Harbor - Entergy Gas Services Inspection Checklist rev3-3-14

• Audit Title

• Format: Last name, First name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Business Unit

  Select AR Jurisdiction Business Development Services Customer Operations Support LA Jurisdiction MS Jurisdiction NO Jurisdiction Regulatory Services TX Jurisdiction Transmission

  • AR Jurisdiction
  • Business Development Services
  • Customer Operations Support
  • LA Jurisdiction
  • MS Jurisdiction
  • NO Jurisdiction
  • Regulatory Services
  • TX Jurisdiction
  • Transmission

• 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?

  <1 month

  1-3 months

  >3 months

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

  Yes

  No

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?

  Likelihood

  Consequences

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

Job Safety Assessment

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

  Yes

  No

  N/A

• Entergy Gas Safety Manual, General Subjects, 7.0 and 14.0- An employee working alone shall plan the task as if a briefing were required.

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

  Yes

  No

  N/A

• Entergy Gas Safety Manual, General Subjects, Section 10.0; ask to see crew's Enclosed Space (Non-Permit) Entry Checklist, if applicable

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

  Yes

  No

  N/A

• Entergy Gas Safety Manual, General Subjects, Section 10.0

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

  Yes

  No

  N/A

• Entergy Gas Safety Manual, General Subjects, Section 9.0-13.0: each employee's job responsibilities, hazard identification and control (including PPE), identification of other crews involved, method for notification of changes in job plan

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

  Yes

  No

  N/A

• Entergy Gas Safety Manual, General Subjects, Section 13.0

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

  Yes

  No

  N/A

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

Equipment and Work Place Setup

• 7. Is all equipment set up for safe use, and grounded if underground utilities are present (excavator, boring machine etc)?

  Yes

  No

  N/A

• 8. Is the work site properly marked and/or barricaded?

  Yes

  No

  N/A

• 9. Are required traffic vests utilized when working in a public street right-of-way where the employee may be exposed to vehicular traffic?

  Yes

  No

  N/A

• 10. Are DOT signs, cones, and flagmen in place as required?

  Yes

  No

  N/A

• 11. Are appropriate public safety measures in place (barricades and/or cones, as applicable, no public near work area)?

  Yes

  No

  N/A

• 12. Is the job site free of clutter that could pose as a tripping hazard?

  Yes

  No

  N/A

• 13. Are fire extinguishers on site, within date, and in working order?

  Yes

  No

  N/A

• On trucks, staged near hot work as needed

• 14. Are seat belts being used on applicable equipment while in operation?

  Yes

  No

  N/A

• 15. Have One Call locates been obtained?

  Yes

  No

  N/A

• 16. Is area near suspected gas leak free of ignition sources (smoking, non-intrinsically safe tool/equipment, etc)?

  Yes

  No

  N/A

• 17. Are compressed gas cylinders stored and secured properly to prevent damage?

  Yes

  No

  N/A

• 18. Has proper grounding of PE pipe and directional boring machine been complete?

  Yes

  No

  N/A

• 19. Has voltage testing been completed before touching or working on meters and rectifiers?

  Yes

  No

  N/A

• 20. Is trailer in good condition (tires, etc)?

  Yes

  No

  N/A

• 21. Are chocks being used on equipment located on incline?

  Yes

  No

  N/A

• 22. Is load and/or equipment properly secured to trailer?

  Yes

  No

  N/A

• Excavator needs 5 separate binders

PPE Requirements

• 23. Are hard hats being worn and in good condition, while performing assigned work within a construction site?

  Yes

  No

  N/A

• 24. Are safety glasses being worn?

  Yes

  No

  N/A

• 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.

• 25. Is a face shield being worn when required?

  Yes

  No

  N/A

• To be worn when cutting concrete, grinding, etc.

• 26. Is hearing protection being worn when required?

  Yes

  No

  N/A

• To be worn when exposed to noises >85 db

• 27. Are company-approved work gloves being used when applicable?

  Yes

  No

  N/A

• Examples: leather near pinch points, sharp objects, abrasives, splintered material, steel pipe construction; chemical resistant when working with hazardous chemicals.

• 28. Is proper footwear being worn?

  Yes

  No

  N/A

• Tennis shoes not allowed, must have 6 inch or taller leather or rubber boots.

• 29. Is fire-retardant clothing being worn?

