AEP Sullivan 345 kV Station Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Weather conditions

• Prepared by

• Location
  Address

• Personnel

Job Site Information

• OSHA 300 Forms Complete and Posted Onsite?

  Safe

  At Risk

  N/A

• Emergency Phone Number Posted?

  Safe

  At Risk

  N/A

• Map to Closest Occupational Clinic (Including Hours of Operation and Telephone Number) Posted Onsite?

  Safe

  At Risk

  N/A

• Map to Closest Hospital Posted Onsite?

  Safe

  At Risk

  N/A

• EPC Services Company's Health, Safety, and Environmental Program Onsite?

  Safe

  At Risk

  N/A

• Subcontractor's Health, Safety, and Environmental Program Onsite?

  Safe

  At Risk

  N/A

• Site Specific Safety Plan?

  Safe

  At Risk

  N/A

Medical/Emergency

• Emergency Action Plan documented?

  Yes

  No

  N/A

• Plan reviewed with employees?

  Yes

  No

  N/A

• Location and direction to nearest medical facility?

  Yes

  No

  N/A

• Procedure To follow in case of emergency?

  Yes

  No

  N/A

• Employees driven route to nearest medical facility?

  Yes

  No

  N/A

• First Aid Kits On the Job Site?

  Safe

  At Risk

  N/A

• First Aid Kit Adequate for the Number of Workers on the Site?

  Safe

  At Risk

  N/A

• First Aid Kit Restocked As Necessary?

  Safe

  At Risk

  N/A

• Eye wash?

  Yes

  No

  N/A

• Work Areas Properly Signed and Barricaded?

  Safe

  At Risk

  N/A

• Red = Danger

  Safe

  At Risk

  N/A

• Yellow = Caution

  Safe

  At Risk

  N/A

Site Access / Safety and Health Training Information

• Onsite Workers Completed 2014 AEP Transmission Contractor Safety Orientation?

  Safe

  At Risk

  N/A

• Onsite Workers Displaying 2014 AEP Transmission Contractor Safety Orientation Sticker on Hard Hat?

  Safe

  At Risk

  N/A

• Onsite Workers Completed the EPCS Sullivan 345 kV Station Project Specific Safety Plan?

  Safe

  At Risk

  N/A

• Onsite Workers Displaying EPCS AEP Sullivan 345 kV Station Project Specific Safety Orientation Stick on Hard Hat?

  Safe

  At Risk

  N/A

• Visitors to the Job Site Report to the Main Office and Sign Visitor's Log?

  Safe

  At Risk

  N/A

• Visitors to the Job Site Escorted by a Supervisor and Task Hazard Analysis (THA) Briefing of Hazards Before Entering Job Site?

  Safe

  At Risk

  N/A

Task Hazard Analysis (THA) and Daily Safety Meeting

• Task Hazard Analysis Complete?

  Safe

  At Risk

  N/A

• EPCS Management Team, Subcontractors' Supervisors, Employees, Visitors, and Vendors Been Briefed on the THA and Sign THA After Tailgate Morning Briefing, Significant Break Briefing, Change in Scope of Work Briefing Stating Their Understanding?

  Safe

  At Risk

  N/A

• Does the subcontractor have adequate control measures to eliminate or control potential risks/hazards?

  Safe

  At Risk

  N/A

• Tailboard Meeting Conducted Before Work Started, After Significant Breaks (i.e. Lunch, etc.), and as the Scope of Work Changes?

  Safe

  At Risk

  N/A

• Change in Scope of Work Occurred, Was a New THA Completed and a Tailboard Meeting Conducted?

  Safe

  At Risk

  N/A

• Did the subcontractor list the consequences and how it could happen?

  Safe

  At Risk

  N/A

• Hazards for the Job Site Covered?

  Safe

  At Risk

  N/A

• Did the subcontractor break the job tasks into steps?

