Information
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Document No.
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Audit Title
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Client / Site
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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
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Function
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Workgroup
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Number of Employees
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Work Being Performed
Tailboard/Hazard Assessment
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1. Tailboard/Hazard Assessment Complete (Yes to items 2-7)
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Revenue Services (RS): JHA filled out in the AM and PM electronic format. There is only one person per vehicle and they usually work independently. Employees rarely have to use a bucket truck. JSAs • are electronic (will most likely not see a hard copy) • Employees fill out JSA before they get out of truck and submit it, so if hazards change, they cannot change the JSA Reference: General Subjects 7.0-15.0, Gas Safety Manual
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2. Job Hazards Prioritized, Identified and Documented
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RS: Voltage meters used to test unknown/tampered equipment
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3. Key Observation Points: Animal Bite Exposure, Slips, Trips, and Falls, Ergonomic Issues, Fatal Hazards, PPE, Other (identified)
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RS: Done as the JHA when you get out of the vehicle Reference: General Subjects 24.0, Gas Safety Manual
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4. An Effective Mitigation Plan
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RS: Quick escape routes, being aware of your surroundings
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5. Employee Recognizes Changes in Routine Hazards and Documented
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6. Emergency Plan Discussed: Nearest Hospital, Who should be notified.
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RS: No dispatch or radio communication upon arrival or departure. Radios with emergency buttons Reference: Emergency Procedures page 14, Gas Safety Manual Reference- Emergency Procedures page 14, Gas Safety Manual
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7. Emergency Plan Discussed: Location, Route of Egress, Circuit, GPS coord.
General inspection items
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8. Traffic Control Devices in place like safety cones/beacon lights.
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Use cones on all but, lead investigators. Reference: Traffic Control, page 119, Gas Safety Manual, MUTCD Manual temporary traffic control Section 6.
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9. Public Clear of Worksite
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Remove kids and customer whenever possible
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10. Reflective Vest in use around road work
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Reference- Motor Vehicle Safety, 20.0, Gas Safety Manual
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11. PPE condition checked, tested, and/or dated such as rubber goods, hot sticks, voltage tester.
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Wear FR clothes gate to gate Rubber gloves (date located on gloves and changed out every 6 months) • class 0 (required most times) • class 2 • class 3 (one meter man will have class three.. this is near tunica/casinos) Dielectric boots, just do visual checks (have but rarely use them, only to open doors to transformers). Face Shield (required when dealing with 480 volts +) Hot sticks (Inspected every two years, but they do not open and close switches, they are for using amp probe to measure hi side amperage) Hard hat required when overhead hazards are present Reference: Personal Protective Equipment section
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12. Housekeeping (including vehicles at job site and safety related items)
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Reference: General Subjects, 89-96, Gas Safety Manual
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13. Proper voltage testing processes followed
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Test voltage and continuity on new install and reconnect that is NOT reconnect due to non-pay. Same as field metering.
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14. all spent seals are removed from job site
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Need to make sure they are picked up from all job sites.
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15. Proper Removal/installation of meters
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Use PPE, not to use hand to hit meter to secure. Should place bottom in first then top Reference: General Subjects, page 24, Gas Safety Manual
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16. Meter pan seal properly installed
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Has a seal on bottom and clip is installed
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17. vehicle left running and unattended (situation dependant)
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May be left running if working and pad mount transformers (they wire them).. Employee may have drill requiring an inverter. Normally not running. Remote locks may also be installed for purpose of running a locked vehicle. Reference: Motor Vehicle Safety, 14, Gas Safety Manual
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18. Personal Conduct/attitude (are the employees professional and represent the company properly)
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Loose or proper clothing has been an issue in the past Reference: General Subjects, 19-26, Gas Safety Manual
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19. All Proper PPE in use
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Reference: Personal Protective Equipment, Gas Safety Manual
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20. Gas Meter and Valve not leaking
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May apply locks to gas meters to make safe
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21. Driving Courteous and/or defensive
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Smith driving and proper parking. Using hood caps for walk around unless investigating Reference: Motor Vehicle Safety, 10.0, Gas Safety Manual
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22. Employee practices all smith system driving rules
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23. Employee is practicing proper parking
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24. Use of seat belts when vehicle is in motion.
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Reference-Section 15 Motor Vehicle Safety, 15.2(1),Transimission and Distribution Safety Manual
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25. Proper use of cell phone and/or radio
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Blue tooth, handsfree only.
HU Tools
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26. Were Human Performance Tools used on this job?
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27. Self Checking
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28. Peer checking
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29. Post job review
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30. Procedure usage
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31. Questioning attitude
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32. Place keeping
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33. Effective Communication
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34. Pre-job briefing
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35. Coaching
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36. Turnovers
Comment Section
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Comments
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Additional Comments
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Signature