Title Page
-
Crew Leader
- A.J. Holtschlag
- Cole Pennewell
- Corey Schmohe
- Cyle Jones
- Dalton Rockhold
- Damon Scott
- Drew Moyer
- James Porter
- Jamie Taylor
- Jeremy Hudson
- Jerry Daniels
- Jesse Snow
- Jimmy Powell
- Joe Lemen
- Joel Hill
- Josh Chinn
- Josh Hirner
- Justin Roberts
- Kevin Scholl
- Logan Cumby
- Luke Frericks
- Matt Simmons
- Mike Jeffries
- Phil Scifres
- Richard Epperson
- Rick Steidinger
- Steve Gottman
- Steve Smith
- Tanner Elam
- Tim Goehl
- Tom Pearn
- John Hancock
-
Site conducted
-
Conducted on
-
Location
-
Is there a work order number?
-
Work order number:
-
Task Code
- 560.00 Primary station expense
- 563.00 Line Expense
- 566.00 Misc. Transmission
- 570.10 Primary Sub Maint.
- 570.20 345 Sub. Maint.
- 571.00 Line Maint.
- 571.10 Primary Line Maint.
- 571.20 ROW-Line Maint.
- 571.30 ROW-Line Maint.
- 582.00 Sub. Exp-Inspect;Mow;etc.
- 592.00 Substation Equip. Maint.
- 932.30 Communication Maint.
- 932.40 Fiber Maint.
- 932.50 Primary Comm. Maint.
- 184.10 Vehicle/Equip. Maint.
-
Nominal Line voltage:
- 69KV
- 161KV
- 345KV
- 7200
- 14.4KV
- 120/240
- 240/480
- DE-ENERGIZED and grounded
- NO VOLTAGE PRESENT
- 7200 But work is done on de-energized eqipment
-
Within minimum approach of energized conductor?
-
Is work inside a SUB or SWITCH?
-
Site?
- ADAMS STREET WYE
- ALBIA MW
- ALBIA POP
- ARBELA SUB
- AVERY SUB
- AXTELL MW
- AXTELL POP
- AXTELL SUB
- AXTELL SW STA
- BARING MW
- BARING POP
- BARING SUB
- BASF METERING PT 1
- BASF METERING PT 2
- BATAVIA SUB
- BELKNAP SUB
- BELLTOWN MW
- BELLTOWN SUB
- BELLTOWN SW STA
- BEVIER MW
- BEVIER SUB
- BEVIER SW STA
- BEVIER WYE
- BLAKESBURG MW
- BONAPARTE #1 (ALLIANT)
- BYNUMVILLE MW
- BYNUMVILLE SUB
- CAIRO MW
- CAIRO SUB
- CAIRO SW STA
- CANNON DAM SW STA
- CANNON DAM MW
- CANTON SUB
- CANTON W-2 PIPELINE SUB
- CANTON WYE
- CENTER MW
- CENTER SUB
- CENTER SW STA
- CHARITON VALLEY ELECTRIC MW
- CHRISTIANBURG SUB
- CITY OF MT PLEASANT PARK
- CITY OF MT PLEASANT PLANT
- CITY OF BLOOMFIELD
- CITY OF LAPLATA
- CITY OF MACON #1 PLANT
- CITY OF MACON #2 LAKE
- CITY OF MACON #3 EAST
- CITY OF MACON TAP
- CITY OF MEMPHIS
- CITY OF MONROE
- CITY OF PALMYRA #1
- CITY OF SHELBINA METERING
- CLARENCE MW
- CLARENCE SUB
- CLARENCE SW STA
- CONNELSVILLE SUB
- COPPOCK MW
- COPPOCK SUB
- COTTONWOOD SW STA
- COUNTRY CLUB MW
- COUNTRY CLUB POP
- COUNTRY CLUB SUB
- COUNTRY CLUB SW STA
- DAVIS SUB
- DENMARK SUB
- DENMARK WYE
- DRAKESVILLE
- EMERSON SUB
- ENBRIDGE SHELBY PIPELINE SUB
- EWING SUB
- FLORIS SUB
- FLORIS WYE
- FOX RIVER WYE
- FRANKLIN SUB
- FRANKLIN SW STA
- HAGERS GROVE SUB
- HANNIBAL SUB
- HANNIBAL SW STA
- HANNIBAL MW
- HANNIBAL POP
- HARRISBURG SUB
- HARRISBURG WYE
- HARRISBURG WYE MW
- HART MW
