Information

  • Document No.

  • Audit Title

  • Site:

  • Department:

  • Conducted on:

  • Prepared by:

  • Location:
  • Paired Observer:

PRE-JOB BRIEFING

  • Clarify what to accomplish and to avoid

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  • Reinforce NO routine activities exist

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  • Improve error recognition

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  • Ensure all know right HU TOOLS to use

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POST JOB REVIEW

  • Document feedback after working on risk-important power system equipment

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  • Conduct after routine work that could be improved

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  • Conduct after emergent and important work

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  • Conduct after a High-Risk phase of a project

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TWO MINUTE RULE

  • Explores the job site to identify: Right Unit, Train, and Component; Safety & Trip Hazards; Error Precursors (for critical steps); Matches the procedure and PJB

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  • Talk with coworkers / supervisor about hazards and extra precautions to take

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  • Eliminate hazards, install appropriate defenses, or develop contingencies

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STOP when Unsure

  • STOP the activity

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  • Place the job in a safe condition

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  • Notify your immediate Supervisor

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SELF CHECK

  • Stop and focus

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  • Think what will happen with right action?

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  • Act correctly

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  • Review that the result is as expected

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PROCEDURE USE AND ADHERANCE

  • Verify for use

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  • Distribute copies for multiple work sites-designated a lead person / documented

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  • Review before starting / confirm right: Prerequisites, limits, precautions, initial conditions; Instructions; Identification of critical steps

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  • Apply Level of Use rules

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  • Follow each step as written

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  • STOP when unsure if a step: Cannot be performed as written; Might Injure someone; Might Damage Equipment; Leads to wrong/unsafe configuration; Is technically incorrect; Causes an unexpected result; Conflicts with another procedure; Is otherwise unsafe

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THREE-WAY COMMUNICATION

  • Sender states the message: Face-to-Face if practical; Gets Receivers attention (first name); Clearly and concisely; Use noun names with equipment identifiers

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  • Receiver acknowledges the sender: Paraphrases in own words; Repeats UNIDs word-for-word; Ask question if necessary to verify

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  • Sender acknowledges the reply: If right, That is Correct; If Wrong, WRONG and repeats #1

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PEER-CHECKING

  • The individual performing the task locates the component and verbally identifies each unique identifier on the component label to the PEER

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  • The person may point to or touch the equipment to be manipulated during the explanation.

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  • The person performing the task references the controlling document and verbalized the position in which they intend to place (or check) he component

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  • The PEER verbalizes the correct component identification, the intended action is correct, and people or systems are ready for the action.

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  • Both individuals shall be aware of and understand the status of plant equipment that could be affected by the action.

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  • The performing performing the task places (or checks) the component in the intended position.

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  • The PEER witnesses the positioning (or check) of the component and physically verifies proper component position or condition, when applicable.

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CONCURRENT VERIFICATION

  • Performer and Verifier 3-Way on the action, component, and purpose

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  • Each separately S-T-A-R the correct item and agree on the action to take

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  • Verifier watches the action to confirm

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  • Performer acts correctly

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  • Verifier verifies as-found status by: Hands-on check (valve) - preferred; Remote (lights); System response (flow)

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  • Both confirm and sign document

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INDEPENDENT VERIFICATION

  • Performer S-T-A-Rs the correct item.

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  • Performer acts correctly

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  • Performer confirms expected results and signs document

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  • Verifier S-T-A-Rs the item separately

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  • Verifier verifies as-found status by: Hands-on check (valve) - preferred; Remote (lights); System response (flow)

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  • Verifier confirms status, agrees, and signs document

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FLAGGING & OPERATIONAL BARRIERS

  • S-T-A-R the item to be flagged

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  • Flag the correct item; designate a lead person / document

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  • Perform the work

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  • Remove the flagging when done

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PLACEKEEPING

  • Circle a step number to be performed

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  • Read and understand the entire step

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  • Perform the step as written: Check, Initial or Sign blanks/boxes; Do Not Slash continuous steps; N/A IF/The step is not needed

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  • Slash the Circle after step completion

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FIRST CHECK

  • Verify the proper work document step intended to be performed and component to manipulate

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  • Contact Supervisor, Control Room, or person who sent you to the location

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  • Validate your location, component, and task

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  • Continue with assigned task using Self-Check techniques

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PHONETIC ALPHABET

  • Use when communicating alphanumeric information related to plant equipment noun names

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  • Use when specifying train, phase, and channel designations

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  • Use when sender or receiver might misunderstand, such as sound-alike systems, high noise areas, poor reception during radio or telephone communications

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.