Title Page
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Work order number
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Foreman/supervisor
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Job date
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Location
Tailgate
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Breakers on one shot
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Other utilities in area
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PPE required
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Traffic control needed
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Presence of protective grounds
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Environmental conditions
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Other precautions to be taken
Confirmation
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature
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Add signature