Information
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Project Name:
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Client
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Conducted on
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Auditor:
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Location
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Crew
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Tasks been performed
DOCUMENTATION (COMPLETE FOR ALL JOBS)
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JHA complete for all tasks being performed.<br>
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Adequate control measures in place to address hazards.<br>
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All employees have signed-off on JHA/procedures.<br>
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JHA reviewed with all visitors to site prior to entry.<br>
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Emergency plan complete and communicated.<br>
HOUSEKEEPING (COMPLETE FOR ALL JOBS)
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Debris/materials not accumulating on jobsite.<br>
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Flammable materials are properly stored.<br>
PPE (COMPLETE FOR ALL JOBS)
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Gloves appropriate to the task are being worn.<br>
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Hard hat, safety glasses and protective footwear in use.<br>
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Fall protection equipment inspected and used.<br>
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Rubber goods/hot sticks test dates are current.<br>
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Additional PPE used as needed.<br>
ENERGIZED EQUIPMENT
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Approach distances are maintained by all.<br>
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Adequate cover in place on all energized parts.<br>
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NRO advised and crew logged in with dispatch.<br>
GROUNDING
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Lines de-energized, tested and grounded as required.<br>
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All energy sources/induced voltage addressed.<br>
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Grounding equipment inspect-ed and adequate for task.<br>
OPERATING ORDERS
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Clearance, NRO or Hold Order communicated.<br>
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Clearance points communicated and understood.<br>
WORK ZONE PROTECTION
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Traffic control in place appropriate to the task.<br>
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All employees are wearing high-visibility clothing.<br>
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Road-crossing permits obtained and in effect.<br>
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Hotline crossings are properly guarded.<br>
RIGGING
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Rigging equipment in good condition/inspected.<br>
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Rigging protected from sharp edges, heat, etc.<br>
EXCAVATIONS
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Excavations inspected by competent person.<br>
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Adequate protective systems in place.<br>
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Barricades in place on un-attended excavations.<br>
EQUIPMENT
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Pre-/post-use inspections complete.<br>
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Operators are trained for equipment in use.<br>
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Equipment is grounded as needed for the task.<br>
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Outrigger pads in place for all lifting equipment.<br>
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Equipment is barricaded/ chocked as needed.<br>
SUBSTATION
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Crew reported into dispatch.<br>
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Gates are closed/locked.<br>
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Qualified station-entry personnel on site.<br>
HAND TOOLS
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Power tools inspected and in good condition.<br>
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GFCIs used on all electric-powered tools.<br>
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Ladders in good condition and inspected.<br>
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Hand tools in good condition and used as intended.<br>
PERSONNEL TRAINING
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Employees have site-specific training as required.<br>
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Other required training complete, up to date.<br>
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ADDITIONAL COMMENTS
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Add media
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Jobsite Foreman/Superintend Signature
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Auditor Signature