Rural Electric Safety Achievement Program

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Common Facility Safety Equipment and Issues

• 1) Stairs, landings, and steps are free of any impediments, edges easy to discern, and allow safe movement in any direction.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Docks and safety rails are in good condition and meet regulatory requirements.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Proper trash containers are readily available, are sufficient size for facility areas, and show evidence of proper use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Flammable cabinets are available for storage of flammable materials, without leaks or spills, and meet regulatory requirements for design and use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Portable flammable containers are designed and labeled for the produce being stored and meet current use and storage requirements.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Flammable storage rooms meet the current use and design requirements.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7 Hazard identification markings are in use as needed and meet the current requirements for background and letter coloring, size, shape, and appropriate levels of warning for the applications involved.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) Hand trucks and carts are well maintained and found in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) Portable step devices are of adequate capacity and designed for the typical use and users in the area.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10) Facility lighting levels and types are ideal for the work area functions and expected activities and 95% of fixtures are operational.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 11) Emergency egress and access lighting is available from backup generation or batteries in facilities that are routinely occupied by employees or the public.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 12) Minimum capacity and appropriate category fire extinguishers are available in all facilities, are very easy to access, inspected monthly, and are ready for emergency use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 13) Minimum capacity, type, and numbers of fire extinguishers are found in consistent locations on utility vehicles and equipment. And all units are inspected monthly to be ready for emergency use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 14) Fire sprinkler systems are fully operational and inspected annually according to all requirements.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 15)All facility doors and intended emergency pathways leading to the outside are unobstructed, capable of being used at any time from the inside, and clearly labeled as an "Exit" or "To An Exit".

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 16) First Aid, CPR, and Bloodborne Pathogen Kits or Stations are readily available at each work location, meet all the applicable standards, and are adequate to serve the emergency needs anticipated.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 17) Automatic External Defibrillators (AEDs) are available for cardiac emergencies and ready for emergency use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 18) Plumbed eyewash and/or body drenching equipment are/is located in areas with chemical hazards, ready for emergency use if water is availbale.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 19) When an eyewash is warranted, self contained/portable eyewash equipment is available for emergency use when a water supply is not.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 20) Elevators and elevator controls are fully operational, free of any stored materials, maintained and inspected annually as required.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 21) All facility and vehicle ladders are found in very good condition with commercial use class, capacity ratings, and setup instructions that are clear and fully legible.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 22) Cranes and overhead lifting devices are inspected by the operators before each use and annually by a certified inspector.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 23) Floor hoists, jacks, and jack stands are clearly marked with capacity ratings and are found in good, useable condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 24) Battery charging areas/rooms are properly equipped and maintained.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 25) Portable battery charges are in very good condition and clearly marked with "No Smoking" and "Eye Protection Required" signs.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 26) The overall evaluation of the onsite field observation team for this section of the assessment is as follows.

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any specific comments for the Common Facility Safety Equipment and Issues Sections?

  Yes

  No

  N/A

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

Warehouse, Maintenance, & Covered Storage

• 1) Shelves, bins and racks are designed, constructed, and used in a manner that safely contains the materials and equipment in stock.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Materials are stored in a safe and orderly manner.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Aisles and walkways are clear paths for pedestrian use and are designed accordingly where equipment crosses or shares these pathways.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Explosives are properly secured and stored at the facility which is approved and licensed according to current regulations related to the class of explosives and detonators used.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Regulated waste storage areas meet current EPA regulations

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Parts cleaning and other solvents (flammable or biodegradable) are stored and used properly in maintenance/repair facilities.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Welding areas/rooms are properly equipped and maintained.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) Welding safety equipment, helmets, face shields, goggles, gloves, sleeves, and aprons are available, in very good condition and meet applicable OSHA/ANSI standards.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) Welding equipment, cables, connections, clamps and electrode holders are in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10) All gas cylinders are capped when not in use, stored upright, and secured to avoid tipping.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 11) Tire changing tools and safety equipment are in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 12) Electrical power tools and equipment have 3-wire grounding or are double-insulated and maintained in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 13) All tools and equipment are in very good condition and if not, they are marked "Out of Service" and repaired or replaced in a timely manner.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 14) All tools are stored in special containers or designated locations.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 15) Shields/guards are in place and well maintained for power tools.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 16) At each power tool station, clean goggles and face shields are in place with signs posted requiring use of these items.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 17) High voltage electrical repair/test area has walls, fence, or barrier, wiring with ground connections, test status signal, disconnect switch, and separated power cables.Exceeds Requirements; Satisfies All Requirements; Satisfies Most Requirements; Partially Satisfies Requirements; Fails to Satisfy Requirements; N/A

  Yes

  No

  N/A

• 18) Interviewed employees are able to explain safe use of these maintenance area tools and equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 19) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Warehouse, Maintenance, & Covered Storage Section?

