Title Page
-
Cooperative
-
Prepared by
-
Conducted on
-
Location
-
Person In Charge/Foreman/Lead Lineman
-
Crew Members
Description of Work Performed
General Information
-
Job Planning On Site
-
Employee In Charge on Site
-
Alternate energy sources to be aware of (wind, solar, generator, etc.)
-
Adequate number of crew for the job
-
Weather Conditions
-
Terrain conditions at work site
-
Add media
-
Comments
Personal Protective Equipment
-
Is eye protection required?
-
Are hard hats used according to safety manual requirements?
-
Is hand protection required
-
Rubber Gloves/Sleeves (if applicable) worn cradle to cradle, lock to lock, ground to ground and in good condition
-
Properly rated FR clothing worn
-
Is hearing protection worn (if required)
-
Is fall protection worn
-
Add media
-
Comments
Vehicles, Trailers, And Equipment
-
Boom clean
-
Pre-flight of controls
-
Controls marked
-
Wheels chocked
-
Outrigger Used
-
Outrigger Pads Used
-
Co-workers rubber gloves located outside of truck for possible bucket rescue
-
Current DOT inspection
-
Current di-electric inspection
-
Is document truck inspection packet current and available
-
Add media
-
Comments
Climbing
-
Employee certified to climb
-
Climbers/tool belt inspected prior to climb
-
Pole inspected prior to climb
-
Long sleeve shirt worn while climbing
-
Hand line used
-
Is proper fall restraint system used when climbing wooden poles
-
Add media
-
Comments
Overhead Construction or Maintenance
-
Equipment inspected prior to use
-
Equipment being used correctly
-
Are lines properly de-energized, tested, and grounded per safety manual
-
Are all grounded in working condition
-
Are handlines being used
-
Are loads maneuvered in safe manner
-
Used approved device and method when lifting OH equipment (Transformers, OCR's)
-
Good housekeeping
-
Pics
-
Comments
Underground Work
-
Competent person on job site
-
Are all excavations evaluated and safe
-
Trench protection
-
Means of Egress in trench
-
Spoils 2 ft from trench
-
Used approved device and method when lifting URD equipment (transformers, switchgear, peds etc)
-
Add media
-
Comments
Hot Sticks
-
Clean and free of moisture
-
Stored properly
-
Live Line Test Date
Energized Work
-
Glove and Sleeves correct rating and date
-
Date stamped on Gloves
-
Date stamped on Sleeves
-
Adequate cover-up material being utilized
-
Date stamped cover up
-
Minimum approach distances maintained
-
Is there a qualified crew member observing employees performing "hot work"
-
Is the Safety Manual procedures rubber glove use being followed (lock to lock, ground to ground )
-
Are handlines being used
-
Add media
-
Comments
General
-
Are slings, handtools, hoirsts, grips, handlines and all other tools in good working condition
-
Are chainsaws, and proper PPE available (chaps, cut resistant boots, eye protection, hearing protection, and head protection)?
-
Is the work-site cleaned when job is completed
-
Add media
-
Comments
Traffic Control
-
Hi-Visibility Safety Vests Worn
-
Signs used in Accordance with traffic control rules and regulations
-
Cones used in accordance with traffic control rules and regulations
-
Flagger used when required
-
Law enforcement utilized when required
-
Flagging done properly
-
Four way flashers/strobes and beacons used
-
Crew size adequate for traffic control
-
Add media
-
Comments
-
Signature of Auditor:
-
Select date