OH_UG Electric Crew Daily Inspector Log - Ver 3

• Site conducted

  Select

• PM Number

• Notification Number (If multiple Notification numbers separate them by a comma.)

• Conducted on

  Date

• Inspector Name

• Inspector LanID

• Following the Lone Worker Requirements, do you have your device (i.e. Beacon or similar device) with you at all times and turned on?

  Yes

  No

• Why don't you have one?

  Select I have never been issued one. I lost it. The battery doesn't hold a charge. It has been stolen. (i.e. Truck broken into.) Other - Add comments below.

  • I have never been issued one.
  • I lost it.
  • The battery doesn't hold a charge.
  • It has been stolen. (i.e. Truck broken into.)
  • Other - Add comments below.

• Division

  Select

• Group Location

  North Coast

  Bay Area

  Central Coast

  Central Valley

  North East

• MAT

  Select

• Contractor Name (include subcontractor name if applicable)

  Select

• Crew Foreman's name (First & Last)

• Crew Size

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• Was there a Safety Professional present on the job site? (If so add their name/s)

  Yes

  No

• What equipment was on-site?

• Work Location
  Address

• Job Scope

• Circuit/Voltage

• AFW Type and Switch log number

• Was job found completed on arrival? (If so mark all questions N/A on the next page.)

• Was the job cancelled?

  Yes

  No

  N/A

• Reason for cancellation?

Daily Fire Mitigation Actions

• Preventing and Mitigating Fires While Performing PG&E Work

• What is the Utility Fire Potential Index (FPI) Rating today?

  Select "R1": Very little or no fire danger. "R2": Moderate fire danger. "R3": Fire danger is so high that care must be taken using fire-starting equipment. Local conditions may limit the use of machinery and equipment to certain hours of the day. "R4": Fire danger is critical. Using equipment and open flames is limited to specific areas and times. "R5": Fire danger is so critical that the use of some equipment and open flames is not permitted. "R5-Plus": The greatest level of fire danger where rapidly moving, catastrophic wildfires are possible. Typically, this is when fire danger is extreme; “plus,” there are high-risk weather triggers (e.g., strong winds). PSPS triggering event is an example.

  • "R1": Very little or no fire danger.
  • "R2": Moderate fire danger.
  • "R3": Fire danger is so high that care must be taken using fire-starting equipment. Local conditions may limit the use of machinery and equipment to certain hours of the day.
  • "R4": Fire danger is critical. Using equipment and open flames is limited to specific areas and times.
  • "R5": Fire danger is so critical that the use of some equipment and open flames is not permitted.
  • "R5-Plus": The greatest level of fire danger where rapidly moving, catastrophic wildfires are possible. Typically, this is when fire danger is extreme; “plus,” there are high-risk weather triggers (e.g., strong winds). PSPS triggering event is an example.

• What level of fire mitigation was required today? (Select all that apply

  Select Jobsite has enough tools to outfit all crew members at the operation. 5-gallon backpack pump-type fire extinguisher A trailer-mounted water tank, water tender, or other water-delivery/fire-suppression.

  • Jobsite has enough tools to outfit all crew members at the operation.
  • 5-gallon backpack pump-type fire extinguisher
  • A trailer-mounted water tank, water tender, or other water-delivery/fire-suppression.

• If a Fire Watch is required, what was their name?

General Safety

• 1.0 Did you attend crew tailboard?

  Yes

  No

  Received individual Tail Board

  N/A

• 1.1 Was all required PPE used?

  Yes

  No

  N/A

• 1.2 Were all Covid protocols followed? Mask, social distancing, visitor log etc

  Yes

  No

  N/A

• 1.3 Was PSP (Programmatic Safety Plan) or PSSP (Project Site Safety Plan) on site?

  Yes

  No

  N/A

• 1.4 Were adequate fire mitigation measures in place (per TD1464S)

  Yes

  No

  N/A

• 1.5 Were safe worksite practices used including use of spotters, wheel chocks, parking brakes, outriggers, booms/buckets/forks lowered when parked or stored

  Yes

  No

  N/A

• 1.6 M&TE (Material & Test Equipment) that is to be used for a job has been checked for calibration compliance; Equipment dielectric certification valid.

