How to fill in the standardization of enterprise safety production (summary table of self-assessment deduction items)

Sample form

Safety and quality standardization self-assessment report

Company name: (unit name)

Self-assessment organization name:

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Month and Day, 2010

Enterprise Safety and Quality Standardization Internal Audit Self-Assessment Report

Overview of the Self-Assessment

In this self-evaluation process, The evaluation team visited all branches and departments of (name of unit); randomly checked various equipment and facilities), reviewed various information files, had person-to-person contacts and conversations with cadres at all levels, and conducted written tests on safety knowledge for cadres and employees And oral examination, ***calculate the assessment items and sub-items.

The characteristics of this self-evaluation are: 1. Leaders pay attention to and organize implementation 2. Strengthen training, improve awareness, and master standards 3. Compare standards and implement rectifications 4. Carefully summarize and continuously improve

The self-assessment results are as follows:

Basic Management Major: According to the standard, 15 items should be assessed, 230 points, no blank items; actually participated in the assessment of 15 items, should score 230 points, actual points, scoring rate %.

Thermal Explosive and Explosive Major: According to the standard, 26 items should be assessed, 292 points, empty items, and empty items are scored; actually participating in the assessment items should be scored, and actual points are scored, and the scoring rate is %.

Electrical major: According to the standard, 10 items should be assessed, 137 points, empty items, and empty items will be scored; actually participating in the assessment items, should be scored, actual points will be scored, and the scoring rate is %.

Mechanical major: According to the standard, there are 15 items that should be assessed, 171 points, empty items, and empty items will be scored; actually participating in the assessment items, should be scored, and the actual points will be scored, and the scoring rate is %.

Working Environment and Occupational Health Major: According to the standard, 9 items should be assessed, 170 points, empty items, and empty items will be scored; actually participating in the assessment items should be scored, and actual points will be scored, and the scoring rate is %.

(Unit name) Each major should be assessed on 75 items according to the standards. The empty items are worth points; the actual assessment items should be scored, and the actual points are scored. The scoring rate is %. Calculated according to the "Evaluation Method" scoring method, the final score of (unit name) is 0.0 points, reaching the national second-level safety and quality standardization enterprise standard.

Main problems and improvement suggestions in the safety and quality standardization of enterprises

Self-evaluation conclusions

According to the "Machinery Manufacturing Enterprise Safety and Quality Standardization Assessment and Rating Standards" and For the enterprise's application, our unit conducted a self-evaluation of the enterprise's safety and quality standardization work. The actual self-evaluation score is 0.0 points, reaching the standard of a first-level safety and quality standardization enterprise.

Recommended for approval.

Signature of the representative of the self-assessment institution:

(seal of the unit)

Month and day, 2010

Main responsibility of the enterprise Signature of the person:

(Seal of the unit)

Month and day, 2010

Opinions of the municipal safety production supervision and management department:

< p>(Seal of the company)

Month and day, 2010

Opinions of the provincial-level work safety supervision and management department:

(Seal of the company)< /p>

Month and day, 2000

Attachment: "Self-assessment summary form for safety and quality standardization of machinery manufacturing enterprises"

Self-assessment summary form for safety and quality standardization of machinery manufacturing enterprises< /p>

Serial number Assessment content Score due Total number of possessions Spot check

Quantity Number of unqualified spot checks Unqualified rate of spot check Actual score Remarks

1. Basic management assessment (total deserved score) 230 points, actual points)

1 Safety production responsibility system 15

2 Occupational safety and health rules and regulations 15

3 Planning and annual plan 15

4 Institutions and personnel 15

5 Occupational safety and health education, including 45

Three-level education for new employees entering the factory 6

Special operations personnel training Education 8

Education for middle-level and above cadres 4

Education for team leaders 4

Changing types of work and “four new” education 3

Occupational health education 3

All-staff education 4

Return-to-work education 3

Safety management personnel education 6

Safety knowledge spot check pass rate 4

Self-assessment table for safety and quality standardization of machinery manufacturing enterprises

Serial number Assessment content Scores Total quantity owned Random inspection

Quantity Number of unqualified persons in spot inspections Unqualified rate in spot inspections Actual Score Remarks

