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<br /> <br />74 <br /> <br />FORM SP-9 SAFETY AND HEALTH PROGRAM AUDIT WORKSHEET <br /> <br />This worksheet provides general guidance for evaluating safety and health program effectiveness. It is not all inclusive. The compnay must customize the form for the specific work place. <br /> Consider each program element to; (1) determine whether or not the element is in place, (2) estimate the element’s overall effectiveness, and (3) identify specific deficiencies and actions that can be taken <br />to improve the effectiveness of the element. <br /> <br /> Program Element In Place <br />(√) <br /> Effectiveness <br />(√) <br /> Identify Specific Deficiencies and Actions That <br />Can Be Taken To Improve Program Effectiveness <br /> Yes <br /> No <br /> 1 <br />(poor) <br /> 2 3 <br />(fair) <br /> 4 5 <br /> (Excellent) <br />1. Company Commitment <br /> The city has adopted and endorsed <br />an effective and proactive written <br />safety and health program (AWAIR) <br />that encourages employee <br />participation. <br /> <br /> <br /> <br />The city has adopted a safety and <br />health related vision (or policy) <br />statement. Vision (or policy) <br />statement has been communicated to <br />managers, supervisors, and <br />employees. <br /> <br /> <br />The city has adopted safety and <br />health related policies, procedures, <br />and practices. Safety related policies, <br />procedures, and practices have been <br />communicated to managers, <br />supervisors, and employees. <br /> <br /> <br />The city has committed those human <br />and material resources necessary to <br />implement and manage the safety <br />and health program. <br /> <br />