Harbor - Diversified Services Utility Field Inspection 2016

• Audit Title

• Format: Last name, first name <<<<

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ADS Field Safety Inspection 2016

• Workgroup

  Distribution

  Transmission

  Substation

  Clean up

  Street light

• Department Number

• Number of Employees

• Job Title/Work Being Performed

Section 1, Hazard Assessment

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Animal bite exposure, slips/trips/falls, ergonomic issues, CESR, PPE

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

  Yes

  No

  N/A

• Hospital location, route of egress, GPS coordinates, emergency telephone number

• 6. Have scope changes been documented, as applicable?

  Yes

  No

  N/A

• 7. Has the line being worked on been de-energized if at all possible?

  Yes

  No

  N/A

• T&D Sec. 8.38
  All automatic reclosures should be worked on one shot. Is one shot needed for this circuit? Is the circuit on one shot?

• 8. Were required Human Performance tools discussed/identified/used and been addressed?

  Yes

  No

  N/A

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

Section 2, Worksite Setup:

• 9. Is the public clear of worksite?

  Yes

  No

  N/A

• 10. Are the equipment and vehicles set up properly? (proper vehicle parking, bucket truck and man lift setup)

  Yes

  No

  N/A

• Includes control devices such as safety cones (if present longer than 15 minutes), beacon lights, proper vehicle parking, and bucket truck setup.

• 11. Is the worksite properly marked and/or barricaded?

  Yes

  No

  N/A

• 12. Are required MUTCD/DOT standards being followed on all roads open to public traffic (signs, cones, flagmen)?

  Yes

  No

  N/A

• Refer to MUTCD regulations.

• 13. Is the employee using cover up equipment appropriately and adequately?

  Yes

  No

  N/A

• This is covered under T&D Safety Manual 13.23

• 14. Are minimum approach distance rules being followed correctly?

  Yes

  No

  N/A

• T&D 13.6-13.10
  Rubber goods shall be worn cradle to cradle when working within 6' of energized conductors or equipment.
  Sleeves shall be worn cradle to cradle when working within 6' of energized conductors or equipment.

• 15. Are vehicles and equipment properly grounded?

  Yes

  No

  N/A

• Digger trucks have an uninsulated boom and should be grounded unless it is new construction. This is Section II of Duke Energy CESR and covered under T&D 7.19, 8.8, 8.9, 8.10

• 16. Is line work being performed with the bucket in an effective ergonomic position?

  Yes

  No

  N/A

• 17. Have one-call locates been obtained?

  Yes

  No

  N/A

• 18. Are appropriate excavation and trenching techniques being used?

  Yes

  No

  N/A

• Shoring required if excavation is over 5 feet in depth, or in loose or unstable soil.

• 19. Are proper confined-space protocols being used?

  Yes

  No

  N/A

Section 3, PPE and Tools:

• 20. Are all required PPE/rubber goods/hot sticks in date?

  Yes

  No

  N/A

• Testing occurs every 6 months on gloves. Hot sticks and blankets are tested with the truck, annually.

• 21. Is required PPE being used?

  Yes

  No

  N/A

• Includes safety glasses with side shields, hard hat, face shield, work gloves, hearing protection, as needed.

• 22. When working on public streets, are reflective vests and/or flagmen in use?

  Yes

  No

  N/A

• 23. Are ladders in good condition with no visible defects, and are they being used properly?

  Yes

  No

  N/A

• 24. Are employees wearing FR clothing?

  Yes

  No

  N/A

• Shirt tails shall be tucked in when working around energized conductors.

• 25. If a grinder or saw is being used, is the guard in place?

  Yes

  No

  N/A

• This includes covers on chainsaws that are in the trucks

• 26. Are overshoes being worn in appropriate areas/situations?

  Yes

  No

  N/A

• Overshoes should be worn when performing switching/grounding activities from the ground (distribution settings), mainly see these in Transmission section, 20kv and up with a barricade around the truck and wearing them inside the barricaded area. Duke does not require EH boots, only ANSI Z41 or ASTM F2412/2413 rated boots and specified tasks for dielectric boots (examples above).

• 27. Is 100% fall protection being used when appropriate?

  Yes

  No

  N/A

• 28. Are approved stripping/skinning tools/knives being used?

  Yes

  No

  N/A

• 29. Are cut-resistant gloves being worn when working with approved knives?

  Yes

  No

  N/A

• 30. Are tools being used properly and in good condition?

  Yes

  No

  N/A

• 31. Is the employee using the proper rubber gloves and sleeves for the task?

  Yes

  No

  N/A

• T&D Sec 13
  
  Class 0 rubber gloves are prohibited except for substation relay and/or street light crews.

• 32. Is PVD operational?

  Yes

  No

  N/A

• PVDs are not required, as of 7-12-16. Just document if the crew has one, score will not reflect a deficiency.

• 33. Is high-voltage detector operational and being used appropriately?

  Yes

  No

  N/A

• 34. Is the employee using proper arc flash protection for task?

  Yes

  No

  N/A

Section 4, STCTG:

• 35. Are switching orders properly documented?

