'17 C&I Office Audit

• IES/CI - 2017 Safety Audit

• Location of audit/inspection.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Division Safety Manager:

• Division General Manager:

• Please verify the following activities have been completed at this location.

• Date and Time beginning Audit

  Date

Posters- Federal, State and IES Specific

IES Safety

• Is the IES Emergency Information Posted and Current?

  Yes

  No

  N/A

• Is the IES Emergency Action Plan Posted and Current?

  Yes

  No

  N/A

• Is the IES Management Commitment to Safety Posted and Current?

  Yes

  No

  N/A

• Is the IES Employee Safety Bill of Rights Posted and Current?

  Yes

  No

  N/A

• Is the Project Specific WC Posters - Check Contract Requirements - Posted and Current

  Yes

  No

  N/A

• Is the IES OSHA 301 (February1-April 30 only) Posted and Current?

  Yes

  No

  N/A

• Is the Approved Driver Listed Posted and Current?

  Yes

  No

  N/A

Federal and State Employment Law Posters

• Is the Federal Employment Law Combined Poster- rev 7/16 Posted and Current?

  Yes

  No

  N/A

• Is the "EEO is the Law" Supplement Poster- OFCCP Website Revised Sept 2015 Posted and Current?

  Yes

  No

  N/A

• Is the State Employment Combined Poster- refer to attachment 1 for current revision dates- Posted and Current?

  Yes

  No

  N/A

• Is the State Employment Law Additional Poster(s) - refer to attachment 2 for current revision dates- Posted and Current?

  Yes

  No

  N/A

• Is the State Local Ordinance Employment Law Poster(s)- refer to attachment 3 for current revision dates- Posted and Current?

  Yes

  No

  N/A

• Is the State Employment Law Poster _ IES WC Carrier Ins. Info. (sticker/Memo) Posted and Current?

  Yes

  No

  N/A

• Is the State Employment Law WC Physicians Listing- If applicable Posted and Current?

  Yes

  No

  N/A

• Is the IES-TX Facilities only No Guns 1 of 2 Posted and Current?

  Yes

  No

  N/A

• Is the IES TX Facilities only No Guns 2 of 2 Posted and Current?

  Yes

  No

  N/A

IES Corporate

• Is the IES EEO Policy Memo- eff: 1/2016 by Sarah Kerrigan Posted and Current?

  Yes

  No

  N/A

• Is the IES EEO Officer Memo- eff: 1/2016 by Gail Makode Posted and Current?

  Yes

  No

  N/A

• Is the IES EEO Protected Veterans/Disabled AAP - eff. 1/2016 Posted and Current?

  Yes

  No

  N/A

• Is the IES Pay Transparency Nondiscrimination Poster- eff.1.2016 Posted and Current?

  Yes

  No

  N/A

• Is the IES Employee Assistance Program Poster Posted and Current?

  Yes

  No

  N/A

• Is the IES Ethics Line Poster Posted and Current?

  Yes

  No

  N/A

• Is the IES E-Verify and Right to Work Combined Poster Posted and Current?

  Yes

  No

  N/A

• Is the C&I Violence in Workplace Poster - eff 10/2013 Posted and Current?

  Yes

  No

  N/A

State Prevailing Wage Project

• Is the Prevailing Wage Schedule Posted and Current?

  Yes

  No

  N/A

• Is the Apprenticeship Certification For All Apprentices On-Site - if applicable Posted and Current?

  Yes

  No

  N/A

Davis-Bacon Federal Contracts

• Is the Workers Rights Under Executive Order 13658: Federal minimum Wage for Contractor poster eff. 1/2016 Posted and Current? For Davis - Bacon Federal Contracts

  Yes

  No

  N/A

• Is the Prevailing Wage Schedule Posted and Current? For Davis- Bacon Federal Contracts

  Yes

  No

  N/A

• Is the Apprenticeship Certification for all Apprentices On-Site- if applicable Posted and Current for Davis- Bacon Federal Contract.

  Yes

  No

  N/A

• Is the DB Employee Rights Poster Under the Davis-Bacon Act Poster- eff: 4/09 Posted and Current?

  Yes

  No

  N/A

• Is the Employee Rights Under the NLRA Poster- no effective date listed Posted?

  Yes

  No

  N/A

NEO and Training

• New Employee Orientation Requirements per the IESR Safety Manual Section 2.1

• Did all new employees hired during this quarter completer all categories of the IES New Employee Safety Presentation before initial assignment?

  Yes

  No

  N/A

• Were all the IES Safety videos and curriculum used?

  Yes

  No

  N/A

• Did all new employees successfully complete the required comprehension tests?<br>

  Yes

  No

  N/A

• Were all new field employees assigned a mentor for their first 30 days?<br><br>

  Yes

  No

  N/A

• Did all new employees complete the documented mentor program for their first 30 days?

  Yes

  No

  N/A

• Did all new employees complete their 30 day safety review?

  Yes

  No

  N/A

• Did all new employees complete their 90 day safety review?

