Information
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Audit Title
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Format: Last name, First name
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Location
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Conducted on
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Prepared by
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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
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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?
Emergency Response Plan
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1. Do you know where the Safe Room is located in this facility? If yes, name/describe the location.<br> <br>
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2. Do you know where the assembly point outside this facility is for an emergency evacuation? If yes, name/describe the location.
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3. Do you know who is responsible for checking your name off of the employee roster once you arrive at the assembly point? If yes, name that person(s).
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4. Do you know how you are notified to find shelter in place for a weather event? If yes, describe the alarm.
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5. Do you know what the alarm/notification is in event of fire or other emergency evacuation? If yes, describe alarm.
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6. Do you know the escape route to get to the assembly point outside the facility? If yes, provide details on primary route and alternate route.
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Depending on the situation, have the employee either walk you along the route or describe the route. The goal is to determine if there are obstructions in the pathway; if the employee describes the route, walk it after the inspection to check for obstructions. NOTE: obstructions are not necessarily the fault of the employee, and should be included merely as a note for future reference.
Workplace Hazards
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7. Do you know who is trained in CPR and first aid on site? If yes, provide at least 2 names if applicable.
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8. Do you know what information is contained on a Safety Data Sheet (SDS)? If yes, provide example and where the sheets are located at your facility.
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9. Can you describe a situation where you would need the information from the SDS book?
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10. 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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11. Do you have a bulletin board or OSHA poster on site that provides safety information? If yes, what information does it contain?
Safety Participation
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12. How often do you attend safety meetings? What were some recent topics from the safety meetings?
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13. Can you give me an example of how you would encourage your fellow workers to choose safe office practices?
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14. 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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Comments
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