|
Self-Assessment Rating for This Unit |
|
Total Score |
Rating |
| Did you answer "no" to any critical
question? _______
Is the score of any category less than 40%?
_______
For the "I" (important) questions from all of
the sections:
Total Yes: ____ Total
No: ____ Total NA ("I" only)_____
% = Yes/(37 - NA)* 100 |
|
|
|
| |
| A. Management Program and
Responsibilities |
|
Section Score |
Comment |
| |
|
|
|
| |
Type |
|
Corrective Action or
Comment |
| Has responsibility for the
MRF system in this area been assigned to an individual? |
C |
|
Responsible
Person:
|
| |
| B. Employee Participation |
|
Section Score |
Comment |
For the "I" (important) questions in this section only:
Yes:____ No:_____ NA: ____
% = Yes/(4 - NA)*100 _____ |
|
|
|
| |
|
|
|
| |
Type |
|
Corrective Action or
Comment |
1. Are employees wearing the
appropriate eye protection
for their job function in this area (e.g.,
safety glasses,
goggles)? |
I |
Y N |
|
2. Are employees using other
personal protective
equipment as specified for their job function in the
MRF
management program (e.g., gloves safety
shoes,
protective clothing,
and respirators)? |
I |
Y
N NA |
|
3. Do employees practice
good
personal hygiene in this
area? |
I |
Y
N NA |
|
4. Do employees practice good
workplace housekeeping in
this area? |
I |
Y
N |
|
| |
| C. Fluid Selection,
Testing, and Management |
|
Section Score |
Comment |
For the "I" (important) questions in this section
only:
Yes:____ No:_____ NA: ____
% = Yes/(4 -NA)*100 ____ |
|
|
|
| |
Type |
|
Corrective Action or
Comment |
1. Has metal removal fluid and
concentration been
selected that is appropriate for operations in this
area? |
I |
Y
N |
|
2. Are the water-miscible MRF
systems in this area
routinely tested according to the MRF management
program? |
I |
Y
N NA |
|
3. Does the fluid handling
system adequately remove
"fines" and other debris from the MRF? |
I |
Y
N NA |
|
4. Are systems thoroughly
cleaned (e.g., power washing
and rinsing) before being recharged with
fresh fluid? |
I |
Y
N NA |
|
| |
| D. Information and
Training |
|
Section Score |
Comment |
For the "I" (important) questions in this section
only:
Yes:____ No:_____ NA: ____
% = Yes/(4 - NA)*100 ____ |
|
|
|
| |
Type |
|
Corrective Action or
Comment |
1. Do employees in this area
understand the potential
hazards of MRFs and associated chemicals? |
C |
Y
N |
|
2. Have employees been
trained
in procedures for the
safe use of MRFs and applicable additives used on
their job? |
C |
Y
N |
|
3. Do employees know how to
obtain the MSDSs for the
materials that they work with? |
C |
Y
N |
|
4. Have the employees
een
trained on physical safety
concerns of working in metal removal
operations? |
I |
Y
N |
|
5. Are the metal removal
fluids
currently being used
according to the MSDS and other company-specific
instructions? |
I |
Y
N |
|
6. Are metal removal fluid
containers labeled properly and
are employees using product according to
the label? |
I |
Y
N NA |
|
| |
| E. Investigation of Hazards and
Complaints |
|
Section Score |
Comment |
For the "I" (important) questions in this section
only: Yes:____ No:_____ NA: ____
% = Yes/(22 - NA)*100 ____ |
|
|
|
| |
Type |
|
Corrective Action or Comment
|
1. Is the preventative,
scheduled, or progressive
maintenance of machines, MRF filtration systems,
ventilation systems, and other support facilities
in
this area conducted
as specified? |
I |
Y
N |
|
2. Has exposure
assessment been
conducted in this work
area according to the MRF management plan? |
I |
Y
N |
|
| 3. Are machine guards in place
and in good condition?
