MANAGER's CHECKLIST for ENERGIZED WORK

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

QUESTIONS

• Have you explored all options of doing this work de-energized?

  Yes

  No

  N/A

JOB PLANNING

• Work site visited?

  Yes

  No

  N/A

• Job discussed I detail with crew?

  Yes

  No

  N/A

• Material available to complete the job?

  Yes

  No

  N/A

• Equipment available to do the work?

  Yes

  No

  N/A

• Proper tools available to do the work?

  Yes

  No

  N/A

• Conducted Pre-Job Briefing (tailgate meeting)?

  Yes

  No

  N/A

• A Safety Observer identified for the job?

  Yes

  No

  N/A

• What is the "Nominal Voltage" of the Line?

  Select 13kV 26kV 46kV 69kV 115kV 161kV 230kV 345kV 500kV 750kV

  • 13kV
  • 26kV
  • 46kV
  • 69kV
  • 115kV
  • 161kV
  • 230kV
  • 345kV
  • 500kV
  • 750kV

• What is the "Minimum Clearance Distance?

• Phase-to-Ground ( in inches )

  Select 25 28 31 36 40 48 63 102 119 180

  • 25
  • 28
  • 31
  • 36
  • 40
  • 48
  • 63
  • 102
  • 119
  • 180

• Phase-to-Phase ( in inches )

  Select 26 (2ft-2in) 31 (2ft-7in) 34 (2ft-10in) 42 (3ft-6in) 54 (4ft-6in) 68 (5ft-8in) 100 (8ft-4in) 160 (13ft-4in) 240 (20Ft-0in) 372 (31ft-0in

  • 26 (2ft-2in)
  • 31 (2ft-7in)
  • 34 (2ft-10in)
  • 42 (3ft-6in)
  • 54 (4ft-6in)
  • 68 (5ft-8in)
  • 100 (8ft-4in)
  • 160 (13ft-4in)
  • 240 (20Ft-0in)
  • 372 (31ft-0in

• Caution Order?

  Yes

  No

  N/A

• Crew Confident job can be done safely?

  Yes

  No

  N/A

TOOLS AND EQUIPMENT

• Hot Line Tools in good condition?

  Yes

  No

  N/A

• Driven type ground rods available?

  Yes

  No

  N/A

• Heat-shrink applied to equipment grounds?

  Yes

  No

  N/A

• Test leakage - current meter?

  Yes

  No

  N/A

• Audible alarm working properly?

  Yes

  No

  N/A

• Leakage - current meter calibration?

  Yes

  No

  N/A

• Barricaded Ground Rods (10 feet)?

  Yes

  No

  N/A

• Hot Line Tools properly transported?

  Yes

  No

  N/A

• Step-touch Potential?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Conductive footwear (over 230kV)?

  Yes

  No

  N/A

• FR Clothing?

  Yes

  No

  N/A

• Body harness (required in aerial lifts)?

  Yes

  No

  N/A

• Shock Absorber Lanyards?

  Yes

  No

  N/A

• Hard Hats (type AB)?

  Yes

  No

  N/A

• Wear gloves (ground work)?

  Yes

  No

  N/A

COMMUNICATIONS

• Two-Way radios operational?

  Yes

  No

  N/A

• Cellular Phone and service available in area?

  Yes

  No

  N/A

• List of Emergency Phone Numbers available?

  Yes

  No

  N/A

• Foreman

  Sign

• Manager

  Sign

• Select date

  Date