Information
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Document No.
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Inspection Completed By:
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Conducted on:
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Location:
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General Foreman:
- Billy Bowling- KU
- Robert Mink- Duke
- Tyler Shrout- Duke
- Doug Henderson- Duke
- Barry Garner- LG&E
- Walt Sweet- KU and Co-ops
- Eddie Manning- Services
- Eric Pratt-LG&E/KU and Co-ops
- Bret Hamilton- Services
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Foreman/Crew Lead for project: (check all that apply)
- Stewart Arrington
- Derrick Bingham
- Shane Bishop
- Junior Blair
- Seth Bowers
- Cody Brierly
- Keith Campbell
- Billy Collett
- Cameron Combs
- Drew Combs
- Neil Davenport
- Virgil Deaton
- Joy Hall
- Willie Hicks
- Chris Horn
- Gary Jamison
- Aaron Lawson
- Red Lawson
- Dave Mathis
- Derek Mills
- Travis Miracle
- Joe Morris
- Kyle Nitzsche
- Tony Roberts
- William Sandlin
- Robert Spears
- Greg Stewart
- Chris Tibbs
- Tony Wilson
- Other (type in employee name)
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Does anyone on the crew need to be enrolled in the Bowlin Apprenticeship Program?
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Name of employee:
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Email Address of employee:
General Information and Administration
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What Type of Work is being performed?
- Pole Change
- Line Installation
- Make-Ready
- Maintenance
- Storm Restoration
- Retro-fits
- District Hand Out Work
- Nodes
- Pole Pulling
- Underground
- Commuting to Job
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Customer working for:
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Has a Job Briefing been completed which designates crew assignments completed, thoroughly communicates the task/activity being completed?
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Call an all-stop, bring everyone down to complete a thorough job briefing and document the name of the foreman who failed to complete it.
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Photo of completed job briefing is required before work can begin:
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Did the foreman and/or crew member review the job briefing with you and have you sign the form?
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Photo of the job briefing:
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Were known and potential hazards identified, documented and a plan in place to eliminate or protect against the known/potential hazards?
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Have the tasks changed from the original job briefing which requires modifications to the original job briefing?
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Were changes to the job briefing completed?
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Is the work energized?
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What is the crew working on?
- Overhead Distribution (Primary and Neutrals)
- Secondary Services
- Pole Change
- Hand Digging Only
- Maintenance
- Transmission
- Fiber
- Underground
- Commuting
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(ENERGIZED) Who is completing the Dedicated Observer?
- Stewart Arrington
- Derrick Bingham
- Shane Bishop
- Junior Blair
- Seth Bowers
- Cody Brierly
- Keith Campbell
- Billy Collett
- Cameron Combs
- Drew Combs
- Neil Davenport
- Virgil Deaton
- Joy Hall
- Willie Hicks
- Chris Horn
- Gary Jamison
- Aaron Lawson
- Red Lawson
- Dave Mathis
- Derek Mills
- Travis Miracle
- Joe Morris
- Kyle Nitzsche
- Tony Roberts
- William Sandlin
- Robert Spears
- Greg Stewart
- Chris Tibbs
- Tony Wilson
- Other (type in employee name)
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(ENERGIZED) The DO is positioned properly to observe the aerial work and can verbally warn employees of any encroachment issues?
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(ENERGIZED) The DO is focused on work in the "hot zone" until the bucket is cradled? (***NOTE*** The DO can have no other duties while employees are aerial inside the "hot zone")
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(ENERGIZED) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(ENERGIZED) Was the post job briefing completed for the previous days work?
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(SECONDARY) Who is completing the Dedicated Observer?
