Information
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Audit Title
Audit Information
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Select date
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Supervisor/Observer
- Art DeCamp
- Billy Staffen
- Maria Szotko
- Scotty Kehoe
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Employee Group 1
- C. Allen.
- C. Anderson.
- K. Bowlin.
- D. Cantu.
- K. Carroll.
- C. Cisneros.
- S. Clor.
- J. Coates.
- D. Connell.
- R. DeLong.
- J. Duca.
- V. Duca.
- L. Ehresman.
- D. Erickson.
- D. Fairfield.
- T. Ferrier.
- J. Frazier.
- T. Freeland.
- M. George.
- R. Gonzalez.
- J. Hanes.
- F. Harker.
- E. Holm.
- F.Horvath.
- L. Johnson.
- M. Johnson.
- R. Johnson.
- J. Kelm.
- M. Korstanje.
- B. Langlois.
- P.Larsen.
- R. LaVigne.
- M. Lewis.
- M. Matrone.
- B. Miller.
- E. Moore.
- R. Murray.
- R. Ortquist.
- R. Patino.
- C. Price.
- F. Riley.
- R. Ruthkowski.
- J. Sellon.
- S. Sheffer.
- R. Shetterly.
- J. Slater.
- V. Smith.
- J. Thorsen.
- A. Tumele.
- G. Vickers.
- J. Wachter.
- N. Wilks.
- D. Wolgamott.
- J. Yadlosky.
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Employee Group 2
- C. Allen.
- C. Anderson.
- K. Bowlin.
- D. Cantu.
- K. Carroll.
- C. Cisneros.
- S. Clor.
- J. Coates.
- D. Connell.
- R. DeLong.
- J. Duca.
- V. Duca.
- L. Ehresman.
- D. Erickson.
- D. Fairfield.
- T. Ferrier.
- J. Frazier.
- T. Freeland.
- M. George.
- R. Gonzalez.
- J. Hanes.
- F. Harker.
- E. Holm.
- F.Horvath.
- L. Johnson.
- M. Johnson.
- R. Johnson.
- J. Kelm.
- M. Korstanje.
- B. Langlois.
- P.Larsen.
- R. LaVigne.
- M. Lewis.
- M. Matrone.
- B. Miller.
- E. Moore.
- R. Murray.
- R. Ortquist.
- R. Patino.
- C. Price.
- F. Riley.
- R. Ruthkowski.
- J. Sellon.
- S. Sheffer.
- R. Shetterly.
- J. Slater.
- V. Smith.
- J. Thorsen.
- A. Tumele.
- G. Vickers.
- J. Wachter.
- N. Wilks.
- D. Wolgamott.
- J. Yadlosky.
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Location
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Add location
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Job Type
- C&C
- Construction
- Fire
- HPP
- Leak
- Main Repair
- Main Renewal
- New Service
- Pressure
- Service Alteration
- Service Repair
- Service Renewal
- Service Work
- Set Meter
- Staking
- Tapping
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Job Type
Pre-Job Briefs
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Were the potential job hazards reviewed?
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Were the Distribution & FSO Procedures available for review?
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Does the employee(s) have a full understanding / knowledge of the job task?
Personal Protective Equipment (PPE)
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Does the employee(s) have the required PPE for the job task?
Tools/Equipment
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Are the proper tools/equipment in use or available when needed?
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Are all tools/equipment in good working condition?
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Is work area in a safe condition?
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Is the vehicle(s) and/or equipment parked properly on site?
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If an excavation, are proper sloping, shoring, ingress and egress methods being utilized?
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Is proper signage and barricading being used as necessary?
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Were any safety defects observed in building / parking lot / stock room / yard area?
Human Performance
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Was employee(s) using 3 points of contact and observing potential slip, trip, and fall hazards?
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Is vehicle(s) in good operating condition and are all DOT pre/post inspections completed where required?
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Is vehicle(s) housekeeping in good shape or is a 5S needed?
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Are there other safety defects observed, corrected and/or being entered on a countermeasure worksheet?
Corrective Actions
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Discussed with Employee
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Enter any corrective actions that will be undertaken
Sign Off
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Supervisor's Signature
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Drawing / Notes
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Pictures
