Title Page
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Cooperative Name
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Location
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- Main Facility
- Outpost
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Conducted on
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Prepared by
Section 1: Document Verification & Safety Improvement Plan
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1.6 Crew inspection documentation is readily available upon request.
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1.7 AED inspection documentation is readily available upon request.
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1.8 Fire extinguisher inspection documentation is readily available upon request.
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1.9 Breaker maintenance inspection documentation is readily available upon request.<br>
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1.10 Substation inspection documentation is readily available upon request.
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1.11 Underground line inspection documentation is readily available upon request.
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1.12 Line inspection documentation is readily available upon request.
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1.13 Tree trimming inspection documentation is readily available upon request.
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1.14 Full inspection documentation is readily available upon request.
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1.15 Rubber gloves and rubber sleeves inspection documentation is readily available upon request.
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1.16 Harness inspection documentation is readily available upon request.
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1.17 Climbing gear inspection documentation is readily available upon request.
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1.18 Sling inspection documentation is readily available upon request.
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1.19 Ladder inspection documentation is readily available upon request.
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1.20 Post trip truck inspection documentation is readily available upon request.
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1.21 Pre-trip truck inspection documentation is readily available upon request.
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1.22 SPCC Plan documentation is readily available upon request.
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1.23 Evacuation plan documentation is readily available upon request.
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1.24 Safety Improvement Plan Committee minutes documentation is readily available upon request.
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1.25 Safety Meeting minutes documentation is readily available upon request.
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1.26. OSHA 300 form documentation is readily available upon request.
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1.27 Accident investigation documentation is readily available upon request.
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1.28 Job briefing documentation is readily available upon request.
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1.29 Personal grounds test documentation is readily available upon request.
Section 1: Summary
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1.30 The overall evaluation of the onsite field observation team for this section of the assessment is as follows:<br>Criteria: <br>* Strong performance - Questions evaluated as exceeds or satisfies all requirements and 100% of the randomly selected pieces of documentation were provided.<br>* Satisfactory performance - Questions evaluated as satisfies all requirements, could be a small number evaluated as exceeds and 3 and of the 4 randomly selected pieces of documentation were provided.<br>* Generally satisfactory with minor areas for improvement - Questions evaluated as satisfies all or most requirements, improvement areas are minor and 2 out of the 4 randomly selected pieces of documentation were provided.<br>* Key attention areas for improvement - Questions evaluated as partially satisfies or fails to satisfy requirements in important improvement areas and none of the randomly selected pieces of documentation were provided. <br>
IAEC Safety Personnel Signature
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John Dvorak
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Matt Pociask
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Jim Wolfe
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Scott Meinecke