- Stewart Arrington
- Derrick Bingham
- Shane Bishop
- Junior Blair
- Seth Bowers
- Cody Brierly
- Keith Campbell
- Billy Collett
- Cameron Combs
- Drew Combs
- Neil Davenport
- Virgil Deaton
- Joy Hall
- Willie Hicks
- Chris Horn
- Gary Jamison
- Aaron Lawson
- Red Lawson
- Dave Mathis
- Derek Mills
- Travis Miracle
- Joe Morris
- Kyle Nitzsche
- Tony Roberts
- William Sandlin
- Robert Spears
- Greg Stewart
- Chris Tibbs
- Tony Wilson
- Other (type in employee name)
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(SECONDARY) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(SECONDARY) Was the post job briefing completed for the previous days work?
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(POLE CHANGE) Who is completing the Dedicated Observer?
- Stewart Arrington
- Derrick Bingham
- Shane Bishop
- Junior Blair
- Seth Bowers
- Cody Brierly
- Keith Campbell
- Billy Collett
- Cameron Combs
- Drew Combs
- Neil Davenport
- Virgil Deaton
- Joy Hall
- Willie Hicks
- Chris Horn
- Gary Jamison
- Aaron Lawson
- Red Lawson
- Dave Mathis
- Derek Mills
- Travis Miracle
- Joe Morris
- Kyle Nitzsche
- Tony Roberts
- William Sandlin
- Robert Spears
- Greg Stewart
- Chris Tibbs
- Tony Wilson
- Other (type in employee name)
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(POLE CHANGE) The DO is positioned properly to observe the aerial work and can verbally warn employees of any encroachment issues?
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(POLE CHANGE) The DO is focused on work in the "hot zone" until the bucket is cradled? (***NOTE*** The DO can have no other duties while employees are aerial inside the "hot zone")
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(POLE CHANGE) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(POLE CHANGE) Was the post job briefing completed for the previous days work?
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(LINE MAINTENANCE) Who is completing the Dedicated Observer?
- Stewart Arrington
- Derrick Bingham
- Shane Bishop
- Junior Blair
- Seth Bowers
- Cody Brierly
- Keith Campbell
- Billy Collett
- Cameron Combs
- Drew Combs
- Neil Davenport
- Virgil Deaton
- Joy Hall
- Willie Hicks
- Chris Horn
- Gary Jamison
- Aaron Lawson
- Red Lawson
- Dave Mathis
- Derek Mills
- Travis Miracle
- Joe Morris
- Kyle Nitzsche
- Tony Roberts
- William Sandlin
- Robert Spears
- Greg Stewart
- Chris Tibbs
- Tony Wilson
- Other (type in employee name)
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(LINE MAINTENANCE) The DO is positioned properly to observe the aerial work and can verbally warn employees of any encroachment issues?
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(LINE MAINTENANCE) The DO is focused on work in the "hot zone" until the bucket is cradled? (***NOTE*** The DO can have no other duties while employees are aerial inside the "hot zone")
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(LINE MAINTENANCE) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(LINE MAINTENANCE) Was the post job briefing completed for the previous days work?
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(HAND DIGGING) Was the post job briefing completed for the previous days work?
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(UNDERGROUND) Was the post job briefing completed for the previous days work?
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Brief description of the work being performed:
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What is the crew working on?
- Overhead Distribution (Primary and Neutrals)
- Secondary Services
- Pole Change
- Hand Digging Only
- Maintenance
- Transmission
- Fiber
- Underground
- Commuting
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(DE-ENERGIZED) If the line is de-energized, has it been properly tested, grounded and tagged?
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(DE-ENERGIZED) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(DE-ENERGIZED) Was the post job briefing completed for the previous days work?
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(DE-ENERGIZED) If the line is de-energized, has it been properly tested, grounded and tagged?
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(DE-ENERGIZED) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(DE-ENERGIZED) Was the post job briefing completed for the previous days work?
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(DE-ENERGIZED) If the line is de-energized, has it been properly tested, grounded and tagged?
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(DE-ENERGIZED) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(DE-ENERGIZED) Was the post job briefing completed for the previous days work?
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(DE-ENERGIZED) Was the post job briefing completed for the previous days work?
