Information
-
Project #:
-
Work Order #:
-
Division
-
Customer
- Columbia Gas
- Vectren
- AT&T
- Level 3
- City of Westerville
- AEP
- AEP Fiber
- Fibertech
-
Job Type
- Gas-Main
- Gas-Services/Meter
- Telecom-Underground
- Telecom-Aerial
- Directional Drilling
- Restoration
-
Conducted on
-
Inspector
-
Location
-
Area Manager
-
Supervisor
- Guy Carpenter
- Jesse Carpenter
- Brian Archer
- Doug Rowley
- Dave Helton
- Jeff Fricke
- Howard Kessler
- Billy Cole
- Broc Streit
- Jack Schneider
-
Foremen
Paperwork
-
DFR-Daily Utility Locating Inspection Checklist
-
Locate Tickets
-
Job Prints
-
Permits
-
Job-Briefing
Traffic Control
-
Signs
-
Traffic Cones
-
Trained Flaggers
-
Barricades
-
Arrow Board
-
Street Plates Secured
-
Sidewalks Protected
-
Traffic Control Plan
-
Work Zone Set up
PPE
-
Hard Hats
-
Proper Work Boots
-
Reflective Vests
-
Eye Protection
-
Ear Protection
-
Hand Protection/Gloves
-
Respiratory Protection
-
Dielectric Protection
-
Jackhammer Foot Protection
Environmental
-
INFOTRAC Sticker
-
Spill Kit
-
Proper Fuel Can
-
Hazardous Items Labeled
-
Dust Control Plan/Permit
-
Storm Water Run Off Control
-
Water & Proper Container
Material Handling
-
Lifting Procedures Followed
-
All Rigging Inspected
-
Trained Forklift Operator
-
Forklift Inspected Prior to use
Excavation Safety
-
Length x Width x Depth
-
Excavation Inspection Report
-
Fishel Locate Procedures
-
Trench Protection @ 5' and deeper
-
Tabulated Data
-
Sloped/Benched
-
Access/Egress
-
Proper Ladder Safety
-
Spoils/Materials/Tools-2' from edge
-
Nearby Structures Protected
-
Fall Protection @ 6' by 30"
-
Water Pump/Water Control
-
Snow Fence when Required
-
General Housekeeping
Excavation Equipment
-
Equipment #(s):
-
Warning & Working Lights
-
Seat Belt in Use
-
Teammates Clear of Red Zone
-
Backup Alarm and Horn
Confined Space Equipment
-
Pre-Entry Checklist
-
CSEP Trained Teammates
-
Atmosphere Monitor
-
Manhole Blower
-
Manhole Guardrail
-
Ladder-W/ 3' Extention
-
Water Pump/Water Control
-
Emergency Rescue Equipment
Directional Drill
-
Proper Drill Grounding
-
Dielectric Rubber Gloves
-
Gloves Tested
-
Leather Glove Protector/Storage
-
Dielectric Boots-Operator & Locator
-
Expiration Dates---Dielectric Gloves
-
Strike Alarm Installed & Checked
-
Calibrated Drill Head
-
Safe Guard Equipment-Electrical Hazard Warnings
-
Radios/Communication
Electrical Tools
-
Electrical Tools in Good, Working Condition
-
Safety Devices in Place
-
Cords Checked for Damage
-
Proper PPE
-
GFCI
Fall Protection
-
PFAS in Proper Use
-
Proper Anchor Points
-
Inspection Completed
Welding Safety
-
Proper PPE
-
Ventialtion
-
Fire Watch/Extinguisher
-
Tools Properly Grounded
-
Holes are Safe for Quick Escape
Miscellaneous
-
Air Compressor #:
-
Pressure Reducing Valve
-
A/C/ Hoses in Good Condition
-
Safety Clips/Hose Whips
-
Hand Tools in Good Condition
Trucks/Trailers
-
Truck #(s):
-
Trailer #(s):
-
DVIR
-
Proper Staging on Job Site
Crane Lift Bucket Truck
-
Truck #:
-
DVIR
-
Proper Lift Setup
-
Proper Rigging
-
Current Crane Inspection
Plus/Delta Feedback
-
Plus
-
Observation
-
Impact
-
Plan
-
Plus
-
Observation
-
Impact
-
Plan
-
Delta
-
Observation
-
Impact
-
Plan
-
Delta
-
Observation
-
Impact
-
Plan
-
Inspector's Signature
-
Signature of Foremen/Crew Leader
