Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Job safety hazard analysis (JHA) completed
-
JHA complete as required
Equipment
-
All truck license tags, insurance cards, and fuel cards valid
-
Indicate which is found valid
- fuel cards
- insurance cards
- license tags
-
-
All trucks have CURRENT DOT inspections
-
Wheel chocks and outrigger pads on all equipment where required
-
Indicate which has been found
- wheel chocks
- outrigger pads
-
All vehicle cabs are clean and free of debris
Traffic Control
-
Proper signs, cones, and laggers used as required
PPE
-
Rubber gloves and sleeves have been dielectrically tested as required
-
Rubber gloves are being worn when required
-
Hard hats, road vest, safety glasses, and leather gloves worn as required
-
Indicate which has been found
- hard hats
- safety glasses
- leather gloves
- high visibility
-
Rubber over shoes worn as required
-
Employees working aloft are wearing non-conductive body harness
-
And lanyard attached to the proper anchor point
-
Proper FR clothing worn as required
Cover Up
-
Rubber goods are properly stored to prevent damage
-
Rubber goods inspected before use and in date
-
Energized conductors and equipment are properly covered
-
Neutral and all secondary points of contact properly covered
Safety Protective Grounds(SPG's)
-
SPG's have been inspected as required and test date current
-
SPG's are installed, and used, per SEPCO requirements
-
All equipment requiring grounds are grounded properly
-
Is EPZ grounding done?
Crane Trucks
-
Daily inspection complete
-
Outriggers and pads properly applied
-
Man basket free of debris and in good working order
Rigging Inspection
-
Rating Tag, Checked for damage etc.
Comments
-
Comments
-
Signature of auditor
-
Add drawing