Audit

Inspection Type
Job
Equipment
Tested
Other Equipment

Other:

PPE

PPE - A "NO" answer requires a comment.

Hard Hat(s)

Eye Protection

Hearing Protection

Foot Protection

Hand Protection

Rubber Gloves

Rubber Sleeves

Fall Protection

FR Clothing

Pre-Use Inspection

Job Preperation

Job Communication

Job Briefing

Documented Prior to Work

Location Reported

Hotline Tag

Recloser - Single Operation/Bypass Cutout

Grounding

Truck

Conductor Tested

Pre-Use Inspection

Personal Grounds

Conductor Tested

Pre-Use Inspection

Cover Up

Adequate

Serviceable

Pre-Use Inspection

Traffic Control

Beacon/Strobe

Four Way Flashers

Reflective Vests

Cones Adequate

Signs Adequate

Flagger(s)

Job Preparation Continued

Poles

Inspected

Adjacent Poles

Adjacent Spans

Ladders

Inspected

Proper Placement

Secured

Live Line Tools

Pre-Use Inspection

Clean

Serviceable

Comments

OTHER CONDITIONS & WORK PRACTICES INVOLVED:

COMMENTS/CORRECTIVE ACTIONS:

Foreman/Lineman in Charge:
Inspected By:

Photos

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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.