Information
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PM No.
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Location No.
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Date of visit
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Construction Group Location
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Division
- Central Coast
- DeAnza
- Diablo
- East Bay
- Fresno
- Humboldt
- Kern
- Los Padres
- Mission
- North Bay
- North Valley
- Peninsula
- Sacramento
- San Francisco
- San Jose
- Sierra
- Sonoma
- Stockton
- Yosemite
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Address
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PG&E or Contractor Name
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Auditor(s) name
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Crew Foreman Name
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Crew Field Inspector
Crew Certification
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What type of Crew Visit?
- QA Auditor / Leader
- Construction Crew
- Meeting
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Select Construction Crew
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1. Worksite protection is properly in place to protect the public and employees for the work being performed?
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2. Were you given a tailboard and asked to sign tailboard sheet upon arrival to jobsite?
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3. Tailboard sheet is onsite, properly filled out, and signed by all crew members per TD-2024-01?
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4. Job-site Emergency Action Plan is posted and readily available for reference?
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5. All required PPE is present at job-site and being utilized for the task at hand, Including all FR clothing and boot requirements?
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6. Vehicles and Equipment are properly parked/set up at worksite?
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7. Potential job-site and environmental hazards have been Identified, Evaluated, and Controlled?
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8. Utility fire index requirements are being followed per TD-1464S
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9. Proper work procedures are being followed for the task being performed? i.e... rubber glove, grounding, excavation, confined space, etc.…
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Which Auditor /Auditors
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1. Vehicle and company provided equipment are secured and properly parked in a safe location?<br><br>
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2. Confirmation of Emergency Communications have been established?
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3. GPS Beacon with them and powered on?
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4. FR Clothing and boot requirements are being followed?
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5. All required PPE is present at job-site and being utilized for the task at hand?
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6. Potential job-site and environmental hazards have been Identified, Evaluated, and Controlled?
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7. Utility fire index requirements are being followed per TD-1464S
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Summary of visit describing positive findings, and areas in need of improvement.
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Additional photos if needed. (optional)
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Reviewer's Signature
