Line work inspection

• Document No.

• Project number

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Paperwork

• THA complete

  Yes

  No

  N/A

• THA cone used

  Safe

  At Risk

  N/A

• EAP complete

  Yes

  No

  N/A

• Risk register used

  Yes

  No

  N/A

• Wire stringing form complete

  Yes

  No

  N/A

• Site specific safety plan on site and accessible?

  Yes

  No

  N/A

• Permits on site

  Yes

  No

  N/A

• Required posters on site?

  Yes

  No

  N/A

Human Performance tools

• Critical step identified

  Safe

  At Risk

  N/A

• Clear communications between crew members

  Safe

  At Risk

  N/A

• Crew routinely performs peer checks/self checks

  Safe

  At Risk

  N/A

PPE

• Hard hat, safety glasses, work boots, pants, Wilson long sleeve shirt

  Yes

  No

  N/A

• Wilson FR shirt, FR pants

  Yes

  No

  N/A

• Other PPE: gloves, hearing protection, face shield,

  Yes

  No

  N/A

• Fall protection in use?

  Safe

  At Risk

  N/A

Housekeeping/sanitation

• Worksite free of trash and loose debris

  Safe

  At Risk

  N/A

• Toilet facility on site? 1 per 25 employees (OSHA) (California 1per 15 employees)

  Safe

  At Risk

  N/A

Equipment operations

• Pre-operational inspections complete

  Safe

  At Risk

  N/A

• Seatbelt used

  Safe

  At Risk

  N/A

• Outriggers and pads used

  Safe

  At Risk

  N/A

• Spotter used while backing

  Safe

  At Risk

  N/A

• Transition platforms/grounding mat used

  Safe

  At Risk

  N/A

Rigging

• Pre-use inspection performed on all rigging components

  Safe

  At Risk

  N/A

• Rigging capable of supporting/lifting intended load

  Safe

  At Risk

  N/A

Excavations

• Competent Person inspection

  Safe

  At Risk

  N/A

• Protective systems in place

  Safe

  At Risk

  N/A

• Ingress/egress point within 24' of employees

  Safe

  At Risk

  N/A

Work in primary zone

• Qualified safety watch

  Safe

  At Risk

  N/A

• Handline used

  Safe

  At Risk

  N/A

• Clear communication between safety observer and employees in/around primary

  Safe

  At Risk

  N/A

Grounds

• EPZ established at work location

  Safe

  At Risk

  N/A

• Grounds used capable of handling fault current

  Safe

  At Risk

  N/A

• Equipment grounded, bonded and/or barricaded

  Safe

  At Risk

  N/A

• Master grounds installed

  Safe

  At Risk

  N/A

• Location of master grounds listed on THA

  Safe

  At Risk

  N/A

• Crews working within 2 miles of master grounds

  Safe

  At Risk

  N/A

• Running grounds installed at tensioner and puller sites

  Safe

  At Risk

  N/A

• Grounded traveler used at first structure from tensioner and puller, at all hot crossings

  Safe

  At Risk

  N/A

Status of line

• Clearance/nontest

  Safe

  At Risk

  N/A

Rubber protective gloves

• Rubber gloves marked with issue/test date

  Safe

  At Risk

  N/A

• Pre-use air test conducted on rubber gloves

  Safe

  At Risk

  N/A

• California: pre-use water test completed

  Safe

  At Risk

  N/A

• Rubber gloves/sleeves stored correctly

  Safe

  At Risk

  N/A

• Rubber gloves/sleeves used in primary zone?

  Safe

  At Risk

  N/A

MAD

• Circuit identified on THA

  Safe

  At Risk

  N/A

• Minimum approach distance maintained

  Safe

  At Risk

  N/A

Cover

• Cover used properly

  Safe

  At Risk

  N/A

• Secondary point of contact covered

  Safe

  At Risk

  N/A

• Rubber protective cover secured

  Safe

  At Risk

  N/A

Traffic control

• Flaggers used

  Yes

  No

  N/A

• Communications established between Flaggers

  Yes

  No

  N/A

• Cones/signs used

  Safe

  At Risk

  N/A

• Minimum type 2 traffic vest used adjacent to active roadway

  Safe

  At Risk

  N/A

New employees

• Hard hat stripes used

  Yes

  No

  N/A

• New employees working together

  Safe

  At Risk

  N/A

Ladders

• Pre-use inspection complete

  Safe

  At Risk

  N/A

• Ladder extends 3' above transition location

  Safe

  At Risk

  N/A

• A frame ladder fully open and locked

  Safe

  At Risk

  N/A

• Safety chains secured

  Safe

  At Risk

  N/A

• Maximum capacity of ladder exceeded

  Safe

  At Risk

  N/A

Emergency equipment

• Fire extinguisher inspected monthly

  Safe

  At Risk

  N/A

• First aid kit inspected weekly

  Safe

  At Risk

  N/A

• AED inspected monthly

  Safe

  At Risk

  N/A

• AED cones used

  Safe

  At Risk

  N/A

• Fire fighting equipment inspected

  Safe

  At Risk

  N/A

• Spill kits on trucks

  Safe

  At Risk

  N/A

Misc

• Personnel working in the bight

  Safe

  At Risk

  N/A

• Step/touch potential controlled

  Safe

  At Risk

  N/A

Observations/Notes

• Corrective actions

  Safe

  At Risk

  N/A

• Comments

  Yes

  No

  N/A