AMR Field Tech Audit

• Document No.

• Audit Title

• Conducted on

  Date

• Audit completed by

  Select Bruce Stemler Ryan Decker Gerald Robinson David Schimmel Matt Ireland

  • Bruce Stemler
  • Ryan Decker
  • Gerald Robinson
  • David Schimmel
  • Matt Ireland
• Location
  Address

Parking

• Parked in safe location (facing with traffic, pulled through, or backed in) and comes placed?

  Safe

  At Risk

  N/A

Property assessment and access

• Observers property for layout and hazards before accessing property and walks safest path to meter?

  Safe

  At Risk

  N/A

• Looks at notes in handheld to help identify known hazards?

  Safe

  At Risk

  N/A

• Looks for oncoming traffic before crossing roads or accessing truck?

  Safe

  At Risk

  N/A

• Were dog procedures followed correctly?<br>Ie. Homeowner asked to confine dogs if home, yard surveyed for signs of dog if homeowner not home.

  Safe

  At Risk

  N/A

• Tech is not distracted while walking. <br>(Ie. Not looking at handheld, route sheet, etc.)

  Safe

  At Risk

  N/A

• Tech has tools safely stored in tool pouch or bag (pointed side down)?

  Safe

  At Risk

  N/A

• Utilizing Yak Trax when applicable (snow or icy conditions)

  Safe

  At Risk

  N/A

• Tech has proper Nisource I.D

  Safe

  At Risk

  N/A

• Tech recalls safety content of morning meeting.

  Safe

  At Risk

  N/A

Gas

• Is gas meter being worked on?

  Yes

  N/A

• Proper PPE is worn? (Hard hat, safety glasses)

  Safe

  At Risk

  N/A

• Tech knows gas leak procedure? (Call supervisor, Trucheck office)

  Safe

  At Risk

  N/A

• Recognizes potential hazards at the meter and uses best judgement to avoid them?

  Safe

  At Risk

  N/A

• Tech uses good ergonomics while at the meter?

  Safe

  At Risk

  N/A

Electric

• Is electric meter being worked on?

  Yes

  N/A

• Proper PPE is worn correctly? (FR clothing on exterior and top button, sleeves down, hard hat, safety glasses, face shield, rubber gloves with leather covers)

  Safe

  At Risk

  N/A

• Glove check completed before work day started?

  Safe

  At Risk

  N/A

• Recognizes potential hazard at the meter and uses best judgement to avoid them?

  Safe

  At Risk

  N/A

• Attempts to notify homeowner of temporary loss of power?

  Safe

  At Risk

  N/A

• Inside of meter can inspected for damage or stressed wires?

  Safe

  At Risk

  N/A

• Tech looks and identifies underground or overhead service and visually inspects incoming lines/rain heads?

  Safe

  At Risk

  N/A

• Meter pulled smoothly

  Safe

  At Risk

  N/A

• Back of meter inspected and jaws tested with voltmeter?

  Safe

  At Risk

  N/A

• New meter installed safely (gently pushed into place)?

  Safe

  At Risk

  N/A

• Reinstalled cover or ring?

  Safe

  At Risk

  N/A

• Rubber gloves, leather overs, and face shield utilized form seal to seal?

  Safe

  At Risk

  N/A

• Proper and insulated tools were used if necessary?<br>(Only supervisor working inside meter box)

  Safe

  At Risk

  N/A

• Gloves are packed back into the glove bag, cuff down?

  Safe

  At Risk

  N/A

• Did any incidents occur on this audit?

  No

  Yes

• Did the tech have any questions or concerns as to being able to perform the work safely?

  No

  Yes

• Any additional comments?

  yes

• Follow up needed with this tech?

  No

  Yes