSM program evidentYesNoN/ACommentsAll Process Safety Information AvailableYesNoN/ACommentsP&ID Drawings AccurateYesNoN/ACommentsPHA's scheduled & performedYesNoN/ACommentsFacility siting studies currentYesNoN/ACommentsPHA Recommendations completed in timely mannerYesNoN/ACommentsCommunication is provided to affected employeesYesNoN/ACommentsOperator Training & Refresher Training ProvidedYesNoN/ACommentsInvestigation History Available (5 years)YesNoN/ACommentsSafe work practices in place and in useYesNoN/ACommentsPre-Startup Safety Reviews AppropriateYesNoN/ACommentsMechanical Programs exist to maintain integrity of covered processes including Maintenance TrainingYesNoN/ACommentsInspections cover regulatory required equipment (i.e. Tankage, Piping, Relief systems, Rotating Equipment, Electrical, Interlock/Alarm systems)YesNoN/ACommentsEmergency Response Plan capable of mitigating hazardsYesNoN/ACommentsManagement of Change (MOC) system is in place & effective (i.e. MOC complete before startup)YesNoN/ACommentsMOC training documented and complete for all affected personnelYesNoN/ACommentsMOC drawing changes complete or redlines availableYesNoN/ACommentsPSM Compliance is audited on a least 3 yr cycleYesNoN/ACommentsOperating procedures meet regulatory requirements for all scenarios listedYesNoN/ACommentsSubmit Share on:
