Information
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Audit No.
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Date and Time:
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District
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Foreman / Supervisor:
- Chris Brame
- Garey Huff
- Anthony Lenhart
- Jason McKinney
- Craig Phelps
- Wayne Shrader
- Jamie Walden
- Other
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Other:
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Crew Members Involved:
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Job Site Location
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Member account # or 911 address if unable to locate:
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Weather
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Brief Description of Work:
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Job Briefing held and documented
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Energized Work
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Non-Reclosing
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Confined Space
Grounding
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Truck Grounds Used
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Truck Grounds within Current Inspection
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Line: Personal Grounds Used
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Line: Personal within Current Inspection
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Tags Used with Required Information
Protective Equipment
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Protective Clothing worn and inspected prior to work
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Rubber Gloves, Sleeves, Protectors, and Bag inspected prior to work
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Climbing Equipment inspected prior to work
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Cover-Up Material Used
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Cover-Up Material within Current Dielectric Test Date:
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Safety Lanyard and Body Harness Inspected and Worn:
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Hard Hats Inspected and Worn
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Safety Glasses Inspected and Worn
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Hearing Protection Inspected and Worn
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Non-rubber, non-insulated Work Gloves Inspected and Worn
Traffic Control
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Traffic Control Devices, i.e. signs, cones, flaggers, etc. in place:
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Warning Lights i.e. Flash/rotating Lights in Use:
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Hi-Vis vests worn
Tools and Equipment
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Equipment on jobsite:
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Required equipment is available and in good condition?
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Properly Stored, Guarded and Marked
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Ladders are in good condition, stored properly and current inspection?
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Hot Sticks in good condition, stored properly/current inspection?
Vehicles
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Wheel Chocks Available and Used:
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Parking brake set
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Outrigger Pads Used
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Fire Extinguisher Checked and current inspection
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First Aid Kit checked and required items available and current
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Good Housekeeping - bed and cab of truck
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Vehicle Inspection Stickers Checked
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Vehicle Controls properly marked
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Seat belts are in good condition and show use
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DOT Inspections completed properly
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Comments:
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Pictures:
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Observer:
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Copy Received: