Information

  • Document No.

  • Audit Title

  • Conducted on

  • Audit completed by

  • Location

Parking

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

Property assessment and access

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

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

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

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

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

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

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

  • Tech has proper Nisource I.D

  • Tech recalls safety content of morning meeting.

Gas

Gas

  • Is gas meter being worked on?

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

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

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

  • Tech uses good ergonomics while at the meter?

Electric

Electric

  • Is electric meter being worked on?

  • 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)

  • Glove check completed before work day started?

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

  • Attempts to notify homeowner of temporary loss of power?

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

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

  • Meter pulled smoothly

  • Back of meter inspected and jaws tested with voltmeter?

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

  • Reinstalled cover or ring?

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

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

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

Ending of audit

  • Did any incidents occur on this audit?

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

  • Any additional comments?

  • Follow up needed with this tech?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.