Information
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Client / Site
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Conducted on
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Auditor
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Location
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Field Engineer Audited
Environmental Awareness/Pre-Job Planning
Pre-Job Planning and Environmental Awareness
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Did FSE perform a Job Safety Analysis or Job Hazard Analysis before starting job?
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Did PICW conduct a toolbox safety discussion prior to start of, and/or, change in any maintenance activities?<br>(When multiple people are working.)
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Did FSE restrict access to the worksite by using cones / barriers / caution tape?
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Does FSE know location of muster point in the event of evacuation?
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Does FSE know location of muster point in the event of inclement weather?
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Are first aid supplies available and nearest AED location known?
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Is access and egress unobstructed?
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Is there adequate ventilation?
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Is the noise level acceptable or has PPE been put in use?
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Is the lighting adequate in all areas to complete the job or has alternate lighting been provided?
PPE
Personal Protective Equipment
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Did FSE remove all jewelry and other exposed metal prior to starting electrical work?
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Did FSE bring and wear safety glasses?
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Did FSE wear cotton uniform?
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Did FSE wear 8 calorie/cm2 (or higher) arc flash clothing at all times while onsite?
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Was 40 calorie/cm2 (or higher) arc flash clothing and hood available?
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Did FSE inspect arc flash gear prior to use?
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Did FSE bring and use balaclava and 8 calories/cm2 or higher face shield? (If needed.)
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Did FSE bring and inspect leather gloves?
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Did FSE bring electrically rated rubber gloves? Were electrically rated rubber gloves tested in the last 6 months?
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Were rubber gloves air tested prior to use?
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Did FSE wear full leather EH rated work boots?
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Did FSE use hearing protection when required?
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Was any additional PPE required to complete this job? (Chemical face shield, chemically rated gloves, head protection, respiratory protection, fall protection, snake chaps, etc.)
Tools & Equipment
Tools & Equipment
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Does FSE have insulated tools available?
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Are insulated tools segregated from other tools?
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Are insulated tools in good working condition?
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Were tools inspected prior to use?
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Is test / measurement equipment in good working order and calibration valid?
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Were test equipment and accessories inspected and tested prior to use?
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Is GFCI in good working condition?
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Are power tools in good condition, including cords? (including being double insulated or grounded)
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Are ground fault equipment used and tested to be in good working condition? (GFCI, RCD, ELCB)
Ergonomics
Ergonomics
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Did FSE use knee pads / mats if in a kneeling position for more than 5 minutes?
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Was it necessary for FSE to use forceful exertion? Shoulder, elbow, wrist.
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Was work above shoulder height necessary for an extended period?
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Was FSE working in an awkward position for an extended period of time without taking microbreaks?
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Did FSE lift and place following proper back safety procedures?
Policies & Procedures
Policies & Procedures. (Were the following company policies followed if used?)
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Proper Ladder Safety?
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Work Hours? Has FSE exceed 12 hours more than once in the last 10 days?
Electrical and Lockout/Tagout
Electrical and Lockout Tagout
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Is the system or facility single line diagram available?
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Have all energy sources been identified and controlled via lock or tag?
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Are equipment specific lockout procedures available and IN USE?
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Are lockout devices available along with any required accessories?
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Do all members of team working on locked equipment have locks applied to equipment or in a group lock box?
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Is locked equipment verified to be in an electrically safe working condition via appropriate testing means? (Live, Dead, Live, ABB Seven Steps)
Vehicle
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Is vehicle kept in a clean/good condition? Is all maintenance up to date and records available? No smoking inside? Windshield is not cracked?
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Is driver's license valid?
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Is vehicle registration current?
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Is an emergency roadside kit available?
Overall Assessment
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What is the one thing we can do as an organization to make your job better?
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Comments from FE or Auditor?
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Signature of FSE
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Signature of auditor
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Date of Signatures
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Pictures to be added