  Yes

  No

  N/A

• 1.7 Was traffic control needed?

  Yes

  No

  N/A

• 1.7a Was traffic control safe and effective?

  Yes

  No

  N/A

• 1.7b Even though not needed was Traffic Control present?

  Yes

  No

  N/A

• 1.8 Were there any issues with material availability?

  Yes

  No

  N/A

• 1.9 Was any equipment leaking?

  Yes

  No

  N/A

• Was environmental contacted?

  Yes

  No

  N/A

• Was equipment returned to contractor yard or PGE facility?

  Contractor Yard

  PG&E Yard

• 1.10 Was a crane required?

  Yes

  No

  N/A

• 1.10a Were all certifications in place?

  Yes

  No

  N/A

• 1.11 If a helicopter was used, was a preflight tailboard with the pilot and crew conducted

  Yes

  No

  N/A

• 1.12 Was Vegetation clearing needed (4' minimum clearance) and completed?

  Yes

  No

  N/A

• 1.12a Was a tag created if necessary?

  Yes

  No

  N/A

• 1.13 Is your work site in a forest, brush or grass covered land?

  Yes

  No

  N/A

• 1.14 Is your work site an R4 or above?

  Yes

  No

  N/A

• 1.15 Has the water buffalo been tested and is ready for service?

  Yes

  No

  N/A

• 1.16 Have all potential fire hazards been mitigated?

  Yes

  No

  N/A

• 1.16 Have all potential fire hazards been mitigated? Comment here.

  Yes

  No

  N/A

• 1.17 Is there a valid dig ticket (USA) for this location/s? (Add photo of markings on the ground.)

  Yes

  No

  N/A

Electric

• 3.0 Were Rubber Gloves air and water tested prior to use?

  Yes

  No

  N/A

• 3.1 Were all second points of contact covered?

  Yes

  No

  N/A

• 3.2 Are conductive objects hanging on the outside of the Bucket?

  Yes

  No

  N/A

• 3.3 Was required fall protection in place?

  Yes

  No

  N/A

• 3.4 Was voltage detector tested prior to use?

  Yes

  No

  N/A

• 3.5 Was Customer Voltage verified prior to and after work was completed by you?<br>(Example: Check Voltage/Rotation after Transformer replacement at meter<br>panel) (Refer to attached document)<br>

  Yes

  No

  N/A

• 3.6 Was the equipment voltage (Name Plate) verified by you? If not, why?

  Yes

  No

  N/A

• Examples of Name Plate pictures

• 5MM_Neutral_ID_Voltage_Testing (003)

• Voltage and Phase Rotation Check on Secondary Connections

Job Completion

• 4.0 Did outage start on time?

  Yes

  No

  N/A

• Why?

• 4.1 Did outage end on time?

  Yes

  No

  N/A

• Why?

• 4.2 Was all work completed as planned (ready for closeout) or in progress over multiple days?

  Yes

  No

  Multiple Days

  N/A

• 4.3 Blank (Question related to Cancellation moved to Title Page)

• 4.4 Did you encounter issues during planning or execution of the job?

  Yes

  No

  N/A

• Include recommendations to prevent recurrence

• 4.5 Was the job built to PGE safety, quality, and compliance standards?

  Yes

  No

  N/A

• Describe any issues

• 4.6 Attach minimum 3 photos of each location (Bottom Half, Top Half, Whole Pole/Location) of completed work.

  Media

• 4.7 Please use this area to add any notes and corresponding photos concerning this job that you deem appropriate. (Add notes concerning Red Line Approvals in this area also)

• 4.8 How many questions were marked Red?

  Select 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

  • 0
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20
  • 21
  • 22
  • 23
  • 24
  • 25
  • 26
  • 27
  • 28
  • 29
  • 30

• Inspectors Signature

  Sign