Outage Job Briefing

• 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

• Andy Augspurg

• Andy Barnett

• Andy Hudson

• Ben Martin

• Blake Rodgers

• Cole Kizer

• Jacob Kumm

• Jamie Mannigel

• Jimmy Sutter

• John Coleman

• Kyle Schneider

• Ross Hein

• Tanner Gordon

Crew Members and Signatures

• Andy Augspurg

• Signature

  Sign

• Andy Barnett

• Signature

  Sign

• Andy Hudson

• Signature

  Sign

• Ben Martin

• Signature

  Sign

• Blake Rodgers

• Signature

  Sign

• Cole Kizer

• Signature

  Sign

• Jacob Kumm

• Signature

  Sign

• Jamie Mannigel

• Signature

  Sign

• Jimmy Sutter

• Signature

  Sign

• John Coleman

• Signature

  Sign

• Kyle Schneider

• Signature

  Sign

• Rob Bush

• Signature

  Sign

• Ross Hein

• Signature

  Sign

• Tanner Gordon

• Signature

  Sign

• Wade Begley

• Signature

  Sign

• Other

• Name

• Signature

  Sign