CNP Gas Energy Delivery Field Safety Inspection

• Division/Region

• Audit Title (Ex. Mo. day. year. Meter change out field visit)

• Client / Site

• Conducted on

  Date

• Audit Conducted By:

  Select Roy Adams Sierra Buse Ben Polk Tyler Walker Bob Weis Shaun Moss Claudia Luna Jon Nixon Mark Silva Trey Steiner James Frierson Jim Duncan Greg Wise

  • Roy Adams
  • Sierra Buse
  • Ben Polk
  • Tyler Walker
  • Bob Weis
  • Shaun Moss
  • Claudia Luna
  • Jon Nixon
  • Mark Silva
  • Trey Steiner
  • James Frierson
  • Jim Duncan
  • Greg Wise

Audit Overview

• Area/Division Manager

• Area Supervisor

• Division Safety Consultant

  Select Roy Adams Sierra Buse Ben Polk Tyler Walker Bob Weis Shaun Moss Claudia Luna Jon Nixon Mark Silva Trey Steiner James Frierson Jim Duncan Greg Wise

  • Roy Adams
  • Sierra Buse
  • Ben Polk
  • Tyler Walker
  • Bob Weis
  • Shaun Moss
  • Claudia Luna
  • Jon Nixon
  • Mark Silva
  • Trey Steiner
  • James Frierson
  • Jim Duncan
  • Greg Wise
Worksite Location
• Add location
  Address

• Date and Time of Audit

  Date

• Job briefing is completed and on the job? (1910.269)(D)

  Yes

  No

  N/A

• General Housekeeping is neat and orderly? [1926.25]

  Yes

  No

  N/A

• Wall openings & floor holes are covered or guarded? [1910.23(a)&(b)]

  Yes

  No

  N/A

• Concrete work? Silica dust training documented for all? Respirators? [1910.134]

  Yes

  No

  N/A

• Is there a first aid kit available on site? And appropriately stocked and inspected?

  Yes

  No

  N/A

• If scaffolding is present on site, is a Competent Person on site? [1926.451(f)]

  Yes

  No

  N/A

• Are proper body mechanics (ergonomics) being demonstrated? (i.e. not jumping out of truck, proper lifting, etc.)

  Yes

  No

  N/A

• (VECTREN) If a crew truck is onsite is there an AED present?

  Off

  On

• Is the bin door marked with AED sticker

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if there is gaseous atmospheres present on the job site

  Off

  On

• Employees wearing appropriate flash gear? [Per Company Policies]

  Yes

  No

  N/A

• Non-entry rescue equipment worn with SCBAs? [Per Company Policies]

  Yes

  No

  N/A

• SCBAs used if atmosphere requires? [Per Company Policies]

  Yes

  No

  N/A

• Atmosphere monitored using CGI or O2 monitor? [Per Company Policies]

  Yes

  No

  N/A

• Are emergency fans set up appropriately based on location of leak and wind direction? [Per Company Policies]

  Yes

  No

  N/A

• Fire extinguisher located in immediate work area? [Per Company Policies]

  Yes

  No

  N/A

• Illumination adequate? [1926.56]

  Yes

  No

  N/A

• Employee on fire watch? [Per Company Policies]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Electrical Operations

  Off

  On

• Portable generators are grounded per NEC requirements? [1926.404(f)(2)]

  Yes

  No

  N/A

• LO/TO is being used for appropriate tasks? [1910.147]

  Yes

  No

  N/A

• Electrical cords inspected & have all prongs intact? [1926.404(f)(8)]

  Yes

  No

  N/A

• GFCI’s used for all portable electrical hand tools? [1926.404]

  Yes

  No

  N/A

• Light bulbs for illumination Class I Div. I per NEC requirements? [1926.407(b)]

  Yes

  No

  N/A

• For extension cords: hard usage cord includes three-wire cords marked S, ST, SO, STO, SJ, SJO, SJT, or SJTO [1926.405(5)(a)(2)]

  Yes

  No

  N/A

• Electrical power tools are double insulated or grounded? [1926.302(a)]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if there is trenching/excavation on site?

  Off

  On

• Have proper locates been secured and annotated on job briefing form?

  Yes

  No

  N/A

• Excavation-ladders if > 4ft deep? Extend 3 ft? 50 ft apart? [1926.651(c)(2)]

  Yes

  No

  N/A

• Sloping, shoring evaluated? [1926.6562(f)]

  Yes

  No

  N/A

• Excavation – protection from cave-ins for > 5 ft? [1926.652(a)]

  Yes

  No

  N/A

• Is tabulated data available onsite,

  Yes

  No

  N/A

• Daily inspection? [1926.651(k)]

  Yes

  No

  N/A

• Spoil or equipment placed 2 ft. away from edge of excavation? [1926.651(j) (2)]]

  Yes

  No

  N/A

• Is excavation equipment onsite?

  Off

  On

• Are equipment outriggers deployed and secure properly?

  Yes

  No

  N/A

• If being operated, is driver wearing seatbelt?

