LCREC JOB BRIEFING

• Site conducted

  Select

• Conducted on

  Date
• Location
  Address

• Lead Lineman

  Select Dave Cox Jack Crist Jason Daniel Shannon Killday Joe Lay Ryan Booher Ryan Waterman Adam Schaller Greg Sutterfield Kevin Cottrell Rustyn Carter John McCutchan Derek Howes

  • Dave Cox
  • Jack Crist
  • Jason Daniel
  • Shannon Killday
  • Joe Lay
  • Ryan Booher
  • Ryan Waterman
  • Adam Schaller
  • Greg Sutterfield
  • Kevin Cottrell
  • Rustyn Carter
  • John McCutchan
  • Derek Howes

• Is there a work order number?

  Yes

  No

• Work order number:

• Task Code

  Select 583 Operations of lines 586 Meter expense 593 Overhead Maintenance 594 Underground Maintenance 583.02 Hanging transformer 587 Customer Installation exp.

  • 583 Operations of lines
  • 586 Meter expense
  • 593 Overhead Maintenance
  • 594 Underground Maintenance
  • 583.02 Hanging transformer
  • 587 Customer Installation exp.

• Voltage Present:

  120/240

  240/480

  7200

  DE-ENERGIZED

  NO VOLTAGE PRESENT

• Within minimum approach of energized conductor?

  Yes

  No

• Sub?

  Select Kahoka-1 Canton-2 Lewistown-3 Baring-4 Novelty-5 Newark-6 Winchester-7 Ewing-8 Arbela-9 Williamstown-10 Taylor-11

  • Kahoka-1
  • Canton-2
  • Lewistown-3
  • Baring-4
  • Novelty-5
  • Newark-6
  • Winchester-7
  • Ewing-8
  • Arbela-9
  • Williamstown-10
  • Taylor-11

• OCR/Fuse pole number

• One Shot/Tag

• Inform Dispatch

• Ground Trucks

• Proper PPE

• Visual Open?

  Yes

  No

• Test For Voltage?

  Yes

  No

• Grounded?

  Yes

  No

• Tagged?

  Yes

  No

JOB BRIEFING

• Discussed hazards with the job?

  Yes

  No

• Discussed work procedures involved?

  Yes

  No

• Discussed PPE?

  Yes

  No

• Discussed energy source controls?

  Yes

  No

• Any questions?

  Yes

  No

Hazard Assessment

• Assembly Value

Additional Risk/Mitigating Factors

• Additional Risk

  Select Chainsaw Chipper Traffic Trencher/Backhoe Skid Steer Lower Boom Height Extreme Heat and Cold Weather Outage Non-Traditional Pole Attachments Climbing Open Trench Condition of Existing Structures Truck Ground Capability Unfamiliar Situation Short Crew Members Road Conditions Lack of Proper Equipment Long Travel Time Adjacent Pole Condition Animals Terrain Monday/Friday OTHER 10 OTHER 20 OTHER 30

  • Chainsaw
  • Chipper
  • Traffic
  • Trencher/Backhoe
  • Skid Steer
  • Lower Boom Height
  • Extreme Heat and Cold
  • Weather
  • Outage
  • Non-Traditional Pole Attachments
  • Climbing
  • Open Trench
  • Condition of Existing Structures
  • Truck Ground Capability
  • Unfamiliar Situation
  • Short Crew Members
  • Road Conditions
  • Lack of Proper Equipment
  • Long Travel Time
  • Adjacent Pole Condition
  • Animals
  • Terrain
  • Monday/Friday
  • OTHER 10
  • OTHER 20
  • OTHER 30

• Specify extra 10

• Specify extra 20

• Specify extra 30

• Mitigating Factors

  Select Address Distractions Work De-energized Additional Personnel Traffic Control Barricade Truck/Skid Steer Additional Equipment Close Road Wait Out Weather OTHER OTHER OTHER

  • Address Distractions
  • Work De-energized
  • Additional Personnel
  • Traffic Control
  • Barricade Truck/Skid Steer
  • Additional Equipment
  • Close Road
  • Wait Out Weather
  • OTHER
  • OTHER
  • OTHER

• Total Assessment (Assembly Value + Additional Risk/Mitigating Factors)

• Low Risk (0-49)

• MEDIUM RISK (50-150)

• HIGH RISK (>150)

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