ELEC OPS JOBSITE OBSERVATION

• Conducted on

  Date

• Prepared by

• Location
  Address

• Walked the site with:

SITE OBSERVATION

• Who is your RIM rep?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Single line/map is current?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Are all tools calibrated and recorded?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Has rigging equipment been inspected before use?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Materials stored properly?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Is scrap or junked assets labeled and stored correctly?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Are forklifts inspected and recorded?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Are forklift/heavy equipment keys stored properly?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• NOTES:

JOB OBSERVATION

• Comprehensive JHA filled out for the tasks being performed?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Emergency Action Plan in place, all players know their role?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• USA marked for work if necessary?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Are tools current on calibration?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Fire extinguishers inspected and secure?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Traffic control measures being used?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• All required certifications current for employees?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Are all contractors qualified to perform work on site?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Proper energy isolation in place?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• Clearance walked down and limits understood by all on site?

  Satisfactory

  Unsatisfactory

  High Risk

  N/A

• NOTES: