Title Page
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Document No. 1
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Corn Belt Energy Corporation Job Briefing/Tailgate
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Corn Belt Energy Corporation Job Briefing Compliance Checklist
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It is understood that the Job briefing occurs before the beginning of each new job at the job site location.
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It is understood that an updated job briefing must occur if significant changes occur at the job site or new employees arrive at the job site.
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It is understood that a more extensive job briefing must be conducted if: the work involved is complicated, particularly hazardous, employees have not performed the task in the last year, or the employees cannot be expected to recognize and avoid the hazards associated with the job.
General Information
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Date/Time
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Weather
- Sunny
- Partly Sunny
- Partly Cloudy
- Cloudy
- Night
- Foggy
- Snow
- Rain
- Ice
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Temperature
- 100 to 110 Degreees
- 90 to 100 Degrees
- 80 to 90 Degrees
- 70 to 80 Degrees
- 60 to 70 Degrees
- 50 to 60 Degrees
- 40 to 50 Degrees
- 30 to 40 Degrees
- 20 to 30 Degrees
- 10 to 20 Degrees
- 0 to 10 Degreees
- -10 to 0 Degrees
- -20 to -10 Degrees
- -30 to -20 Degrees
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Wind Direction/Speed
- North
- Northeast
- East
- Southeast
- South
- Southwest
- West
- Northwest
- 0 to 10 MPH
- 10 to 20 MPH
- 20 to 30 MPH
- 30 to 40 MPH
- 40 to 50 MPH
- 50 + MPH
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Physical Address
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Map Location
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Substation, Circuit #
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Work Order Number if Applicable
Vehicle Information
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Vehicles at Jobsite
- Other Demo Vehicle
- 1514 Lg. Bucket
- 4907 Digger
- 5317 Lg. Bucket
- 0419 Digger
- 5216 Lg. Bucket
- 217 Digger
- 5107 Digger
- 5006 Spare Digger
- 2007 Spare Lg. Bucket
- 3605 Large Digger
- 4017 Construction Body Truck
- 3508 Small Bucket
- 2311 Small Bucket
- 4304 Small Bucket
- 4606 Small Bucket
- 2416 Small Sub Bucket
- 2117 Small Sub Bucket
- 607 UG Digger
- 1008 UG Digger
- 1908 UG Digger
- 2607 UG Digger
- 1309 3/4 Ton 4X4
- 715 Tree Truck
- 816 Forestry Dumptruck
- 3307 Dumptruck
- 912 Warehouse 1/2 Ton 4X4
- 3299 Watertruck
- 2217 North Service Bucket
- 5613 East Service Bucket
- 2516 South Service Bucket
- 1715 West Service Bucket
- 515 Central Service Bucket
- 4216 Metering Truck
- 3417 Mechanics Truck
- 4017 F550 Construction Truck
- 3417 Mechanics Truck
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Equipment on Job Site
- Other Demo Vehicle
- 49 Pole Trailer
- 50 Pole Trailer
- 51 Pole Trailer
- 52 Pole Trailer
- 4 Trencher 5750
- 6A Trencher RTX 450 Flat Track
- 7 Trencher RT 450 Spare
- 1 Trencher RTX 450 Rubber Tire
- 3A RTX 750 Quad Track
- 15 RTX 750 Quad Track
- 13 Pot Hole Machine
- 17 PT 100 ASV
- 6017 Terex Fecon
- 16 Polaris ATV
- 18 Vermeer BC 1500
- 11 SDP Right of Way Machine
- 23 Sherman Reilly Tensioner
- 28 Sherman Reilly Tensioner
- 58 Arrow Board
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All vehicles have been inspected and daily logs filled out.