  Safe

  At Risk

  N/A

• Is the subcontractor specific? (i.e. Subcontractor should not use generalizations like "Be careful, be safe.)

  Safe

  At Risk

  N/A

Hazard Communication

• Hazardous Material Management Program Onsite?

  Safe

  At Risk

  N/A

• MSDS / SDS Onsite for All Hazardous Products?

  Safe

  At Risk

  N/A

• Universal Spill Kits Onsite and In Each Vehicle In Case of a Spill?

  Safe

  At Risk

  N/A

• Is Emergency Response Information Onsite and in a Common Area for All Job Site Workers?

  Safe

  At Risk

  N/A

Housekeeping

• Work Area Neat?

  Safe

  At Risk

  N/A

• Adequate toilet and washing facilities?

  Yes

  No

  N/A

• Potable water?

  Yes

  No

  N/A

• Projecting Nails or Screws Bent Over or Removed?

  Safe

  At Risk

  N/A

• Waste Containers Provided and Used?

  Safe

  At Risk

  N/A

• Passageways and Walkways Clear?

  Safe

  At Risk

  N/A

• If Not, Are Passageways and Walkways Properly Barricaded?

  Safe

  At Risk

  N/A

• Walking surfaces clear of slip/trip hazards?

  Safe

  At Risk

  N/A

Fire Prevention

• Adequate Fire Extinguishers?

  Safe

  At Risk

  N/A

• Fire Extinguishers in Good Repair and Gauge "Green"?

  Safe

  At Risk

  N/A

• Fire Extinguishers Checked Monthly and Annually?

  Safe

  At Risk

  N/A

• Flammable Materials in Approved Containers and Properly Labeled?

  Safe

  At Risk

  N/A

• Smoking Only In Designated Approved Areas?

  Safe

  At Risk

  N/A

Electrical

• Extension Wires / Bare Wires or Missing Ground Prongs Taken Out of Service?

  Safe

  At Risk

  N/A

• Ground Fault Circuit Interrupters (GFCI) Being Used?

  Safe

  At Risk

  N/A

Hand, Power, and Powder Actuated Tools

• Hand Tools Inspected Before Use?

  Safe

  At Risk

  N/A

• Guards in Place on Machines / Tools?

  Safe

  At Risk

  N/A

• Correct Tool Being Used for Job At Hand?

  Safe

  At Risk

  N/A

• Gloves and Proper PPE Worn?

  Safe

  At Risk

  N/A

• Safety clips or retainers used on compressed air tools and hoses? 1926.302

  Safe

  At Risk

  N/A

Fall Protection

• Safety Harness and Lanyard, etc. Inspected Before Use?

  Safe

  At Risk

  N/A

• Safety Harness Worn Properly?

  Safe

  At Risk

  N/A

• Employees Exposed to Fall Hazards Tied Off?

  Safe

  At Risk

  N/A

• Employees Below Protected from falling Objects?

  Safe

  At Risk

  N/A

Ladders

• Non-Conductive Ladder Used When Used In An Energized Environment?

  Safe

  At Risk

  N/A

• Ladders Extended at Least 36" Above Landing?

  Safe

  At Risk

  N/A

• Ladders Secure to Prevent Slipping, Sliding, or Falling?

  Safe

  At Risk

  N/A

• Damaged Ladders Taken Out of Service?

  Safe

  At Risk

  N/A

• Stepladder Used in Fully Open Position?

  Safe

  At Risk

  N/A

• No Stepping at Top Two Rungs of Stepladder?

  Safe

  At Risk

  N/A

Equipment Operation

• Operators of Equipment Properly License, Qualified, Competent, and Authorized?

  Safe

  At Risk

  N/A

• All Equipment Inspected Daily Before Use?

  Safe

  At Risk

  N/A

• Is annual inspection current? (Boom/DOT)

  Safe

  At Risk

  N/A

• Have Pre-Use Inspections Been Completed for All Equipment In Use at the Site?

