Title Page
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Conducted on
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Prepared by
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Location
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Customer
- Other - Specify Below
- Edko Office / Shop
- AEP - APCO
- AEP - I&M
- AEP - Ohio
- AEP - SWEPCO
- AEP - TX
- Alabama Power
- Centerpoint
- Duke Energy - FL
- Duke Energy - Midwest
- City of Gadsden
- City of Huntsville
- Empire
- Entergy
- Huntsville Utilities
- Joe Wheeler
- Luminant
- Middle Tennessee
- OG&E
- Oncor
- Ozark
- Sam Houston Electric
- Talquin
- Tuscaloosa County
- Victoria Electric
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Customer - Not Specified Above
General Information
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Job Type
- Other - Specify Below
- Combination - Select Multiple
- Aquatic
- Bareground
- Basal
- Code Enforcement
- Curb & Gutter
- Dormant Stem
- Drainage
- Foliar
- Forestry / Planning
- Levee
- Mosquito Control
- Mowing
- Notification
- Railroad
- Roadside
- Sewer ROW
- Side Trimming
- Substations
- TGR
- Turf
- Vine Cutting
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Operator
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Helper1
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Helper2
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Helper3
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Vehicle #
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Equipment #
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Include a picture or other media to support your audit findings
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Proper Width
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Proper Line Clearance
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Proper Use of Equipment
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Target Pest Correctly Identified
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Touch Up Required
Herbicide Use
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Was the correct herbicide/tank mix used?
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Was the herbicide applied at the proper rate?
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Was the label correctly followed?
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Was the application acceptable?
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Drift Appropriately Controlled or Minimized
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Spraysheet(s) Filled Out Accurately
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Buffer Used
TGR Specific
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Trees Correctly Identified
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Trees Accurately Measured
Notification & Documentation
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All Landowners Notified
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Skips and Refusals Documented
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Maps Documented Properly
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Manifest Documented Properly
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Spraysheet(s) Completed
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JSA(s) Completed
Overall Work Quality
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Work Quality is...?
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Comment on the Quality of Work
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Unique Circumstances Involved With the Work
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Employee Recognition - Who? and Why?
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Employee Disciplinary Action - Who? and Why?