6 Accident Management 20

7 "Three Simultaneities" Management 15

8 Team Safety Management 12

9 Safety Operating Procedures 13

10 Special equipment and personnel safety management 10

11 Relevant party safety management 10

12 On-site supervision and inspection 10

13 Emergency response Rescue plan 10

14 Hazard source management 10

15 Safety and health file 15

2. Safety assessment of equipment and facilities (the total score should be 600 points, the actual score is )

1 Industrial gas cylinder 22

2 Hazardous chemical warehouse 10

3 Oil depot, oil tank 20

4 Liquefied gas station 12

5 Gas station 10

6 Oxygen station 10

Self-assessment table for safety and quality standardization of machinery manufacturing enterprises

Serial number Assessment Content Score due Total quantity owned Random inspection

Quantity Number of unqualified spot inspections Unqualified rate of spot inspection Actual score Remarks

7 Pressure vessels 16

8 Acetylene generation station 15 < /p>

9 Boilers and auxiliary machines 24

10 Air compressors 16

11 Industrial pipelines 8

12 Timber sites 8

13 Factory building 10

14 Painting workplace 15

15 Forging machinery 12 0

16 Casting machinery 18

17 Casting melting furnace 12

18 Acid-base oil tank 5

19 Industrial ladder (straight ladder) 2

20 Industrial ladder (inclined ladder) 2 < /p>

21 Industrial ladder (movable light metal ladder) 2

22 Industrial ladder (wheeled mobile platform) 2

Summary of self-evaluation of safety and quality standardization of machinery manufacturing enterprises Table

Serial number Assessment content Score due Total quantity owned Random inspection

Quantity Number of unqualified persons in random inspection Unqualified rate in random inspection Actual score Remarks

23 Industrial ladders (walking platforms) , platform) 2

24 Industrial furnace 12

25 Motor vehicle in the factory 15

26 Transport (conveying) machinery 12

27 Power transformation and distribution system 40

28 Low-voltage electrical lines (fixed lines) 5

29 Low-voltage electrical lines (temporary lines) 5

30 Power (lighting) Distribution box (cabinet, board) 20

31 Grid grounding system 15

32 Lightning protection grounding device 12

33 Welding machine 8

< p>34 Hand-held power tools 12

35 Mobile electrical equipment 8

36 Electrical test station (station, room) 12

37 Flaw detection equipment (magnetic particle detection) 2.5

Self-assessment table for safety and quality standardization of machinery manufacturing enterprises

Serial number Assessment content Score due Total quantity owned Random inspection

Quantity Number of unqualified persons in spot inspection Unqualified rate in spot inspection Actual Score Remarks

38 Flaw detection equipment (ray flaw detection) 2.5

39 Flaw detection equipment (coloring flaw detection) 2.5

40 Flaw detection equipment (ultrasonic flaw detection) 2.5

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41 Hoisting machinery 32

42 Metal cutting machine tools 26

43 Punching, shearing and pressing machinery 26

44 Woodworking machinery 10

42 p>

45 Grinding machine 8

46 Pneumatic tools 5

47 Elevator 16

48 Injection molding machine 8

49 Assembly line 18

50 Cooking machinery 5

51 Other machinery 7

3. Working environment and occupational health assessment (total should be scored 170 points, actual points scored)

1 Factory environment 25

2 Workshop operating environment 35

Self-assessment summary table for safety and quality standardization of machinery manufacturing enterprises

Serial number Assessment content Deserving points Total quantity owned Random inspection

Quantity Number of unqualified persons in spot inspection Unqualified rate in spot inspection Actual score Remarks

3 Warehouse 10

4 Hazardous chemical use site 15 < /p>

5 Compliance rate of occupational hazard operation points 25

6 Qualification rate of occupational hazard protection equipment and facilities 15

7 Health monitoring of workers working with occupational hazards 20

< p>8 Occupational hazard classification 15

9 Occupational disease management 10

Self-evaluation expert group evaluation status

Group Should score Actual score Signature of evaluator

Basic Management Group 230

Explosion and Thermal Engineering Group 292

Electrical Group 137

Mechanical Group 171

Working Environment and Occupational Health Group 170

Total 1000

Empty points

Subtotal Participation in assessment points Actual points

Total points after conversion = Sum of actual scores × [1000÷(1000-sum of each blank score)]

Conclusion Level Level 2

Expert Group Leader:

Day, month, 2010