Information
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Project #
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Order #
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Job Type
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Division #:
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Conducted on
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Prepared by: Joshua T. Shaw
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Location
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Personnel
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Signature of Teammates completing Audit
Safety & PPE
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Daily Field Report
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Buffer Zone Established
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Electrical Cables Managed
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Vehicle Warning Lights Operating
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Worksite Free of Tripping and Slipping Hazards
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Vehicle Warning Lights Operating
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Properly Maintained and Housekeeping (worksite free of clutter)
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Proper Cone Placement
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Placement of Vehicle and Ignition Sources away and Upwind from Work Area
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Proper Return/Transition Area
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Work Area Marked/Identified
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Tools Properly Staged and Stored
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Pedestrian Traffic Addressed
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Flagger(s) present if necessary
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Excavation Protected by Cones and/or Barricades
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Meter(s) Properly Stored
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Personal Protective Equipment
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Hard Hat
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Gloves
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Eye Protection
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Proper Footwear (foot protection)
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Respiration Protection
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Measures for Bonding Stray Current
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Proper Clothing Used
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Atmospheric Monitoring
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Fall Protection
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Traffic Vest
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Hearing Protection
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Face Protection
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All PPE in Clean and Serviceable Condition
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O2 Monitor Calibrated and used when necessary
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Excavation Safety
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Equipment and Tools
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Availability and Conditions of Tools
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Hand Tools in Good Condition
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Air Hoses and Fittings in Good Condition
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Flashlight Intrinsically Safe (Class 1 DIV 1)
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Gauges and Instruments Calibrated
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Power Tools not used in a Gaseous Atmosphere
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Welding Cables Free of Splices within 10' of holder
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Critical Valve Key on Vehicle (2" Gate Key)
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Grounding-Tools/Pipes/Containers
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Ladders in Good Condition
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Equipment Calibrated
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Guards on all Portable Tools
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Vehicles
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Engine Off when Parked
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Low Gear or Reverse when Parked (manual)
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Wheels Chocked
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Ignition Keys Removed when Unattended
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Parking Brake Set
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Vehicle Free of Clutter and in Cab Distractions
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MDT Properly Secured
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Vehicle Backed into Parking Space where Practicle
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Mirrors Adjusted Properly
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Strobes and/or Warning Lights in Use at Night
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Insurance and Crash Packet Available
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Ergonomics
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Employees Away from Pinch Points
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Proper Lifting Techniques Used
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Employees Positioned Away from Moving Equipment and Parts
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Proper Body Mechanics (Pull/Push)
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Slings
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HAZMAT/Chemicals
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Recognition of Hazards
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Motor Carrier Safety
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Electrical Equipment
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Fire Protection/First Aid
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Fire Extinguisher Inspected Monthly
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First Aid Kit Complete and Sanitary
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First Aid Kit Consumables Replaced
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Fire Extinguisher Tag Current
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Fire Extinguisher Positioned Properly
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Appearance
Plant & Construction
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Welding Operations
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Welding Operations
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Welding Operations
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Welding Operations
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Welding Operations
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Plastic Fusion
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Joining by Mechanical Fittings
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Install/Replace/Repair Meter & Regulator Sets
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OQ Valid
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Valid One Call
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Materials Inspected
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Followed Manufacturer's Installation Instructions
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Properly Handled and Stored Pipe and Materials
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Installed Service Line at the Proper Depth and Undisturbed or well compacted soil
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Adequate Clearance from other Underground Facilities
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EFV Installed and Applicable
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Avoided Excessive Bending and Pipe Deflection
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Internally Cleaned Carrier Pipe
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Casing Ends were reamed to minimize damage to the carrier pipe; Shims were installed in casing ends around carrier pipe
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The leading end of the carrier pipe was closed (sealed) during insertion
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Protected Above ground Service Piping from Physical Damage
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Protected isolated steel service lines against corrosion
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Installed Service Line piping in a continuous straight line when possible
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Installed tracer wire/electronic markers as applicable
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Used bonding cables when separating steel pipelines
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Grounded Plastic Service Lines and Tools (as applicable) whenever cutting or squeezing-off plastic lines containing gas
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Tap Fitting Positioned Properly
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Installed a Shut-off Type Tee at the Tap Connection that met the minimum tap hole requirements for taps smaller than 2"
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Installed compression-type connections to effectively sustain longitudinal Pull-Out and Thrust Forces
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Made Tap connections on 6" and smaller cast iron or ductile iron mains using an approved mechanical fitting
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Used Casing insulators when steel pipe was installed in steel casing
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Plastic Pipe was not inserted in above ground casing (except company approved risers)
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Examined the carrier pipe for damage after the insertion; if damage was observed, the pipe was removed and discarded
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Piping was properly supported at casing entrance/exit points
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Curb valve installed when required
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Installed valve at or near the property line or easement so that the on-off position of the valve could be easily recognized
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Properly backfilled the trench
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Installed warning tape in the upper 6"-12" of the trench
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Turned Gas off at the Meter Valve (or Curb Valve as applicable)
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Sealed gas off at the meter valve (as applicable)
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Apply & Monitoring Corrosion Control
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Tapping Pipelines
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Purging Pipelines
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Locate and Mark Underground Facilities
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Pressure Testing Pipelines
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Maintain line valves
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Install/Replace/Repair Main Lines
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Plow-in Method
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Repair/Protect Cast Iron Pipe
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Abandon/Deactivate Gas Piping
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Teammate can demonstrate how to access the Gas Standards
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Years of Service
Plus & Delta Feedback
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Plus
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Observation
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Impact
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Plan
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Plus
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Observation
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Impact
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Plan
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Delta
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Observation
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Impact
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Plan
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Delta
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Observation
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Impact
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Plan