Central Region - GRMI Safety Audits

• Audit Title

Audit Information

• Select date

  Date

• Supervisor/Observer

  Select Mike Kocis Bill Dyette Mike Demos Gary Baldyga Dan Thering Theresa Williams Bill Potvin Jeff Lantzer

  • Mike Kocis
  • Bill Dyette
  • Mike Demos
  • Gary Baldyga
  • Dan Thering
  • Theresa Williams
  • Bill Potvin
  • Jeff Lantzer

• Station:

  Traverse City Station

  Cadillac Station

  Mt. Pleasant Station

  Grayling Station

  Tawas Station

• Employees:

  Select Daryl Abbott David Kokoszka Harold Blust Jere Seiloff John Davidson Johnie Jordan Kristopher Abbott Lawrence Adams Mark LePoudre Mark Wainwright Timothy LaHaye

  • Daryl Abbott
  • David Kokoszka
  • Harold Blust
  • Jere Seiloff
  • John Davidson
  • Johnie Jordan
  • Kristopher Abbott
  • Lawrence Adams
  • Mark LePoudre
  • Mark Wainwright
  • Timothy LaHaye

• Employees:

  Select Brian Beltz Chad Bonamie Gary Nowakowski Jason Hatfield Lucas Ames Pamela Farkas Robert Mc Curdy Thomas Rapson Steven Bednarik

  • Brian Beltz
  • Chad Bonamie
  • Gary Nowakowski
  • Jason Hatfield
  • Lucas Ames
  • Pamela Farkas
  • Robert Mc Curdy
  • Thomas Rapson
  • Steven Bednarik

• Employees:

  Select Brent Seibt Derek Snyder Doug Dysinger Gerald Williamson Heath Barton Jacob Moeggenborg James Watters James Bess Matthew Humphrey Richard Krell Richard Brooks II Ryan Blaine Todd Wilson

  • Brent Seibt
  • Derek Snyder
  • Doug Dysinger
  • Gerald Williamson
  • Heath Barton
  • Jacob Moeggenborg
  • James Watters
  • James Bess
  • Matthew Humphrey
  • Richard Krell
  • Richard Brooks II
  • Ryan Blaine
  • Todd Wilson

• Employees:

  Select Brian Lizenby Jeremy Lockhart John Flory Matt Logan Randy Raymond Todd Johns

  • Brian Lizenby
  • Jeremy Lockhart
  • John Flory
  • Matt Logan
  • Randy Raymond
  • Todd Johns

• Employee(s):

  Select E. Christunas P. Ehle R. Elliott M. Frasier J. Haines F. Hart K. LaHaye M. Leigeb M. O'Leary R. Perez J. Ruthkowski S. Seitz R. Stewart T. Stiglich C. Usiondek G. Vogel D. Warner D. Willman A. Wodehouse T. Wozny

  • E. Christunas
  • P. Ehle
  • R. Elliott
  • M. Frasier
  • J. Haines
  • F. Hart
  • K. LaHaye
  • M. Leigeb
  • M. O'Leary
  • R. Perez
  • J. Ruthkowski
  • S. Seitz
  • R. Stewart
  • T. Stiglich
  • C. Usiondek
  • G. Vogel
  • D. Warner
  • D. Willman
  • A. Wodehouse
  • T. Wozny

• Unlisted Employee(s):

• Job Type

  Select Service Work Leak Miss Digs AMR Mobile Collector Set Meter RAVE Rotary Meter Inspections Chart Calibrations Pressure Williamson Tapping Mueller Tapping C&C Construction Fire Service Repair Main Repair Main Renewal New Service Service Alteration Service Renewal Meter Reading Leak Survey Exhausting High/Low Use Vehicle Audit Fabricate Manifolds Prospecting Operating OMLD Operating OMD Pin Job Pre-job Brief Vault Inspection E-Chart Alarm E-Chart Maintenance Training Meeting

  • Service Work
  • Leak
  • Miss Digs
  • AMR
  • Mobile Collector
  • Set Meter
  • RAVE
  • Rotary Meter Inspections
  • Chart Calibrations
  • Pressure
  • Williamson Tapping
  • Mueller Tapping
  • C&C
  • Construction
  • Fire
  • Service Repair
  • Main Repair
  • Main Renewal
  • New Service
  • Service Alteration
  • Service Renewal
  • Meter Reading
  • Leak Survey
  • Exhausting
  • High/Low Use
  • Vehicle Audit
  • Fabricate Manifolds
  • Prospecting
  • Operating OMLD
  • Operating OMD
  • Pin Job
  • Pre-job Brief
  • Vault Inspection
  • E-Chart Alarm
  • E-Chart Maintenance
  • Training
  • Meeting

• Unlisted Job Type

• GPS Location
  Address

• Location (Manual Entry)

Pre-Job Briefs

• Were the potential job hazards reviewed?

  Yes

  No

  N/A

• Were the Distribution & FSO Procedures available for review?

  Yes

  No

  N/A

• Does the employee(s) have a full understanding / knowledge of the job task?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Does the employee(s) have the required PPE for the job task?

  Yes

  No

  N/A

Tools/Equipment

• Are the proper tools/equipment in use or available when needed?

  Yes

  No

  N/A

• Are all tools/equipment in good working condition?

  Yes

  No

  N/A

• Is work area in a safe condition?

  Yes

  No

  N/A

• Is the vehicle(s) and/or equipment parked properly on site?

  Yes

  No

  N/A

• If an excavation, are proper sloping, shoring, ingress and egress methods being utilized?

  Yes

  No

  N/A

• Is proper signage and barricading being used as necessary?

  Yes

  No

  N/A

• Were any safety defects observed in building / parking lot / stock room / yard area?

  Yes

  No

  N/A

• Defect Category

  Select Tools/Equipment Human Performance Housekeeping Employee Engagement Traffic Control

  • Tools/Equipment
  • Human Performance
  • Housekeeping
  • Employee Engagement
  • Traffic Control

Human Performance

• Was employee(s) using 3 points of contact and observing potential slip, trip, and fall hazards?

  Yes

  No

  N/A

• Is vehicle(s) in good operating condition and are all DOT pre/post inspections completed where required?

  Yes

  No

  N/A

• Is vehicle(s) housekeeping in good shape or is a 5S needed?

  Yes

  No

  N/A

• Are there other safety defects observed, corrected and/or being entered on a countermeasure worksheet?

  Yes

  No

  N/A

• Defect Categories

  Select Tools/Equipment Human Performance Housekeeping Employee Engagement Traffic Control

  • Tools/Equipment
  • Human Performance
  • Housekeeping
  • Employee Engagement
  • Traffic Control

Corrective Actions

• Discussed with Employee

• Enter any corrective actions that will be undertaken

Sign Off

• Supervisor's Signature

  Sign

• Drawing / Notes

  Drawing

• Pictures

  Media