Information
DPC JT&S CREW INSPECTION - No work Observed
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REC Name
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REC contact person
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Conducted on
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Prepared by
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Location of inspection (individual report per location)
CREW MEMBERS
Person In Charge
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Job Title
TEAM Member names
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Job Title
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Job Title
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Job Title
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NO WORK OBSERVED
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DESCRIPTION:
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DESCRIPTION CONTINUED:
DESCRIPTION OF WORK PERFORMED OR TO BE PREFORMED:
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STARTING THE JOB
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Employee in charge on site
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Documented Tailgate - hazards, special precautions, energy source controls, PPE required and employee fitness
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Tailgate kept in standard location at job site (foreman truck, on cone by truck etc.)
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Adequate number of crew for the job
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Proper rated FR clothing available
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Conductive articles (jewelry) removed when working energized equipment
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Horseplay noticed
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Weather conditions
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Terrain conditions in work area
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TRAFFIC CONTROL
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High visiblility vests worn
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Signs used in accordance to traffic control rules and regs
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Cones used in accordance with traffic control rules and regs
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Flagger used when needed
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Proper flagging equipment
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Flagging done properly
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Four way flashers used
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Strobe/Rotating light in use
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ROPES, SLINGS, STRAPS, HOISTS, CHAINS
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Strap hoists compliant
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Chain hoists compliant
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Ropes in good condition (including hand lines and rope locks)
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Slings compliant
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Chains compliant
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TOOLS
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Battery, electric, hydraulic and hand tools stored properly
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Cords in good condition
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Hydraulic hoses/connectors in good condition
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Sharps guarded when not in use
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Correct tool used for the job
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Proper PPE worn with tool being used
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Tool safety devices in place and working
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Avoided pinch points while operating tools
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HOT STICKS
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Proper length
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Clean and free of moisture?
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Stored properly
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LIVE LINE TOOLS, JUMPERS AND GROUND TEST DATES
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Live line tool test date compliant
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Select date
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Jumpers/Macs test date compliant
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Select date
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Grounds test date compliant
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Select date
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Hot arm test date
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Select date
PROTECTIVE WEAR - HEAD, EYE, FACE AND HEARING
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Compliant Z89 Class E hard hat
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Clean
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Compliant Z87 eyewear
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Head and eye protection worn
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Approved face shield worn (if required per arc flash study)
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Hearing protection worn
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RUBBER GOODS TEST DATES
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Rubber gloves test date compliant
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Select date
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Rubber sleeves test date compliant
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Select date
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Cover up compliant test date (rubber hoses/guts, blankets, hard cover up)
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Select date
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SUMMARY, COMMENTS AND PICTURES
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Approval
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Date and time of approval
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Approver's signature