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(DE-ENERGIZED) If the line is de-energized, has it been properly tested, grounded and tagged?
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(DE-ENERGIZED) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(DE-ENERGIZED) Was the post job briefing completed for the previous days work?
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(DE-ENERGIZED) Was the post job briefing completed for the previous days work?
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Brief description of the work being performed:
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Customer Working for:
- AEP
- Alabama Power
- Baldwin EMC
- BGE (Baltimore Gas and Electric)
- Central Maine Power
- Clark Energy
- CLECO (Central Louisiana Electric Co.)
- Con Ed
- Consumers Energy
- Cumberland Valley RECC
- Dominion Power
- Duke Energy
- Duquesne Power
- DTE
- Eastern Kentucky Power
- Entergy
- EverSource
- First Energy
- Fleming Mason RECC
- FP&L (Florida Power and Light)
- Georgia Power
- Harrison REMC
- LG&E/KU
- National Grid
- NY State Electric and Gas
- OGE (Oklahoma Gas and Electric)
- Oncor
- OPPD (Omaha Public Power District)
- Orange and Rockland
- PECO (Philadelphia Electric Co.)
- PPL
- PSEG (Public Services Electric NY)
- SLECO (South Louisiana Electric Cooperative Association)
- SLEMCO (Southwest Louisiana)
- Taylor County RECC
- WST (Washington St. Tammany Electric Cooperative)
- Storm Restoration Customer
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Type of Storm
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(STORM) Has a Job Briefing been completed which designates crew assignments completed, thoroughly communicates the task/activity being completed? ***Review and sign the electronic form***
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(STORM) Photo of the job briefing:
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(STORM) Were known and potential hazards identified, documented and a plan in place to eliminate or protect against the known/potential hazards?<br>
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(STORM) Is the work energized?
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(STORM) Who is completing the Dedicated Observer?
- Stewart Arrington
- Derrick Bingham
- Shane Bishop
- Junior Blair
- Seth Bowers
- Cody Brierly
- Keith Campbell
- Billy Collett
- Cameron Combs
- Drew Combs
- Neil Davenport
- Virgil Deaton
- Joy Hall
- Willie Hicks
- Chris Horn
- Gary Jamison
- Aaron Lawson
- Red Lawson
- Dave Mathis
- Derek Mills
- Travis Miracle
- Joe Morris
- Kyle Nitzsche
- Tony Roberts
- William Sandlin
- Robert Spears
- Greg Stewart
- Chris Tibbs
- Tony Wilson
- Other (type in employee name)
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(STORM) The DO is positioned properly to observe the aerial work and can verbally warn employees of any encroachment issues?
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(STORM) The DO is focused on work in the "hot zone" until the bucket is cradled? (***NOTE*** The DO can have no other duties while employees are aerial inside the "hot zone")
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(STORM) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(STORM) Brief description of the work being performed:
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(STORM) If the line is de-energized, has it been properly tested, grounded and tagged?
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(STORM DE-ENERGIZED) The pole and adjacent poles tested (probing, prodding, sounding) prior to completing work?
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(STORM) Brief description of the work being performed:
Personal Protective Equipment (PPE)
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For BUCKET OPERATIONS, all PPE is being worn while completing work (hard hat, safety glasses, FR clothing)?
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Who is the employee found in violation of the PPE requirements?
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What violation has been observed?
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For GROUND OPERATIONS, all PPE is being worn while completing work (hard hat, safety glasses, work gloves, hi-vis safety vests). Includes all employees working on the ground?
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Who is the employee found in violation of the PPE requirements?
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What violation has been observed?
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Rubber gloves and sleeves are being worn for all "live" line work?
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Rubber gloves and sleeves have valid test dates and are being inspected for deformities?
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Who is the employee found in violation of the PPE requirements?
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Not wearing rubber gloves and sleeves is a Bowlin CESR violation. Employee's GF and Jon Keith are to be notified immediately. A disciplinary action form must be completed .
