Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
JOB SITE DOCUMENTATION 2017 V1.0
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Was a Pre-Job Risk Assessment (EHS Survey/Project Safety Tailgate Meeting) conducted? Is the form properly filled and available on site?
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Have all involved Service Engineers (SE) and Contractors (if applicable) participated in the Pre-Job Risk Assessment (EHS Survey/ Tailgate Meeting)?
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Does the SE know what to do in the event of an emergency situation (evacuation routes, muster points, fire extinguisher use, etc.)?
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Does the SE know the onsite emergency phone number?
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Does the SE know who the emergency contact is?
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Does the SE know where the nearest medical facility is?
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Did the SE receive/ inquire about any site specific procedures?
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Can the SE demonstrate access to (M)SDSs?
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Can the SE demonstrate access to the Vertiv safety and environmental manual?
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Is the SE familiar with the Company work / rest notification rule?
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If the Service Division has established a maximum safe lifting limit, did the SE understand and conform to the policy limit?
TRAINING
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Has the SE received technical training related to the unit/equipment he is working on?
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Has the SE received Arc Flash Training? Training Date__________
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Has SE received Back Safety Training? <br>Training Date_________
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Has the SE received Blood Borne Pathogens training? Training Date__________
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Has the SE been offered the Hepatitis B Vaccination (if applicable by local laws?
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Has the SE received Classes of Fire Extinguisher? <br>Training Date________
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Has the SE received Confined Space Training? Training Date__________
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Is the Service Engineer (SE) certified in First Aid, CPR and AED? <br> First Aid Expiration Date________ CPR Expiration Date________<br>
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Has SE received Defensive Driving / Drive Safe/ AlertDriving Training? <br>Training Date___________
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Has the SE received Fall Protection Training? Training Date__________
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Has the SE received Fire Prevention and Hot Work training? Training Date_________
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Has the SE received Electrical Safety training? Training Date_________
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Has SE received Hazard Communication Training?<br>Training Date__________
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Has the SE received LOTO training? Training Date_________
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Has the SE received PPE training? Training Date_________
JOB SITE CONDITIONS
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Any conditions that present hazards at the jobsite (combustible material stored, asbestos, hydrogen sulfide, lead, heat etc.), have been accounted for?<br><br>
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Is there sufficient ventilation on site to carry out the work being performed (e.g. generator testing, load banks, hot work, etc.)?
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Does the SE understand his responsibilities in case of emergencies?
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Is the work site clean of trash, and maintained in an orderly manner?
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Have unsafe conditions been communicated to the Customer and conditions resolved before work begins?
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Is SE familiar with the company’s Stop Work Authority policy or procedure?
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Is the SE familiar with the fire suppression system? (e.g. Halon, FM 200, etc...)
PERSONAL PROTECTIVE EQUIPMENT
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Does the Service Engineer (SE) have company approved safety glasses?
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Does the Service Engineer (SE) have company issued hard hat?
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Is the SE wearing appropriate safety/work shoes?
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Is the SE conforming to customer’s required specific PPE requirements?
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Does the SE have the appropriate PPE for the task being performed (electrolyte work, hot work, refrigerant, brazing/cutting, generator testing, batteries, etc.)?
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Has the SE demonstrated the proper inspection technique for electrical gloves and sleeves?
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Are electrical gloves stored properly (flat/ unfolded and segregated from leather protectors and other PPE)?
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Are voltage insulating gloves marked with the current testing, MFG and or date placed in service?
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Does the SE have two pairs of insulating gloves? (one in use, one in sealed plastic bag)
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Are voltage insulating sleeves marked with the current testing, MFG and or date placed in service?
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Are Electrical Sleeves stored unfolded and separate from other PPE?
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Does the SE have all required Arc Flash ATPV cal/cm2 (Westex label) clothing and are they wearing the appropriate Arc Flash ATPV cal/cm2 for all tasks?
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Is all required Arc Flash ATPV cal/cm2 clothing free of holes, damage and significant wear?
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Does the SE have Arc rated face shield and is it in good condition, free of cracks and significant scratches, and stored in protective bag?<br>
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Does the SE have the appropriate hearing protection for the task?
FALL PROTECTION
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If work in areas requiring fall protection are identified as a job requirement, is the Service Engineer (SE) authorized to wear fall protection? <br>
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If the work being performed requires fall protection, is the equipment available, has it been inspected prior to use, and certified for use as fall protection devices and tie offs?
