Information

  • Client / Site

  • Conducted on

  • Auditor

  • Location
  • Field Engineer Audited

Environmental Awareness/Pre-Job Planning

Pre-Job Planning and Environmental Awareness

  • Did FSE perform a Job Safety Analysis or Job Hazard Analysis before starting job?

  • Did PICW conduct a toolbox safety discussion prior to start of, and/or, change in any maintenance activities?<br>(When multiple people are working.)

  • Did FSE restrict access to the worksite by using cones / barriers / caution tape?

  • Does FSE know location of muster point in the event of evacuation?

  • Does FSE know location of muster point in the event of inclement weather?

  • Are first aid supplies available and nearest AED location known?

  • Is access and egress unobstructed?

  • Is there adequate ventilation?

  • Is the noise level acceptable or has PPE been put in use?

  • Is the lighting adequate in all areas to complete the job or has alternate lighting been provided?

PPE

Personal Protective Equipment

  • Did FSE remove all jewelry and other exposed metal prior to starting electrical work?

  • Did FSE bring and wear safety glasses?

  • Did FSE wear cotton uniform?

  • Did FSE wear 8 calorie/cm2 (or higher) arc flash clothing at all times while onsite?

  • Was 40 calorie/cm2 (or higher) arc flash clothing and hood available?

  • Did FSE inspect arc flash gear prior to use?

  • Did FSE bring and use balaclava and 8 calories/cm2 or higher face shield? (If needed.)

  • Did FSE bring and inspect leather gloves?

  • Did FSE bring electrically rated rubber gloves? Were electrically rated rubber gloves tested in the last 6 months?

  • Were rubber gloves air tested prior to use?

  • Did FSE wear full leather EH rated work boots?

  • Did FSE use hearing protection when required?

  • 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

  • Does FSE have insulated tools available?

  • Are insulated tools segregated from other tools?

  • Are insulated tools in good working condition?

  • Were tools inspected prior to use?

  • Is test / measurement equipment in good working order and calibration valid?

  • Were test equipment and accessories inspected and tested prior to use?

  • Is GFCI in good working condition?

  • Are power tools in good condition, including cords? (including being double insulated or grounded)

  • Are ground fault equipment used and tested to be in good working condition? (GFCI, RCD, ELCB)

Ergonomics

Ergonomics

  • Did FSE use knee pads / mats if in a kneeling position for more than 5 minutes?

  • Was it necessary for FSE to use forceful exertion? Shoulder, elbow, wrist.

  • Was work above shoulder height necessary for an extended period?

  • Was FSE working in an awkward position for an extended period of time without taking microbreaks?

  • Did FSE lift and place following proper back safety procedures?

Policies & Procedures

Policies & Procedures. (Were the following company policies followed if used?)

  • Proper Ladder Safety?

  • Work Hours? Has FSE exceed 12 hours more than once in the last 10 days?

Electrical and Lockout/Tagout

Electrical and Lockout Tagout

  • Is the system or facility single line diagram available?

  • Have all energy sources been identified and controlled via lock or tag?

  • Are equipment specific lockout procedures available and IN USE?

  • Are lockout devices available along with any required accessories?

  • Do all members of team working on locked equipment have locks applied to equipment or in a group lock box?

  • Is locked equipment verified to be in an electrically safe working condition via appropriate testing means? (Live, Dead, Live, ABB Seven Steps)

Vehicle

  • Is vehicle kept in a clean/good condition? Is all maintenance up to date and records available? No smoking inside? Windshield is not cracked?

  • Is driver's license valid?

  • Is vehicle registration current?

  • Is an emergency roadside kit available?

Overall Assessment

  • What is the one thing we can do as an organization to make your job better?

  • Comments from FE or Auditor?

  • Signature of FSE

  • Signature of auditor

  • Date of Signatures

  • Pictures to be added

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