Electrical Consultants, Inc Madison Form

Emergency Phone Numbers Accessible?

Closest Occupation Clinic Identified?

First Aid Kits on Job Site?

Fire Extinguisher on Jobsite & Checked Monthly/Yearly?

Daily Safety Meeting Conducted?

Task Hazards are Properly Identified?

Hazard mitigation identified?

Mitigation is being followed?

Scope of Work Changes Properly Identified and Reviewed?

MSDS Onsite For All Hazardous Materials?

Universal Spill Kits Onsite?

Projects Specific Environmental Training Complete?

Environmental Access Plan Onsite?

Appropriate Eye Protection (minimum is Safety Glasses)?

Hard Hat Protection Being Worn at All Times?

Safety Shoes Worn?

Personnel Wearing Reflective Vests Unless in Bucket or Other Exempted Areas?

Hearing Protection Used When Needed?

Gloves When Required by Employer?

All personnel in energized substations wearing an outer layer of FR clothing?

Work Area Neat?

Passageways and Walkways Identified and Clear?

All Equipment Inspected Daily?

All Vehicles Inspected Weekly?

Operator is Trained for Specific Equipment?

Equipment Free of Fluids Leaking?

Operation is being Performed the Proper Distance From Overhead Power Lines?

Underground Utilities Properly Identified?

Dig Ticket Number On-Site?

Cones, Road Signs, or Flashers Set Up When Needed?

DOT, County, or City Permit Acquired and On-Site?

Site Specific Traffic Control Followed?

Utility's Control Center(s) Notified (At Both Start and End of Work)?

Arc Flash Boundary Defined for PPE FR Rating in Use?

ATC's Applicable Access Training Completed for Task?

Escort On-Site?