  Yes

  No

  N/A

Pole Yard and Outside Storage

• 1) Pole yards and outside storage have gates and fences designed and used to secure these areas.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Gates and entrances to these areas are located where vehicles and equipment can safely clear the traveled portion of public roads during gate operation, locking, or unlocking.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Poles are stored to preserve their condition, organized for safe selection and loading, and secured by pole stops or bunk design.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Pole yards and outside storage are designed for large equipment maneuverability in all weather conditions with wide driving lanes, solid surfaces, and adequate drainage.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Pole yard/outside storage materials are properly stored off the bare ground, with related materials stored together, and identified by unit markings or marked storage areas.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Pole yards and outside storage are equipped with lights that can be used during hours of darkness for worker safety.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Fueling areas are equipped and maintained with the proper safety equipment and meet current requirements for storage and monitoring of these fuels onsite.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) Previously used capacitors are properly shunted.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Pole Yard and Outside Storage Section?

  Yes

  No

  N/A

Administration and Other Office Areas

• 1) Multiple types of public safety education material for all age groups are conspicuously displayed and stocked in public areas or can readily be generated upon request.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) All cables, cords, and power strips are stowed, routed, bundled, and supported to be clear of areas where they could be damaged or cause other hazards.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) An emergency action plan is available and key information is posted in areas that may be accessible to visitors and the public.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Employees are familiar with the emergency action plan, nearest exits, the location and use of fire extinguishers, material safety data sheets, first-aid equipment, and security plans.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Security measures are evident and interviewed employees are trained as to what information can and cannot be shared.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Administration and Other Office Areas Section?

  Yes

  No

  N/A

General Vehicles (Under 10,000 lbs. GVWR)

• 1) Four pieces of recommended documentation (insurance card, registration, operator's manual, accident reporting guidelines) are found in all cars, pickups, vans and SUVs.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Cars, pickups, vans and SUVs are well maintained.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Utility cars, pickups, vans and SUVs are equipped with applicable, operational equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Tools and materials in cars, pickups, vans and SUVs are stored in designated locations and in such a manner that they will not cause damage or be damaged.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the General Vehicles (Under 10,000 lbs GVWR) Section?

  Yes

  No

  N/A

Diggers, Buckets, etc. (over 10,000 lbs GVWR)

• 1) All diggers derricks, aerial devices, and other commercial vehicles over 10,000 lbs (GVWR) have six documents: insurance card, registration form, operator's manual, accident reporting guidelines, daily post trip inspection, and annual DOT inspections.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Commercial vehicles over 10,000 lbs GVWR are well maintained.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Commercial vehicles are equipped with the proper safety equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• Do the vehicles have the following safety equipment?<br> 1) Warning lights or strobes well positioned for visibility from all directions and in working condition<br> 2) Work zone safety equipment (signs, cones, stop/slow paddles, flashlight with wand, etc.) is available.<br> 3) Mounted or portable work lighting equipment is available<br> 4) Roadside emergency triangular markers are available on all of these vehicles<br> 5) Road hazard flares or equivalent types of highway hazard warning devices are available.<br> 6) Vehicle brake turn, marker, and headlamp lighting are 100% operational.

  Yes

  No

  N/A

• 4) Shovels, pry bars, tamps, ground rod drivers, sledges, chains, other heavy tools and materials are properly stored in these utility vehicles.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Body, gib, and boom winch mechanism, cables, ropes, mounting, and controls are properly matched for the intended use and maintained in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Appropriate grounding and/or barricading equipment is available and in very good condition for vehicles utilized in energized work zones.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Vehicle ground cables are individually marked with a method of unique identification and date of most recent test.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) At least two effective chocks are provided per large truck, properly placed when outriggers are in use, and properly stowed on each truck when not in use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) Substantial outrigger pads are provided for all equipment outrigger legs, are properly used, and are properly stored on the vehicle when not in use.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10) Manufacturer's identification, capacity ratings, warning signs, and equipment control placards for digger derrick and aerial basket devices are i in place and in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 11) Daily operational inspections are conducted before these units leave the facility according to operator or supervisor interviews.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 12) Dielectric tests for these utility vehicles are conducted on insulating and isolating components semi-annuallu and results are available on or in these vehicles.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 13) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Diggers, Buckets, etc. (over 10,000 lbs. GVWR) Section?