- HART SUB
- HART SW STA
- HARVARD MW
- HARVARD SUB
- HASSARD MW
- HASSARD SUB
- HENRY 161-69KV XSMN SUB
- HENRY MW
- HONEY CREEK MW
- HONEY CREEK SUB
- HONEY CREEK WYE
- HOUGHTON (ALLIANT)
- HUNNEWELL MW
- HUNNEWELL SUB
- HUNTSVILLE SUB
- HYDESBURG SUB
- HYDESBURG MW
- INDUSTRIAL #2
- IRIS STREET WYE
- JACKSONVILLE SUB
- KAHOKA SUB
- KAHOKA SW STA
- KEOSAUQUA SUB
- KIRKSVILLE MW
- KIRKSVILLE POP
- KIRKSVILLE SUB
- LAKENAN SUB
- LANCASTER MW
- LANCASTER POP
- LANCASTER SUB
- LANCASTER SW STA
- LAPLATA PIPELINE SUB
- LAPLATA WYE
- LEE 161-69KV XSMN SUB
- LENTNER MW
- LENTNER SUB
- LENTNER WYE
- LEWISTOWN MW
- LEWISTOWN POP
- LEWISTOWN SUB
- LEWISTOWN SW STA
- LOCKRIDGE SUB ALLIANT
- LOCKRIDGE SUB
- LONG BRANCH WYE
- LOVELAKE MW
- LOVELAKE SUB
- LOVELAKE SW STA
- LOWELL SUB
- MACON LAKE WYE
- MACON REC MW
- MACON REC POP
- MACON SUB
- MADISONVILLE PIPELINE SUB
- MADISONVILLE SUB
- MARCELINE SUB
- MARK SUB
- MELROSE MW
- MELROSE SUB
- MEMPHIS SUB
- MEMPHIS SW STA
- MEMPHIS MW
- MFA-CFI SUB
- MILTON (ALLIANT)
- MILTON SW STA
- MILTON MW
- MILTON POP
- MO RURAL EC MW
- MORAVIA MW
- MORAVIA SUB
- MORAVIA WYE
- MT. PLEASANT SUB
- MT. PLEASANT WYE
- MULDROW MW
- MULDROW SUB
- NEW CAMBRIA SUB
- NEW LONDON AECI ROOM
- NEW LONDON BUCC
- NEW LONDON BUCC DATA CENTER
- NEW LONDON MW
- NEWARK SUB
- NOVELTY 161-69KV XSMN SUB
- NOVELTY MW
- NOVELTY POP
- NOVELTY SUB
- NOVELTY WYE
- NOVELTY-ADAIR METER
- NUMA MW
- NUMA SUB
- OAKLAND MILLS METER
- OTTUMWA SUB
- OTTUMWA SW STA
- PALMYRA 345-161 XFMR SUB
- PALMYRA 345KV MW
- PALMYRA HQ
- PALMYRA HQ DATA CENTER
- PALMYRA HQ MW
- PALMYRA HQ POP
- PERLEE MW
- PERLEE SUB
- PERRY MW
- PERRY SUB
- PERRY WYE
- PITTSBURG SUB
- PRIMROSE MW
- PRIMROSE SUB
- PRIMROSE POP
- PRIMROSE SW STA
- QUEEN CITY SUB
- RALLS CO REC MW
- RANACKER SUB
- RIZERVILLE SUB
- ROSCOE SUB
- RUSSELL #1 SUB
- RUSSELL WYE
- SAWYER MW
- SAWYER SW STA
- SELMA SUB
- SELMA WYE
- SHELBYVILLE MW
- SHELBYVILLE POP
- SHELBYVILLE SUB
- SHELBYVILLE WYE
- SKUNK RIVER SUB
- SKUNK RIVER WYE
- SOUTH FORK SUB
- SOUTH RIVER 161KV XSMN SUB
- SOUTH RIVER 69KV SW STA
- SOUTH RIVER MW
- SOUTH RIVER WYE
- SPALDING 161-69KV XSMN SUB
- SPERRY SUB
- SPRING GROVE SUB
- SPRING GROVE SW STA
- SPRING GROVE WYE
- STEUBEN HQ
- STEUBEN MW
- STEUBEN SW STA
- SUE CITY SUB
- TAYLOR SUB
- TEN MILE SUB
- THOMAS HILL (AECI) MW
- THOMAS HILL 69KV SW STA
- THOMAS HILL POP
- TRAIL MW
- TRAIL SUB
- TRAIL SW STA
- TROY SUB
- TROY WYE
- VANDALIA CORRECTIONAL SUB
- VANDALIA WYE
- WELLER MW
- WELLER SUB
- WEST POINT TAP
- WEST QUINCY SUB
- WEVER SUB #1 (NORTH)
- WEVER SUB #2 (SOUTH)
- WILLIAMSTOWN SUB
- WINCHESTER MW
- WINCHESTER SUB
- WINIGAN SUB
- WITHERS MILL MW
- WITHERS MILL SUB
- WOOSTER SUB
-
Notify Control Center?
