Powerlines Services Jobsite Safety Audit

• Project Name:

• Client

• Conducted on

  Date

• Auditor:

• Location
  Address

• Crew

• Tasks been performed

DOCUMENTATION (COMPLETE FOR ALL JOBS)

• JHA complete for all tasks being performed.<br>

  Yes

  No

  N/A

• Adequate control measures in place to address hazards.<br>

  Yes

  No

  N/A

• All employees have signed-off on JHA/procedures.<br>

  Yes

  No

  N/A

• JHA reviewed with all visitors to site prior to entry.<br>

  Yes

  No

  N/A

• Emergency plan complete and communicated.<br>

  Yes

  No

  N/A

HOUSEKEEPING (COMPLETE FOR ALL JOBS)

• Debris/materials not accumulating on jobsite.<br>

  Yes

  No

  N/A

• Flammable materials are properly stored.<br>

  Yes

  No

  N/A

PPE (COMPLETE FOR ALL JOBS)

• Gloves appropriate to the task are being worn.<br>

  Yes

  No

  N/A

• Hard hat, safety glasses and protective footwear in use.<br>

  Yes

  No

  N/A

• Fall protection equipment inspected and used.<br>

  Yes

  No

  N/A

• Rubber goods/hot sticks test dates are current.<br>

  Yes

  No

  N/A

• Additional PPE used as needed.<br>

  Yes

  No

  N/A

ENERGIZED EQUIPMENT

• Approach distances are maintained by all.<br>

  Yes

  No

  N/A

• Adequate cover in place on all energized parts.<br>

  Yes

  No

  N/A

• NRO advised and crew logged in with dispatch.<br>

  Yes

  No

  N/A

GROUNDING

• Lines de-energized, tested and grounded as required.<br>

  Yes

  No

  N/A

• All energy sources/induced voltage addressed.<br>

  Yes

  No

  N/A

• Grounding equipment inspect-ed and adequate for task.<br>

  Yes

  No

  N/A

OPERATING ORDERS

• Clearance, NRO or Hold Order communicated.<br>

  Yes

  No

  N/A

• Clearance points communicated and understood.<br>

  Yes

  No

  N/A

WORK ZONE PROTECTION

• Traffic control in place appropriate to the task.<br>

  Yes

  No

  N/A

• All employees are wearing high-visibility clothing.<br>

  Yes

  No

  N/A

• Road-crossing permits obtained and in effect.<br>

  Yes

  No

  N/A

• Hotline crossings are properly guarded.<br>

  Yes

  No

  N/A

RIGGING

• Rigging equipment in good condition/inspected.<br>

  Yes

  No

  N/A

• Rigging protected from sharp edges, heat, etc.<br>

  Yes

  No

  N/A

EXCAVATIONS

• Excavations inspected by competent person.<br>

  Yes

  No

  N/A

• Adequate protective systems in place.<br>

  Yes

  No

  N/A

• Barricades in place on un-attended excavations.<br>

  Yes

  No

  N/A

EQUIPMENT

• Pre-/post-use inspections complete.<br>

  Yes

  No

  N/A

• Operators are trained for equipment in use.<br>

  Yes

  No

  N/A

• Equipment is grounded as needed for the task.<br>

  Yes

  No

  N/A

• Outrigger pads in place for all lifting equipment.<br>

  Yes

  No

  N/A

• Equipment is barricaded/ chocked as needed.<br>

  Yes

  No

  N/A

SUBSTATION

• Crew reported into dispatch.<br>

  Yes

  No

  N/A

• Gates are closed/locked.<br>

  Yes

  No

  N/A

• Qualified station-entry personnel on site.<br>

  Yes

  No

  N/A

HAND TOOLS

• Power tools inspected and in good condition.<br>

  Yes

  No

  N/A

• GFCIs used on all electric-powered tools.<br>

  Yes

  No

  N/A

• Ladders in good condition and inspected.<br>

  Yes

  No

  N/A

• Hand tools in good condition and used as intended.<br>

  Yes

  No

  N/A

PERSONNEL TRAINING

• Employees have site-specific training as required.<br>

  Yes

  No

  N/A

• Other required training complete, up to date.<br>

  Yes

  No

  N/A

• ADDITIONAL COMMENTS

• Add media

  Media

• Jobsite Foreman/Superintend Signature

  Sign

• Auditor Signature

  Sign