Inspection, Project, and Construction Information

  • Information for Sections A - U, where the Inspector is to indicate what he/she observed:

    Inspector to Fill out ANY Section Observed.

    Check the box next to the item you observed (You are NOT required to detail more if the observation is GOOD; However, additional notes can be added if the observed item went exceptionally well and is worth noting).

    Do NOT mark "observed" unless YOU observed the item.

    If you DID perform a Find and Fix with the crew, document the Find and Fix AND choose a "Severity Level":

    To document the "Find/Fix", click on the button next to the question, "Do you need to enter a Find, Fix, and Severity Level?".

    For "Severity Level":
    1) Low - can resolve onsite
    2) Medium - resolved onsite but required additional action
    3) High - work had to be stopped

If ANY item is marked with a "Medium" Or "High" Severity Level, you must submit it to Field_Inspections@vectren.com by the end of business TODAY.

Inspection Information

  • Inspection Date

  • Start Time

  • Stop Time

  • Inspector's Name (First and Last)

  • Vectren Employee ID #

  • Inspection Company

  • Weather

  • Safety Meeting Topic/s

Project Information

  • Project Name

  • Project Location (City, or County if outside city limits)

  • Street Address

  • Division

  • Operating Center

  • Oracle/GAIM #

  • Maximo #

  • Group # (BSCI)

Construction Information

  • Construction Type

  • Construction Subtype

  • Construction Subtype

  • Construction Subtype

  • Construction Company

Crew Information

  • List each crew member working on the job.

    For each individual, list their ID # and whether or not they were required to have their OQ information valid.

    For "Required OQ?", choose one of three options:
    1) Yes - qualified for the day's covered task(s)
    2) SOC (Span of Control) - not OQ'd for a covered task but working per SOC; ratio of qualified individuals to non-qualified personnel is no more than 1:3 (plastic joining, welding, tapping/stopping may not be performed under SOC)
    3) No - no covered task is being performed

    If listed SOC, indicate who the crew member was working under.

Crew Lead Information

  • What is the name of the Crew Lead?

  • Crew Lead ID #

  • Required OQ?

  • Working Under (only if SOC)

Crew Information

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

  • Crewperson's Name

  • ID #

  • Required OQ?

  • Working Under (only if SOC)

A - Paperwork

  • 1. Work Order packet onsite (OMI 9.36): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 2. Locate Numbers onsite: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 3. Job Briefing conducted (if Vectren): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 4. Welding procedure onsite (OMI 16.21): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 5. Employee OQ records reviewed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 6. Proper Span of Control (SOC) confirmed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 7. Plastic qualifications confirmed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 8. Tapping/Stopping qualifications confirmed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 9. Welding qualifications confirmed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 39. Storm Water Pollution Prevention Plan (SWPPP) (OMI 26.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 61. System Ops Plan available and reviewed (OMI 14.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 98. Sewer locates properly documented (OMI 9.36): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 99. Sewer locates protective method used and documented (OMI 9.36): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 123. Change in Construction completed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

B - Safety

  • 10. Traffic Barricades/Barrels/Cones/Arrow Board (OMI 9.34): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 11. Traffic Signage (OMI 9.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 12. Traffic Flaggers (OMI 9.34): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 13. Traffic Steel Plates secured: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 14. Lifting chains/slings-proper capacity: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 15. Lifting cranes/booms-proper capacity: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 16. Lifting tagline: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 17. Excavation 5' + deep sloped, shore, shielded: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 18. Egress (ladder for 4' deep, within 25' of workers): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 19. Tabulated data onsite with shoring equipment: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 20. Excavation competent person identified: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 21. Fire extinguishers (inspected and charged): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 22. Fire extinguishers (manned when required): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 23. Flash suit (flash hood, gloves, proper ppe) (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 24. Hard hat (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 25. Safety vest (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 26. Eye protection (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 27. Hearing protection (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 28. Hand protection (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 29. Foot protection (OMI 9.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 118. Adherence to redzone (within striking distance of equipment, machinery, materials, etc.) (OMI 35.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 30. Gaseous Atmosphere - Oxygen Deficiency Testing: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 31. Vehicles properly parked (OMI 9.34): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 32. Outriggers utilized: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

C - Environmental

  • 36. PCB Testing (OMI 26.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 38. Coal Tar Wrap removal (OMI 26.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 59. Proper Hydrostatic Test water discharge: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

D - Service/Meter Set

  • 35. Voltage testing (meter sets) (OMI CSP Section 4 - all sections): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 40. Service installed at proper depth (OMI 36.10, 36.2): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 41. Curb Valve installed properly (OMI 36.20, 36.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 42. Curb Valve removed properly (OMI 22.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 44. EFV installed and checked for proper size (OMI 36.10, 36.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 45. EFV tag installed properly (attached and location) (OMI 36.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 155. EFV (Excess Flow Valve) activated: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 46. Meter Set installation (plumb, level, painted, etc.) (OMI 37.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 47. Meter Set installed in approved location (OMI 36.32, 37.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 48. Meter support installed (OMI 37.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 49. Locking devices installed (OMI 37.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 50. Protective posts/barricades installed (OMI 9.34, 37.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 82S. Fusion Power Source (GFCI) (OMI 16.22, 35.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 153. Tracer Wire installed - S/M: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 154. Warning Tape installed - S/M: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