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Are work gloves being worn when handling materials?
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Employee observed not wearing work gloves while handling materials:
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Proper Work Clothing (no rips or tears in FR clothing including pants; work boots worn; and hi-vis clothing worn where required)?
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Are employees using a chainsaw to top pole/trim tree limbs?
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(BUCKET OPERATIONS) Is the employee wearing hearing protection and face shield as required?
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(GROUND OPERATIONS) Is employee wearing chaps, hearing protection and face shield as required?
General Electrical Work Requirements
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Work process/Equipment use in progress? (check all that apply)
- Bucket Truck(s) in use
- Digger Derrick in use
- Hand Digging Hole
- Climbing Pole
- Pulling Wire (Rope Rig and Tensioner)
- Commuting Only
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Dielectric test dates are current for the bucekt trucks assigned to the crew?
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Call Eddie Jacobs immediately and schedule a dielectric test. If the truck has not been tested within 96 hours (4 days) of the violation, the truck will be shut down until a test can be completed.
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Truck number of the truck(s) needing tested
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Outrigger pads being used when outriggers are deployed?
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Address the issue with the foreman. If the truck does not have outrigger pads, contact Brandon Adkins in the Warehouse, give him the truck number(s) and ensure he orders pads for the truck.
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Employees are staying off of the bucket truck while the boom is in the "Hot work Zone"?
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Call and all-stop and address the severity of this issue. The employee and foreman will receive at a minimum a verbal reprimand which should be documented using the iAuditor disciplinary action template.
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Employee Secured in basket? (PFAS being worn at 6' or higher)
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(BUCKET TRUCK) A hand line has been attached properly to the pole?
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Call an all-stop and address the importance of having a hand/rescue line attached to the pole. The work is not to proceed until a the handline has been installed
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(BUCKET TRUCK) Materials are being raised/lowered with hand lines?
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(CLIMBER) Has employee safely maintained three points of contact and maneuvered with Buckhoist/Supersqueeze/Rope Safety attached at all times?
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Complete a Lineman Skills evaluation for the employee climbing
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If using a chainsaw, is the employee using his Buckhoist/Supersqueeze and his secondary rope safety (double tie off Bowlin requirement).
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(CLIMBER) A hand line has been attached properly on the pole?
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Call an all-stop and address the importance of having a hand/rescue line attached to the pole. The work is not to proceed until a the handline has been installed
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(CLIMBER) Materials are being raised/lowered with hand lines?
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Digger Derrick has been properly grounded?
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Call and all-stop and ensure the digger is properly grounded
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Digger Derrick ground wire has been completely rolled out (not coiled)?
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What has the ground been attached to?
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Is the line tension and rope rig properly grounded and barricaded?
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Has the crew checked the length of the wire on the reel to ensure they have enough for the spans being pulled?
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Is there communication between the operator of the Wire Tensioner and Rope Rig?
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Skip to the vehicles and Motorized Equipment Section
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Skip to 8-1-1 Dig-In Requirements
8-1-1 Dig In Requirements
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Does this job involve digging or soil penetration of any kind?
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Have Utility locates been called in prior to starting work?
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What types of utilities are within a 5 foot radius of the hole being dug? (check all that apply)
- Water
- Gas
- Electric
- Telecomm
- Sewer
- Storm Drain
- No Conflict
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What type of digging method is the crew using? (check all that apply)
- Hand Digging
- Digger Derrick
- Back Yard Machine
- Potholing
- Hydro Vac
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Has the foreman obtained positive response for the locate ticket?
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Is the locate ticket valid? (Ticket completed within 10 days of the ticket request and work completed within 21 days)
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Have pre-dig photos been taken of the utility marks and/or flags?
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If digging through concrete, are wet methods being used to prevent silica exposure?
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Stop work immediately. Work is not to resume until locates can be completed
Workzone Protection
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Does the job require workzone protection?