  Yes

  No

  N/A

Misc. Vehicle (Trailers, Backhoes, etc.)

• 1) Documentation for miscellaneous trailers includes registration and DOT records as required for applicable gross weight class.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) All trenchers, backhoes, forklifts, pullers, and other motorized equipment have an operator safety and instruction manual located on these vehicles or readily available to all equipment users.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Visual inspection of all miscellaneous vehicles indicates very good maintenance.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Trailers and miscellaneous vehicles are equipped with appropriate and necessary safety equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Appropriated grounding/barricading equipment is available and in very good condition for fault locating, wire pulling, wire tensioning, underground boring, wet vacuuming, and other equipment used in energized work zones.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Grounding clamps and cables are tested for miscellaneous equipment that will be used in energized work zones.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Tools and materials are stored in designated locations and in such a manner that they will not cause damage or be damaged.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) At least two chocks, in very good condition, are available on all trailers and all towed equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Misc. Vehicle (Trailer, Backhoes, etc.) Section?

  Yes

  No

  N/A

Truck and Personal Tools

• 1) Truck tools and equipment are stored for protection from the elements and for protection from other tools and equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) All sharp edges, including wood drill bits, chainsaws and pruners, have guards, sheaths or cases.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Blocks, hardware, ropes, and handlines are well maintained and rated for utility purposes.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Are live line tools tested in accordance with current OSHA/ANSI standards and individually marked with these test dates?

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Insulated/live line tools are maintained in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Slings and lifting hardware are in very good condition and clearly rated for load capacities and lifting configurations.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) All mechanical hoist components are in very good condition and these units are clearly marked for capacity ratings.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) Interviewed employees can explain the proper ratings, applications, and proper care of these truck tools and equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) Personal hand tools are in very good condition and stored properly.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10) Overhead and underground personal protective grounds meet the proper criteria for use, care, and testing.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10a) Do the overhead and underground personal protective grounds meet the following criteria?<br> a) Personal protective grounds are a minimum size, #2 AWG stranded copper, and have a current capacity that exceeds the system's maximum available fault current?<br> b) Utility has more than an adequate supply of grounds for the type of line designs on the system.<br> c) Personal protective grounds are in very good condition and properly stored.<br> d) Personal protective grounds are individually marked with an unique ID and evidence of an annual test.

  Yes

  No

  N/A

• 11) Mechanical jumpers (macs) meet the required specifications for use, care, and annual testing.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 11a) Do the mechanical jumpers meet the following criteria for use, care, and annual testing?<br> a) Mechanical jumpers are clearly identified with the most recent dielectric insulation test?<br> b) Conductor and clamps are checked for continuity and current capacity?<br> c) Adequate numbers of mechanical jumpers are available for the work performed?

  Yes

  No

  N/A

• 12) Interviewed employees can explain the application and testing of grounding equipment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 13) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Truck and Personal Tools Section?

  Yes

  No

  N/A

Head, Eye, Face, Hearing, Foot, Hand, etc. PPE

• 1) Head protection meets applicable OSHA/ANSI standards and meets specifications for jobs performed.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Eye and face protection meets OSHA/ANSI standards and hazard assessment specifications for jobs performed.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Noise hazards assessments for equipment areas are completed.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Hearing protection meets OSHA/ANSI standards, hazard assessment, specifications for jobs performed and exposure level needs.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Protective footwear meets applicable OSHA/ANSI standards and specifications for jobs being performed.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Hand protection meets applicable OSHA/ANSI standards and specifications for jobs being performed.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Interviewed employees can explain when these personal protective items shall be worn, the criteria for proper use, and care needed to keep these items in good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Head, Eye, Face, Hearing, Foot, Hand, etc. PPE Section?

  Yes

  No

  N/A

Insulating Gloves, Sleeves, and Cover-Up

• 1) Insulating gloves and protectors meets the applicable OSHA/ASTM standards and the following specifications for use, care, and testing (see following question).

