ABB MOSE Field Safety Audit - 2021

• Client / Site

• Conducted on

  Date

• Auditor

• Location
  Address

• Field Engineer Audited

• ABB Product

Pre-Job Planning and Worksite Awareness

• Did the customer provide Site Specific Safety Training?

  Yes

  No

  N/A

• Did FSE perform a Job Safety Analysis with Worksite Examination before starting job?

  Yes

  No

  N/A

• Are site specific hazards documented on the JSA?

  Yes

  No

  N/A

• Please rate the Quality of the JSA (is it complete, detailed, and has signatures of the working team)

  High Quality

  Meets expectation

  Low Quality

• Please attach a photo of the JSA

  Media

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Is access and egress unobstructed?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Is the lighting adequate in all areas to complete the job?

  Safe

  At Risk

  N/A

Personal Protective Equipment

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

  Safe

  At Risk

  N/A

• Did FSE bring and wear safety glasses?

  Safe

  At Risk

  N/A

• Did FSE wear ABB Branded Arc Rated uniform?

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Did FSE inspect arc flash gear prior to use?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Did FSE bring and inspect leather gloves?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Were rubber gloves air tested prior to use?

  Safe

  At Risk

  N/A

• Did FSE wear full leather EH rated work boots?

  Safe

  At Risk

  N/A

• Did FSE use hearing protection when required?

  Safe

  At Risk

  N/A

• Was any additional PPE required to complete this job? (Chemical face shield, chemically rated gloves, head protection, respiratory protection, fall protection, snake chaps, etc.)

  Safe

  At Risk

  N/A

Tools & Equipment

• What is the physical condition of the tool bags & boxes?

  Good

  Fair

  Poor

  N/A

• Has the FSE requested repair or replacement of damanged tool bags or boxes?

  Yes

  No

  N/A

• Please include a picture of the damaged tool bags or boxes

  Media

• Does the FSE have a Fluke T+ Voltage Detector and Proving Unit for Live/Dead/Live (zero voltage verification)

  Safe

  At Risk

  N/A

• Does FSE have insulated tools available?

  Yes

  No

  N/A

• Are insulated tools segregated from other tools?

  Yes

  No

  N/A

• Are insulated tools in good working condition?

  Safe

  At Risk

  N/A

• Were hand and power tools used by the FSE?

  Yes

  No

  N/A

• Were tools inspected prior to use?

  Yes

  No

  N/A

• Ask FSE = What steps do you take to ensure no tools are left in the equipment?

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Ergonomics

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Did FSE lift and place using proper back safety procedures and body posture?

  Safe

  At Risk

  N/A

• Is someone available to assist the FSE with heavy lifting of products or parts? (Two Person Lifts >50lbs)

  Yes

  No

  N/A

• Does the FSE have a place to work on the computer (desk or table with chair)?

  Yes

  No

  N/A

• What is the FSE using as a workstation if a desk/table with chair is not available?

• Please attach a photo

  Media

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

• Proper Ladder Safety?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Electrical and Lockout Tagout

• Is the system or facility single line diagram available?

  Yes

  No

  N/A

• Did the FSE review the diagram during LOTO implementation?

  Yes

  No

  N/A

• Are equipment specific lockout procedures available and IN USE?

  Yes

  No

  N/A

• Are lockout devices available along with any required accessories?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Did the ABB FSE issue an Electrical Permit To Work (ABB PTW)?

  Yes

  No

  N/A

• Was the permit signed by the customer contact?

  Yes

  No

  N/A

• Please rate the Quality of the Permit (is it complete, detailed, and has signatures of the working team)

  High Quality

  Meets expectation

  Low Quality

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Did the ABB FSE personally verify zero voltage (Live/Dead/Live test)?

  Yes

  No

  N/A

• Did the FSE use the FLUKE PRV240 Proving Unit, and FLUKE T+Pro voltage detector for "live dead live"/"Zero Voltage Verification"?

  Yes

  No

  N/A

• Is driver's license valid?

  Compliant

  Non-Compliant

  N/A

• Is vehicle registration current?

  Compliant

  Non-Compliant

  N/A

• Is an emergency roadside kit available?

  Yes

  No

  N/A

• What type of vehicle is the FSE driving?

  Company Owned/Lease Vehicle

  Rental Car

  Personal Vehicle

• Is vehicle kept in a clean/good condition?

  Safe

  At Risk

  N/A

• Is all maintenance up to date?

  Yes

  No

  N/A

• Are tool bags/boxes, equipment, parts, and materials stored in a safe manner (secured in cargo area or bed of truck)?

  Safe

  At Risk

  N/A

• Safe

  At Risk

  N/A

• Comments from FE or Auditor?

• Signature of FSE

  Sign

• Signature of auditor

  Sign

• Date of Signatures

  Date

• Pictures to be added

  Media