Information

DPC JT&S CREW INSPECTION - No work Observed

  • REC Name

  • REC contact person

  • Conducted on

  • Prepared by

  • Location of inspection (individual report per location)

CREW MEMBERS

Person In Charge

  • undefined

  • Job Title

TEAM Member names

  • undefined

  • Job Title

  • undefined

  • Job Title

  • undefined

  • Job Title

  • undefined

  • Job Title

NO WORK OBSERVED

  • DESCRIPTION:

  • DESCRIPTION CONTINUED:

DESCRIPTION OF WORK PERFORMED OR TO BE PREFORMED:

  • undefined

STARTING THE JOB

  • Employee in charge on site

  • Documented Tailgate - hazards, special precautions, energy source controls, PPE required and employee fitness

  • Tailgate kept in standard location at job site (foreman truck, on cone by truck etc.)

  • Adequate number of crew for the job

  • Proper rated FR clothing available

  • Conductive articles (jewelry) removed when working energized equipment

  • Horseplay noticed

  • Weather conditions

  • Terrain conditions in work area

  • undefined

TRAFFIC CONTROL

  • High visiblility vests worn

  • Signs used in accordance to traffic control rules and regs

  • Cones used in accordance with traffic control rules and regs

  • Flagger used when needed

  • Proper flagging equipment

  • Flagging done properly

  • Four way flashers used

  • Strobe/Rotating light in use

  • undefined

  • Add media

ROPES, SLINGS, STRAPS, HOISTS, CHAINS

  • Strap hoists compliant

  • Chain hoists compliant

  • Ropes in good condition (including hand lines and rope locks)

  • Slings compliant

  • Chains compliant

  • Add media

TOOLS

  • Battery, electric, hydraulic and hand tools stored properly

  • Cords in good condition

  • Hydraulic hoses/connectors in good condition

  • Sharps guarded when not in use

  • Correct tool used for the job

  • Proper PPE worn with tool being used

  • Tool safety devices in place and working

  • Avoided pinch points while operating tools

  • undefined

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HOT STICKS

  • Proper length

  • Clean and free of moisture?

  • Stored properly

  • undefined

  • Add media

LIVE LINE TOOLS, JUMPERS AND GROUND TEST DATES

  • Live line tool test date compliant

  • Select date

  • Jumpers/Macs test date compliant

  • Select date

  • Grounds test date compliant

  • Select date

  • Hot arm test date

  • Select date

PROTECTIVE WEAR - HEAD, EYE, FACE AND HEARING

  • Compliant Z89 Class E hard hat

  • Clean

  • Compliant Z87 eyewear

  • Head and eye protection worn

  • Approved face shield worn (if required per arc flash study)

  • Hearing protection worn

  • undefined

RUBBER GOODS TEST DATES

  • Rubber gloves test date compliant

  • Select date

  • Rubber sleeves test date compliant

  • Select date

  • Cover up compliant test date (rubber hoses/guts, blankets, hard cover up)

  • Select date

  • undefined

SUMMARY, COMMENTS AND PICTURES

  • undefined

  • undefined

  • Add media

  • Add media

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

Approval

  • Date and time of approval

  • Approver's signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.