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 1a) Do insulating gloves and protectors meet the following use, care, and testing requirements?<br><br> a) Insulated protective gloves shall be rated for the system's phase to phase primary and secondary distribution voltage(s).<br> b) Explicit control in issuing and use for multiple high voltage classes of gloves as well as secondary voltages exists.<br> c) A rotation program is followed to minimize shelf time.<br> d) All insulated protective gloves are tested regularly at 60 days or less of field use, tested in a manner consistent with applicable standards, and marked with these test dates. <br> e) All protectors meet proper length requirements and are found in very good condition.

  Yes

  No

  N/A

• 2) Insulating sleeves meet applicable OSHA/ASTM Standards and the following specifications for use, care, and testing.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2a) Do insulating sleeves meet the following use, care, and testing requirements?<br><br> a) Insulating sleeves shall be rated for the system's phase to phase distribution voltage(s).<br> b) Explicit control in issuing and use for multiple voltage classes of sleeves exist.<br> c) All insulated protective sleeves are tested regularly at 120 days or less of field use, tested in a manner consistent with applicable standards, and marked with these test dates.

  Yes

  No

  N/A

• 3) When not in use, insulating gloves and sleeves are stored properly in bags or containers and maintained in an environment protected from excessive light, heat, dirt, and mechanical damage.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Insulating cover-up materials meet applicable OSHA/ASTM standards and meet the following specifications for use, care, and testing.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4a) Do insulated cover-up materials meet the following use, care, and testing requirements?<br><br> a) Blankets, line guards/hoses, hoods, and items used for electrical insulation are rated for the system's phase to phase voltage(s).<br> b) Explicit control for classes of blankets, line guards/hoses, hoods, and other insulating cover-up materials exists in multiple voltage systems and a rotation program is followed in issuing cover-up materials.<br> c) All blankets, line guards/hoses, hoods, and other items used for insulating cover-u[ are tested on a 6 months maximum rotation and marked with test dates.

  Yes

  No

  N/A

• 5) System has more than an adequate supply of cover-up materials to perform the type of job(s) being performed with the line designs that the system crews would simultaneously be exposed to.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Personnel interviewed can explain the proper storage, use, and testing of insulated rubber gloves and sleeves.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Interviewed personnel can explain the proper storage, use, and testing of cover-up materials.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Insulating Gloves, Sleeves, and Cover-Up Section?

  Yes

  No

  N/A

Arc Rated Clothing / Systems + Fall Protection

• 1) System has performed an arc hazard assessment for arc rated clothing needs and supervisors can explain which positions are affected.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Arc rated shirts are worn by affected employees.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Arc rated pants are worn by affected employees.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Affected employees have arc rated rainwear available.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Affected employees have arc rated outerwear available.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Arc rated winter liners for hard hats are available for affected employees.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Arc rated/reflective traffic control vests are available for affected employees.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) Interviewed employees are knowledgeable about the purpose and their local requirements for arc rated clothing.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) Fall protection equipment meets applicable OSHA/ANSI standards and specifications for jobs being performed.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10) Attachment points for fall protection on equipment or structures are designed for the potential shock loading.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 11) Fall protection equipment is properly stored where its serviceable condition can be best maintained.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 12) Body belts, straps, and climbers meet OSHA/ANSI standards for fall positioning equipment and the following specifications for sizing, use, and storage.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 12a) Do the body belts, straps, and climbers meet the following specifications for sizing, use, and storage?<br><br> a) Climbing equipment is assigned and fitted to each cllimber.<br> b) Space is available on the utility trucks for stowing climbing tools or these tools are properly stored in protective, individual tool bags.<br> c) Stowed climbers have gaff guards in place.<br> d) Climbing belts and safety straps, or bags containing these items are stored clear of objects that would damage this equipment.

  Yes

  No

  N/A

• 13) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Arc Rated Clothing / Systems + Fall Protection Section?

