Morse Electric Site Safety Audit

• Foreman

• Client / Site

• Conducted on

  Date

• Prepared by

• Location

• Personnel

JHA

• Daily JHA completed front and back?

  Yes

  No

  N/A

• Detailed tasks and hazards listed?

  Yes

  No

  N/A

• All employees understand and sign JHA?

  Yes

  No

  N/A

Work Areas

• Do you wish to examine work areas on this safety walk?

  Yes

  No

  N/A

• Site Conditions (access, egress, mud, ice..etc?)

  Safe

  At Risk

  N/A

• General Housekeeping (neat, tidy and dust free?)

  Safe

  At Risk

  N/A

• First Aid Kits (available and stocked)

  Safe

  At Risk

  N/A

• Fire Extinguishers (available, in date and charged)

  Safe

  At Risk

  N/A

• Noise Level (80 db and lower)

  Safe

  At Risk

  N/A

• Sides or Holes (safety guards or covered)

  Safe

  At Risk

  N/A

• Impalement Hazards (none present, or adequately marked)

  Safe

  At Risk

  N/A

• Material Storage/Lay Down (neat and tidy)

  Safe

  At Risk

  N/A

Personal Protective Equipment (PPE)

• Do you wish to examine PPE on this safety walk?

  Yes

  No

  N/A

• Hard Hats (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Safety Glasses with Side Shields (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Appropriate Clothing (HI-VIZ)

  Safe

  At Risk

  N/A

• Gloves (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Foot Protection (fit for task, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Respiratory Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Arc Flash Suit and Gloves (good condition and up to date)

  Safe

  At Risk

  N/A

• Face Shield / Goggles (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Hearing Protection (available, worn by crew and in safe condition)

  Safe

  At Risk

  N/A

• Yes

  No

  N/A

Fall Protection Equipment

• Do you wish to examine fall protection equipment on this safety walk?

  Yes

  No

  N/A

• Fall protection equipment inspected regularly and before use

  Safe

  At Risk

  N/A

• Fall Protection Stored Properly (hung up when not in use)

  Safe

  At Risk

  N/A

• Appropriate for task and used properly by crew where applicable

  Safe

  At Risk

  N/A

• Suitable Anchorage Points

  Safe

  At Risk

  N/A

Ladders

• Do you wish to examine ladders on this safety walk?

  Yes

  No

  N/A

• Ladders are well maintained and in satisfactory condition

  Safe

  At Risk

  N/A

• Ladder base, footing and set up is to standard

  Safe

  At Risk

  N/A

• Proper Ladder for Task

  Safe

  At Risk

  N/A

Aerial Lifts

• Do you wish to examine aerial lifts on this safety walk?

  Yes

  No

  N/A

• Are the lifts clean and in good working order?

  Yes

  No

  N/A

• Are the lifts being used within high wind limits?

  Yes

  No

  N/A

• Are safety chains and devices being used?

  Yes

  No

  N/A

• Are the lifts a safe distance from overhead power lines?

  Yes

  No

  N/A

• Are all open holes in the floor protected against the lift driving into them?

  Yes

  No

  N/A

• Are the lifts being used on level ground?

  Yes

  No

  N/A

• Is fall protection being used properly if required?

  Yes

  No

  N/A

Lock Out Tag Out

• Do you wish to examine LOTO on this safety walk?

  Yes

  No

  N/A

• Is there a written LOTO program and policy?

  Yes

  No

  N/A

• Employees trained in LOTO procedures?

  Yes

  No

  N/A

• Are forcible locks being used and properly tagged?(contact name and number)

  Yes

  No

  N/A

• Is there a separate lock for every authorized employee?(multi person hasps/lock boxes)

  Yes

  No

  N/A

• No issues with LOTO? (locks left on/lost key etc)

  Yes

  No

  N/A

Tools

• Do you wish to examine tools and equipment on this safety walk?

  Yes

  No

  N/A

• Right tools are being used for tasks

  Safe

  At Risk

  N/A

• General condition of tools

  Safe

  At Risk

  N/A

• Crew members are trained to be competent in the tools appropriate for their work tasks

  Safe

  At Risk

  N/A

Electrical Safety

• Do you wish to examine electrical safety on this safety walk?

  Yes

  No

  N/A

• Ground fault circuit interrupters in use

  Safe

  At Risk

  N/A

• Extension Cords are not causing trip hazards or used inappropriately

  Safe

  At Risk

  N/A

• Power Tools are undamaged and being used fit for purpose

  Safe

  At Risk

  N/A

Personnel

• Do you wish to check personnel?

  Yes

  No

  N/A

• Behavior is orderly and professional

  Safe

  At Risk

  N/A

• Clear communication is possible without needing to shout

  Safe

  At Risk

  N/A

General Comments

• Any further comments or recommendations arising from this inspection?

• Add any additional relevant photos

  Media

Positive Recognitions

• Good Catches? Good Practices?

  Yes

  No

  N/A

SORT

• Keep all storage area's clearly defined and clear of isle and doorways.

  4

  3

  2

  1

  0

STRAIGHTEN/SET IN ORDER

• Stored items and parts are well organized. Tools are put back in designated areas.

  4

  3

  2

  1

  0

• Safety equipment is easily accessible and in good condition.

  4

  3

  2

  1

  0

SHINE

• Lifts, Vehicles and Equipment are clean and neat.

  4

  3

  2

  1

  0

• Tools and PPE are cleaned after use.

  4

  3

  2

  1

  0

• Cleaning supplies are accessible- brooms, buckets, trash bins.

  4

  3

  2

  1

  0

• Stored items are kept in a clean area.

  4

  3

  2

  1

  0

STANDARDIZE

• Procedures for maintaining the first 3's are being displayed.

  4

  3

  2

  1

  0

• Everyone knows their responsibilities, when and how.

  4

  3

  2

  1

  0

• Regular audits are taking place.

  4

  3

  2

  1

  0

SUSTAIN

• Supervisor is part of sustaining success.

  4

  3

  2

  1

  0

COMPLETION

• Name & Signature of safety Representative.

  Sign