Execution Reliability Evaluation Request

Email Phone Either

Automotive Supplier Automotive Manufacturing Metal Fabrication Plastics Coatings / Paint Chemical Manufacturing Warehousing Other

Fewer than 100 100–249 250–499 500–999 1,000+

1 2–3 4–6 7+

One Shift Two Shifts Three Shifts Weekend Operations Continuous Operations

Chemical Mixing Paint Operations Solvent Use Adhesives Oils/Lubricants Acids/Bases Compressed Gases Bulk Chemical Storage Waste Chemical Storage Cleaning Chemicals Process Chemicals Laboratory Chemicals Other

Less than 25 25–100 101–250 More than 250 Unsure

Frequently Occasionally Rarely Never

Preparing for an OSHA inspection Preparing for a customer audit Recent audit findings Chemical storage concerns SDS management concerns Labeling concerns Employee chemical handling concerns Contractor chemical safety concerns Maintenance-related chemical concerns Engineering or process changes Chemical inventory concerns Recent incident or near miss New facility startup Management requested evaluation Other

Missing SDSs Employees unable to locate SDSs Missing labels Damaged labels Improper chemical storage Unknown chemicals Chemical spills Chemical leaks Improper secondary containers PPE compliance concerns Chemical compatibility concerns Contractor safety concerns Recurring audit observations None of the above

Improve chemical safety execution Reduce operational risk Improve workforce consistency Identify hidden process weaknesses Improve storage practices Improve labeling consistency Improve SDS accessibility Strengthen contractor oversight Improve audit readiness Obtain an independent evaluation

Multiple departments use chemicals Chemicals move throughout production Multiple storage areas exist Contractors routinely enter production Maintenance uses chemicals Engineering routinely modifies equipment Multiple supervisors oversee chemical operations Temporary employees handle chemicals Seasonal production changes occur High production demand throughout the year

Yes No