Information
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Audit Title
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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
- MS Jurisdiction
- LA Jurisdiction
- TX Jurisdiction
- NO Jurisdiction
- Regulatory Services
- Business Development Services
- Customer Operations Support
- Transmission
- Commercial Development & Innovation
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Function/Entity
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Workgroup
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Job Title
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 Call / 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?
Office Inspection Questions
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1. Where is the shelter in place location at this office/facility?
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1E.j.1 - 1E.j.22
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2. Where is the assembly point, outside of the facility, for emergency evacuations?
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1E.j.1 - 1E.j.22
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3. Do you know who is responsible for checking your name off of the employee list once you arrive at the assembly point? If yes, name that person(s).
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4. Where is the AED located?
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1E.j.15
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5. Where is the first aid kit located?
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1E.j.14
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6. Where is the nearest fire extinguisher located?
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1E.i.12, 1E.i.17, 1E.i.18
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7. Are pointed or sharp objects kept in sheaths or sharp point side down when not in use?
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1D.5
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8. Describe how you are notified to evacuate the building in case of emergency.
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1Ej.1 - 1E.j.22
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9. Describe how you are notified to find shelter in place for a weather event.
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1Ej.1 - 1E.j.22
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10. Describe the primary and secondary route you would take to get to the assembly point for an emergency evacuation.
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1Ej.1 - 1E.j.22
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11. Is the means of egress blocked, or is the general area where employee works clear of any hazards or debris that could impede evacuation?
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UNWEIGHTED: 1E.c.1, 1E.c.3, 1D.12, 1E.a.1, 1E.d.1,
1E.i.2, 1E.j -
12. Do you know who is trained in CPR and first aid onsite? If yes, provide at least 2 names if applicable.
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1E.j.13
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13. Do you know what information is contained on a Safety Data Sheet (SDS)? If yes, provide example and where SDS’s are located at your facility.
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1K.1 - 1K.11
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14. Can you describe a situation where you would need to access the information from the SDS book?
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15. Do you know who in this facility you could ask a safety question and/or who could assist with a safety issue? If yes, provide name.
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16. Describe where the Federal Labor law poster and bulletin board area for OSHA notices are located.
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17. How often do you attend safety meetings? What were some recent topics from the safety meetings?
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18. Can you give me an example of how you would encourage your fellow workers to choose safe office practices?
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19. Can you give me an example of how you have used topics from the safety meetings in your home or personal life?
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20. What is the proper sitting and standing ratio? 30/30
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1F.4 30/30 as a rule of thumb
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21. What is the protocol in place for workplace violence? (Run, hide, fight)
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1E.k.5.a - 1E.k.5.g
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Comments
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Inspector Signature