Business Unit



Number of Employees

Work Being Performed

Tailboard/Hazard Assessment

1. Tailboard/Hazard Assessment Complete (Yes to items 2-7)

Revenue Services (RS): JHA filled out in the AM and PM electronic format. There is only one person per vehicle and they usually work independently. Employees rarely have to use a bucket truck.
• are electronic (will most likely not see a hard copy)
• Employees fill out JSA before they get out of truck and submit it, so if hazards change, they cannot change the JSA
Reference: General Subjects 7.0-15.0, Gas Safety Manual

2. Job Hazards Prioritized, Identified and Documented

RS: Voltage meters used to test unknown/tampered equipment

3. Key Observation Points: Animal Bite Exposure, Slips, Trips, and Falls, Ergonomic Issues, Fatal Hazards, PPE, Other (identified)

RS: Done as the JHA when you get out of the vehicle
Reference: General Subjects 24.0, Gas Safety Manual

4. An Effective Mitigation Plan

RS: Quick escape routes, being aware of your surroundings

5. Employee Recognizes Changes in Routine Hazards and Documented

6. Emergency Plan Discussed: Nearest Hospital, Who should be notified.

RS: No dispatch or radio communication upon arrival or departure. Radios with emergency buttons
Reference: Emergency Procedures page 14, Gas Safety Manual Reference- Emergency Procedures page 14, Gas Safety Manual

7. Emergency Plan Discussed: Location, Route of Egress, Circuit, GPS coord.

General inspection items

8. Traffic Control Devices in place like safety cones/beacon lights.

Use cones on all but, lead investigators.

Reference: Traffic Control, page 119, Gas Safety Manual, MUTCD Manual temporary traffic control Section 6.

9. Public Clear of Worksite

Remove kids and customer whenever possible

10. Reflective Vest in use around road work

Reference- Motor Vehicle Safety, 20.0, Gas Safety Manual

11. PPE condition checked, tested, and/or dated such as rubber goods, hot sticks, voltage tester.

Wear FR clothes gate to gate
Rubber gloves (date located on gloves and changed out every 6 months)
• class 0 (required most times)
• class 2
• class 3 (one meter man will have class three.. this is near tunica/casinos)
Dielectric boots, just do visual checks (have but rarely use them, only to open doors to transformers).
Face Shield (required when dealing with 480 volts +)
Hot sticks (Inspected every two years, but they do not open and close switches, they are for using amp probe to measure hi side amperage)
Hard hat required when overhead hazards are present
Reference: Personal Protective Equipment section

12. Housekeeping (including vehicles at job site and safety related items)

Reference: General Subjects, 89-96, Gas Safety Manual

13. Proper voltage testing processes followed

Test voltage and continuity on new install and reconnect that is NOT reconnect due to non-pay. Same as field metering.

14. all spent seals are removed from job site

Need to make sure they are picked up from all job sites.

15. Proper Removal/installation of meters

Use PPE, not to use hand to hit meter to secure. Should place bottom in first then top
Reference: General Subjects, page 24, Gas Safety Manual

16. Meter pan seal properly installed

Has a seal on bottom and clip is installed

17. vehicle left running and unattended (situation dependant)

May be left running if working and pad mount transformers (they wire them).. Employee may have drill requiring an inverter. Normally not running. Remote locks may also be installed for purpose of running a locked vehicle.

Reference: Motor Vehicle Safety, 14, Gas Safety Manual

18. Personal Conduct/attitude (are the employees professional and represent the company properly)

Loose or proper clothing has been an issue in the past Reference: General Subjects, 19-26, Gas Safety Manual

19. All Proper PPE in use

Reference: Personal Protective Equipment, Gas Safety Manual

20. Gas Meter and Valve not leaking

May apply locks to gas meters to make safe

21. Driving Courteous and/or defensive

Smith driving and proper parking. Using hood caps for walk around unless investigating
Reference: Motor Vehicle Safety, 10.0, Gas Safety Manual

22. Employee practices all smith system driving rules

23. Employee is practicing proper parking

24. Use of seat belts when vehicle is in motion.

Reference-Section 15 Motor Vehicle Safety, 15.2(1),Transimission and Distribution Safety Manual

25. Proper use of cell phone and/or radio

Blue tooth, handsfree only.

HU Tools

26. Were Human Performance Tools used on this job?

27. Self Checking

28. Peer checking

29. Post job review

30. Procedure usage

31. Questioning attitude

32. Place keeping

33. Effective Communication

34. Pre-job briefing

35. Coaching

36. Turnovers

Comment Section


Additional Comments

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.