Information

  • Audit Title

  • Last name, First name

  • Location

  • Conducted on

  • Prepared by

  • Personnel

  • Business Unit

  • Function/Entity

  • Workgroup

  • Job Title/Work Being Performed

Accountability

  • 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

  • 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?

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

Close Calls / Good Catch Reporting

  • 5a. When is the last time you reported a Close Call / Good Catch? What was the CC/GC pertaining to?

Vehicle Inspections

  • 1. Are weekly vehicle inspections ( for GVW >10K ) properly documented and present in the vehicle?

  • 17B.2

Job Safety Assessment

  • 2. Is the tailboard/hazard assessment complete?<br> <br>

  • 7D.1, 7E.1, 7E.2, 11A.2

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

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

  • Look for work being performed inside substations, vehicles should be moved outside gates.

  • 5. Have the following key observation points been identified, if applicable? (animal bite exposure, slips/trips/falls, ergonomics issues, Fatal rules, PPE, professional conduct, horseplay etc)

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

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

Vehicle and Worksite Setup

  • 8. Are safety cones in place?

  • 9. Are jack stands/vehicle supports being used?

  • Entergy Safety Manual 17A.19

  • 10. Are the wheels chocked if vehicle is on an incline?

  • Entergy Safety Manual 17A.20

  • 11. Is the vehicle off or out of the roadway if at all possible?

  • Look for work being performed inside substations, all attempts should be made to move vehicle outside the gates.

  • 12. Is the employee using traffic vest, strobes, and flashers as appropriate?

  • 13. Is the employee clear of the line of fire/paying attention to traffic in and around the work area?

  • Entergy Safety Manual 17A.22

  • 14. Is the work area as free from spills and obstructions as possible?

  • 15. If the driver's view was obstructed, was a spotter used to back the vehicle into a parking spot?

PPE and other requirements

  • 16. Is all approved and required PPE present and in good condition?

  • Hard hat with chin strap, task specific gloves, fall protection equipment, safety glasses, welding hood, sleeves/cotton hat, hearing protection, grinding face shield, pronounced heel on footwearcutting goggles)

  • 17. Is the employee properly dressed?

  • No loose clothing and appropriate clothing for the work being performed.

  • 18. Does the employee drive without using cell phone?

  • 19. Is the employee using their PPE as required?

  • Hard hats may not be required unless overhead hazards exist. Are the correct gloves being used? 11A.1

Chemical Safety, First Aid, Ergonomics

  • 20. Does the employee use ergonomic mats when necessary?

  • 21. Are SDS available for all hazardous chemicals onsite and properly stored?

  • 22. Are safety/medical first aid equipment/goods on site and within date including gel blankets?

  • Entergy Safety Manual 17A.4, OSHA standard 1910.266 App A, 1910.151 App A ANSI Z308.1-1998

  • 23. Are proper lifting/carrying techniques utilized?

  • 24. Are proper pushing/pulling techniques utilized?

  • 25. Does the employee use 3 points of contact when ascending, descending, and climbing?

  • Climb and descend facing vehicle using handles and 3 points of contact. 11C.a.1

Tools and Equipment

  • 26. Are hand tools organized in tool boxes?

  • 27. Are all hand tools in good condition with no defects?

  • No homemade tools allowed, hammer heads should be snug on handles, no broken tools allowed, defective tools should be tagged and set aside.

  • 28. Are all blades/knives/stripping tools being used properly, including being sheathed when stored?

  • Entergy Safety Manual 19B.1, 19B.2, 19B.3, 19B.4, 19B.5

  • 29. Do chisels/punches have mushroomed ends?

  • Entergy Safety Manual 19A.10

  • 30. Are the work lights/drop cords in good working condition and have all grounds on plugs?

  • 31. Are ladders in good condition, being used properly and stored properly, especially during transport?

  • Entergy Safety Manual 15A.10, 15A.18

  • 32. Are the extension cords properly stored, in good condition with all grounds in place and no exposed wire?

  • 33. Are all air hoses in good working condition with proper connections?

  • Hearing protection shall be used when operating pneumatic tools; employee is not allowed to use air hose to blow debris, etc off body. Entergy Safety Manual 18F.a.9 (fittings)

  • 34. Is lifting equipment in good condition?

  • Load rating clearly marked, safety latches in place and functioning on hooks, no frayed cables or ropes, hydraulic hoses in good condition. Check hydraulic cylinders for leaks.

  • 35. Is the fire extinguisher clearly labeled, tagged, fully charged, easily accessible and with an in date inspection?

  • Entergy Safety Manual 18C.5, 1E.17

  • 36. Are gas cylinders properly stored and secured in place?

  • Entergy Safety Manual 18F.b.1, 18F.b.2, 18F.b.3, 18F.b.7, 18F.c.4 (storage near ignitable sources)

Vehicle/Trailer Inspection

  • 37. Are the truck bins organized?

  • 38. Are GFI breakers working on welder?

  • 39. Is 110v power supply from truck functional and plug in good condition?

  • Check GFI breaker as well.

  • 40. Housekeeping -- Is the cab and bed of truck clean and free of clutter?

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