Crew Audit - (Safety Coordinators Only)

• Company

  Select
Supervisor

• Client

  Select

• Date

  Date
• Location
  Address

• Prepared By:

Documentation (Complete for All Jobs)

• All required sections of THA completed as per the day's tasks

  Yes

  Coaching Opportunity

  No

• Are all tasks, hazards, and hazard mitigations listed sufficiently?

  Yes

  Coaching Opportunity

  No

• THA reviewed with all employees and visitors prior to entry of work-site

  Yes

  Coaching Opportunity

  No

• Emergency Action Plan complete and communicated

  Yes

  Coaching Opportunity

  No

  N/A

• Include Photo of THA

  Media

• Are equipment operators designated on the THA appropriately

  Yes

  Coaching Opportunity

  No

  N/A

High Energy Hazard Identification and Controls

• Are one or more high energy hazards present for work being performed (gravity, motion, mechanical, electrical, pressure, sound, radiation, biological, chemical, temperature)

  Select

• Were adequate direct controls in place for stored energy/ Line of Fire hazards

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Gravity (Suspended Load/ Falls From Elevation)

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Motion (Mobile equipment and workers on foot/ Motor Vehicle Accident/ Equipment Vehicle Roll Over)

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Electrical (Electrical Contact With Source/ Arc Flash)

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Temperature (Steam/ High Temperature/ Fire with Sustained Fuel Source)

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Pressure (Explosion/ Excavation or Trench)

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Mechanical (Heavy Rotating Equipment)

  Yes

  Coaching Opportunity

  No

• Were adequate direct controls in place for Chemical (High Dose of Chemical or Radiation/ Confined Space)

  Yes

  Coaching Opportunity

  No

Housekeeping (Complete for All Jobs)

• Is the area free of accumulating Debris and/or Materials?

  Yes

  Coaching Opportunity

  No

• Flammable materials are properly stored

  Yes

  Coaching Opportunity

  No

  N/A

PPE (Complete for All Jobs)

• Hard hat, safety glasses and protective footwear in use

  Yes

  Coaching Opportunity

  No

• Gloves appropriate to the task are being worn

  Yes

  Coaching Opportunity

  No

• Fall protection equipment inspected and used

  Yes

  Coaching Opportunity

  No

  N/A

• Rubber goods/hot sticks test dates are current

  Yes

  Coaching Opportunity

  No

  N/A

• Additional PPE used as needed

  Yes

  Coaching Opportunity

  No

  N/A

Energized Equipment

• Energized equipment or lines present

  Yes

  N/A

• Approach distances are maintained by all

  Yes

  Coaching Opportunity

  No

  N/A

• Adequate cover in place on all energized parts

  Yes

  Coaching Opportunity

  No

  N/A

• Hotline crossings are properly guarded

  Yes

  Coaching Opportunity

  No

  N/A

Grounding

• Grounds or grounding activity present during work

  Yes

  N/A

• Lines de‐energized, tested and grounded as required

  Yes

  Coaching Opportunity

  No

• All energy sources/induced voltage addressed

  Yes

  Coaching Opportunity

  No

• Grounding equipment inspected and adequate for task

  Yes

  Coaching Opportunity

  No

• Has Grounding Log been completed?

  Yes

  Coaching Opportunity

  No

Operating Orders

• Operating orders required and in place for work to be performed

  Yes

  N/A

• Clearance, NRO or Hold Order communicated

  Yes

  Coaching Opportunity

  No

• Clearance points communicated and understood

  Yes

  Coaching Opportunity

  No

  N/A

Work Zone Protection

• Work Zone Protection present for operations being performed

  Yes

  N/A

• Traffic control in place appropriate to the task

  Yes

  Coaching Opportunity

  No

  N/A

• All employees are wearing high‐ visibility clothing

  Yes

  Coaching Opportunity

  No

• Are Drop Zones delineated sufficiently

  Yes

  Coaching Opportunity

  No

  N/A

Rigging

• Is rigging being utilized for work tasks

  Yes

  N/A

• Rigging equipment in good condition/inspected

  Yes

  Coaching Opportunity

  No

• Rigging protected from sharp edges, heat, etc

  Yes

  Coaching Opportunity

  No

  N/A

Excavations

• Excavations or excavating tasks present on job site

  Yes

  N/A

• Excavations inspected by competent person

  Yes

  Coaching Opportunity

  No

• Photographs of excavation site prior to excavation activities taking place are verified

  Yes

  Coaching Opportunity

  No

• Adequate protective systems in place

  Yes

  Coaching Opportunity

  No

• Barricades in place on un‐ attended excavations

  Yes

  Coaching Opportunity

  No

  N/A

Environmental

• Environmental Hazards and Mitigations Identified in THA

  Yes

  Coaching Opportunity

  No

• Adequate BMP's in place

  Yes

  Coaching Opportunity

  No

  N/A

• Spill kits available onsite

  Yes

  Coaching Opportunity

  No

• Any known native wildlife or plant concerns

  Yes

  Coaching Opportunity

  No

  N/A

• Work zone does not encroach on existing waterways

  Yes

  Coaching Opportunity

  No

Equipment

• Pre‐/post‐use inspections complete

  Yes

  Coaching Opportunity

  No

• Equipment is grounded as needed for the task

  Yes

  Coaching Opportunity

  No

  N/A

• Outrigger pads in place for all lifting equipment

  Yes

  Coaching Opportunity

  No

  N/A

• Equipment is barricaded/ chocked as needed

  Yes

  Coaching Opportunity

  No

Substation

• Substation entry or work activity present

  Yes

  N/A

• Crew reported in per client requirements

  Yes

  Coaching Opportunity

  No

• Gates are closed/locked or under direct observation at all times

  Yes

  Coaching Opportunity

  No

• Qualified station‐entry personnel on site

  Yes

  Coaching Opportunity

  No

Hand Tools

• Hand tools are in good condition and used as intended

  Yes

  Coaching Opportunity

  No

• Power tools inspected and in good condition

  Yes

  Coaching Opportunity

  No

  N/A

• GFCIs used on all electric‐ powered tools

  Yes

  Coaching Opportunity

  No

  N/A

• Ladders in good condition and inspected

  Yes

  Coaching Opportunity

  No

  N/A

• Power tools inspected and in good condition

  Yes

  Coaching Opportunity

  No

• GFCIs used on all electric‐ powered tools

  Yes

  Coaching Opportunity

  No

• Ladders in good condition and inspected

  Yes

  Coaching Opportunity

  No

Personnel Training

• Employees have site‐specific training as required

  Yes

  Coaching Opportunity

  No

  N/A

Crew Member Names

• Names

• Equipment / Vehicle Inspection dates

Additional Comments

• Additional Comments

Sign Off

• Supervisor/Foreman Signature

  Sign

• Auditor Signature

  Sign