Information

  • Audit Title

  • Format: Last name, first name <<<<

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Business Unit

  • Function/Entity

  • Workgroup

  • Number of Employees

  • Job Title/Work Being Performed

Accountability

  • 1a. When was the last time you were coached from a member of management on safety?

  • 1b. Can you describe the situation and did you consider it to be an effective coaching moment?

Safety Commitment

  • 2a. On a scale of 1-10, with 10 being the best, how committed are you to safety?

  • Select from range

  • 2b. On a scale of 1-10, with 10 being the best, how committed is your leadership to safety?

  • Select from range

Human Performance

  • 3a. On a scale of 1-10, with 10 being the best, how effective do you consider Human Performance to be?

  • Select from range

  • 3b. On a scale of 1-10, with 10 being very often, 5 being sometimes, and 1 being never, how often do you use Human Performance?

  • Select from range

Conservative Decision Making

  • 4a. Prior to making a decision, do you think Likelihood or Consequences?

  • 4b. What factors do you consider when making a decision?

  • 5a. When is the last time you reported a Close Call / Good Catch? What was the CC/GC pertaining to?

Vehicle Inspections

  • 1. Are weekly vehicle inspections ( for GVW > 10K ) properly documented and present in the vehicle?

  • 17B.2

Job Safety Assessment

  • 2. Have the 3 major job hazards been identified? ( electrical contact, fall protection, line of fire)

  • 7D, Grounding plan for transmission (3A.24), 7E.2

  • 3. Has the nearest intersection / GPS coordinates been documented and understood?

  • Entergy T&D Safety Manual, Section 1.E.j.1, 1E.j.2, iE.j.12, 7D.3.e

  • 4. Was the nearest hospital documented on the HA form?

  • 7D.3.e

General Inspection Items

  • 5. Are all required PPE/rubber goods/hot sticks/ grounds in date?

  • Entergy T&D Safety Manual Section 6

  • 6. Are rubber goods properly stored?

  • Entergy T&D Safety Manual 6A.B - Stored in canvas bags cuff down

  • 7. Are all required PPE, tools, grounds, hot sticks in good condition and stored properly?

  • 4B.1.5, 6A.1, 6A.8 (storage), 6A.9 (test dates) - Stored out of the direct light, extreme temps
    and harmful substances.

  • 8. Is proper FR clothing being used?

  • When applicable -- see Entergy T&D Safety Manual, Section 4A.J.1, 4A.J.2, 4A.J.3, 4A.J.5

  • 9. Is there a first aid kit and is it stocked and accessible?

  • OSHA 1910.151(b)

  • 10. Is there a gel blanket and is it in date?

  • 11. Is the public clear of worksite?

  • 12. Are the equipment and vehicles set up properly?

  • Includes outrigger setup, beacon lights, proper vehicle parking, and bucket truck setup.

  • 13. Are required DOT signs and cones in place?

  • 17F.1 - 7

  • 14. When working on public streets, are reflective vests and/or flagmen in use?

  • Entergy T&D Safety Manual, Section 17F.1 - 6

  • 15. Is housekeeping in vehicles and on the job site good?

  • This will include, for meter services employees, the removal of spent seals from job site.
    Entergy T&D Safety Manual, Sections 1D.1, 1D.13.a, 1D.13.d, 1D.13.e, 1D.13.g, 1D.13.i, 17

  • 16. Does the employee have SDS for all hazardous chemicals present and are the chemicals stored properly?

  • Entergy T&D Safety Manual, Sections 1K.2, 1K.3, 1K.4, 1K.10, 1K.11

  • 17. Is the fire extinguisher charged, in good condition, in date and easily accessible?

  • Entergy T&D Safety Manual, Sections 1E.i.14, 1E.i.15, 1E.i.16, 1E.i.17, 17A.18, 18C.5

  • 18. Are seat belts in use when operating equipment on the job site? e.g. Forklift, trencher, etc.

  • Entergy T&D Safety Manual, Sections 17A.5

  • 19. Are employees wearing the appropriate class FR clothing, including not having shirt tails exposed or flaps around rotating equipment?

  • When applicable -- see Entergy T&D Safety Manual, Section 1B.2, 4A.j.1, 4A.j.4

  • 20. Are proper voltage testing procedures being followed?

  • Entergy T&D Safety Manual, Sections 13

  • 21. Are proper meter installation/removal protocols being used?

  • This includes proper installation of meter pan seal, and use of face shield Entergy T&D Safety Manual, Section 14A.5, 14A.7 NOTE: One of three must occur when working on load < 250 kV: face shield worn, meter removal device used or load has been dropped.

  • 22. Does the employee properly use their cell phone and/or radio?

  • Entergy T&D Safety Manual, Sections 1J.1, 1J.2, 1J.3, 1J.4, 1J.5

  • 23. Is the worksite properly marked and/or barricaded?

  • Entergy T&D Safety Manual, Sections 24 Also, Entergy T&D Methods and Procedures, Section 32. See also MUTCD regulations. 10' rule: Non insulated booms DO NOT have to be grounded or barricaded when working greater than 10 foot from primary source.

  • 24. Have one-call locates been obtained?

