Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
undefined
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Work/Job Order #:
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Observer:<br>
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Crew Leader Observed:
- Arthur
- Bachman
- Bandy
- Barb
- Cardinel
- Colt Clark
- Richard Clark
- Cook
- Crouse
- Dotts
- Dubois
- Ducken
- Elwess
- Fournier,D
- Fournier,G
- Gednalske
- Hall,Cameron
- Hall,Chad
- Hannon
- Hongslo
- Hull
- Jerome
- Johnson, Tyler
- Kennedy, Colby
- Lortie
- Olson
- Palacios, Damon
- Pilgrim
- Rollins
- Smither
- Smith, Adam
- Smith, Rob
- Snell, Hayden
- Teal
- Thompson, Will
- Thompson, Eric
- Turley
- Tolzmann
- Trahanes, Ty
- Underdown
- VanDewerker
- Wagner,Garth
- Wanous
- Wold
- Brunner, Brian
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Employees Observed:
- Arthur
- Bachman
- Bandy
- Barb
- Cardinel
- Colt Clark
- Richard Clark
- Cook
- Crouse
- Dotts
- Dubois
- Ducken
- Elwess
- Fournier,D
- Fournier,G
- Gednalske
- Hall,Cameron
- Hall,Chad
- Hannon
- Hongslo
- Hull
- Jerome
- Johnson, Tyler
- Kennedy, Colby
- Lortie
- Olson
- Palacios, Damon
- Pilgrim
- Rollins
- Smither
- Smith, Adam
- Smith, Rob
- Snell, Hayden
- Teal
- Thompson, Will
- Thompson, Eric
- Turley
- Tolzmann
- Trahanes, Ty
- Underdown
- VanDewerker
- Wagner,Garth
- Wanous
- Wold
- Brunner, Brian
Job Task:
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Scope of Work:
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Job Type:
- Daily Scheduled Work
- Overtime Work
- Storm Work
- Overhead
- Underground
- Street Lighting
- Sub-Station
- Customer Owned
- Primary
- Secondary
- Metering
- New Construction
- Existing Construction
- Tree Trimming
- Circuit Switching
- Maintenance
- Transmission
- Three Phase
- Single Phase
- Single Phase Transformer
- Power Bank Transformer
- Capacitor Bank
- Regulator
- Auto Booster
- Underground Riser
- Customer Service
- Pad Mount Transformer
- Pole Mounted Transformer
- Circuit Switches
- Oil Switches
- Vacuum Switches
- Fault Indicators
- Splicing Wire
- Wye Primary
- Primary Gloves Class 2
- 12kV system
- 25kV system
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Recommendation:
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Issues that need to be resolved:
Vehicles:
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Proper Traffic Control (signs & cones)
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Wheel Chocks Set (OSHA 1910.67)
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Outrigger Set/Solid Surface <br>(OSHA 1910.67)
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Vehicle Condition <br>(OSHA 1910.67)
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Pre-Flight Aerial Life Checks (OSHA 1910.67)<br><br>
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Vehicle Properly Grounded/Barricaded (OSHA 1910.269 (q) )<br>
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DOT Walk Around<br>
Work Area Safety Procedures:
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Testing Procedures OK<br>
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Hot Stick Work<br>
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Climbing Pole/Pre-Climb Inspection<br>
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Pole Handling<br>
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Protective Grounding<br>
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Ladder Safety<br>
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Control of Hazardous Energy<br>
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Properly Locked and/or Tagged<br>
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Covering of Neutral <br>
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Covering of Surrounding Phases<br>
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Covering of Cross Arm & Pole <br>
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Using Hot Stick to Install Truck Grounds<br>
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Use of Hand Line on Pole During Work<br>
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In Proper Working Position <br>
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Circuit Open, Tested & Grounded<br>
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Tagged Devices & Inoperative<br>
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Line Treated as Live<br>
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Confined/Enclosed Spaces<br>
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Proper Use of Cover-up in Work Zone <br><br>
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Comments:
Personal Safety:
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Hard Hat (on and in good condition) (OSHA 1910.135)
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Safety Glasses (OSHA 1910.133)<br>
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Work Boots (OSHA 1910.136)<br>
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Work Gloves (OSHA 1910.132)
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Chainsaw Chaps<br>
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FR Clothing (OSHA1910.269(2) )
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Rubber Gloves & Protectors: Check for current test date. (OSHA 1910.137)<br>
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Personal Fall Protection (OSHA 1910.269(g) )
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Safety Vest (working in road ROW)<br>
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Face Shield or Goggles (OSHA 1910.133)
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Hearing Protection (OSHA 1910.95)
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First Aid Kit (OSHA 1910.157)
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AED<br>
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Fire Extinguisher/s<br>
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Seat Belt Usage<br>
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Climbing Tools in Good Condition<br>
Work Area Safety: Tail Gates
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Discussed Hazards
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Work Procedures
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Special Precautions
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Personal Protective Equipment
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Energy Source Control
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Safe & Clean Work Area<br>
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Tools in Good Working Condition<br>
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“Hot” Tools Clean, Tested & Inspected<br>
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Sharps covered<br>
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Slings and Ropes<br>
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Called in Location and Circuit of Work<br>
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Equipment Storage on Truck<br>
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Comments:
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Comments of Crew/Crew Leader/Lead Lineman:
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Discussion/Training with Crew by Inspector/ Supervisor Concerning Proper Work Practices and/or Safety Rules:
