Information

Pole Incident Report

  • Incident number : (use only the numbers from enmac no letters required ie 2651234 )

  • Incident Name (enter the incident name and type as in enmac eg. 6350 geradlton 27 smith st m148/8/1 33 kv RT)

  • Pic ID / Pole NO:

  • This report is Prepared by (your name )

  • Conducted on

  • Pole incident Actual location ( either use gps locate me if in coverage area or type the address location in manually)

Crew details section

  • Crew employed by : ( *select your employer)

  • Crew contact information (Contact name & and a Mobile phone number)

  • Names of crew Personnel

Pole Failure incident

  • Was a pole replaced ?<br>

  • Was this a temporary repair ?<br>

Evidence section

  • Do you have the physical evidence from this pole incident ?<br>

  • Evidence tag no :

  • Evidence tag photo ( use the + icon to add another photo after each photo taken)

  • Any other evidence tag no enter here.

  • Evidence retained at ?

Pole information

  • Select the Condition of stay:

  • HV Line type.

  • LV Line type.

Pole incident Root cause

  • Pole incident cause , Tick which ever is applicable

  • Pole incident other comments section

Failed pole photographs ( use the + icon to add another photo in each section )

  • Whole pole - Photo taken before replacement

  • Side view photo

  • Cross section photo

  • Breakage point photo

  • Reinforcement(s) photo

  • Damaged equipment photo

  • Cross arm photo

  • Pole foundation photo

  • Stay photo

Failed pole sketch section

  • Show damage on a drawing.

  • Brief Description of damaged points as numbered on the drawing

Failed Pole information section

  • Please select the Ground condition

  • What direction did the pole fall ? Select direction

  • Was there any pole top damage .?<br>

  • Identify the Pole top damage parts

Injuries section

  • Are there any injuries ?

  • comments or description of injury

Third party damage Section

  • Was there any third party damage ?

  • Third party damage (property, material, crop damaged etc)

  • Take photo showing in detail the damage to property etc.

damaged Motor vehicle section

  • Take a photo of the Vehicle Rego plate.

  • Drivers details.

  • Take photo of drivers license.

  • Take photo Front of vehicle

  • Take photo drivers side of vehicle

  • Take photo rear of vehicle

  • Take photo passenger side of vehicle

Emergency services section

  • Did emergency services attend ?

  • If yes what emergency services attended?

  • Rank

  • Police officer name

  • Police station from

  • Police Officer regimental ID

  • Attending fire station.

Final comments section

  • Final Comments:

  • Take photo of the worksite before you leave. (Required for completed and temporary repairs )

NOTE : WPC work practice manual requirements are still required.

  • Enmac / manual paper Failed pole data sheet completed

  • Enmac / manual paper pole top fire repot completed

  • Pole data sheet completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.