AgSafe | Agri-Safe Culture



Completed By:Inspection Date: ** ALL DEFICIENCIES ARE TO HAVE A RISK ASSESSMENT COMPLETED ON THEM**HIGHDanger too great to ignore / Immediate actionMODERATERisk is serious / Prompt attention requiredLOWMinimal or no imminent dangerMain Ranch Yard / GeneralAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateMuddy or uneven ground has been leveled.Special hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)All extension cords are suitable for heavy-duty use and are in good condition.All electrical cords and connections are well out of the reach of animals.Ground fault circuit interrupters (GFCIs) are installed at all outdoor receptacles, in washrooms, and in all other damp or wet locations.Overhead power lines allow a clearance of at least ten feet from all farm equipment or machinery that may pass underneath; overhead power lines are clearly marked.Warning decals are in place on all equipment that requires lockout before servicing.All animal enclosures have gates in good working orderRamps and access areas are free of debris and boards, rails, fences are secure.Fences, cat walks and rails in good shapeHearing protection (either earmuffs or a supply of disposable earplugs) is available in high-noise areas.High-noise areas or activities have been identified, and warning signs are posted.Every confined space on the farm is clearly posted with a warning sign that explains the type of hazard.Physical access to each confined space is limited.Any confined spaces that might require entry have been assessed by qualified person.Are waste containers emptied regularly?Is lighting sufficient?Are grain bin ladders in good condition?Are approved respirators available for handling dusty material?Have low branches been trimmed along and over roadways?Warning signs have been posted for the water reservoir behind the feedlotCowboys’ AreaAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateFire extinguishers are fully charged, up-to-date and within easy access at key locations, and the locations are marked with clear signs.Muddy or uneven ground has been leveled.Workplace first aid needs assessment is up to dateFirst aid kits & portable eye wash stations available as required.Emergency Response Plan (ERP) posted with appropriate contact information.Special hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)Light fixtures are clean and are not exposed to leaks or water.Extension cords are not being used as long-term wiring.All extension cords are suitable for heavy-duty use and are in good condition.All electrical tools have either a three-prong cord or are clearly marked as “double-insulated.”All electrical cords and connections are well out of the reach of animals.Ground fault circuit interrupters (GFCIs) are installed at all outdoor receptacles, in washrooms, and in all other damp or wet locations.Warning decals are in place on all equipment that requires lockout before servicing.All animal enclosures have gates in good working orderHand-washing facilities have good supply of hot water, soap, nailbrushes, and towels.Ramps and access areas are free of debris and boards, rails, fences are secure.Fences, cat walks and rails in good shapeAll veterinary preparations and equipment are securely stored, and clearly marked.Personal protective equipment (rubber gloves, goggles, aprons) is available where hazardous materials are stored or mixed.Up-to-date MSDSs are available for all hazardous materials.Irrigation ShopAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateFire extinguishers are fully charged, up-to-date and within easy access at key locations, and the locations are marked with clear signs.Workplace first aid needs assessment is up to dateFirst aid kits & portable eye wash stations available as required.Emergency Response Plan (ERP) posted with appropriate contact information.Special hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)Circuit boxes are clean, are not exposed to leaks or water, and are marked with clear signs.Light fixtures are clean and are not exposed to leaks or water.Extension cords are not being used as long-term wiring.All extension cords are suitable for heavy-duty use and are in good condition.All electrical tools have either a three-prong cord or are clearly marked as “double-insulated.”Overhead power lines allow a clearance of at least ten feet from all farm equipment or machinery that may pass underneath; overhead power lines are clearly marked.Warning decals are in place on all equipment that requires lockout before servicing.Hearing protection (either earmuffs or a supply of disposable earplugs) is available in high-noise areas.High-noise areas or activities have been identified, and warning signs are posted.Personal protective equipment (rubber gloves, goggles, aprons) is available where hazardous materials are stored or mixed.Up-to-date MSDSs are available for all hazardous materials.Mechanic ShopAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateFire extinguishers are fully charged, up-to-date and within easy access at key locations, and the locations are marked with clear signs.Fireproof containers are available for storage of oily or solvent-soaked rags until they can be rinsed thoroughly and hung to dry with lots of air circulation.All scrap wood, extra sawdust, piles of paper, cans of paint, etc. are stored safely.Pipe stands and rolled water hoses in good working condition are within easy access at key locations, and the locations are marked with clear signs.Ladders are kept in good repair and are easy to find when needed.Workplace first aid needs assessment is up to dateFirst aid kits & portable eye