-
Has the site been inspected for hazards or vandalism?
-
One Shot/hotline Tag
-
Is work being done where oneshot capabilities are not available?
-
Perform Switching
-
Test for voltage
-
Inform Control
-
Place grounds
-
Visual Open?
-
Test For Voltage?
-
Grounded?
-
Tagged?
-
Does work require you to work within MAD?
-
Method used?
-
Does work require you to work within MAD?
-
Method used?
-
Is the deenergized equipment a Comm. Tower or equipment?
-
Visual Open?
-
Test For Voltage?
-
Ground Line?
-
Reminder: Wear all PPE when in MAD
OSHA Requirements
JOB BRIEFING
-
Work to be done and specific job assignments.
-
Discuss and List hazards with the job? If Hazard is not listed, write it in the notes.
- Chainsaw
- Chipper
- Traffic
- Trencher/Backhoe
- Skid Steer
- Lower Boom Height
- Extreme Heat and Cold
- Weather
- Outage
- Non-Traditional Pole Attachments
- Climbing
- Open Trench
- Condition of Existing Structures
- Truck Ground Capability
- Unfamiliar Situation
- Short Crew Members
- Road Conditions
- Lack of Proper Equipment
- Long Travel Time
- Adjacent Pole Condition
- Animals
- Terrain
- Monday/Friday
- OTHER
- Tower Climbing
-
Is the Pole been hammer tested?
-
Are chaps being worn?
-
Describe hazard
-
Has Tower Rescue Plan been completed?
-
Discussed work procedures involved?
- Consistent w/PCO
- Consistent/Line Maintenance
- Consistent w/ROW Maintenance
- Substation Maintenance
- Switch station maintenance
- Line Construction
- Sub and Switch construction
- Concrete work
- Line walks
- Consistent w/POP, MW or Tower Climbing
-
Discussed PPE?
-
Eye Protection
-
Hand protection
-
Safety Toe Boots
-
FR Clothing
-
Hard Hat
-
Hearing Protection
-
Rubber sleeves
-
Rubber Gloves
-
Other Additional PPE related to this job.
-
Discussed energy source controls?
-
Who is the Designated Observer(DO)?
- A.J. Holtschlag
- Cole Pennewell
- Corey Schmohe
- Cyle Jones
- Dalton Rockhold
- Damon Scott
- Drew Moyer
- James Porter
- Jamie Taylor
- Jeremy Hudson
- Jerry Daniels
- Jesse Snow
- Jimmy Powell
- Joe Lemen
- Joel Hill
- Josh Chinn
- Josh Hirner
- Justin Roberts
- Kevin Scholl
- Logan Cumby
- Luke Frericks
- Matt Simmons
- Mike Jeffries
- Phil Scifres
- Richard Epperson
- Rick Steidinger
- Steve Gottman
- Steve Smith
- Tanner Elam
- Tim Goehl
- Tom Pearn
- John Hancock
-
Reminder: Anyone at any time can ask any question or voice any safety concern they feel is necessary or pertinent to the job. Always SPEAK UP, Always LISTEN UP!
-
Any questions?
Signatures
-
Add signature
-
Add signature
-
Add signature
-
Add signature
-
Add signature
-
Add signature
-
Add signature
-
Add signature
-
Add signature
-
Add signature