Information

  • Project Name

  • Client

  • Conducted on

  • Workgroup

  • Number of Employees

  • Job Titles

  • Prepared by

  • Location
  • Personnel (first and last name)

  • Audit Guidance: -All unsafe acts shall be stopped immediately. -Field Observations shall include photos for both safe and unsafe operations. Photos should be annotated with what the observer is focused on at the time of the audit. -Any item marked as a deficiency shall have a photo (if possible) and a detailed description. -All comments should identify those crew members performing the task correctly and/or incorrectly. -Equipment being inspected shall be listed and/or have a photo with the unit number displayed. -All audits shall be reviewed with the PIC prior to departure from the site. Corrective actions shall be assigned with due dates and noted on the audit. -Any audits being forwarded to the client shall be reviewed by more than one safety team member prior to being sent.

  • All audit findings shall have an assigned weight (1-4) assigned per the below matrix. Document the weighted number rating in the comment section associated with the applicable question.

    no label

Communication

  • When was the last time you were coached from a member of management on safety?

  • Prior to making a decision, do you think Likelihood or Consequences?

  • Human Performance tools observed and bieng utilized correctly?

  • Cell phone use by Supervision only?

  • Proper use of hand signals and flagging techniques? Spotters used appropriately?

Procedures and Documents

  • Entergy fatal five rules being complied with?

  • Switching orders properly documented?

  • Clearance orders properly documented?

  • Has the pre-switching checklist been completed?

  • Tailboard/Job Hazard analysis completed?

  • Project permits in place and distributed?

  • Weekly/Daily inspection sheets complete?

  • Are SDS available for all hazardous chemicals on site ?

Displays and Labels

  • Is the work site properly marked and/or barricaded? (open troughs, trenches, stationary objects, around cranes, spoil piles marked 10' from leading edge).

  • Have Danger Hold Tags been completed and installed as required?

  • Is appropriate signage in place on entry?

  • Early warning signs placed for overhead/underground hazards?

  • One call complete and adequate?

Environmental

  • Controls in place prior to moving soil?

  • Secondary containment in place? Units parked away from waterways?

  • Spill kits available and stocked? Spill response understood and practiced? Spills reported?

Schedule

  • Crew schedules identified and fatigue management addressed?

  • Schedules communicated for multiple operations?

Work Practices

  • Taglines when moving suspended loads?

  • Drop Zones properly barricaded when aerial work is being performed?

  • TOC/DOC notified upon entering and exiting substation?

  • Are appropriate excavation and trenching techniques being used (shoring required if over 5 feet deep or in unstable soil)?

  • Confined Space hazards identified and controlled per OSHA 1910.146?

  • Are proper lifting/carrying techniques utilized?

  • Are proper pushing/pulling techniques utilized?

  • Are employees using 3 points of contact when ascending, descending, and climbing?

  • Are cell phones being use appropriately?

  • Is employee mindful of line of fire and pinch points?

  • Proper rigging, lifting, hand signals, and good communication being utilized?

  • Is 3-part communication properly used in all switching orders?

  • Is proper cover up utilized as required?

  • Have switching orders been executed in sequence exactly as written, with circle/slash method being used?

  • Are MOS/gang operated switches/hookstick switches operated to fully open or closed position and properly disengaged and/or locked?

  • Have clearance orders been executed as written, the circuits tested de-energized, and grounds installed as required per task?

  • Are breaker or control systems opened/closed/disabled/enabled/checked for correct operation and tagged as required?

  • Is the housekeeping good? inside and outside the control room.

Work Planning

  • Job Plan (does everyone know duties)?Have the job hazards been identified, prioritized, and documented?Work area clearly defined on JSA?Has an effective control/mitigation plan for identified hazards been developed?

  • Ingress, Egress routes and parking areas communicated?

  • Severe weather contingency plan discussed and documented?

  • Has the emergency plan been documented and understood? (evacuation plan in place)

  • Were required Human Performance tools discussed/identified/used?

  • Is fall protection equipment in good condition and rescue plan in place?

  • If more than one crew present (contract or Entergy), lead(s) are identified and communication is occuring?

  • Phasing verified with Entergy contact?

  • Animals, insects and plants mitigated?

Supervision

  • Emphasis of schedule exceeding safe work?

  • Supervision interfacing with workers?

  • Supervision verifying the job hazard analysis/job plan is being followed?

  • Crew lead demonstrated leadership ability?

Training/Qualification

  • Clearance holder is qualified to hold clearance and is in the TOC/DOC database?

  • Powersafe complete and up to date

  • Crew Members qualified for task being performed?

Change Management

  • Crews updated and signed on to any changes in the De-energized work plan?

  • JSA updated periodically and whenever work task changes? Scope changes time stamped?

External Influence

  • Weather conditions discussed and documented?

  • Heat/cold mitigation plan in use and documented?

  • Public encrouchment on job site discussed and documented on JSA?

System/Equipment Operation

  • If work is being performed inside the substation or switchyard, is the gate locked or barricaded?

  • Are seat belts being used on applicable equipment while in operation?

  • Appropriate PPE and equipment for welding operations (FR clothing etc.)?

  • All PPE in good order and utilized? hard hat, eye protection, hearing protection, vest, footwear, gloves, face shield, chaps etc.

  • Cut resistant gloves utilized when stripping, cutting conduit or anytime sharp objects are present?

  • Are rubber goods and plastic cover supplies in date?

  • Arc flash protection being utilized (correct class)?

  • Are dielectric overshoes or EH boots being used?

  • If applicable, 100% fall protection being utilized?

Personnel and Materials Management

  • Sufficient personnel assigned to task?

  • Adequate materials provided to complete task?

Equipment Selection and use

  • Is all equipment set up for safe use (outriggers set up properly as applicable)?

  • Are fire extinguishers on site, within date, and in good working order?

  • Skinning and Stripping tools utilized and in good condition?

  • Is appropriate rescue equipment readily available when hazardous atmospheric conditions exist in the confined space?

  • Minimum of 4/0 grounds utilized. Larger or parallel required when available fault current is higher than 43ka?

  • Hot Sticks/shotguns inspected and in good condition?

  • GFI equipment and extension cords in good working order?

  • Are ladders (fiberglass only) in good condition and tied off as needed?

  • Necessary EPZ devices and equipment on site?

  • Ladders inspected prior to use and load rating tags applied?

  • Are guards in place on grinders, portable saws, etc?

  • Are the proper tools for the job being utilized, and are tools in good condition with no modifications?

  • Eye wash station or solution in good working order and readily available?

Management

  • Short service employee's identified?

  • Crews managing work task through approved de-energized work plan (DWP)?

  • Timely response to known problems?

  • Policies, practices, procedures properly defined?

  • incidents/near misses reported in a timely manner?

Machine Maintenance/Testing

  • Unit photos

  • Has the crew performed and documented an inspection of the equipment prior to work to assure equipment is in safe operating condition?

  • Are safety/medical/first aid equipment/ goods on site and within date?

  • Hot sticks/shotgun in date and good condition?

  • Di-electric testing on booms completed?

  • Proper testing and grounding methods being utilized?

  • Slings and rigging properly inspected and adequate?

  • Back up alarms working properly

  • Is equipment damage/malfunctions recorded?

Design Configuration

  • If work being performed inside the substation or switchyard, is the gate locked or barricaded?

  • Equipment properly barricaded when work is performed near live voltage or when grounded?

  • Correct sized grounds?

  • Are appropriate DOT signs and cones in place?

Summary and signatures

  • Positive observations. List crew members and specific items they are doing correctly:

  • Inspectors signature

  • Crew lead signature

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.