  • Refer to state-specific "call before you dig" laws.
    Arkansas/Louisiana: must contact Arkansas/Louisiana One Call at least 2 working days prior to excavation; ticket will be effective for 20 working days from the date the notice was given.
    Mississippi: must contact Mississippi 811 at least 2 working days prior to excavation; ticket will be effective for 10 working days from the proposed starting date provided to the MS One-Call system.
    Texas: must contact Texas One Call at least 2 working days prior to excavation; ticket will be effective for 14 working days from the proposed starting date provided to TX One Call.
    NOTE: If weather conditions have rendered the markings unreadable, employees must renew the ticket.

  • 25. Are proper confined-space protocols being used?

  • Entergy T&D Safety Manual, Cardinal Rule #8, Section 21
    Note: air monitoring completed in space prior to entry, intrinsically-safe fan used if needed. Residential crawl-spaces are considered enclosed spaces; air monitoring is not required.

  • 26. Are appropriate excavation and trenching techniques being used?

  • Shoring required if excavation is over 5 feet in depth, or in loose or unstable soil.
    Entergy T&D Safety Manual, Cardinal Rule #15, Sections 23

  • 27. Are switching orders properly documented?

  • Entergy T&D Safety Manual, Section 2A.2, 2A.9

  • 28. Are switching procedures properly followed?

  • 2A.1, 2A.2, 2A.3, 2A.4, 2A.5, 2A.6, 2A.9 : 4 foot sticks for URD only

  • 29. Is three-part communication being used properly in switching orders?

  • Three-part communication (whoever starts it, stops it) 2A.6, 2A.7, 2A.8

  • 30. Have Danger Hold Tags been completed and installed as required?

  • Entergy T&D Safety Manual, Sections 2C.1, 2C.2, 2C.3, 2C.4, 2D.7, 2D.9 - Verify and document!

  • 31. Are clearance orders properly documented?

  • Entergy T&D Safety Manual, Section 2, make a note if the clearance holder is NOT on site.

  • 32. Are clearance orders executed as written, circuits tested to be de-energized, and grounds installed as required per task?

  • Entergy T&D Safety Manual:
    Clearance procedures - Section 2C- 2E
    Grounding procedures - Transmission (Section 32), Distribution (Section 34), Underground (Section 34E, and section 3)

  • 33. Are MOS/gang operated switches/hookstick switches operated to fully open or closed position and properly disengaged and/or locked?

  • Entergy T&D Safety Manual, Section 2a.3, 2A.4, 2A.5, 2B.1

  • 34. Are breaker or control systems opened/closed/disabled/enabled/checked for correct operation and tagged as required?

  • Entergy T&D Safety Manual, Section 2A.2, 2A.3, 2A.4, 2A.5, 2D.8

  • 35. Is the employee using proper arc flash protection for task?

  • 36. Is the employee mindful of line-of-fire and pinch points?

  • 37. Are proper materials/equipment transfer techniques being used (bucket to ground/ground to bucket)

  • 7I.6, 1G.1, 1G.2(A-I), 1G.4, 1G.6 - Do not throw material

  • 38. Are proper lifting and carrying techniques being utilized?

  • 39. Are proper pushing and pulling techniques being utilized?

  • 40. Are proper ascending/descending/climbing techniques being utilized?

  • This question includes the use of three points of contact, as well as safe and efficient bucket movement. 17A.7

  • 41. Is the employee mindful of proper ergonomics/body placement for task?

  • 1F.1, ask about stretching and did they do it.

  • 42. When overhead T & D grounds are applied, are flags utilized?

  • 3A.7

  • 43. Are Di/EH shoes or overshoes being worn in appropriate areas/situations?

  • Overshoes should be worn when performing switching/grounding activities from the ground (distribution settings), and in all situations outlined in Entergy T&D Safety Manual, Section 5.4.

  • 44. Is the employee using cover up equipment appropriately?

  • Entergy T&D Safety Manual, Section 5

  • 45. Is 100% fall protection being used when appropriate?

  • Entergy Cardinal Rule #13, T&D Safety Manual Section 4A.i

  • 46. Is PVD operational?

  • Entergy T&D Methods and Procedures, Section 26C.2

  • 47. Is high-voltage detector operational and being used appropriately?

  • Entergy T&D Methods and Procedures, Section 3A.2

  • 48. Are approved skinning/stripping/knives being used?

  • Entergy T&D Safety Manual, Section 19B.1 - B.5 - This includes, blades, knives, skinning tools, machete, chain saws, pole saws, reciprocating saw blades and other blades stored in tool bins.

  • 49. Are the correct tools for the task at hand being used and in good condition?

  • Entergy T&D Safety Manual, Section 3A.3 - 8 foot hot stick < 230 kV; 14 foot hot stick for > 345kV, reference 2B.3, 2B.4

  • 50. Do contractors on site have Powersafe Cards present at all time while performing work on Entergy property?

Human Performance Tools

  • 51. Self Checking

  • 52. Peer Checking

  • 53. Pre-Job Briefing

  • 54. Procedure Usage

  • 55. Questioning Attitude

  • 56. Place Keeping

  • 57. Effective Communication

  • 58. Coaching

  • 59. Post-Job Review

  • 60. Turnovers

  • Comments

  • Signature

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