GRAIN BIN SAFETY PROTOCOL

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--- HAZARD IDENTIFICATION & RISK ASSESSMENT ---
[ ] Describe the general layout and contents of the grain bin (type of grain, depth, condition).
[ ] Identify potential hazards (check all that apply): (Entrapment zones (bridging, crusting), Suffocation (lack of oxygen), Asphyxiation (CO, H2S), Equipment hazards (augers, conveyors), Falling hazards (ladders, platforms), Noise hazards, Dust hazards)
[ ] Grain Depth (feet)
[ ] Condition of grain (e.g., dry, damp, moldy) (Dry, Slightly Damp, Damp, Moldy)
[ ] Describe any previous incidents or near misses related to this grain bin.
[ ] Temperature of grain (degrees Fahrenheit)
[ ] Identify the most likely entrapment zone(s) based on grain conditions and bin configuration. (Near the center of the bin, Along the walls, Under the crust, Around the unloading auger, Multiple locations)
[ ] Record any existing control measures in place to mitigate identified hazards.

--- CONFINED SPACE ENTRY PROCEDURES ---
[ ] Entry Permit Required? (Yes, No)
[ ] Reason for Entry (detailed description)
[ ] Permit Issue Date
[ ] Permit Issue Time
[ ] Atmospheric Monitoring Performed? (Yes, No)
[ ] Oxygen Level (%), pre-entry
[ ] Carbon Monoxide (ppm), pre-entry
[ ] Hydrogen Sulfide (ppm), pre-entry
[ ] Hazards Identified/Mitigated (check all that apply) (Grain Dust, Suffocation, Toxic Gases, Falling/Slips, Entrapment)
[ ] Entry Point Location

--- LOCKOUT/TAGOUT (LOTO) & EQUIPMENT CONTROL ---
[ ] Equipment Being Locked Out/Tagged Out: (Auger, Conveyor Belt, Grain Dryer, Power Take-Off (PTO), Ladder/Stairway, Other (Specify))
[ ] Detailed Description of LOTO Procedure Followed:
[ ] Last Known Circuit Breaker/Disconnect Switch Number:
[ ] Disconnect Switch/Circuit Breaker Verified as 'OFF': (Yes, No)
[ ] Specific Steps Taken to Prevent Accidental Startup:
[ ] Energy Sources Isolated (Check all that apply): (Electrical, Mechanical, Hydraulic, Pneumatic, Gravity)
[ ] Lock/Tag ID Number (if applicable):
[ ] Date of Lockout/Tagout:
[ ] Time of Lockout/Tagout:
[ ] Lockout/Tagout Technician Signature:

--- PERSONAL PROTECTIVE EQUIPMENT (PPE) ---
[ ] What PPE is required for grain bin entry? (Harness and Lifeline, Hard Hat, Safety Glasses/Goggles, Hearing Protection, Respiratory Protection (Dust Mask/Respirator), Gloves, Steel-toed Boots)
[ ] Harness Type (Confirm Correct Fit) (Full Body Harness, Chest Harness, Shoulder Harness)
[ ] Lifeline Length (Feet)
[ ] Inspect Harness and Lifeline - Document Any Damage
[ ] Respirator Fit Tested? (Yes, No)
[ ] Upload Photo of PPE Inspection (Optional)
[ ] Name of Person Inspecting PPE

--- ATMOSPHERIC MONITORING & VENTILATION ---
[ ] Oxygen Level (%), Before Entry
[ ] Carbon Monoxide (CO) Level (ppm), Before Entry
[ ] Hydrogen Sulfide (H2S) Level (ppm), Before Entry
[ ] Ventilation Method Used (Fixed Ventilation System, Portable Blower, Natural Ventilation, Other (Specify))
[ ] Detailed Description of Ventilation Procedure
[ ] Date of Last Atmospheric Monitoring
[ ] Time of Last Atmospheric Monitoring
[ ] Monitoring Device Calibration Status (Calibrated within last 12 months, Calibration needed, Not Applicable)

--- RESCUE PLANNING & TEAM TRAINING ---
[ ] Describe the designated rescue team and their roles.
[ ] Which rescue equipment is available (e.g., tripod, rescue tube, harness)? (Tripod, Rescue Tube, Harness, Anchor Points, Other (Specify in Long Text))
[ ] Number of team members trained in bin rescue.
[ ] Date of last rescue team training.
[ ] Estimated time to initiate rescue (from notification).
[ ] Upload a copy of the rescue plan document.
[ ] Describe communication protocols during a rescue operation (who to contact, how).
[ ] What is the designated assembly point for rescue personnel? (Designated location on property, Farm shop, Other (Specify in Long Text))
[ ] Describe the process for notifying emergency services (local fire department, EMT).

--- GRAIN FLOW & BRIDGING PREVENTION ---
[ ] Date of Last Grain Level Check
[ ] Describe any observed grain bridging or crust formation
[ ] Number of times grain was agitated to break bridging
[ ] Method used to break grain bridge (Select all that apply) (Auger Rod, Bin Rod, High-Pressure Water, Manual Rod/Pole, Other (Specify in Long Text))
[ ] If 'Other' selected, specify the method used.
[ ] Vertical distance grain was agitated (feet)
[ ] Was grain flow impeded by foreign object? (Yes, No)
[ ] If Yes, describe foreign object and action taken.
[ ] Date of next scheduled grain flow assessment

--- COMMUNICATION & EMERGENCY RESPONSE ---
[ ] Emergency Contact Name (Primary)
[ ] Emergency Contact Phone Number (Primary)
[ ] Emergency Contact Name (Secondary)
[ ] Emergency Contact Phone Number (Secondary)
[ ] Brief Description of Emergency Response Plan
[ ] Designated Rescue Team Contacted? (Yes, No)
[ ] Last Emergency Drill/Review Date & Time
[ ] Communication Methods Available During Operation (Select All That Apply) (Radio, Cell Phone, Two-way communication device, Visual Hand Signals)
[ ] Notes/Specific Communication Protocols

--- EQUIPMENT INSPECTION & MAINTENANCE ---
[ ] Last Auger Inspection Date
[ ] Auger Motor RPM (during inspection)
[ ] Detailed notes from Auger Inspection (Condition, Repairs, etc.)
[ ] Photos of Auger Condition (Pre/Post Inspection)
[ ] Last Ladder Inspection Date
[ ] Ladder Type (Fixed, Portable, Other)
[ ] Ladder Maximum Load Capacity (lbs)
[ ] Any Ladder Repairs/Modifications Noted
[ ] Bin Ventilation System Operational? (Yes, No, N/A)
[ ] Time of Bin Ventilation System Test

--- TRAINING & COMPETENCY ---
[ ] Which Grain Bin Safety Topics Have You Been Trained On? (Confined Space Entry, Lockout/Tagout Procedures, Grain Entrapment Hazards, Rescue Techniques, PPE Usage, Atmospheric Monitoring, Bridging & Flow Issues, Emergency Communication)
[ ] Date of Last Grain Bin Safety Training
[ ] Number of Years of Experience with Grain Bin Operations
[ ] Briefly Describe Your Understanding of Grain Entrapment Hazards
[ ] What is Your Role in Grain Bin Operations? (Operator, Supervisor, Maintenance, Safety Personnel, Other (Specify in Long Text))
[ ] Upload Copy of Training Certificate (if applicable)
[ ] Are you familiar with the facility's Grain Bin Rescue Plan? (Yes, No, I am aware of it, but haven't reviewed it recently)
[ ] Describe your understanding of the â€œStand-by Personâ€� role during grain bin entry.

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