  Yes

  No

  N/A

• 36. Are switching orders executed in sequence, exactly as written?

  Yes

  No

  N/A

• 37. Have Danger Hold Tags been completed and installed as required?

  Yes

  No

  N/A

• 38. Are clearance orders properly documented?

  Yes

  No

  N/A

• 39. Are clearance orders executed as written, circuits tested to be de-energized, and grounds installed as required per task?

  Yes

  No

  N/A

• 40. Are MOS/gang operated switches/hookstick switches operated to fully open or closed position and properly disengaged and/or locked?

  Yes

  No

  N/A

• 41. Are breaker or control systems opened/closed/disabled/enabled/checked for correct operation and tagged as required?

  Yes

  No

  N/A

• 42. Are proper testing and grounding methods being used?

  Yes

  No

  N/A

• Check general condition of grounds and expiration dates, T&D Safety Manual 8.12-8.21

Section 5, General Inspection Items:

• 43. Is the first aid kit present, stocked and all goods in date?

  Yes

  No

  N/A

• 44. Does the employee have a gel blanket, if required and is it in date?

  Yes

  No

  N/A

• 45. Is housekeeping in vehicles and on the job site good?

  Yes

  No

  N/A

• 46. Does the employee have SDS and understand how to source them for emergency information?

  Yes

  No

  N/A

• 47. Is the fire extinguisher charged, in good condition, and been inspected?

  Yes

  No

  N/A

• 48. Are seat belts in use when operating vehicles or equipment?

  Yes

  No

  N/A

• 49. Have all designated observers and craftsmen on site received the required training to be considered qualified?

  Yes

  No

  N/A

• 50. Does the employee properly use their cell phone and/or radio?

  Yes

  No

  N/A

• Use of cell phones, radios, and pagers is prohibited while hot-sticking or in the rubber glove zone unless in the event of an emergency. This includes the spotter. No cell phone usage while driving.

• 51. Is the employee mindful of line-of-fire and pinch points?

  Yes

  No

  N/A

• 52. Are proper lifting and carrying techniques being utilized?

  Yes

  No

  N/A

• 53. Are proper pushing and pulling techniques being utilized?

  Yes

  No

  N/A

• 54. Are proper ascending/descending/climbing techniques being utilized?

  Yes

  No

  N/A

• This question includes the use of three points of contact, as well as safe and efficient bucket movement.

• 55. Are all employees mindful of proper ergonomics/body placement for task?

  Yes

  No

  N/A

• 56. Are all linemen working within their "safe zone" (shoulder to waist)?

  Yes

  No

  N/A

• 57. Does ADS have a Good Catch (Near Miss) process?

  Yes

  No

  N/A

• Ask the employee the questions and record their responses.

• 58. How are Good Catches (Near Misses) reported?

  Yes

  No

  N/A

• Ask the employee the question and record the responses.

• 59. What is the difference between a Good Catch and an incident?

  Yes

  No

  N/A

• Ask the employee the question and record the responses.

Vehicle/Trailer Inspection

• 60. Do all headlights (bright and dim) and tail lights work?

  Yes

  No

  N/A

• 61. Do brake lights work?

  Yes

  No

  N/A

• 62. Do the emergency flashers (front and back) work?

  Yes

  No

  N/A

• 63. Do all turn signals work (left, right for front and back)?

  Yes

  No

  N/A

• 64. Do the interior cab lights work?

  Yes

  No

  N/A

• 65. Is the seat belt in the vehicle functioning?

  Yes

  No

  N/A

• 66. Does the horn work?

  Yes

  No

  N/A

• 67. Are there any cracks in the windshield that obstruct the driver's field of vision?

  Yes

  No

  N/A

• 68. Do the windshield wipers/washers work?

  Yes

  No

  N/A

• 69. Is the interior glass in good condition including the rear glass and door glass?

  Yes

  No

  N/A

• 70. Are the mirrors clean and free of cracks?

  Yes

  No

  N/A

• 71. Are the tires in good condition (not excessively worn or flat, vehicle and or trailer)?

  Yes

  No

  N/A

• 72. Is the cab and bed of the truck clean and clear of clutter?

  Yes

  No

  N/A

• 73. Is the license plate present and within date, and do the lights work?

  Yes

  No

  N/A

• 74. Is the inspection tag in place and within date?

  Yes

  No

  N/A

Human Performance Tools

• 75. Self Checking

  Yes

  No

  N/A

• 76. Peer Checking

  Yes

  No

  N/A

• 77. Pre-Job Briefing

  Yes

  No

  N/A

• 78. Procedure Usage

  Yes

  No

  N/A

• 79. Questioning Attitude

  Yes

  No

  N/A

• 80. Place Keeping

  Yes

  No

  N/A

• 81. Effective Communication

  Yes

  No

  N/A

• 82. Coaching

  Yes

  No

  N/A

• 83. Post-Job Review

  Yes

  No

  N/A

• 84. Turnovers

  Yes

  No

  N/A

• Comments

• Signature

  Sign