Field Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Employee Safety

• Work boots worn

  Yes

  No

  N/A

• Work gloves worn

  Yes

  No

  N/A

• Appropriate work clothes worn

  Yes

  No

  N/A

• Hard Hats worn

  Yes

  No

  N/A

• High viz vest worn

  Yes

  No

  N/A

• Safety glasses worn

  Yes

  No

  N/A

• Has the Job-site AHA being filled out

  Yes

  No

  N/A

• Knees bent when lifting

  Yes

  No

  N/A

Pole Inspection

• Black line on pole no more than 6 inches above grade

  Yes

  No

  N/A

• Hole back filled so that pole stands upright and moves only slightly when leaned on

  Yes

  No

  N/A

• Dirt mounted 6 inches around base of pole

  Yes

  No

  N/A

Electrical Installation/Testing

• All the correct tools being used

  Yes

  No

  N/A

• Are all the correct Arc Flash PPE being worn according to the NEC & NFPA regulations, CAT 2 CAL 8.2

  Yes

  No

  N/A

• Arc Flash boundaries being adhered to according to the NFPA regulations

  Yes

  No

  N/A

Picking Up Poles

• Pulley system used when dropping the wire

  Yes

  No

  N/A

• Pole lifted straight and walked out of the hole

  Yes

  No

  N/A

• Is the pole being gradually lowered

  Yes

  No

  N/A

• Hole backed filled

  Yes

  No

  N/A

• Pole carried on employees shoulders to the truck

  Yes

  No

  N/A

• Has the Equipment or Property been inspected for damages

  Yes

  No

  N/A

Service Pole

• Tac-On can at chest level

  Yes

  No

  N/A

• Straps attached at 18" above can, 18" below top of conduit and in middle

  Yes

  No

  N/A

• Plug & breakers correctly marked & labeled

  Yes

  No

  N/A

• Tac-On can secured to the pole

  Yes

  No

  N/A

Meters / Ground Rods

• Ground rod pounded to grade

  Yes

  No

  N/A

• Ground rod attached to ground wire

  Yes

  No

  N/A

• Ground rod within distance per code of meter

  Yes

  No

  N/A

• Meter trench meets code specification of area

  Yes

  No

  N/A

Cords and Boxes

• Has the job-site been inspected for cords that run across roadways or high traffic pedestrian areas

  Yes

  No

  N/A

• Are cord ramps being used

  Yes

  No

  N/A

Ladder Safety

• V-bracket in good condition

  Yes

  No

  N/A

• Moving parts in good working order

  Yes

  No

  N/A

• Both ladder feet are being used properly and completely on the surface

  Yes

  No

  N/A

• Ladder set at a 4:1 ratio

  Yes

  No

  N/A

• Ladder fiberglass splinter free and no cracks

  Yes

  No

  N/A

• All manufacturers stickers visible

  Yes

  No

  N/A

• Ladder strap being used

  Yes

  No

  N/A

• All rungs free from damage

  Yes

  No

  N/A

Wiring Poles

• Pulley System being used

  Yes

  No

  N/A

• Power turned off (Lock-Out Tag-Out)

  Yes

  No

  N/A

• Wedge clamp attached to ground wire

  Yes

  No

  N/A

• J-hook facing away from wire source when finished pulling wire

  Yes

  No

  N/A

• Each pole has a 3' loop of wire at the top of the pole

  Yes

  No

  N/A

• Splices are at the side of the loop

  Yes

  No

  N/A

• Wire is hung in a consist and uniform manner

  Yes

  No

  N/A

• Drop spans and riser cords are properly strapped (3 straps)

  Yes

  No

  N/A

• No gaps behind the pole after wiring

  Yes

  No

  N/A

• Positioning device being used when on the 3rd rung

  Yes

  No

  N/A

De-Wiring

• Wire lowered with the pulley system

  Yes

  No

  N/A

• Kearny's untapped rather than cut

  Yes

  No

  N/A

• Kearny's and wedge clamps removed from wire before being rolled up

  Yes

  No

  N/A

• Wired taped at two ends and in the middle when rolled up

  Yes

  No

  N/A

Boosters

• Boosters hung on bracket

  Yes

  No

  N/A

• Boosters secure with 3 nails

  Yes

  No

  N/A

• After removal of boosters, nails removed

  Yes

  No

  N/A

• Boosters are raised with the pulley

  Yes

  No

  N/A

Phone Line

• Phone line (based on type) hung underneath power lines

  Yes

  No

  N/A

• Extra phone line coiled near source and near trailer

  Yes

  No

  N/A

• No mid air splices

  Yes

  No

  N/A

• Splices are at chest level of pole

  Yes

  No

  N/A

Jobsite

• All extra Power Plus equipment or materials picked up from site

  Yes

  No

  N/A

• Power Plus logos on poles and visible from the street

  Yes

  No

  N/A

• All holes back filled as necessary

  Yes

  No

  N/A

• Open trenches properly secure per OSHA standards (29 CFR 1926 Subpart P) 1926.651(C)

  Yes

  No

  N/A

Additional information

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