Information
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Audit Title / Job (optional)
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Client / Site (optional)
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Conducted on
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Prepared by
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Location
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Select all foremen present and involved in work at the time of observation
- Clark, D
- Cummings, W
- Davis, T
- Garcia, J
- Foster, B
- Hernandez, J
- Hodges, N
- Montono, L
- Neubauer, W
- Schroeder, D
- Williams, M
- Berryhill, K
- Dunham, D
- Gaskill, D
- Nieto, R
- Sindel, S
- Galleano, M
- No Foreman
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Select all non-foremen present and involved in work at the time of observation
- BALTIERREZ, JOSE
- BIDEGAIN, MATT
- BRUNELLE, EMILE
- CHURCH, BRIAN
- DANNELS, COREY
- DAVIDSON, JOSH
- DE LA CRUZ, SAMMY
- DESKINS, JEREMY
- DUNHAM, DANNY
- ELLIS, RICHIE
- EVANS, RUSTY
- EVERSOLE, PAT
- FELIX, PABLO
- GARZA, JUSTIN
- GONZALES, ERIC
- HARDY, KEVAN
- HILL, CHARLES
- HORNEY, JOSH
- JACQUEZ, AJ
- JONES, ERIC
- JOUETT, ZACK
- KIPLINGER, JAY
- LARA, JORGE
- LAYTON, DYLAN
- LEWALSKI, JEAN
- LOPEZ, ROBERT
- MARTIN, TERRY
- MARTINEZ, DIEGO
- MARTINEZ, REGGIE
- MARTINEZ, BOBBY
- MCCUNE, GRANT
- MENDOZA, FELIPE
- MERRICK, CODY
- MORALES, REGGIE
- MOREMAN, GENE
- MORENO, MATT
- MORTENSON, OWEN
- MYERS, DANIEL
- NEUBAUER, WERNER
- NIETO, RUBEN
- NICHOLS, REED
- REID, JOHN
- REYES, JOSEPH
- RHODES, BLAKE
- RIOS, TYLER
- SALINAS, JOSE
- SCHMIDT, DAVID
- SHAUGHNESSY, T
- SHULL, JACOB
- SOULE, EDDIE
- THOMAS, ASHTON
- THOMPSON, BLAINE
- THOMPSON, CORY
- UGALDE, CHARLES
- VALENZUELA, CHRIS
- VILLEGAS, RAPHAEL
- VANDERMEULEN, JOHN
- WELCH, CLINTON
- WOODLEY, CHRIS
- INTERN
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Personnel present at job site but not listed in drop down
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Vehicle numbers
PPE
PPE
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Hard Hat (.135)
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Safety Glasses (.133)
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Safety Shoes (.136)
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Gloves (.132)
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FR Clothing (.269(l))
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Rubber Gloves (.137)
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Rubber Sleeves (.137)
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Personal Fall Protection (.269(g))
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Safety Vest in Work Zone (MUTCD)
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Face Shield or Goggles (.133)
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Hearing Protection (.95)
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Respiratory Protection (.134)
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Sunscreen
Work Area Safety
Work area safety
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Tail board meeting - .269 (c)
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Personal protective equipment
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Energy source control
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Procedures
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Special precautions
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Hazards
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Take a picture of the tail board
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Explain why unsatisfactory
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Work area walk around
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Safe & clean working environment
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Tool condition - .269 (i)
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Live line tools clean & serviceable - .269 (j)
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First aid kit - .151
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Fire extinguisher - .157
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Proper traffic control - MUTCD
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Wheel chocks set - .67
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Outriggers set - .67
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Vehicle condition - .67
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Pre-flight aerial lift checks - .67
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Vehicle properly grounded - .269 (q)
Work methods
Work methods
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Substation maintenance - .269 (u)
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Test area properly barricaded - .269 (o)
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Testing procedures OK - .269 (o)
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Overhead line work - .269 (q)
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Underground line work - .269 (q)
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Proper use of puller/tensioner - .269 (l)
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Live -- Stick work - .269 (l)
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Climbing poles / Pre-climb inspection - .269 (q)
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Pole handling - .269 (q)
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Protective grounding - .269 (n)
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Confined/Enclosed spaces - .269 (e)
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Gas tests
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Ventilation
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Rescue equipment
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Barricade/100% or attended
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Ladder safety - .25
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Meter/Relay testing or installation - .333(c)
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Proper testing
Misc
Miscellaneous
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Crew morale or cooperativeness
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Eyes and minds on task
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Training needs identified
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General Comments
Ergonomics
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Body preparation, stretching
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Lifting technique
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Bending, twisting, repetition
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Using correct tool for the job
