Information

  • Audit Title

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

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • NOTE:
    For employees whose job title indicates they are part of the Meter Services group, along with the Revenue Protection Investigators, complete only those sections labeled "Field and Meter Services". For other employees performing ONLY the following tasks -- reading meters, installing or removing meters, turning on or off a meter -- complete only those sections of the checklist labeled "Field and Meter Services". The full checklist must be completed for employees performing any other tasks.

  • Business Unit

  • Function/Entity

  • Workgroup

  • Number of Employees

  • Job Title/Work Being Performed

Accountability (Field and Meter Services)

  • 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 (Field and Meter Services)

  • 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 (Field and Meter Services)

  • 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 (Field and Meter Services)

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

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

Job Safety Assessment (Field and Meter Services)

  • 1. Is the Tailboard/Hazard Assessment complete?<br> <br>

  • Entergy T&D Safety Manual, Section 1.35
    Meter Services employees/Servicemen may complete digital versions.
    Voice-recording is allowed.
    Pre-printed hazard assessments are often used when performing substation work.

  • 2. Have the job hazards been identified, prioritized, and documented?

  • Entergy T&D Safety Manual, Section 1.36

  • 3. Has an effective control/mitigation plan for identified hazards been developed?

  • Entergy T&D Safety Manual, Section 1.36

  • 4. Have the following key observation points been identified, if applicable?

  • Animal bite exposure, slips/trips/falls, ergonomic issues, Fatal 5 Rules, PPE

  • 5. Has the emergency plan been documented and understood?

  • Hospital location, route of egress, GPS coordinates, emergency telephone number
    Entergy T&D Safety Manual, Section 1.36

  • 6. Were required Human Performance tools discussed/identified/used?

  • Discuss with the employee which Human Performance tools (if any) they used during their tasks.

General Inspection Items (Field and Meter Services)

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

  • Entergy T&D Safety Manual, Sections 4.32-4.36

  • 8. Is required PPE being used?

  • Includes safety glasses with side shields, hard hat, face shield, work gloves, hearing protection, as needed.
    Entergy T&D Safety Manual, Section 4

  • 9. Is the first aid kit and gel blanket present, stocked, and all goods in date?

  • 10. Is the public clear of worksite?

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

  • Includes control devices such as safety cones (if present longer than 15 minutes), beacon lights, proper vehicle parking, and bucket truck setup.

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

  • Entergy T&D Safety Manual, Section 15.37

  • 13. Are ladders in good condition with no visible defects, and are they being used properly?

  • Entergy T&D Safety Manual, Section 13

  • 14. 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 1.31 to 1.34

  • 15. Does the employee have Safety Data Sheets for all hazardous chemicals present?

  • Entergy T&D Safety Manual, Sections 15.1, 16.1, and 16.7

  • 16. Is the fire extinguisher charged, in good condition, and been inspected?

  • Entergy T&D Safety Manual, Sections 1.65, 1.66, 1.68, and 1.74.

  • 17. Are seat belts in use when operating vehicles or equipment?

  • Entergy T&D Safety Manual, Sections 15.2(1) and 15.53

  • 18. Are employees wearing FR clothing?

  • When applicable -- see Entergy T&D Safety Manual, Section 1.27.

  • 19. Are proper voltage testing procedures being followed?

  • Entergy T&D Safety Manual, Sections 2.18, 3.3, 3.25, 3.36, 4.25, 9.16, 9.45, 10.36, and 12.13.

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

  • This includes proper installation of meter pan seal, and use of face shield if required. Entergy T&D Safety Manual, Section 12.

  • 21. Are employees conducting themselves in a professional manner?

  • Are employees professional and represent the company properly? Cardinal Rule #6: Do not engage in physical horseplay or fighting (Entergy T&D Safety Manual, Section 5.3.6).

  • 22. Does the employee utilize the 5 Smith Driving Keys?