  Yes

  No

  N/A

• Not allowed: screen-printed t-shirts, garments made of nylon or other non-cotton material, all clothing must be 100% cotton

Chemical Safety, First Aid, Ergonomics

• 30. Are SDS available for all hazardous chemicals on site?

  Yes

  No

  N/A

• 31. Are safety/medical/first aid equipment/goods on site and within date?

  Yes

  No

  N/A

• 32. Are proper lifting/carrying techniques utilized?

  Yes

  No

  N/A

• 33. Are proper pushing/pulling techniques utilized?

  Yes

  No

  N/A

• 34. Are employees using 3 points of contact when ascending, descending, and climbing?

  Yes

  No

  N/A

• 35. Are employees using good posture and not overextending?

  Yes

  No

  N/A

Tools and other Equipment

• 36. Are guards in place on grinders and other portable saws, etc?

  Yes

  No

  N/A

• 37. Are appropriate stripping/skinning tools or approved skinning knives being used and in good condition?

  Yes

  No

  N/A

• 38. Are the proper tools for the job being utilized, and are tools in good condition, with no modifications?

  Yes

  No

  N/A

• Examples: shovel handles, smart sticks in good condition

• 39. Fusing iron/pipe welder in good condition (no damage to the cord)?

  Yes

  No

  N/A

• 40. Are all extension cords in good condition?

  Yes

  No

  N/A

• No abrasions, three-prong ground plug must be intact

• 41. Are employees properly using pipe clamps (when temporarily closing off section to weld or repair leak)?

  Yes

  No

  N/A

• 42. Have employees properly bled lines prior to welding?

  Yes

  No

  N/A

Enclosed/Confined Spaces

• 43. Has a confined space permit been obtained if required?

  Yes

  No

  N/A

• 44. Are enclosed/confined spaces being appropriately monitored for gaseous environment using a calibrated monitoring device?

  Yes

  No

  N/A

• 45. Do personnel know what the UEL and LEL % are (5% and 15%)?

  Yes

  No

  N/A

• 46. Do personnel know what % of gas is considered a gaseous atmosphere according to Entergy standards (3% gas or 60% LEL)?

  Yes

  No

  N/A

• 47. Is an intrinsically-safe ventilation fan being used if required?

  Yes

  No

  N/A

• 48. Are non-sparking tools used in potentially gaseous atmospheres (i.e. brass tools)?

  Yes

  No

  N/A

• 49. Are enclosed/confined space procedures being followed (rescue equipment on site, qualified attendant, etc)?

  Yes

  No

  N/A

Excavation Operations and Open Holes

• 50. Are employees exhibiting safe operation of excavating equipment (operator aware of surroundings)?

  Yes

  No

  N/A

• 51. Has the blade and/or bucket been placed on the ground when excavator is not in use?

  Yes

  No

  N/A

• 52. 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?

  Yes

  No

  N/A

• 53. Is the housekeeping within 2 feet of open hole good, to prevent trips/falls into open excavation (tools, removed dirt from excavations, etc)?

  Yes

  No

  N/A

• 54. Are appropriate access/means of egress points present within excavations over 4 feet?

  Yes

  No

  N/A

• Examples: ladder which must be secured, fiberglass only, in good condition and tied off as applicable and provided every 25 feet.

• 55. Is proper barricading being used near open excavations that are to be left unattended?

  Yes

  No

  N/A

• 56. Are all personnel staying clear of the swing radius of the excavating equipment?

  Yes

  No

  N/A

• 57. Is a fire watch present when coworkers are in the excavation, along with staged fire extinguisher?

  Yes

  No

  N/A

Other

• 58. Do contractors on site have PowerSafe cards present at all times while performing work on Entergy property?

  Yes

  No

  N/A

Human Performance Tools

• 59. Self Checking

  Yes

  No

  N/A

• 60. Peer Checking

  Yes

  No

  N/A

• 61. Pre-Job Briefing

  Yes

  No

  N/A

• 62. Procedure Usage

  Yes

  No

  N/A

• 63. Questioning Attitude

  Yes

  No

  N/A

• 64. Place Keeping

  Yes

  No

  N/A

• 65. Effective Communication

  Yes

  No

  N/A

• 66. Coaching

  Yes

  No

  N/A

• 67. Post-Job Review

  Yes

  No

  N/A

• 68. Turnovers

  Yes

  No

  N/A

• Comments

• Signature

  Sign