  Yes

  No

  N/A

• Did all new employees complete their 180 day safety review?

  Yes

  No

  N/A

Documentation

• Did all Project Managers complete at least 2 safety observations each week during this quarter?

  Yes

  No

  N/A

• Was monthly safety observations data and analysis developed and reviewed with the GM, Project and Field management?

  Yes

  No

  N/A

• Each Project Manager has a Project Scorecard for each project?

  Yes

  No

  N/A

• Division Safety Manager has established a regular review process with PM's to review project safety results?

  Yes

  No

  N/A

• DSM invited to attend all Pre-Construction meetings?

  Yes

  No

  N/A

• Was a Pre-Construction JHA developed for all new projects started this quarter?

  Yes

  No

  N/A

• Did the DSM review and approve the pre-construction JHA?

  Yes

  No

  N/A

• Did every project including the service department complete a toolbox safety meeting on the first work day of each work week?<br>

  Yes

  No

  N/A

• Did each crew conduct a pre-task huddle before beginning work each work day?

  Yes

  No

  N/A

OSHA Violations and Citations

• Were there any OSHA visits/inspections within the last 12 months?

  Yes

  No

  N/A

• Were there any OSHA citations received within the last 12 months?

  Yes

  No

  N/A

• Were there any OSHA citations settled within the last 12 Months?

  Yes

  No

  N/A

STOP WORK

• Is there a process in place to bring focus about expectations of employees to use their Stop Work Authority?

  Yes

  No

  N/A

• Was there at least 1 documented STOP WORK on each construction project each week?

  Yes

  No

  N/A

Data and Reporting

• Is the DSM developing analytical data from the SWA documentation and distributing to all levels of management?<br>

  Yes

  No

  N/A

• Did the DSM complete a monthly jobsite inspection on every project using the Safety Report App (C&I checklist)<br>

  Yes

  No

  N/A

Safety Committee/Leadership

• Did the Safety Committee/Leadership meet each month this quarter?

  Yes

  No

  N/A

• Were written minutes kept?

  Yes

  No

  N/A

• Did the committee review each workplace incident and auto accident?

  Yes

  No

  N/A

Fleet

• Are all employees operating company vehicles or personal vehicles on company business eligible to drive in accordance with the IES Fleet Safety Program?

  Yes

  No

  N/A

• Did the DSM obtain a MVR on all drivers involved in an auto accident?

  Yes

  No

  N/A

• Does the DSM maintain and post an approved drivers list?

  Yes

  No

  N/A

• Is there a driver file for each driver which includes:

• Copy of current Drivers license

  Yes

  No

  N/A

• MVR consent form (renews annually in July)

  Yes

  No

  N/A

• MVR reports obtained from iiX

  Yes

  No

  N/A

• Documentation of fleet training within the last 12 months

  Yes

  No

  N/A

• Did any drivers lose their eligibility to drive this quarter?

  Yes

  No

  N/A

• Are all vehicles maintained to manufactures recommendations? Is all data kept in a vehicle history file?

  Yes

  No

  N/A

Electrical Safety

• Review annual LOTO audit? Page 2 of LOTO policy states- An Audit will be conducted at least annually by the Division Safety Manager and shall cover at least one lockout/Tag out in progress and the procedure details. The audit shall be designed to correct deficiencies in the lockout/tag out procedure or in employee understanding. This audit will be documented an submitted to the IES VP, Safety by the end of each annual year.

  Yes

  No

  N/A

• Review procedures for identifying how rubber good (gloves, blankets, guards, line hose) are inspected, tracked and re-certified.

  Yes

  No

  N/A

• Review the Safety action plan for the division. Is it on track?

  Yes

  No

  N/A

Fall Protection

• Review Fall Protection training to ensure the training includes the requirements of the IES Policy.

  Yes

  No

  N/A

• Page 17 and 18 of the fall protection policy states that competent persons conduct annual inspections of fall protection equipment. Are the inspections taking place?

  Yes

  No

  N/A

Hazard Communication / GHS Requirements per the IESR Safety Manual 15.1

• Verify the GHS-HAZCOM is in place. Review chemical inventory list for at least one jobsite and office/Shop is current.

  Yes

  No

  N/A

• Verify that GHS-HAZCOM training includes training on chemicals workers are exposed to & Identify chemicals on site and review training to see if it includes those chemicals.

  Yes

  No

  N/A

EEW

• Did any employees conduct Energized Electrical Work this quarter?

  Yes

  No

  N/A

• Was it done in compliance with the IES EEW Program?

  Yes

  No

  N/A

• Was a permit submitted and did all 4 managers sign off on it?

  Yes

  No

  N/A

Safety Training

• Were any safety trainings conducted or coordinated this quarter? Please list:

  Yes

  No

  N/A

• Name of DSM or other management involved in Audit and their title.

• Signature of DSM or other management involved in Audit.

  Sign

• Name of BMB Auditor

• Signature of BMBRisk auditor:

  Sign