Safety Information
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Type of Work Being Performed
- 1 phase pole change HOT
- 1 phase pole change DEAD
- 2 phase pole change HOT
- 2 phase pole change DEAD
- 3 phase pole change HOT
- 3 phase pole change DEAD
- Cross Arm Change Hot
- Primary UG Trenching
- Primary UG Boring
- Secondary UG Trenching
- Secondary UG Boring
- OH Transformer Install/Remove
- PAD Transformer Install/Remove
- Anchor Install/Remove
- Retire/Remove OH LIne
- Line Rebuild/Lean Line
- Primary OH Install/Remove
- Secondary OH Install/Remove
- OH Maintenance
- UG Maintenance
- Other
- Fixing Neutral With Energized Three Phase
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If other is picked from list before or some other type of special work is being performed, please provide desciption.
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Traffic Control Measures have been discussed and all necessary are in use, to include flashers, beacons, cones, traffic vests, signs, barricades and flaggers.
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All hazards associated with the job have been discussed.(Add notes if necessary)
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All work procedures involved have been discussed.(Add notes if necessary)
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Have nearby crews been informed of your work(contractor or CBEC)?
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Energy source controls have been discussed to include: direction of feed, non-reclose operation, Lockout/Tagout, de-energize location and proper grounding of lines.
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Will equipment be grounded for work to be performed?
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What energy source controls are in place?
- Visual Open
- Lockout/Tagout
- Grounding
- One Shot Installed
- Hot Line Tag
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PPE requirements have been discussed, inspected for condition and are being utilized for hazards associated with job tasks.
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Has a call been made to locate underground utilities. (800-892-0123)(811)
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Are JULIE marks current?
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Flags Posted
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All special precautions and concerns have been addressed. Please list any in notes section.
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Person in Charge
- Baker, Tim
- Behrends, Mitch
- Bollhorst, Shane
- Brendsel, Adam
- Carr, Patrick
- Conway, Mike
- Cooper, Grant
- Curtis, Brandon
- Daugherty, Jerry
- Dilbeck, Adam
- Denny, Tyler
- Dodd, Zack
- Dunlop, Norm
- Felker, Brian
- Fisher, Robert
- Hays, Scott
- Horn, Adam
- Lee, John
- Merril, Tim
- Richards, Bret
- Rosenthal, Linda
- Rosenthal, Steve
- Ross, Jack
- Runyon,Aaron
- Schaley, Mark
- Schindel, Austin
- Shelton, Brock
- Streitmatter, Steve
- Stremming, Dennis
- Toliver, Steve
- Teegarden, Jared
- Waldemar, Colten
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Signature/Initials of person in charge.
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Employees involved in Job Briefing/Tailgate
- Baker, Tim
- Behrends, Mitch
- Bollhorst, Shane
- Brendsel, Adam
- Carr, Patrick
- Conway, Mike
- Cooper, Grant
- Curtis, Brandon
- Daugherty, Jerry
- Dilbeck, Adam
- Denny, Tyler
- Dodd, Zack
- Dunlop, Norm
- Felker, Brian
- Fisher, Robert
- Hays, Scott
- Horn, Adam
- Lee, John
- Merril, Tim
- Richards, Bret
- Rosenthal, Linda
- Rosenthal, Steve
- Ross, Jack
- Runyon,Aaron
- Schaley, Mark
- Schindel, Austin
- Shelton, Brock
- Streitmatter, Steve
- Stremming, Dennis
- Toliver, Steve
- Teegarden, Jared
- Waldemar, Colten
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Each employee involved in Job Briefing/Tailgate must initial the box below.
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Before works begins, all personnel on this job site are in agreement as to the work being done, their duties in the job and safety measures to be taken. All hazards directly associated with this job have been discussed. Crew members and persons on job site are aware of energy source controls and CBEC Dispatch has been notified of your work location. All PPE is to be inspected prior to the start of work or on a daily basis. Be Safe!!
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All Pre Job Briefings conducted on CBEC property shall meet the OSHA Minimum Requirements as stated under 29 CFR 1910.269 (c) JobBriefing