wash stations available as required.Emergency Response Plan (ERP) posted with appropriate contact information.Special hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)Circuit boxes are clean, are not exposed to leaks or water, and are marked with clear signs.Light fixtures are clean and are not exposed to leaks or water.Extension cords are not being used as long-term wiring.All extension cords are suitable for heavy-duty use and are in good condition.All electrical tools have either a three-prong cord or are clearly marked as “double-insulated.”Ground fault circuit interrupters (GFCIs) are installed at all outdoor receptacles, in washrooms, and in all other damp or wet locations.Overhead power lines allow a clearance of at least ten feet from all farm equipment or machinery that may pass underneath; overhead power lines are clearly marked.Warning decals are in place on all equipment that requires lockout before servicing.Hearing protection (either earmuffs or a supply of disposable earplugs) is available in high-noise areas.High-noise areas or activities have been identified, and warning signs are posted.Personal protective equipment (rubber gloves, goggles, aprons) is available where hazardous materials are stored or mixed.“No Smoking” signs by oxygen acetylene bottles?Safety signs posted where necessary?Up-to-date MSDSs are available for all hazardous materials.Fueling StationAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateFire extinguishers are fully charged, up-to-date and within easy access at key locations, and the locations are marked with clear signs.Aboveground fuel filling stations are posted with “no smoking” and “no sparks or open flames” signs.Tanks at aboveground fuel filling stations are protected from vehicles by no-post concrete barriers.Muddy or uneven ground has been leveled.Special hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)Overhead power lines allow a clearance of at least ten feet from all farm equipment or machinery that may pass underneath; overhead power lines are clearly marked.Is there a spill kit readily available?Pesticide / Herbicide Storage AreaAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateFire extinguishers are fully charged, up-to-date and within easy access at key locations, and the locations are marked with clear signs.Special hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)Circuit boxes are clean, are not exposed to leaks or water, and are marked with clear signs.Light fixtures are clean and are not exposed to leaks or water.All containers of hazardous materials are clearly labeled.All containers of hazardous materials are stored according to manufacturer or supplier’s directions.Pesticides are stored in a well-ventilated, secure room with a solid floor.Physical access to the pesticide storage room is restricted; and a sign on the door warns of the hazardous materials within.Silage & Feed Storage AreasAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateSpecial hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)Feedlot & Animal Handling FacilitiesAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateSpecial hazards on the farm have been inventoried and clearly identified (chemical storage sheds, fuel tanks, etc.)All animal enclosures have gates in good working orderRamps and access areas are free of debris and boards, rails, fences are secure.Fences, cat walks and rails in good shapeEquipmentAcceptable?Yes / NoPriority for ActionType of corrective action plannedWho responsibleAction dateFire extinguishers are fully charged, up-to-date and within easy access at key locations, and the locations are marked with clear signs.Owner’s Manual and Service Records AvailableWarning decals are in place on all equipment that requires lockout before servicing.Hearing protection (either earmuffs or a supply of disposable earplugs) is available in high-noise areas.All tractors are equipped with ROPS and seatbelts.All single-seat tractors have clear warning decals (no riders).All power take-offs (PTOs) have guards in good condition, safety chains are in place, and a cotter pin or clip prevents the hitch pin from dislodging.PTO warning decals are in place.The shields and guards covering moving parts are all in place and in good condition.Warning decals are in place at all moving parts (do not remove shields or guards).All hydraulic lines are in good condition, not worn or leaking. No reinforcing wire is sticking through and no bumps or bubbles in the rubber coating.Belts, chains, and all moving parts of elevators, conveyors, and augers are fully covered with shields or guards.Blades and teeth on mowing and harvesting equipment are correctly aligned, and in good condition.The curtain shields on mowing equipment are all in good condition.Tractors and implements are equipped with slow moving vehicle (SMV) signs in good condition.Tires on all equipment are in good condition and inflated to equal pressures all around.All fluid levels are correct, and the lubrication schedule is up to date.All drive belts are properly adjusted, and in good condition.All lights are functional, and light covers are clean.The operating manual for every tractor and implement is available on the equipment.Is equipment being pressure washed after use (particularly during harvest season).Do tractors have ROPS or ROPS-compliant cab?Are brakes able to hold tractor’s rated load?Can brakes be interlocked for road travel?Are cabin doors and handles secure?Do tractors have a “No Riders” sign?On cabbed tractors – is emergency window free of obstruction and open properly? ................
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