Construction TC

• Audit Title

Audit Information

• Select date

  Date

• Supervisor/Observer Ron Marlow

  Ron Marlow

• Employees 1 Steve Drouillard

  Select Stephen Drovillard Judy Cartwright

  • Stephen Drovillard
  • Judy Cartwright

• Employee (type if not listed above)

• Location Kalkaska T&SO

• Add location
  Address

• Job Type PI Coordinator

  Select C&C Construction Fire HPP Leak Main Repair Main Renewal New Service Pressure Service Alteration Service Repair Service Renewal Service Work Set Meter Staking Tapping

  • C&C
  • Construction
  • Fire
  • HPP
  • Leak
  • Main Repair
  • Main Renewal
  • New Service
  • Pressure
  • Service Alteration
  • Service Repair
  • Service Renewal
  • Service Work
  • Set Meter
  • Staking
  • Tapping

• Job Type

Pre-Job Briefs

• Were the potential job hazards reviewed? Ice/Slippery conditions. Hazardous walking conditions. Perform penguin walk. Appropriate footwear utilized.

  Yes

  No

  N/A

• Were the Distribution & FSO Procedures available for review?

  Safe

  At Risk

  N/A

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

  Yes

  No

  N/A

Personal Protective Equipment (PPE) all appropriate PPE needed to perform job duties is present.

• 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

  Yes

  No

  N/A

• Are all tools/equipment in good working condition?safety wise yes.

  Yes

  No

  N/A

• Is work area in a safe condition? Housekeeping is a little messy, but no obstacles inside of office.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is proper signage and barricading being used as necessary?N/A

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Human Performance

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are there other safety defects observed, corrected and/or being entered on a countermeasure worksheet?NO

  Yes

  No

  N/A

Corrective Actions

• Discussed with Employee

• Enter any corrective actions that will be undertaken

Sign Off

• Supervisor's Signature

  Sign

• Drawing / Notes

  Drawing

• Pictures

  Media