  Safe

  At Risk

  N/A

• Users Manual / Manufacturers Manual and Inspection Sheet in the Equipment?

  Safe

  At Risk

  N/A

• Fire Extinguisher in Each Piece of Equipment and in Proper Working Order?

  Safe

  At Risk

  N/A

• Equipment Leaking Any Fluids, etc.?

  Safe

  At Risk

  N/A

• Seat belts worn?

  Safe

  At Risk

  N/A

• Back alarm working?

  Safe

  At Risk

  N/A

• Haul roads maintained?

  Safe

  At Risk

  N/A

• Dump beds lowered before traveling?

  Safe

  At Risk

  N/A

• Drivers staying in trucks while being loaded/unloaded?

  Yes

  No

  N/A

• Spotters used when backing equipment or when operator/driver has limited visibility?<br>

  Safe

  At Risk

  N/A

• Safety locks?

  Yes

  No

  N/A

• Blades, forks, buckets, dump beds,etc. lowered or blocked when being repaired or not in use? 1926.600

  Safe

  At Risk

  N/A

Trenching, Excavating, and Shoring

• Operations Performed at the Proper Distance from Overhead Power Lines? (Refer to EPC Services Company Project Site Specific Safety Plan for Minimum Clearance Distances Located on Page 30).

  Safe

  At Risk

  N/A

• Open excavation barricaded when unattended?

  Safe

  At Risk

  N/A

• Trench or excavation inspected daily or after weather event?

  Safe

  At Risk

  N/A

• Competent Person Identified and Present?

  Safe

  At Risk

  N/A

• Excavations Shored or Sloped Back?

  Safe

  At Risk

  N/A

• Materials Stored at Least 2 Feet Away from Trench?

  Safe

  At Risk

  N/A

• Ladders provided every 25 Feet in Trench if Personnel In Trench?

  Safe

  At Risk

  N/A

• Equipment at a Safe Distance from Edge of Trench or Excavation?

  Safe

  At Risk

  N/A

Aerial lifts, Bucket and boom-attached platforms

• Gate or chain secured?

  Safe

  At Risk

  N/A

• Ground where needed?

  Safe

  At Risk

  N/A

• Personal Fall Protection worn? 1926.1431

  Safe

  At Risk

  N/A

• Pre-use inspection?

  Safe

  At Risk

  N/A

• Trial lift? 1926.1431(h)(2)

  Safe

  At Risk

  N/A

• Proof testing at 125% of work platform when work platform is installed? 1926.1431(j)

  Yes

  No

  N/A

• Winds aloft within safe working speeds?

  Safe

  At Risk

  N/A

Material Handling

• Materials Properly Stored or Stacked?

  Safe

  At Risk

  N/A

• Employees Using Proper Lifting Techniques?

  Safe

  At Risk

  N/A

• Materials stacked under Overhead Power Lines?

  Safe

  At Risk

  N/A

• Tag Lines Used to Guide Loads?

  Safe

  At Risk

  N/A

• "Unloading Trucks" form attached to THA when unloading trucks?

  Safe

  At Risk

  N/A

• Proper Number of Workers for Each Operation?

  Safe

  At Risk

  N/A

• Gloves and Proper PPE Worn?

  Safe

  At Risk

  N/A

• Operator's view unhindered?

  Safe

  At Risk

  N/A

• Weight and center of gravity on material to be lifted or computed?

  Safe

  At Risk

  N/A

• Cable ends secured to reels before unreeling?

  Safe

  At Risk

  N/A

Welding and Burning

• Gas Cylinders Stored Upright?

  Safe

  At Risk

  N/A

• Gas Cylinders Properly Used and Stored?

  Safe

  At Risk

  N/A

• Goggles and Shields Used?

  Safe

  At Risk

  N/A

• Fire Extinguisher Readily Available?

  Safe

  At Risk

  N/A

• Hoses in Good Condition?

  Safe

  At Risk

  N/A

• Fire Watch when applicable?