|
I |
Y
N NA |
|
4. Is the flow of MRF at each
operation interrupted or
cycled off when it is not needed for the proper
operation of the machine? |
I |
Y
N NA |
|
5. Is MRF delivered directly to
the cutting zone and fluid
pressure reduced to the minimum required? |
I |
Y
N NA |
|
| 6. Is piping that contains MRF
properly labeled?
|
I |
Y
N NA |
|
7. Are coolant pumps covered
with solid material or a
moderate foam blanket to contain mist? |
G |
Y
N NA |
|
8. Are supply air diffusers and
supply air ductwork in
good condition and operating properly? |
I |
Y
N NA |
|
9. Is adequate supply air
provided for general
ventilation and process exhaust? |
I |
Y
N NA |
|
10. Is filtration provided for
recirculated general
ventilation air? |
I |
Y
N NA |
|
11. Where necessary, are there
provisions for mist
containment at each machining station, and does
it adequately capture MRF aerosol? |
I |
Y
N NA |
|
12. Are local exhaust ventilation
enclosures and hoods in
good condition? |
I |
Y
N NA |
|
13. Are
personnel-cooling fans, if
present, placed or
directed so as not to interfere with the exhaust
ventilation? |
I |
Y
N NA |
|
14. Do mist collectors and
ductwork meet the
requirements of ANSI B11 TR2-1997, and are they free
of
any visible emissions and in good condition? |
I |
Y
N NA |
|
| 15. Are mist collectors exhausted
from the building?
|
G |
Y
N NA |
|
16. Is there a reliable method to
monitor the mist
collector performance, e.g., pressure drop across
an
appropriate element of the system? |
G |
Y
N NA |
|
17. Is a record of the mist
collector maintenance and
performance history (e.g., filter changes and
pressure drop readings) attached to the
collectors? |
G |
Y
N NA |
|
18. If "Floor Dry" or
absorbent socks are used around
machines to control continuous leaks or
splashing,
have work orders been submitted for repairs? |
I |
Y
N NA |
|
19. Are building structures
(e.g., trusses, columns, or
pipes) free of dripping MRF? |
I |
Y
N NA |
|
20. Are walking surfaces free of
metal removal fluids or
other machine fluids (e.g., hydraulic oil) that
may be
potential slip hazards? |
I |
Y
N NA |
|
21. Are adequate facilities
available for the personal
hygiene of the workers, and are they stocked
with
appropriate hand cleaning supplies? |
I |
Y
N NA |
|
22. Do employees refrain from
smoking and eating in this
area?
|
G |
Y
N |
|
23. Are drip pans, trenches, and
the surrounding floor
free of cigarette butts, cups, or other trash? |
G |
Y
N |
|
24. Are machine interiors,
exteriors, and the surrounding
floor free of chip accumulations that can
interfere with
proper MRF circulation? |
I |
Y
N NA |
|
25. Are metal removal fluid
containers being stored
according to specification? |
I |
Y
N NA |
|
26. Are drip pans and other fluid
reservoirs in good
condition and cleaned regularly to avoid stagnation? |
I |
Y
N NA |
|
27. Are MRF and oil spills or
leaks cleaned up promptly?
|
I |
Y
N NA |
|
28. Are machines washed down and
cleaned regularly
to prevent stagnation of MRFs? |
I |
Y
N NA |
|
| |
F. Medical Monitoring, Management,
and
Surveillance |
|
Section
Score |
Comment |
| |
|
|
|
| |
Type |
|
Corrective Action or
Comment |
1. Do employees know how to
report health complaints,
such as respiratory irritation or dermatitis
that may
be occupational in origin? |
C |
Y
N |
|
2. Is there evidence of
dermatitis among worker in this
area?
|
I |
Y
N |
|
3. Have there been respiratory
complaints in this area
since the last self-assessment? |
I |
Y
N |
|