Information
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Document No.
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Audit Title
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Conducted on
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Prepared by
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Location
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Personnel And Equiptment
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Select date
Description of job
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Job being performed
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Secondary or Distribution
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Energized or de-energized work
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Overhead, underground, or right-of-way
Job Preparation
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Job briefing was conducted and documented
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Radio operation check was performed
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Pre-trip inspection was performed on CMV
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Pre-flight of aerial unit was performed
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Energy source controls (LOTO) have been identified
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Hazards discussed
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Breaker on one-shot
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Line Tagged
Personal Protective Equipment
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Hard hat worn properly and in good condition
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Eye protection worn
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Proper hand protection
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Safety toed boots
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Hearing protection available
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FR clothing in good condition
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Rubber gloves worn and inspected prior to use
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Rubber sleeves worn and inspected prior to use
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Fall protection (buck squeeze - bucket truck harness)
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Additional cover-up
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Chainsaw Chaps
Grounding
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Truck grounds are being used and in good condition
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Personal grounds are being used and in good condition
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Crew members can explain proper grounding techniques
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Grounds are properly stored
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Conductor was tested prior to grounds being installed
Vehicles
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Diggers/Buckets are properly set up
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Wheel chocks are being used
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All material on the vehicle is properly stowed
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Outrigger pads are being used
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Reverse alarm is in working order
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Fire extinguishers are properly charged and stored
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First aid kit is stocked and location is properly marked
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AED is available and location is properly marked
Traffic control
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Beacon/strobe lights are working and being used
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Traffic cones are used and properly placed
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Road signs are adequate for the job being performed
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Reflective vests are worn
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A flagger is being used to control traffic
General work practices
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Proper tools are being used to complete the task
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Tools have been inspected and are in good condition
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Live line tools have been inspected prior to use and tested within 2 years
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Hand lines are available and in good condition
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Ladders have been inspected and are in good condition
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Excavations are safe and properly shored
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Poles are tested prior to climbing
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Adequate cover-up material is being used
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Employees performing hot work are being observed by a safety watcher
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Guards are in place on tools and equipment that need them
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Clear communication is exchanged among crew members
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Employees can explain direction of feed and closest protection device