Audit

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

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
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.