Information

  • Document No.

  • Conducted on

  • Foreman

  • Please select crew members present

  • Kyle's

  • Don's

  • Roseburg

  • Districts

  • Work Order

  • Rescue 911 Address
  • Weather

  • Hot Job

  • Voltage?

  • Other

  • Able to get a one-shot?

  • One Shot Location:

  • Is switching required?

  • Switching type?

  • Is PPE required?

  • PPE type

  • Other

  • Is Climbing required?

  • Climb through obstacles?

  • Pole height

  • Pole Condition?

  • Safety plan?

  • Other

  • Is Digging required?

  • Is there a locate?

  • Take a picture of locate marks. Write down ticket # if known.

  • Ticket Number

  • Take a picture of the locate marks

  • Shoring or Sniffer required?

  • Shoring

  • Sniffer

  • Is work to be done on/near a roadway?

  • Is flagging required?

  • Road speed

  • Road type?

  • Using flagging company

  • ODOT notified

  • Using flagging company

  • ODOT notified

  • Why not?

  • Other

  • Will grounds be applied?

  • Grounding type?

  • Location of grounding points?

  • Signing

  • Person
  • Initials Here

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