Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Vehicle Condition and Pre & Post Trip
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Driver walked around vehicle before getting in and starting vehicle
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Driver checked lights, turn signals, brakes and tires before starting off for day
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Is seat adjusted for regular driver, or did new driver properly adjust his seat before driving
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Driver checked mirrors to see if properly adjusted
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Housekeeping in cab of vehicle was good
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No papers or other materials on dash to obstruct drivers view or create glare
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Are vehicles inspected on a regular basis to reduce risk and ensure organization?
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Nothing hanging from the rear view mirror
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Vehicle has only approved decals
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Housekeeping in back of vehicle good and everything properly secured
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No extra tools, materials or equipment in vehicle other than needed for days service calls
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Most often used tools and materials staged nearest vehicle doors
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Tools and materials organized and readily available
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No loose tools or equipment in cab of vehicle
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Bungee type cords not used as roof top tie down devices
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Vehicle parked in approved space
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Checked parts inventory against days work order expected needs
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Keys removed from ignition and vehicle locked when parked
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Enter additional comments:
Driving
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Used seat belt
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Obeyed speed limits except to pass
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Passed other vehicle only in legal passing zone
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Did not run any red lights
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Complete stop at stop signs
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Did not speed up to cross under yellow traffic signal
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Slowed down and checked for clearance at yield signs and traffic signals
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Always used turn signals to signal turns or lane changes
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Avoided backing where possible
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Did not exhibit any signs of Road Rage
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Kept eyes moving checking mirrors while driving
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Maintained erect body posture while driving
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Checked mirrors and turned his head to check blind spots when changing lanes
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Did not talk or text using cell phone or talk on two way radio while vehicle in motion
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Maintained safe following distances from all vehicles ahead. Used 3 Second Rule or better.
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Did not assume right of way
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Did not eat, drink or use any hand held device while driving
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Did not sit in vehicle with engine running while eating lunch or taking break
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Enter additional comments:
Safety
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Did employee check in with the customer/vendor
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Has employee been through OPCO Safety Orientation When hired?
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Has employee been through OPCO Fleet & Driver Orientation when hired?
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Used Pre-Task Planning Checklist/JSA prior to starting work
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Employee was aware of OPCO "Mandatory Safety Rules"
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Used appropriate occupational hand protection
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Used appropriate occupational eye protection
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Used appropriate occupational head protection
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Were ladders used on the job
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Was the ladder selected appropriate for the job
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Was the ladder selected set up properly for use
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Was the ladder used within recommended limits (type 1, 1A, 1AA)
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Are appropriate tools used
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If appropriate, were work areas barricaded or taped off?
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Did employee perform ladder inspections
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Utility or Razor knife not used
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Was fall protection available to the employee
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Was fall protection inspected prior to use
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Was fall protection used where required
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Were Lockout/Tagout procedures utilized (were all sources isolated)
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Checked for overhead clearance
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Checked for side clearances
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Complied with the 2 Minute Rule
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Enter additional comments:
Service / Installation Work
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Sufficient task lighting available and used in addition to general lighting
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Ergonomically designed hand and power tools in use for repetitive tasks
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Appropriate Lifts, scaffolds, ladders and platform ladders, as appropriate, selected based on task
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Parked as close as possible to customers entrance
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Made use of collapsable hand truck, or cart provided by customer, to move tools, materials or equipment
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Used drop down ladder racks with ladder brought to shoulder height to remove
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Never stood on back bumper to get ladder down from roof rack
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Kept tools and materials within 6' of point of installation
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Worked at waist height whenever possible
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Manually handled material stored / staged 24" or higher off the ground
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Always maintained 3 points of contact when climbing ladders or walking up or down stairs
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Wore proper PPE such as eye, hand, head, hearing, knee, etc.
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Made no more than 2 trips to vehicle for tools, materials, parts, etc during each service call
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Did not work in awkward body postures unless required by equipment placement
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Used a headlamp instead of flashlight in the mouth while working in low light areas
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All tools in working order and batteries fully charged
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Enter additional comments:
Overall Preparation for Productivity
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Was any rework identified?
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Does the review identify opportunities to increase prefabrication?
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Enter additional comments: