ChecklistforOSHAComplianceInspectionsFarmName:______________________________________________Date:______________Time:______________Nameofpersonusingchecklist:______________________________________________________________________Inspectorshavestatutoryauthorityto:oArriveunannouncedoEnterwithoutdelayandatreasonabletimesoInspectandinvestigatetheworkplace:duringregularworkinghoursatotherreasonabletimeswithinreasonablelimitsandinareasonablemanneroQuestionprivatelyanyemployeeoremployeroOtherprovisionsConfidentiality–NamesofcomplainantscanbekeptconfidentialParticipationininspectionARRIVAL/OPENINGCONFERENCECredentials:Apersonstatestheirintentiontoconductanoccupationalsafetyinspectionofyourfarm.Askthispersonfortheircredentials.FederalCredentialsYesNoNameofComplianceSafetyandHealthOfficer(CSHO)__________________________________________________Ifcredentialsareacceptable,proceedtonextitem.Toverifycredentials,callareaOSHADirector.SeeOSHAcontactsonnextpage.PurposeandScopeofInspectionWhatistheimpetusfortheinspection?EmployeecomplaintProgramInspectionReferralOther(describe)______________________________________________NOTE:Asktoseeemployeecomplaintorreferral.Attachphotocopytoyourfinalnotes.Inspector’sfailuretoprovidedetailsofemployeecomplaint(otherthanidentificationofemployee)maybecauseforappeal.Contactphonenumber(s)ofadditionalfarmmanagementteamorindividualresponsibleforsafetyprogramtobeinvolvedintheinspectionprocess._______________________________________________________________________________________Asktheinspectorwhatisthepurposeandintendedscopeoftheinspection(providesummary).EmployeeParticipationWithaboveinformationonpurposeandscopeofinspection,consultwiththeCSHOastoappropriateemployeerepresentation.Ifnecessary,contactemployeerepresentativetoattendtheinspection.Summarizetheagreementregardingemployeeparticipationintheinspection.MiscellaneousItemsPlanandstateyourproposedrouteofinspectionthatwillcoverthepurposeandscopeofinspection.Gatherupnotebook,checklist,camera,two-wayradioorcell-phone,andlistoffarmmanagementteam.ON-SITEINSPECTIONCONCLUDINGTHEINSPECTIONWisconsinOSHAAreaOfficeContactsAppletonAreaOfficeMadisonAreaOffice(920)734-4521(608)441-5388EauClaireAreaOfficeMilwaukeeAreaOffice(715)832-9019(414)297-3315Recordsandwrittenprograms:Examplesofitemsyoushouldbepreparedtoshow.OSHA300logsHazComprogram,MSDSrecordsEmployeetrainingrecordsConfinedspaceprogramsLockout/tagoutRespiratoryprotectionprogramNotes,photosandmeasurementsNotes—Namesofpeopleparticipatinginon-siteinspection,times,placesvisited,CSHO’scomments,namesofpeoplespokento,yourobservations,etc.Corrections—Wherepossible,immediatelycorrectviolationspointedoutbytheCSHO.Makeanoteandtakeaphotoofyouractions.Photos—IftheCSHOtakesaphoto,youtakethesamephoto.AskCSHOwhythephotowastaken.Measurements—TakeanymeasurementtakenbyCSHO,oraskforcopyorreading.Closingconference:Attheconclusionoftheon-siteinspection,askforaclosingconference.Attheclosingconference,allowtheCSHOtoaddresstheirfindings.Takecarefulnotesontheirstatementsattheclosingconference.Ifyouarelessthancompletelyclearabouttheirfindings,restateyourunderstandingoftheirfindingstotheCSHOforagreement.Iftheyhavenotaddressedthefollowingissues,besuretoaskforanswers.Whataretheallegedviolations?WhataretheCSHO’snextstepsintheprocess?Willtherebefurtheron-siteinspectionpriortoissuanceofanycitationsor‘decisionnottoissue’?Whencanyourfarmexpecttoreceiveany‘decisionnottoissue’orcitations?AftertheCSHOdepartsFormalizeyournotes,photosandmeasurements.ChecklistforOSHAComplianceInspections,February2012.C.A.Skjolaas,AgriculturalSafetySpecialist,UW-Madison/ExtensionCenterforAgriculturalSafetyandHealthAdaptedfromUW-RiverFallsChecklistforDepartmentofCommerceInspectionsdevelopedbyConstanceSmith,DirectorofRiskManagement,UW-RiverFalls.ThismaterialwasproducedundergrantnumberSH-22318-11-60-F-55fromtheOccupationalSafetyandHealthAdministration,U.S.DepartmentofLabor.ItdoesnotnecessarilyreflecttheviewsorpoliciesoftheU.S.DepartmentofLabor,nordoesmentionoftradenames,commercialproducts,ororganizationsimplyendorsementbytheU.S.Government.