Job Briefing

• Job Description and Location

  Select Bad Pole Changing Transformer New Service Locates Primary Line Maintenance Line Patrol Service Maintenance Work on Consumer Prem. Other

  • Bad Pole
  • Changing Transformer
  • New Service
  • Locates
  • Primary Line Maintenance
  • Line Patrol
  • Service Maintenance
  • Work on Consumer Prem.
  • Other

• Describe Job

• Map Location and/or Pole Number

• Feeder Number or Map Location

• Date

  Date

• Prepared by

Daily Work Summary

• What type(s) of work are being performed today?

• Hazards Associated with Job

  Select Electrical Contact Fall Hazard Traffic Control Weather Terrain Excavation Locate Required Ice

  • Electrical Contact
  • Fall Hazard
  • Traffic Control
  • Weather
  • Terrain
  • Excavation
  • Locate Required
  • Ice

• Are ice cleats required

  Yes

  No

• Does everyone have ice cleats

  Yes

  No

• Is locate complete

  Yes

  No

• Traffic Control Needed

  Select Cones Lights Signs Vests Flaggers

  • Cones
  • Lights
  • Signs
  • Vests
  • Flaggers

• Preflight Completed

  Yes

  No

  Aerial Device Not Being Used

• List any important job tasks

• Will work be performed on energized equipment or line(s)

  Yes

  No

• Will upstream overcurrent device be place on non-reclose

  Yes

  No

• Upstream device number

• Will protective grounds be installed

  Yes

  No

  N/A

• Will trucks be grounded

  Yes

  No

  Not Required

• Describe alternate procedure

• Are switching procedures involved

  Yes

  No

  Not Required

• List switching procedures

Designated Observer

• Andy Augspurg

• Andy Barnett

• Andy Hudson

• Ben Martin

• Blake Rodgers

• Cole Kizer

• Jacob Kumm

• Jimmy Sutter

• John Coleman

• Kyle Scheider

• Ross Hein

• Tanner Gordon

• Other

• Name of Observer

Personal Protective Equipment

• What is the required PPE to complete the job safely

  Select Rubber Gloves Rubber Sleeves Head/Eye/Face/Foot Protection Arc Rated Clothing Reflective Traffic Vest Fall Protection Other

  • Rubber Gloves
  • Rubber Sleeves
  • Head/Eye/Face/Foot Protection
  • Arc Rated Clothing
  • Reflective Traffic Vest
  • Fall Protection
  • Other

• Have Rubber Gloves/Sleeves Been Inspected

  Yes

  No

• Does every team member have the required PPE for today's work tasks?

  Yes

  No

• Will cover up be installed

  Yes

  No

  Not Required

• Are there any additional comments

  Yes

  No

• List additional comments

Crew Members

• Andy Augspurg

• Signature

  Sign

• Andy Barnett

• Signature

  Sign

• Andy Hudson

• Signature

  Sign

• Ben Martin

• Signature

  Sign

• Blake Rodgers

• Signature

  Sign

• Cole Kizer

• Signature

  Sign

• Jacob Kumm

• Signature

  Sign

• Jamie Mannigel

• Signature

  Sign

• Jimmy Sutter

• Signature

  Sign

• John Coleman

• Signature

  Sign

• Kyle Schneider

• Signature

  Sign

• Rob Bush

• Signature

  Sign

• Ross Hein

• Signature

  Sign

• Tanner Gordon

• Signature

  Sign

• Wade Begley

• Signature

  Sign

• Other

• Type Name

• Signature

  Sign