  Safe

  At Risk

  N/A

Cranes-29CFR1910.180

• Outrigger Extended and Swing Radius Barricaded?

  Safe

  At Risk

  N/A

• Employees Kept from Under Suspended Loads?

  Safe

  At Risk

  N/A

• Operator Licensed for Crane Used?

  Safe

  At Risk

  N/A

• Chains and Slings Inspected and Tagged as Required?

  Safe

  At Risk

  N/A

• Hand Signal Charts on Crane?

  Safe

  At Risk

  N/A

• Rigging inspected/rated?

  Safe

  At Risk

  N/A

• Damaged slings taken out of service?

  Yes

  No

  N/A

• Chains and slings have SWL tags or labels?

  Yes

  No

  N/A

• Hooks have safety latches?

  Yes

  No

  N/A

• Rigger Qualified?

  Safe

  At Risk

  N/A

• Load left unattended except when operator is next to crane and not engaged in other duties and the load is to be suspended for a period of time,and he competent person determines it is safe to do so, and fall zone is adequately barricaded. DOES nOT apply to lifting gear and the gear is no suspended over entrance or exit. 1926.1417

  Safe

  At Risk

  N/A

• Users Manual / Manufacturers Manual and Inspection Sheet in the Equipment?

  Safe

  At Risk

  N/A

• Fire Extinguisher on board and inspected?

  Safe

  At Risk

  N/A

• Crane Operator Log Up To Date?

  Safe

  At Risk

  N/A

• Windows cracked or damaged?

  Safe

  At Risk

  N/A

• Crane working near, or under, OHP?

  Safe

  At Risk

  N/A

• Outrigger pads free of defects, strong enough to prevent crushing, sufficient width and length to prevent shifting or toppling under load?

  Safe

  At Risk

  N/A

• Weight and center of gravity determined before lifting?

  Safe

  At Risk

  N/A

• Winds aloft within safe working speeds?

  Yes

  No

  N/A

• Critical lift plan reviewed before lifting weight exceeding 75 % of rated lifting capacity of crane or derrick, or requires the use of more than one crane or derrick?

  Safe

  At Risk

  N/A

Concrete Construction

• Employees Protected from Cement Dust?

  Safe

  At Risk

  N/A

• Exposed Skin Covered to Protect from Burns?

  Safe

  At Risk

  N/A

• Rebar/Pipe and Other Impalement Hazards Capped / Protected?

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

• Hard Hats Worn?

  Safe

  At Risk

  N/A

• Safety Glasses with Side Shields Worn?

  Safe

  At Risk

  N/A

• Hearing Protection Worn When Required?

  Safe

  At Risk

  N/A

• High Visibility Safety Vest Worn?

  Safe

  At Risk

  N/A

• Safety-Toed Work Boots Worn?

  Safe

  At Risk

  N/A

• Saw chaps/trousers worn when using chainsaw?

  Safe

  At Risk

  N/A

• Face shield with hearing protection worn while operating chainsaw?

  Safe

  At Risk

  N/A

Electrical. 1926.950

• Conductors properly grounded?

  Safe

  At Risk

  N/A

• Lines and equipment de-energized before work? 1926.954

  Safe

  At Risk

  N/A

• Minimum work distance and clear hot stick distances ? 345 kV 7 feet, 0 inches

  Safe

  At Risk

  N/A

• De-energizing procedures followed?

  Safe

  At Risk

  N/A

• Protective equipment inspected before use?

  Safe

  At Risk

  N/A

• Lift trucks grounded, barricaded, or insulated for work being performed? 1926.952

  Safe

  At Risk

  N/A

• Towers grounded?

  Safe

  At Risk

  N/A

• Action plan reviewed before installing or removing wire or cable? 1926.955

  Safe

  At Risk

  N/A

• Mobile cranes and derricks grounded when work near energized lines?

  Safe

  At Risk

  N/A

Other Information

• Safe

  At Risk

  N/A