Title Page
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Inspected by:
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Truck #:
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Conducted on:
Cover-Up/Hot Sticks/Grounding
Cover-Up
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Pole Cover:
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Pin Cover:
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Blankets:
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Line Hoses:
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Hoods:
Hot Sticks:
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Extendo:
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Shot Gun:
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Elbow Puller:
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Short Stick:
Grounding:
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Truck Ground:<br>
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O.H. Grounds:
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Cluster:
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URD Grounds:
Lifting Equipment
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Nylon Slings:
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Chain Slings:
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Cable Slings:
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Hand Line:
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Ropes:
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Rope Blocks:
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Sheaves Blocks:
Drills/Saws
Drills:
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Hand Drill:
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Hydraulic Drill:
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Battery Drill:
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Gas Drill:
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Drill Bits:
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Points Protected:
Saw:
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Chain Guards In Place:
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Proper Gas Can:
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Leaking Oil:
Electronics
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Voltmeter:
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Voltage Detectors:
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Phasing Sticks:
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Other:
Gerneral Tools
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Hydraulic Tool:
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Nicopress:
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Bolt Cutter:
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Conductor Cutter:
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Cant Hook:
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Log Chain:
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Ladder:
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Shovel:
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Spade:
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Axes:
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Tamp:
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Sledge Hammer:
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Ground Rod Driver:
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Sharp Ends Covered:
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Other:
Lighting
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Truck Lights:
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Flashlight:
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Portable Lights:
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Extension Cords:
Safety Equipment
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Two Way Radio:
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Ear Protection:
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Eye Protection:
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Chaps:
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First Aid Kits:
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AED:
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Fire Extinguishers:
Work Area
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Road Work Signs:
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Flagger Signs:
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Lane Closed Signs:
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Flags/Paddles:
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Warning Devices:
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Traffic Cones:
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Other:
Documentation
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Insurance Info Folder Present & Up To Date:
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Daily Inspection Sheets:
Comments or Recommentations
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Comments:
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Actions Taken:
Supervisor Signature
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Supervisor Signature:
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Today's Date:
