NHPL Crew Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Job Briefings

• Is the JHA/Job Briefing complete?

  Yes

  No

  N/A

• Does the JHA/Job Briefing identify the hazards on the job?

  Yes

  No

  N/A

• Does the JHA/Job Briefing define how to control or mitigate the hazards identified?

  Yes

  No

  N/A

• Does the JHA/Job Briefing include Insulate/Isolate techniques to be used when work is in proximity of energized lines and equipment?

  Yes

  No

  N/A

• Does the JHA/Job Briefing identify personal protective equipment to be used?

  Yes

  No

  N/A

• Does the JHA/Job Briefing provide emergency response information?

  Yes

  No

  N/A

• Do crews hold additional JHA/Job Briefings as job tasks, site conditions, or personnel change?

  Yes

  No

  N/A

• Have all crew members participated and signed the JHA/Job Briefing?

  Yes

  No

  N/A

• Do all crew members have an understanding of the items covered in the JHA/Job Briefing? (Interview employees)

  Yes

  No

  N/A

• Are visitors given a JHA/Job Briefing?

  Yes

  No

  N/A

• Is the AED location listed on the JHA/Job Briefing?

  Yes

  No

  N/A

Personal Protective Equipment

• Hard Hats

  Safe

  At Risk

  N/A

• Safety Glasses

  Safe

  At Risk

  N/A

• High Visibility Clothing

  Safe

  At Risk

  N/A

• ARC Rated FR Shirts

  Safe

  At Risk

  N/A

• ARC Rated FR Pants

  Safe

  At Risk

  N/A

• Work Gloves

  Safe

  At Risk

  N/A

• Other (LIST)

  Safe

  At Risk

  N/A

Qualified Observer

• Is the activity being observed covered by the best practice "Qualified Observer"?

  Yes

  No

  N/A

• Has a member of the crew been identified to act as a Qualified Observer?

  Yes

  No

  N/A

• Does the QO ensure clearances are maintained?

  Yes

  No

  N/A

• Does the QO ensure P.P.E. Is properly used?

  Yes

  No

  N/A

• Does the QO ensure effective cover is being used?

  Yes

  No

  N/A

• Is observing critical tasks the only duty of the QO?

  Yes

  No

  N/A

Energized Work

• Are there any electrical hazards?

  Yes

  No

  N/A

• Is the activity being observed covered by the Best Practice Cradle to Cradle Rubber Goods?

  Yes

  No

  N/A

• Are employees observed wearing insulating gloves and sleeves cradle to cradle when performing glove work on energized parts or conductors?

  Safe

  At Risk

  N/A

• Is rubber insulating equipment rated for the voltage employees are exposed to?

  Safe

  At Risk

  N/A

• Is the observed activity covered by the Best Practice Locl to Lock Rubber Goods?

  Yes

  No

  N/A

• Are employees observed wearing insulating rubber gloves and sleeves Lock to Lock when working on energized parts or conductors?

  Safe

  At Risk

  N/A

• Are all employees within a 5 foot radius of the (opened) front of an energized URD apparatus wearing rubber insulating gloves and sleeves?

  Safe

  At Risk

  N/A

• Are rubber insulating gloves and sleeves rated for the voltage employees are exposed to?

  Safe

  At Risk

  N/A

• Are approved live line tools used when removing/replacing elbows?

  Safe

  At Risk

  N/A

• Are rubbers goods properly stored?

  Safe

  At Risk

  N/A

• Has protective cover been installed?

  Safe

  At Risk

  N/A

• Are Hot sticks being used?

  Yes

  No

  N/A

• Are they in date and serviceable?

  Safe

  At Risk

  N/A

• Is the crew working behind protection? (Cutout/reclosure)

  Safe

  At Risk

  N/A

• Have the trucks and equipment been properly grounded?

  Safe

  At Risk

  N/A

• Are there any A/C tools being used?

  Yes

  No

  N/A

• Are they GFCI protected?

  Safe

  At Risk

  N/A

• Are the cords in good shape?

  Safe

  At Risk

  N/A

• Are all guards in place?

  Safe

  At Risk

  N/A

Fall Hazards

• Are there any falling hazards?

  Yes

  No

  N/A

• Are harnesses/lanyards being used properly?

  Yes

  No

  N/A

• 100% fall protection being used?

  Safe

  At Risk

  N/A

• Is rescue equipment available a and ready?

  Safe

  At Risk

  N/A

Lifting/Rigging

• Is there any lifting and rigging activities observed?

  Yes

  No

  N/A

• Load Line/Hook condition

  Safe

  At Risk

  N/A

• Boom visual appearance?

  Safe

  At Risk

  N/A

• Winch rope/line condition?

  Safe

  At Risk

  N/A

• Sheave condition?

  Safe

  At Risk

  N/A

• Turn table visual condition?

  Safe

  At Risk

  N/A

• Tag line being used?

  Safe

  At Risk

  N/A

• Sling/shackle condition?

  Safe

  At Risk

  N/A

• Controls labeled?

  Safe

  At Risk

  N/A

Excavation/Trenching/Shoring

• Are there any underground operations on site?

  Yes

  No

  N/A

• Have locates been called in/marked?

  Safe

  At Risk

  N/A

• Spoil piles back a minimum of 2 feet?

  Safe

  At Risk

  N/A

• Excavation protection installed/utilized properly?

  Safe

  At Risk

  N/A

General

• Vehicles and equipment set up properly?

  Safe

  At Risk

  N/A

• Daily vehicle inspections complete?

  Safe

  At Risk

  N/A

• Loads secured properly?

  Safe

  At Risk

  N/A

• Fire Extinguisher inspected?

  Safe

  At Risk

  N/A

• Traffic control?

  Safe

  At Risk

  N/A

• Seat belts?

  Safe

  At Risk

  N/A

• Housekeeping?

  Safe

  At Risk

  N/A

• Drinking water/Ice?

  Safe

  At Risk

  N/A

• First Aid kits inspected/full?

  Safe

  At Risk

  N/A

• At least 2 employees CPR/First aid trained?

  Safe

  At Risk

  N/A

• Foreman

  Sign

• Auditor

  Sign