Title Page
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Conducted on
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Prepared by
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Location
Confined Space
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Is work in a Confined Space?
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1. Do employees understand the OPP policy?
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2. Is permit completed correctly?
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3. Is gas monitor properly calibrated?
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4. Have employees been properly trained?
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5. Is there an attendant at the egress point?
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6. Is retrieval gear and safety harness being used?
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7. Has the tripod and retrieval gear inspected? Safe?
Designated Work Space
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1. Is work area clearly defined and marked?
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2. Are barricades installed properly?
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3. Are fire extinguishers in place and on site?
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4. Are pedestrian control measures in place?
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5. Are vehicular control measures in place?
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6. Is work site clear of debris?
General Electrical Safety
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1. Are OPP Electrical Safety procedures being followed?
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2. Are GFI receptacles being used for power tools?
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3. Are power cords and tools in safe working condition?
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4. Are grounding prongs present on plugs?
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5. Are extension cords creating tripping hazard?
Elevated Work Surface
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Is work being performed from an elevated work surface?
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1. Are operators trained and certified?
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2. Has motorized equipment been inspected?
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3. Are scaffolds in good condition?
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4. Are scaffolds erected properly?
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5. Are fall arrest systems in place and being used?
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6. Is area around scaffolding barricaded?
High Voltage Electrical
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Is there High Voltage Electrical work being performed?
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1.Is OPP Electrical Safety policy being followed?
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2. Safety person CPR and AED trained?
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3. Appropriate PPE in use?
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4. Safety grounding procedures being followed?
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5. Radio communications available?
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6. Possible backfeeds addressed?
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7. Appropriate clearances maintained?
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8. Appropriate switching sequences in use?
Personal Protective Equipment
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1. Is appropriate head protection in use?
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2. Is appropriate eye protection in use?
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3. Is appropriate hearing protection in use?
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4. Is appropriate hand protection in use?
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5. Is appropriate foot protection in use?
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6. Is appropriate protective clothing in use?
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7. Is appropriate respirator in use?
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8. Is there PPE available for site visitors?
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9. Is PPE protection available?
Hazardous Conditions and Materials
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Are there hazardous conditions and materials on site?
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1. Have hazardous conditions or material been identified?
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2. Are hazardous conditions controlled?
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3. Has hazardous materials been sampled by EHS?
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4. Have hazardous materials been controlled?
Lock Out and Tag Out
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1. Is the OPP Lock Out and Tag Out policy being followed?
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2. Proper devices being locked and tagged?
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3. Are devices available and in good condition?
Equipment and Tools
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1.Are employees properly trained in safe use of?
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2. Are tools and equipment in good condition?
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3. Are controls clearly identified and accessible?
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4. Are appropriate machine guards in place?
Mechanical Room
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Is work being performed in a Mechanical Room?
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1. Are areas properly illuminated?
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2. Are work areas properly ventilated?
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3. Are tripping hazards eliminated or marked?
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4. Are work areas kept in orderly fashion?
Material Handling and Storage
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Does work involve material handling and storage?
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1. Operators properly trained?
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2. Are rigging and lifting trainings up to date?
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3. Proper lifting and rigging equipment being used?
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4. Motorized equipment inspected prior to use?
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5. Containers stored appropriately?
Ladders
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1. Are ladders in safe working condition?
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2. Are ladders properly stored?
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3. Are safety feet in place on portable ladders?
Corrective Actions
Corrective Actions
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Are there corrective action or follow up actions required as a result of this audit?
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Please list corrective actions completed or to be completed here.
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Estimated date of completion for corrective actions.
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