-
Weather
- Sunny
- Raining
- Windy
- Overcast
- Snowy
- Cold
- Night
-
Hot Job
-
An element of interaction with 7200/12470 is assumed on all "Hot Jobs" both primary and secondary
-
Primary or Secondary
-
Type of Wire?
- ACSR
- Cooperweld
- Primary URD
-
Able to get a one-shot?
-
One Shot Location:
-
Direction of Feed?
-
Fill out the information below for the source of one side of the Two-Way-Feed
-
Type of Protective Device?
-
Size of Fuse?
- 10 AMP
- 15 AMP
- 25 AMP
- 30 AMP
- 50 AMP
- Other
-
Size of Breaker?
- 25 H
- 35 H
- 50 H
- 35 L
- 50 L
- 70 L
-
Substation and Feeder
-
Location of Nova/Triple Single
-
Fill out the information below for the next source coming into the Two-Way-Feed
-
Type Of Protective Device?
-
Size of Fuse
- 10 AMP
- 15 AMP
- 25 AMP
- 30 AMP
- 50 AMP
- Other
-
Size of Breaker
- 25 H
- 35 H
- 50 H
- 35 L
- 50 L
- 70 L
-
Substation and Feeder?
-
Location of Nova/Triple Single
-
Location of Protective Device for URD?
-
Is switching required?
-
Switching type?
-
Secondary Voltage
-
PPE to be used?
- Hard Hat, Safety Glasses, Steel Toe Boots, FR Clothing
- Work Gloves
- Rubber Gloves
- Sleeves
- Hard Cover
- Rubber Cover
- Face Shield
- Hi-Vis-Vest
- Hearing Protection
- Other
-
Other?
-
Is Climbing required?
-
Pole Condition?
- Good
- Structural damage
- Badly leaning
- Other
-
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?
-
Road type?
-
INDOT notified
-
Traffic Control Plan in Place?
-
Is flagging required?
-
Why not?
- 15 minutes or less
- 10 feet from the fog line
- No traffic on roadway
- Other
-
Other
-
Flaggers Means of Communication?
- Hand Signals
- Two-Way Radio
-
Traffic control devices to be used?
- Utility Work Ahead Sign
- One Lane Road Ahead Sign
- Flagger Ahead Sign
- Block Vehicle
- Cones Around Trucks
- 1st. Responder Assistance
-
Traffic Control devices to be used?
- Utility Work Ahead Signs
- Cones Around Trucks
- Other
-
Will grounds be applied?
-
Location of Grounding Points?
-
Additional Information to be included?
- Information
- Pictures
-
Additional Information
-
Additional Pictures
-
Signing
Person
-
Initials Here
Jasper County REMC Tailgate Checklist
Jobsite safety briefing sheet
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