Electrical Consultants, Inc.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Jobsite Information

• Emergency Phone Numbers Accessible

  Yes

  No

  N/A

• Closest Occupation Clinic Identified

  Yes

  No

  N/A

• First Aid Kits on Job Site

  Yes

  No

  N/A

• First Aid Kits on Jobsite & Checked Monthly/Yearly

  Yes

  No

  N/A

Task Hazard Analysis and Daily Safety Meeting

• Daily Safety Meeting Conducted

  Yes

  No

  N/A

• Task Hazards are Properly Identified

  Yes

  No

  N/A

• Hazard Mitigation Identified

  Yes

  No

  N/A

• Mitigation is being Followed

  Yes

  No

  N/A

• Scope of Work Changes Properly Identified & Reviewed

  Yes

  No

  N/A

Hazard Communication/Environmental

• MSDS Onsite For All Hazardous Materials

  Yes

  No

  N/A

• Universal Spill Kits Onsite

  Yes

  No

  N/A

• Projects Specific Environmental Training Complete

  Yes

  No

  N/A

• Environmental Access Plan Onsite

  Yes

  No

  N/A

PPE

• Appropriate Eye Protection (minimum is Safety Glasses)

  Yes

  No

  N/A

• Hard Hat Protection Being Worn at All Times

  Yes

  No

  N/A

• Safety Shoes Worn

  Yes

  No

  N/A

• Personnel Wearing Reflective Vests Unless in Bucket or Other Exempted Areas

  Yes

  No

  N/A

• Hearing Protection Used When Needed

  Yes

  No

  N/A

• All Personnel in energized Substations Wearing an Outer Layer of FR Clothing

  Yes

  No

  N/A

• Gloves When Required by Employer

  Yes

  No

  N/A

Housekeeping

• Work Area Neat

  Yes

  No

  N/A

• Passageways and Walkways Identified and Clear

  Yes

  No

  N/A

Equipment Operation

• All Equipment Inspected Daily

  Yes

  No

  N/A

• All Vehicles Inspected Weekly

  Yes

  No

  N/A

• Operator is Trained for Specific Equipment

  Yes

  No

  N/A

• Equipment Free of Fluids Leaking

  Yes

  No

  N/A

Trenching, Excavating, and Shoring

• Operation is being Performed the Proper Distance From Overhead Power Lines

  Yes

  No

  N/A

• Underground Utilities Properly Identified

  Yes

  No

  N/A

• Dig Ticket Number On-Site

  Yes

  No

  N/A

Roadway

• Cones, Road Signs, or Flashers Set Up When Needed

  Yes

  No

  N/A

• DOT, County, or City Permit Acquired and On-Site

  Yes

  No

  N/A

• Site Specific Traffic Control Followed

  Yes

  No

  N/A

Substation

• Utility's Control Center(s) Notified (At Both Start and End of Work)

  Yes

  No

  N/A

• Arc Flash Boundary Defined for PPE FR Rating in Use

  Yes

  No

  N/A

• ATC's Applicable Access Training Completed for Task

  Safe

  At Risk

  N/A

• Escort On-Site

  Yes

  No

  N/A

Behavioral Based Safety

• Safe Acts Observed

  Yes

  No

  N/A

• At-Risk Behavior Observed

  Yes

  No

  N/A

• Suggestions for Correcting At-Risk Behavior

  Yes

  No

  N/A

Other Hazards / Comments

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A