Job Briefing Audit

• Document No.

• Work Center

  Select Wagner Boonville Rockport Mt. Vernon Francisco Metershop

  • Wagner
  • Boonville
  • Rockport
  • Mt. Vernon
  • Francisco
  • Metershop

• Job Briefing Date

  Date
• Job Location
  Address

• Prepared by

• Is the job briefing filled out completely?

  Yes

  No

  N/A

• Is the JSA filled out neatly?

  Yes

  No

  N/A

Emergency Information

• Address

  Yes

  No

  N/A

• GPS Coordinates

  Yes

  No

  N/A

• Cross Street

  Yes

  No

  N/A

• Work Center

  Yes

  No

  N/A

• Circuit Name

  Yes

  No

  N/A

• Substation

  Yes

  No

  N/A

Job Description Fields

• Date

  Yes

  No

  N/A

• Time

  Yes

  No

  N/A

• Work Order Number

  Yes

  No

  N/A

• Switching required

  Yes

  No

  N/A

• Switching order number

  Yes

  No

  N/A

• Description of work listed

  Yes

  No

  N/A

• Job sequence identified

  Yes

  No

  N/A

Hazard Recognition

• Was hazard recognition completed?

  Yes

  No

  N/A

• Does the job briefing identify all the hazards associated with the job?

  Yes

  No

  N/A

• Are high energy hazards identified listed in following section?

  Yes

  No

  N/A

High Energy Hazard Controls

• Are direct controls identified to mitigate high energy hazards listed?

  Yes

  No

  N/A

• Was the energy wheel utilized?

  Yes

  No

  N/A

Additional Controls

• Does the job briefing identify all required PPE to perform the job?

  Yes

  No

  N/A

• Are there any additional comments listed?

  Yes

  No

  N/A

• Comment noted:

Tailboard Briefing Acknowledgements

• Signature of employee conducting tailboard?

  Yes

  No

  N/A

• Did all involved crew members participate in briefing?

  Yes

  No

  N/A

• Did crewmembers acknowledge tailboard with signature and employee number?

  Yes

  No

  N/A

• Post job review completed?

  Yes

  No

  N/A

Additional

• Are you READY checked?

  Yes

  No

  N/A

• Management/ Crew Leader Review?

  Yes

  No

  N/A

• Signature of Auditor

  Sign

• Comments

• Copy of JSA

  Media