Title Page

  • 1910.269 (c)

  • Clay Electric Cooperative, INC. Tailgate/Job Briefing

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job number:

  • Location of Job:
  • Date:

  • Foreman/Crew Leader

  • Crew Members Present (Sign):

  • Crew Members Present (Sign):

  • Crew Members Present (Sign):

  • Crew Members Present (Sign):

  • Report Location/address to dispatch, also verifies radio/phone communication

  • Hazards associated with job, i.e. Rotten pole, condition of conductor, close proximities, unmarked UG utilities etc.

  • Work Procedures involved with job, i.e. grounds, truck position, who is doing what, etc.

  • Necessary PPE for job, i.e. eye, head, hand, fall protection, gloves, sleeves, cover-up, etc.

  • Energy Source Controls, i.e. call dispatch, direction of feed, location of upstream protective device (OCR or Fuse), setting devices on 1-shot or other appropriate capabilities, etc.

  • Special Precautions, i.e. Traffic control, traffic warning signs, trees, public access, etc.

  • Other:

  • Remarks:

  • Foreman Crew Leader (Sign):

  • Picture (when necessary) for documentation (missed locates, notable hazards, etc.)

  • 1910.269 (c) (1) If conditions change or if unforeseen circumstances become apparent, employees shall re-evaluate the work to be done, the procedures to be followed, and the Safety and Health Practices apply

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.