FMSO Power Outage Prevention

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

Major Power Outage - Fatality Prevention Audit

• Verify checklists and inspection forms are utilized correctly (Pre-Job Risk Assessment).

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check substation documentation.

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Check signage and warnings at substations.

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Verify high voltage detectors are working properly.

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Verify mine power line heights are surveyed and documented.

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Verify mine power lines are identified and labeled correctly.

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Verify reflective devices are installed on power lines where heavy equipment is in operation.

  Environmental

  Health (dust, noise)

  Improve Safety

  Positive Recognition

  Housekeeping

• Completion Date:

• Auditor(s) Signature

  Sign

• Revision 1.0 iCloud posted document is the controlled copy. 06/18/13