Safety and Personal Protective Equipment Compliance

  • Employee Name

  • Hearing Protection

  • Eye Protection

  • Chainsaw Protection

  • Reflective Vest

  • Head Protection

  • Lanyard(s)

  • Fall Protection

  • Rubber Gloves

  • Long Sleeve Shirt


  • First Aid Kit

  • Spill Kit

  • Material Safety Data Sheets / Safety Data Sheets

  • Equipment Inspection

  • Daily Job Briefing

  • Tailgate Safety

  • Traffic / Site Control


  • Vehicle #

  • DOT Log Book

  • Outrigger Pads

  • Dielectric Date

  • Signs

  • Cones

  • Flagman/Spotter

  • Fire Extinguisher

  • Pre/Post Trip Inspections

  • Triangles


  • Inspector Name

  • Inspector Signature

  • Crew Foreman Name

  • Crew Foreman Signature

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