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Does the SE’s use retractable fall protection systems when working over 4 feet (1.2 m)?
HOT WORK
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If job-required, has the Services Engineer (SE) obtained a Hot Work Permit?
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If hot work is required, did another Person perform the Fire Watch duties?
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Did the Fire Watch attend their post for the required amount of time after hot work was completed?
ELECTRICAL SAFETY / LOTO
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Is the SE qualified to perform electrical work?
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Has the SE removed all jewelry prior to beginning work?
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Are prescription safety glasses non-conductive?
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Does the SE know and understand the significance of the Approach Boundaries?
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If required, has the safe work boundary been delineated using a safety barricade or tape?<br>
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Has the SE coordinated with the customer to perform LOTO?
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Have stored energy sources (capacitors, batteries, springs, charging mechanisms, etc.) been properly discharged, blocked or released?
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Have all energy sources (electrical & mechanical) been locked out and tagged?
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When removing or installing panels on equipment, is correct PPE being used?
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Require a demonstration of LOTO…did SE perform the procedure correctly?
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Is all electrical test equipment calibrated and within current calibration date requirements?
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Require a demonstration of "Live - Dead - Live", and was the demonstration preformed correctly?
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Is the Insulated Blanket/Shielding in good condition, properly stored and in certification (if applicable)
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Are extension cords in good condition and properly rated?
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Does the SE have a Ground Fault Circuit Interrupter (GFCI)?
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Has SE requested a current One Line diagram for the electrical distribution, from the Customer?
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Does SE have a company issued Lockout/Tagout Kit?
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Is the appropriate company approved test equipment being used for the task (e.g. probes, meters, short tip, etc…)?
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Does the SE only have required company issued/approved insulated tools?
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Are all insulated tools in good condition and free of nicks and unmodified?
LADDERS
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Have ladders been visually inspected prior to each use and they in good condition, free of damage, defects and repairs?
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Are all SE ladders fiberglass and ANSI rated 1A (300 lbs/137 Kg) or 1AA (375 lbs/170 Kg)? OR<br>EN Class 131(150 Kg / 330 lbs), or Class 1 (175 Kg/385 lbs) maximum or Country specific standard?
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If in use, have extension ladders been positioned so that the ratio of ladder height to distance from the wall/ building is no greater than 4:1?
DOCUMENTATION
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Does the SE have a valid Driver's license?
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Does the SE have a current vehicle registration?
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Does the SE have a current insurance and accident reporting documents?
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If applicable, are vehicle inspection records up to date?
EXTERIOR VEHICLE CONDITION
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Is vehicle exterior clean and undamaged?
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Is the windshield in good condition (no cracks, stars)?
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Vehicle not leaking fluids (water, oil, antifreeze, fuel, etc.)?
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All exterior lights functional?
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Outside mirrors attached and adjustable?
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Are tires in good condition?
INTERIOR VEHICLE CONDITION
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Is vehicle interior clean, organized and undamaged?
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Are dashboard gauges functioning and warning lights out?
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Does vehicle’s horn sound?
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Are all interior lights functioning?
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Is the vehicle safety shield/cage installed and all required materials stored behind?
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If compressed gas cylinders are present, are they properly secured?
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Are seat belts and rear view mirror in good condition?
VEHICLE SAFETY EQUIPMENT
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If required, is vehicle equipped with an appropriate Fire Extinguisher?
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If yes to A, is the inspection record complete and current?
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If permitted (or required) by local law, does the SE have a hands free device?
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Are flashlights used in the workplace conforming with electrical safety best practices (arc rated, non conductive, intrinsically) and provided by the company?
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Does the Service Engineer (SE) have a current First Aid Kit?
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If required, is the vehicle equipped with Reflective Safety Triangles or other equipment as required by local law?
CORRECTIVE ACTIONS
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5.
AUDIT SUMMARY
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COMPLIANT- All requirements are being met.
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MINOR NON COMPLIANCE- Some requirements are not being met – work is still performed safely.
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MAJOR NON COMPLIANCE - Significant issues not addressed or repeated non-compliance, work must not proceed until resolved.
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Is follow up necessary? If YES by whom? <br>
SIGNATURES
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Auditor Signature
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SE Signature
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Service Manager
FY15 Top Five