Title Page
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Field Crew Inspection
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Conducted on
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Person Conducting Safety Audit
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Location
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Drive up photos.
General
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Name of person in charge
- Toliver, Steve
- Teagarden, Jared
- Stremming, Dennis
- Streitmatter, Steve
- Schindel, Austin
- Schaley, Mark
- Runyon, Aaron
- Ross, Jack
- Rosenthal, Steve
- Richards, Brett
- Myler, Kyle
- Moore, Jason
- Merrill, Tim
- Lee, John
- Kinsella, Nate
- Horn, Adam
- Hays, Scott
- Fisher, Robert
- Felker, Brian
- Dunlop, Norm
- Dilbeck, Adam
- Daugherty, Jerry
- Curtis, Brandon
- Cooper, Grant
- Conway, Mike
- Carr, Patrick
- Bollhorst, Shane
- Behrends, Mitch
- Baker, Tim
- NORTH PERSONNEL
- Lind, Jamie
- Sanders, Steve
- Rolando, Rodney
- Ponsetti, David
- Law, Joe
- Knudsen, Adam
- Henning, Gerry
- Glover, Gary
- Cimei, Steve
- Doyle, Kris
- DeRubeis, Micheal
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Names of Crew Members
- Toliver, Steve
- Teagarden, Jared
- Stremming, Dennis
- Streitmatter, Steve
- Schindel, Austin
- Schaley, Mark
- Runyon, Aaron
- Ross, Jack
- Rosenthal, Steve
- Richards, Brett
- Myler, Kyle
- Moore, Jason
- Merrill, Tim
- Lee, John
- Kinsella, Nate
- Horn, Adam
- Hays, Scott
- Fisher, Robert
- Felker, Brian
- Dunlop, Norm
- Dilbeck, Adam
- Daugherty, Jerry
- Curtis, Brandon
- Cooper, Grant
- Conway, Mike
- Carr, Patrick
- Bollhorst, Shane
- Behrends, Mitch
- Baker, Tim
- NORTH PERSONNEL
- Lind, Jamie
- Sanders, Steve
- Rolando, Rodney
- Ponsetti, David
- Law, Joe
- Knudsen, Adam
- Henning, Gerry
- Glover, Gary
- Cimei, Steve
- Doyle, Kris
- DeRubeis, Micheal
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Type of work being performed?
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Was a written job briefing/tailgate conducted?
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Photo of tailgate.
Location
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Address of job site?
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Name of Substation
- Argenta
- Armington
- Beltline East
- Beltline West
- Brokaw
- Cooksville
- Covell
- Danvers
- Deland
- Evergreen
- Fullerton
- Gillum North
- Gillum South
- Goodfield
- Holder
- Hopedale
- Kappa
- LeRoy
- Lexington
- Lilly
- Maroa
- Normal South
- Normal North
- Olympia
- Parkside
- Saybrook
- Tazewell
- Towanda
- Wapella
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Feeder
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Breaker, Breaker Set, Fuse
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Is one shot or HTL installed?
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Is line Energized?
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Is line grounded?
PPE
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Hi Vis Arc Rated/FR Apparel
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Head Protection
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Hearing Protection
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Eye Protection
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Face Protection
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Hand Protection
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Foot Protection
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Fall Protection
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Personal Grounds
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Rubber Gloves
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Rubber Sleeves
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Other PPE used or needed.
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Is all required PPE in use?
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PPE comment.
Proper Tool and Equipment Use
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Vehicle Grounds
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Shoring Equipment
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Hotline Tools
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Wire Cutters
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Voltage Indicators
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Roller Grounds
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Elbow Grounds
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Spiking Tools
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Cover Up Material
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Tagging Devices
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Tag Lines
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Proper Clearences
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Crimping Tools
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Truck Jibs
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Other equipment used or needed.
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Are proper tools and equipment in use, as job requires?
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Tools and equipment comments?
Traffic Control Devices
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Truck Flashers Operating
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Truck Beacons Operating
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Traffic Cones in Place
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Traffic Signs Installed and Visible
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Barricades are being utilized?
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Traffic Flaggers are being utilized?
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Other equipment used or needed.
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Are the necessary traffic control devices being used?
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Traffic Control Comments
RESAP
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Fire Extinguisher in date with inspection and tagged?
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First Aid Kit has no expired items?
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Dielectric test on trucks and booms within test date?
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DOT truck inspections completed and in date?
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All report forms present
Comments/Action Needed
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Observer Comments
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Corrective action that needs to be taken.
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Date corrective action taken or instruction given.
Signatures
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Designated Person in Charge
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Observer
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Operations and Safety Coordinator
