Information
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Audit Title
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Format: Last name, First name
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Conducted on
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Prepared by
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Location
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Personnel
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Business Unit
- AR Jurisdiction
- Business Development Services
- Customer Operations Support
- LA Jurisdiction
- MS Jurisdiction
- NO Jurisdiction
- Regulatory Services
- TX Jurisdiction
- Transmission
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Function/Entity
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Workgroup
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Number of Employees
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Job Title/Work Being Performed
Accountability
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1a. When was the last time you were coached from a member of management on safety?
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1b. Can you describe the situation and did you consider it to be an effective coaching moment?
Safety Commitment
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2a. On a scale of 1-10, with 10 being the best, how committed are you to safety?
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2b. On a scale of 1-10, with 10 being the best, how committed is your leadership to safety?
Human Performance
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3a. On a scale of 1-10, with 10 being the best, how effective do you consider Human Performance to be?
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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?
Conservative Decision Making
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4a. Prior to making a decision, do you think Likelihood or Consequences?
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4b. What factors do you consider when making a decision?
Close Calls / Good Catch Reporting
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5a. When is the last time you reported a Close Call / Good Catch? What was the CC/GC pertaining to?
Vehicle Inspections
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1. Are weekly vehicle inspections (for GVW > 10K) properly documented and present in the vehicle?
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17B.2
Job Safety Assessment
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2. Is the Tailboard/Hazard Assessment complete?<br> <br>
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Entergy Gas Safety Manual, General Subjects, 7D.1, 7E.1, 7E.2, 11A.2
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3. Have the job hazards been identified, prioritized, and documented?
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Entergy Gas Safety Manual, General Subjects, Section 7E.2; ask to see crew's Enclosed Space (Non-Permit) Entry Checklist if applicable
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4. Has an effective control/mitigation plan for identified hazards been developed?
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5. Have the following key observation points been identified, if applicable? (Animal bite exposure, slips/trips/falls, ergonomic issues, Fatal rules, PPE, horseplay and professional conduct)
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6. Has the emergency plan been documented and understood? (Hospital location, route of egress, GPS coordinates, telephone number)
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7. Were required Human Performance tools discussed/identified/used?
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17A.19
Equipment and Work Place Setup
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8. Is all equipment set up for safe use, and grounded if underground utilities are present?
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Entergy Safety Manual 17A.9; chocks necessary if on incline
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9. Is the work site properly marked or barricaded, including appropriate public safety measures in place?
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10. Are required high visibility safety vests utilized when working in a public street right-of-way and/or where the employee may be exposed to traffic?
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Entergy Safety Manual 17F.6
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11. Are flagmen being utilized properly if needed?
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12. Is the work area free of clutter and tripping hazards mitigated?
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1D.1
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13. Are all fire extinguishers on site within date and in good working order?
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17A.18
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14. Are fire extinguishers staged near job site fully charged?
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18C.5
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15. Are seat belts being used on applicable equipment while in operation?
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17A.5
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16. Have One Call locates been obtained?
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23A.1
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17. Is area near suspected gas leak free of ignition sources?
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18. Are compressed gas cylinders stored and secured properly to prevent damage?
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Entergy safety Manual 18F.a, 18F.b, 18F.c; butane and propane tanks and cylinders
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19. Is directional boring rig grounded? If working with live PE pipe, is pinch off tool grounded and is static charge being mitigated?
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20. Has voltage testing been completed before touching or working on meters and rectifiers?
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12J.2
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21. Is load and/or equipment properly secured to trailer?
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17E, Excavator needs 5 points of binding
PPE Requirements
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22. Are hard hats or bump hats being worn and in good condition, while performing assigned work within a construction site?
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23. Are safety glasses being worn?
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Safety glasses to be worn when exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustics, gases or vapors, and light radiation. 12A.1
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24. Is a face shield being worn when required?
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To be worn when cutting concrete, grinding, etc.
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25. Is hearing protection being worn when applicable?
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To be worn when exposed to noises >85 db; 4A.b
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26. Is proper footwear being worn and is fire retardant clothing being worn?
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Tennis shoes not allowed, must have 6 inch or taller leather or rubber boots. 4A.e
Chemical Safety, First Aid, Ergonomics
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27. Are SDS available for all hazardous chemicals on site, are they labeled correctly and stored properly?
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17A.6
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28. Are safety/medical/first aid equipment/goods on site and within date, including gel blanket?
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17A.4
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29. Are proper lifting/carrying techniques utilized and are proper pushing/pulling techniques being utilized?
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30. Are employees using 3 points of contact when ascending, descending, and climbing?
Tools and other Equipment
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31. Are guards in place on grinders and other portable saws, etc?
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32. Are appropriate tools with sharp blades being used properly, are they in good condition with no modifications and are they stored properly?
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33. Are the proper tools for the job being utilized, and are tools in good condition, with no modifications?
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Examples: shovel handles, smart sticks in good condition
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34. Are fusing irons, pipe welders, portable electric tools, extension cords, and other fusing equipment in good condition?
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35. Are all extension cords in good condition?
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No abrasions, three-prong ground plug must be intact
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36. Are employees properly using pipe clamps (when temporarily closing off section to weld or repair leak)?
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37. Are all welding safety measures being met?
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Entergy Safety Manual 12F.6, 20
Enclosed/Confined Spaces
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38. Has a confined space permit been obtained if required?
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39. Are enclosed/confined spaces being appropriately monitored for gaseous environment using a calibrated monitoring device?
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Entergy Safety Manual Section 21C.6
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40. Are all tools within calibration? (Personal monitors, CGIs, Betas, etc)
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41. Do personnel know what % of gas is considered a gaseous atmosphere according to Entergy standards (3% gas or 60% LEL)?
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42. Is an intrinsically-safe ventilation fan being used if required?
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43. Are non-sparking tools used in potentially gaseous atmospheres (i.e. brass tools)?
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44. Are enclosed/confined space procedures being followed (rescue equipment on site, qualified attendant, etc)?
Excavation Operations and Open Holes
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45. Are employees exhibiting safe operation of excavating equipment (operator aware of surroundings)?
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46. Has the blade and/or bucket been placed on the ground when excavator is not in use?
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47. Have proper shoring/sloping methods been used within excavations over 5 feet in poor soil conditions (Type C) and/or if inspection shows potential for cave-in?
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48. Is the housekeeping within 2' of open hole good, to prevent trips/falls into open excavation (tools, removed dirt from excavations, etc)?
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49. Are appropriate access/means of egress points present within excavations over 4 feet?
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Examples: ladder which must be secured, fiberglass only, in good condition and tied off as applicable and provided every 25 feet.
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50. Is proper barricading being used near open excavations that are to be left unattended (snow fencing or barricades, caution tape, lights installed when required and so on)
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51. Are all personnel staying clear of the swing radius of the excavating equipment?
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52. Is a fire watch present when coworkers are in the excavation, along with staged fire extinguisher?
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Entergy Safety Manual 12H.2, 12I.4
Other
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53. Do contractors on site have PowerSafe cards present at all times while performing work on Entergy property?
Human Performance Tools
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54. Self Checking
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55. Peer Checking
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56. Pre-Job Briefing
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57. Procedure Usage
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58. Questioning Attitude
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59. Place Keeping
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60. Effective Communication
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61. Coaching
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62. Post-Job Review
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63. Turnovers
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Comments
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Signature