Title Page
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Crawford Electric Cooperative Crew Observation
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Job Location:
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Crew Foreman
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Crew Members:
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Conducted on
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Prepared by
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Document No.
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Work Order #
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Has tailgate been held?
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Comments:
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Cover up
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Visible Line Opening
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Line Tested for Voltage
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Line Grounded
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Trucks Grounded
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OCR on Non-Reclose
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Tag-Out in Use
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Traffic Control Signs
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Traffic Control Cones
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Traffic Control Vests
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Parking Cones
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Hard Hats
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Rubber Gloves-L.V.
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Rubber Gloves-H.V.
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Sleeves
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Safety Harness
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Hearing Protection
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FR Clothing
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Wheel Chocks <br>Must be used when equipment is in use or parked on an incline
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Outrigger Pads<br>Must be used anytime outriggers are in use
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Supervisor Signature:
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Foreman Signature:
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Comments: