Outage Job Briefing

• Site conducted

  Select

• Outage Location Description (Map location/OCR Number/Outage Number)

• Date

  Date

• Prepared by

• Location of Work
  Address

• Outage Type

  Primary Overhead

  Secondary Overhead

  Primary URD

  Secondary URD

• Description of Work

• Is wire down?

  Yes

  No

  Don't Know

• PPE Required

  Select Rubber Gloves Rubber Sleeves Head/Eye/Face/Foot Protection Arc Rated Clothing Reflective Traffic Vest Fall Protection Other

  • Rubber Gloves
  • Rubber Sleeves
  • Head/Eye/Face/Foot Protection
  • Arc Rated Clothing
  • Reflective Traffic Vest
  • Fall Protection
  • Other

• Daily Inspection of Gloves/Sleeves Completed

  Yes

  No

  Aerial Device Not Needed

• Descrption

• Select Traffic Control Needed

  Select Lights Cones Signs Vests Flaggers

  • Lights
  • Cones
  • Signs
  • Vests
  • Flaggers

• Select Truck Setup Equipment Needed

  Select Wheel Chocks Outrigger Pads

  • Wheel Chocks
  • Outrigger Pads

• Will a preflight test be conducted

  Yes

  No

  Aerial Device Not Needed

Special Precautions

• Truck(s) Grounded

  Yes

  No

  Aerial Device Not Needed

• Inspect Pole(s) and Structure(s)

  Yes

  No

  N/A

• Inspect Adjacent Structures

  Yes

  No

  N/A

• All Differences of Potential Will be Covered

  Yes

  No

  N/A

Energy Source Controls

• Is the line de-energized?

  Yes

  No

  N/A

• Is there a visual open

  Yes

  No

  N/A

• Tested and Grounded

  Yes

  No

  N/A

• Is the line still energized?

  Yes

  No

  N/A

• Upstream overcurrent device set to non-reclosing?

  Yes

  No

  Aerial Device Not Needed

• Device number

• Describe alternative procedure

  Yes

  No

  Aerial Device Not Needed

Additional Information

• Additional Information/Questions

Designated Observer

• Doug Byrn

• Bodie Western

• Hunter Chase

• Joseph Hagar

• Greg Neagle

• Vance Frederick

• Cameron Kirmse

• Aaron Olson

• Richard Shaw

• Dalton Smith

• Braxton Shaw

• Denton Jones

• James Jones

Crew Members and Signatures

• Doug Byrn

• Signature

  Sign

• Bodie Western

• Signature

  Sign

• Hunter Chase

• Signature

  Sign

• Joseph Hagar

• Signature

  Sign

• Greg Neagle

• Signature

  Sign

• Vance Frederick

• Signature

  Sign

• Cameron Kirmse

• Signature

  Sign

• Aaron Olson

• Signature

  Sign

• Richard Shaw

• Signature

  Sign

• Dalton Smith

• Signature

  Sign

• Braxton Shaw

• Signature

  Sign

• Denton Jones

• Signature

  Sign

• James Jones

• Signature

  Sign

• Larry Weaver

• Signature

  Sign

• Ryan Bushnell

• Signature

  Sign

• Other

• Name

• Signature

  Sign