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Who is completing the workzone protection? (check all that apply)
- Bowlin
- Sky High
- AWP
- CTS
- Flag Pros
- Wright
- Local Law Enforcement
- Other
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Does the workzone impede a lane of traffic?
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Workzone is set up using proper MUTCD guidelines?
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Cone are placed around all trucks? (At a minimum, cones need to be placed on the front and rear corner of truck on traffic side)
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Proper signage has been posted in the workzone?
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What signage is missing?
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Flaggers are completing their flagging duties while work is being performed?
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Are there any concerns as an auditor you have with the workzone?
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What are your concerns?
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Photo of the workzone concern:
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Bowlin flaggers in charge of the workzone?
- Jaime Puckett
- Ty Groves
- Scott Schaich
- William Wyche
- Jaclyn Young
- Richelle Faulkner
- Other employee(s)
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Traffic Conditions at the job site:
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Does the workzone impede a lane of traffic?
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Workzone is set up using proper MUTCD guidelines?
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Sign placements (Height, visibility and spacing) conform to MUTCD standard regulation?
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Cones are placed around all trucks? (At a minimum, cones need to be placed on the front and rear corner of truck on traffic side)
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All safety cones are in good condition and are at least 36 inches in height? (Energy utility regulation)
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Appropriate signage has been posted in the workzone?
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What workzone signage is missing that should be posted? (check all that apply)
- Flagger Ahead
- Lane Closed Ahead
- Workers Ahead
- Be Prepared to Stop
- Sidewalk Closed
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Are all signs in good condition (clean, legible, and reflective)?
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Are the Bowlin flagging employees current with their certifications?
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Employees will need to attend an ATSSA certification ASAP.
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Flaggers are completing their flagging duties while work is being performed?
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Does the job require the use of an arrow board?
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Are there any concerns as an auditor you have with the workzone?
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What are your concerns?
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Photo of the workzone concern:
Vehicles and Motorized Equipment
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DOT Daily Log Books filled out for the truck(s) for that day?
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Ensure employee knows Eddie Jacobs receives copies of the vehicle logs at the end of the week (Scanned, texted or given physical copy)
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Ensure employee completes log book inspection prior to leaving the job site
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Picture of the completed log book entry
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(BUCKET TRUCK) Pneumatic and Hydraulic hoses have been thoroughly inspected?
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(DIGGER) Pneumatic and Hydraulic hoses, winch line has been thoroughly inspected of the digger?
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Loads are properly secured? (Look for loose/unsecured materials in the beds of trucks)
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Vehicle housekeeping is acceptable. (This includes the cab and bed of all work vehicles).
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What truck number is requiring immediate housekeeping?
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Add a photo of the housekeeping issue
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Trucks have a Spill Kit, First Aid Kit and Fire Extinguisher?
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Have employee/foreman contact Brandon Atkins for immediate replacements.
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Warning/Hazard Lights Operable?
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Vehicle chocks in use while parked? (Chocks placed properly on both wheels for uneven grade)
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Have you observed the vehicles in motion while completing your audit?
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Seat belts are being worn by all occupants while in motion? (Not wearing a seat belt is a Bowlin significant violation)
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1st offense- documented verbal warning using the iAuditor disciplinary form. 2nd offense- written and signed warning. 3rd offense- minimum of 3 days off using Bowlin disciplinary form. Send signed copy of the form to safety and Rick Ryan in HR
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Spotter was utilized when the vehicle was in reverse? (Spotter required when two or more employees are available)
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360 degree walk around completed prior to moving?
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Hands free communication is being used when vehicle mobile?
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If in motion, are all work vehicles leaving enough space between vehicles while in transit?
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Please capture what you see during the audit. We can only learn from and grow as a company if you are answering the questions honestly and accurately. Thank You! Bowlin Group Safety Department
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Please capture what you see during the audit. We can only learn from and grow as a company if you are answering the questions honestly and accurately. Thank You! Bowlin Group Safety Department