  • Aim High in Steering, Get the Big Picture, Keep Your Eyes Moving, Leave Yourself an Out, Make Sure They See You
    Discuss with employee the Smith Driving System, and whether they find it helpful.

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

  • Entergy T&D Safety Manual, Sections 8.9, 16.12, and 16.83. Use of cell phones, radios, and pagers is prohibited while hot-sticking or in the rubber glove zone unless in the event of an emergency. This includes the spotter. No cell phone usage while driving.

General Inspection Items (Field)

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

  • Entergy T&D Safety Manual, Sections 3.12, 8.105, 9.19, 9.23, 9.63, 9.69, 10.6, 14.8, 15.32-15.38, 15.83, 15.89, 21.2, and 22.12. Also, Entergy T&D Methods and Procedures, Section 32. See also MUTCD regulations.

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

  • Refer to MUTCD regulations.

  • 26. 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.

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

  • Entergy T&D Safety Manual, Cardinal Rule #8, Section 7
    Entergy T&D Methods and Procedures, Section 29
    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.

  • 28. If a grinder is being used, is the guard in place?

  • Entergy T&D Safety Manual, Section 19.13

  • 29. Are switching orders properly documented?

  • Entergy T&D Safety Manual, Section 2

  • 30. Are switching orders executed in sequence, exactly as written?

  • Entergy T&D Safety Manual, Section 2

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

  • Three-part communication (whoever starts it, stops it) should be used in place of Echo Protocol (update to safety manual).

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

  • Entergy T&D Safety Manual, Sections 2.4, 2.5, 2.19, 2.20, 2.23, 2.24, and 2.28.

  • 33. Are clearance orders properly documented?

  • Entergy T&D Safety Manual, Section 2

  • 34. 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 2.25-2.29
    Grounding procedures - Transmission (Section 3.13-3.18), Distribution (Section 3.29-3.32), Underground (3.33-3.39)
    See also Entergy T&D Methods and Procedures, Section 33 for Protective Grounding Procedures.

  • 35. 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 2.6, 2.19, 2.30-2.34

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

  • Entergy T&D Safety Manual, Section 2

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

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

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

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

  • 41. 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.

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

  • 43. 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 9.49-9.85

  • 44. Is the employee using the proper rubber gloves and sleeves for the task?

  • Entergy T&D Safety Manual, Section 5

  • 45. Are proper testing and grounding methods being used?

  • Entergy T&D Safety Manual: Testing (Section 2.18), Grounding (Section 3)
    Entergy T&D Methods and Procedures: Grounding (Section 33)

  • 46. Are 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.

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

  • Entergy T&D Safety Manual, Section 6

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

  • Entergy Cardinal Rule #13, T&D Safety Manual Sections 4.18-4.23

  • 49. Is PVD operational?

  • Entergy T&D Methods and Procedures, Section 37: When performing the scouting/assessment function on foot or UTV, all employees (including line and service personnel) shall wear a PVD until such time that all known sources are isolated etc. The batteries in the PVD shall be replaced during the first safety meeting in January and July.

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

  • Entergy T&D Methods and Procedures, Section 33: (Transmission Line Grounding) Temporary protective grounds are to be installed after a clearance has been issued by the controlling authority, and following testing of the circuit with a voltage detector and finding the circuit to be absent of nominal voltage.

  • 51. Are approved stripping/skinning tools/knives being used?

  • Entergy T&D Safety Manual, Section 17.1

  • 52. Are tools being used properly and in good condition?

  • Entergy T&D Safety Manual, Section 17

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

Human Performance Tools (Field and Meter Services)

  • 54. Self Checking

  • 55. Peer Checking

  • 56. Pre-Job Briefing

  • 57. Procedure Usage

  • 58. Questioning Attitude

  • 59. Place Keeping

  • 60. Effective Communication

  • 61. Coaching

  • 62. Post-Job Review

  • 63. Turnovers

  • Comments

  • Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.