  Yes

  No

  N/A

• Are crew members communicating with operator properly? (i.e. Hand signals, etc.)

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if PPE is reviewed during this audit

  Off

  On

• Safety glasses and/or goggles available & being used? [1926.102]

  Yes

  No

  N/A

• (VECTREN) Do employees who require prescription glasses use Essilor prescription glasses?

  Yes

  No

  N/A

• Hand protection used/worn as required? [1926.951]

  Yes

  No

  N/A

• Foot protection worn as required? [1926.96]

  Yes

  No

  N/A

• Hearing protection worn where required? [1926.101]

  Yes

  No

  N/A

• Hard hats worn on construction site as required? [1926.100]

  Yes

  No

  N/A

• Crews wearing appropriate ANSI Class II apparel if required? [1926.201]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if ladders are present on site

  Off

  On

• Ladders are safe and inspected as appropriate? [1926.1053(b)(15)]

  Yes

  No

  N/A

• Stair rails - for 30” change in elevation or 4 risers? [1926.1052(c)(1)]

  Yes

  No

  N/A

• Stairs or ladder provided for access points > 19” high? [1926.1051(a)]

  Yes

  No

  N/A

• Extension & straight ladders extend 3’ beyond landing? [1926.1053(b)(1)]

  Yes

  No

  N/A

• Stepladders are only used in open position? [1926.1053(b)(4)]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if Hand and/or Power tools are present and in use

  Off

  On

• Grinders (portable & stationary) have guards in place? [1926.300(b)]

  Yes

  No

  N/A

• Impact style air tools have safety clips/retainers installed? [1926.302(b)(2)]

  Yes

  No

  N/A

• Portable circular saws equipped with protective guards? [1926.304(d)]

  Yes

  No

  N/A

• Unsafe hand tools are prohibited? [1926.301(a)]

  Yes

  No

  N/A

• Pneumatic power tools have hoses secured? [1926.302(b)(1)]

  Yes

  No

  N/A

• Impact tools, hammers kept free of splinters/mushrooms? [1926.301(c)]

  Yes

  No

  N/A

• Impact style air tools have safety clips/retainers installed? [1926.302(b)(2)]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if Work-zone set-up applies to this audit

  Off

  On

• Signs in good condition/non-conflicting/clear view/proper position? [1926 Subpart G]

  Yes

  No

  N/A

• Message sign - appropriate message/proper position? [1926 Subpart G]

  Yes

  No

  N/A

• Arrow panel - auto dim/bulbs out/proper placement? [1926 Subpart G]

  Yes

  No

  N/A

• TCDs in good condition/proper number and spacing/proper taper length? [1926 Subpart G]

  Yes

  No

  N/A

• Flaggers certified/visible/properly positioned/ flagging correctly/advanced warning signs? [1926 Subpart G]

  Yes

  No

  N/A

• Misc. - adequate buffer/material and equipment properly stored/work area protected/evidence of accidents? [1926 Subpart G]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if Compressed gases are present and/or used on site

  Off

  On

• Compressed gas cylinders stored secured & upright? [1926.350(a)]

  Yes

  No

  N/A

• Oxygen/acetylene torch units have flash back arrestors? [1926.350(g)]

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check for Emergency Action Plans

  Off

  On

• Is an Emergency Action Plan (EAP) in place for this Job Site?

  Yes

  No

  N/A

• EAP in place if a leak developed?

  Yes

  No

  N/A

• Is there a means for communication established in case of an emergency?

  Yes

  No

  N/A

• Do drivers have necessary CDL licenses where applicable?

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• Check if DoT Drivers are on site

  Off

  On

• Dot Inspections being completed?

  Yes

  No

  N/A

• Is Circle of Safety visible and used?

  Yes

  No

  N/A

• Are vehicles parked in a manner according to policy? (i.e. Backed in, pull-through, or as barricades in work zones?)

  Yes

  No

  N/A

• Are seat belts worn by all drivers and passengers in accordance with company policy?

  Yes

  No

  N/A

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media

• (VECTREN ONLY) Check if there are hazardous materials that would be covered under HAZCOM regulations

  Off

  On

• Are all containers (including secondary containers) of hazardous chemicals in the workplace labeled, tagged, or marked with the following information? [29 CFR 1910.1200(f)(1)]

  Yes

  No

  N/A

• Labeling examples:

  

• Do employees have access to 3E website via mobile phone or laptop to produce an SDS or contact information (number saved in phone, hard hat stickers, wallet cards) for 3E to call and obtain a copy via email?

  Yes

  No

  N/A
3. Please select chemicals to spot check to ensure they are in Vectren’s 3E database.
(Include pictures of chemicals to help with verification) Update database with chemicals not found.


• Onsite Chemical - (include photo)

• Photo of Chemical Label

  Media

• Are there any further comments for this section?

  Off

  On
Click add for each issue or observation

• Describe issue or observation

• Yes

  No

  Not Applicable

• Add media

  Media