  Yes

  No

  N/A

Crew Visits

• 1) System work crews can be located and are available for interviews (Personnel working overhead, underground, right of way, etc.) or work observation either on the job site or other suitable areas.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) According to employee interviews, communication is routinely established with the office dispatcher or supervisor at each job site.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) A designated person is in charge at each worksite.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) A job briefing is conducted before each job assignment.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Personal protective equipment (PPE) is available and in use as required when applicable.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Appropriate tools and equipment are available, or in use as the job requires.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Employees can explain or demonstrate their daily vehicle inspection procedures for commercial motor vehicles.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) Operational voltage detection devices are available on each job site to determine the presence and level of system voltages.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) An adequate supply of traffic control devices are available or are in use as required.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 10) Employees are knowledgeable regarding work site emergency actions.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 11) Line personnel are knowledgeable, when questioned individually, about when rubber gloves shall be used.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 12) Line personnel are knowledgeable, when questioned individually, about when rubber sleeves shall be used.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 13) Supervisors and crew foremen are clear and consistent about when rubber gloves and sleeves shall be used.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 14) Line personnel are knowledgeable, when questioned individually, about when personal grounds shall be used.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 15) Line personnel are able to explain the proper steps for installing personal grounds.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 16) Line personnel are knowledgeable, when questioned individually, about when vehicle/equipment grounds and/or barricading are required to be used.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 17) Line personnel are able to explain the preferred methods of vehicle/equipment grounding or methods used for barricading.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 18) Line personnel can explain the proper use of traffic control devices as required for the speed and volume of traffic though typical work zones.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 19) Supervisors and crew foremen are clear and consistent about the procedures for installing personal and vehicle/equipment grounds and/or barricading.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 20) Line personnel are knowledgeable about line clearance procedures required at their system.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 21) Supervisors and crew foremen are clear and consistent in their explanation of line clearance procedures required at their system.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 22) If work is observed, work in progress is in compliance with local safety rules and utility safe work practices.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 23) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Crew Visits Section?

  Yes

  No

  N/A

Substations

• 1) Substations are adequately secured with walls or fences, doors or gates, and suitable locking mechanisms.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Substation fences, structures, and equipment are interconnected to a grounding grid for safe access and operation.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Substation hazard identification signs meet the following specifications and industry standards. "Warning" signs are conspicuously displayed on all sides and entrances of the substations. "Danger" signs are displayed on the inside of substations.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Clearances exceed the minimum requirements of the National Electrical Safety Code in all areas for the voltages involved.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) Substation areas and equipment show signs of regular maintenance and inspections.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) Substation batteries are maintained in a safe manner and hazard precautions are evident in the following areas. Battery banks include ventilation systems, pertinent hazard identification signs, appropriate electrical and light wiring. PPE equipment for battery banks includes: splash goggles, face shields, splash apron and protective barrier gloves. Adequate fire protection is available in banked battery locations and area is relatively free of combustible materials.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Interviewed employees can explain the substation switching protocols that are used for accomplishing routine procedures.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Substation Section?

  Yes

  No

  N/A

Overhead & Underground Lines, Equipment, etc.

• 1) Overhead and underground system circuit maps or files are available and the master is updated every 3 months at a minimum.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 2) Guy wires observed are in tension and guys are marked for visibility.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 3) Construction and maintenance of lines and structures meet the applicable NESC standards and RUS specifications.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 4) Right-of-ways observed are maintained and in very good condition.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 5) UG riser installations observed meet the applicable NESC, RUS specifications, and the following industry criteria. Cables are identified and tagged to correspond with the system's underground tagging and cable identification system. Riser installations are numbered or identified and consistent with the overall underground system. Riser installations have proper clearances and proper climbing space.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 6) UG transformers and enclosures are properly bolted and locked.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 7) Appropriate hazard identification signs are in place for underground transformers, cabinets, and enclosures. Warning signs on the outside; Danger signs on the inside.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) UG enclosures are marked with labels and cables are marked with durable tags to confirm the correct enclosure, to identify cables, to distinguish phases, etc. for utility workers safety during normal operation and troubleshooting activities.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 9) Underground facilities construction, maintenance, and clearances meet applicable NESC and RUS specifications.

  Select Exceeds Requirements Satisfies All Requirements Satisfies Most Requirements Partially Satisfies Requirements Fails to Satisfy Requirements N/A

  • Exceeds Requirements
  • Satisfies All Requirements
  • Satisfies Most Requirements
  • Partially Satisfies Requirements
  • Fails to Satisfy Requirements
  • N/A

• 8) The overall evaluation of the onsite field observation team for this section of the assessment is as follows:

  Strong Performance

  Satisfactory Performance

  Generally Satisfactory

  Key Attention Areas for Improvement

• Are there any issues or problems that need to be addressed immediately?

  Yes

  No

  N/A

• Are there any specific comments for the Overhead & Underground Lines, Equipment, etc. Section?

  Yes

  No

  N/A