E - Customer Service

  • 51. Customer fuel lines tested (OMI 11.20, CSP 4.30, 4.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 52. Relights completed per CSP (OMI CSP 4.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 53. Customer communication/notification pre-work (OMI 9.36, 35.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 54. Customer communication/notification post-work: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

F - Pressure Testing

  • 55. Recording devices calibrated (within 1 year) (OMI 11.10, 11.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 56. Proper Size-Type recording device (OMI 11.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 57. Proper Test Pressure and duration (OMI 11.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 58. Proper Temperature Recorders when necessary: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

G - Tapping/Stopping

  • 60. Equipment in good operating order (OMI 14.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 151. All required isolation points checked: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 62. Pressures monitored (OMI 14.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

I - Material Handling

  • 67. Utilizing Specified/Acceptable Materials (OMI 40.10, 40.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 68. Proper Handling & Storage of Materials (OMI 40.10): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

J - Valves

  • 69. Operated and lubricated & stops checked (OMI 26.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 70. Valve box aligned properly/Blocks used (OMI 26.21): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 72. Blow downs and supports installed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

K - Purging

  • 73. Instrument calibration current (OMI 15.20, 20.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 75. Purge through steel pipe (not plastic) (OMI 15.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

L - Casing

  • 76. Coating damage minimized on carrier pipe (OMI 9.39, 27.33, 27.34, 27.35, 35.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 77. Insulators/Centering Cradles installed (OMI 27.33, 40.62): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 78. End Seals installed (OMI 27.35, 35.10, 35.32, 40.62): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 79. Vents installed (OMI 27.34, 35.1): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 79a. Test station installed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

M - Plastic Piping

  • 80. Pigged (OMI 30.10, 30.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 81. Condition of Fusing Equipment (irons/faces): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 82P. Fusion Power Source (GFCI) (OMI 16.22, 35.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 83. Fusion Iron Temperature for fusion type: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 84. Fusion Iron Temperature with Pyrometer: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 85. Pipe Condition Exterior (I.e., scratches): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 86. Pipe Condition Interior (I.e., contaminants): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 88. Melt bead: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 89. Squeeze off tool grounded (OMI 16.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 90. Squeeze off static electricity controlled (OMI 16.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 91. Squeeze off support clamp installed (OMI 16.22, 40.75): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 92. Pipe end condition (faced, chamfered, etc.) (OMI 16.22, 35.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 94. Anodes properly installed on tracer wire (OMI 9.39): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 96. Installed at proper depth (OMI 9.33): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 100. Pipeline markers/locate stations installed (OMI 27.34): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 156. Tracer Wire installed - PP: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 157. Warning Tape installed - PP: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

N - Steel Piping

  • 101. Pigged (OMI 30.10, 30.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 102. Pipe Jeep Calibrated and set to proper voltage (OMI 27.35): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 103. Coating Holidays repaired and pipe re-jeeped (OMI 27.35): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 104. Dual coated pipe when necessary (OMI 27.20, 27.35): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 105. Field coatings applied per manufacturer's specifications (OMI 27.35): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 106. Rock shield installed as necessary (OMI 35.30, 35.31, 40.77): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 108. Test wires securely attached to pipe (CAD weld) (OMI 27.32, 27.34): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 109. Proper re-coating where wires attached (OMI 16.21, 27.20, 27.34, 35.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 110. Facilities installed at proper depth (OMI 35.10, 35.30, 35.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 111. Marker/Test Stations installed (OMI 9.32, 16.21, 27.20, 35.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

O - Retirement of Facilities

  • 112. Facilities appropriately cut, capped, purged (OMI 22.10, 22.20): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

P - Excavation/Backfill

  • 113. Facilities properly marked and spotted as required (OMI 9.32, 35.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 114a. Gas locate verified: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 115. Hand excavation within safe zone (OMI 9.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 116. Clearance maintained from other facilities (OMI 35.30, 35.31): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 117. Proper backfill materials (lifts/compaction as necessary) (OMI 35.30): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

Q - Cleanup and Restoration

  • 119. General site cleanup: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 120. Street repairs: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 121. Back-flagging completed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

S - Boring Policy

  • 97. Plastic Pipe installed using Weak Link (if bored) (OMI 35.32): Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 146. Boring Policy followed: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

  • 147. Boring machine grounded/safeguarded: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

U - Locate Policy

  • 150. All New Facilities can be toned for accurate locating: Observed?

  • Do you need to enter a Find, Fix, and Severity Level?

  • Find

  • Fix

  • Severity Level

End Page

  • Inspector Summary

  • Change in Construction?

  • Elaborate

  • Were there any items observed that had a "Severity Level" of "Medium"?

  • What external resource was used to resolve the issue? (If more than one, list all that are relevant)

  • Were there any items observed that had a "Severity Level" of "High"?

  • What action/s followed?

  • Input any Miscellaneous, Landowner, or Customer comments here

Crew Lead to Fill Out - Work Changes

  • The Crew Lead needs to check the box that applies

  • I acknowledge that, for work changes during the workday, OQ was re-checked to confirm worker qualifications to perform changed work

  • I acknowledge that no work changes occurred during the workday

SIGNATURES

  • Crew Lead's Signature

  • Date of Signature

  • Inspector's Signature

  • Date of Signature

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