Underground Crew Audit

• Audit Title

• Prepared by

• Conducted on

  Date

• Contractor:

• Foreman

• Crew Members:

• Location
  Address

• Circuit

• Circuit Condition

Site Set-up

• Tailboard

  Yes

  No

  N/A

• Tailboard Photo

  Media

• Crew Knowledge

  Yes

  No

  N/A

• Crew Attitude

  Yes

  No

  N/A

• Traffic control

  Yes

  No

  N/A

• Knowledge of Closest Medical Center

  Yes

  No

  N/A

• Fire Tools

  Yes

  No

  N/A

• Line of Fire / Body Position / Pinch Points

  Yes

  No

  N/A

• Burn Kit On-site

  Yes

  No

  N/A

• Safety Manual On-site

  Yes

  No

  N/A

• Grounding Manual On-site

  Yes

  No

  N/A

• Site Housekeeping

  Yes

  No

  N/A

• First Aid / CPR Qualifications (Min. of Two Per Crew)

  Yes

  No

  N/A

• Rubber Protective Cover

  Yes

  No

  N/A

• Grounding Practices

  Yes

  No

  N/A

• Rigging Practices

  Yes

  No

  N/A

• Cooler Inspection (Clean / Appropriate Contents)

  Yes

  No

  N/A

• Test for Voltage (Documented on Tailboard)

  Yes

  No

  N/A

• Transformers TTR Checked (Documented on Tailboard)

  Yes

  No

  N/A

• Chemical Information (SDS and Knowledge of Program and Contact Information)

  Yes

  No

  N/A

• Blue Safety Meetings Book

  Yes

  No

  N/A

• Adhere to Lock to Lock, Cradle to Cradle, Ground to Ground Rules

  Yes

  No

  N/A

• Emergency Contact List

  Yes

  No

  N/A

• Region Policy Manual On-site

  Yes

  No

  N/A

• General Site Set-up and Risk Potentail for Damage Claims

  Yes

  No

  N/A

• Photo of Site

  Media

Vehicles

• DVIR

  Yes

  No

  N/A

• Annual DOT Inspection

  Yes

  No

  N/A

• ANSI Dielectric Inspection

  Yes

  No

  N/A

• Fire Extinguisher (Two Per Commercial Vehicle)

  Yes

  No

  N/A

• Outrigger Pads

  Yes

  No

  N/A

• Wheel Chocks

  Yes

  No

  N/A

• Barricading Vehicles or Work Area

  Yes

  No

  N/A

• Vehicle Housekeeping

  Yes

  No

  N/A

• Trailer Connections (Safety Chains, Lights, Breakaway)

  Yes

  No

  N/A

• Load Securement

  Yes

  No

  N/A

• Overall Vehicle Condition

  Yes

  No

  N/A

• Photo of Truck Cleanliness

  Media

• Understanding of Circle of Safety Policy

  Yes

  No

  N/A

Personal Protective Equipment

• Head Protection

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Hand Protection

  Yes

  No

  N/A

• Traffic Vest

  Yes

  No

  N/A

• Proper Footwear

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• FR Clothing

  Yes

  No

  N/A

• Enclosed Space Harness in Use

  Yes

  No

  N/A

• Dust Mask or Respirator Use

  Yes

  No

  N/A

• Rubber Gloves and Sleeves

  Yes

  No

  N/A

Tools and EquipmentFiberglass

• Fiberglass Tools (Clean / Tested / Stored Properly)

  Yes

  No

  N/A

• Rigging Equipment (Satisfactory Condition)

  Yes

  No

  N/A

• Hydraulic Tools (Hoses Inspected Prior to Use / Stored Properly)

  Yes

  No

  N/A

• Grounds and Mechanical Jumpers (Clean / Tested / Stored Properly)

  Yes

  No

  N/A

Enclosed Space

• Atmosphere Tested Prior to Entry (Documented on Tailboard)

  Yes

  No

  N/A

• Manhole Cover Placed Out of the Way (Tripping Hazard)

  Yes

  No

  N/A

• Manhole / Vault Protected with Barricade

  Yes

  No

  N/A

• Rescue Equipment Set-up and On-site

  Yes

  No

  N/A

• Cables and Equipment Heat Scanned (Documented on Tailboard)

  Yes

  No

  N/A

• Attendant Above Hole

  Yes

  No

  N/A

• Gas Tester Calibrated and Working

  Yes

  No

  N/A

• Gas Tester Calibration Date:

• Atmosphere Continually Being Monitored

  Yes

  No

  N/A

• Blower Set-up and Running (Intake Free From Hazards, Like Vehicle Exhaust)

  Yes

  No

  N/A

Summary

• Notes

• Reviewed By:

• Copies Sent To: