grayson ectric cooperative corporation - ky public … case referenced correspondence/2010... ·...
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Grayson ectric Cooperative Corporation 109 Bagby Park 0 Grayson, KY 41143-1292 Telephone 606-474-5136 e 1-800-562-3532 a Fax 606-474-5862
July 1, 2011
PUBLIC §ER\IICE GOMM\SS\OM
Office of General Counsel Kentucky Public Service Commission 211 Sower Boulevard Post Office Box 615 Frankfort] Kentucky 40602
Re: Settlement Agreement Case ## 2010-00249
Dear Sir or Madam:
Enclosed you will find copies of the crew safety visits and the monthly safety meetings for the months of April, May, and June 2011 as requested per the settlement agreement. If you should need further information please contact me.
Robert Potter Manager of Operations
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enclosures
A Touchstone Energy' Cooperative
. I Monthly Safety Report fi$’ ’ May 06,201 1
There were no lost time accidents to report this month. The regular Monday morning safety meetings were held by various staff members of Grayson Rural Electric.
April 04,201 1-Kyle Clevenger, Asst.Manager of Operations, was in charge of the meeting. He read from the Safety Manual 503 Vehicle Operations 503.1- 503.5. Carol Ann tallced about talcing O.T.C. medications and safety. Andrea gave an update on the new N R phone system. April 11,201 1-Don Combs, Mgr. of Finance & Accounting, was in charge of the meeting. His topic was “Onsite Observation”. Nancy gave an update on Hepatitis shots and handed out safety achievement packets. Bob Potter, Manager of Operations, tallced about the cleanup in the lot and work being done on the fence around the lot. April 18,201 1-Carol A Fraley, President & C.E.O., was in charge of the meeting. She read from the Safety Manual, General Rules 101 Application, through 1 10 Housekeeping. Julie Lewis had the monthly safety give-a-way. Bob Potter discussed the storm outages over the week end. April 25,201 1-Bonita Gearhart, Executive Assistant, was in charge of the meeting. Robert Brown had a slide presentation on Distracted Driving and Defensive Driving. He tallced about the 3 types of distraction while driving which were visual, manual, and cognitive. Bob Potter discussed the weekend storm outages.
8
Bob continues to mention the necessity and importance of hard hats, rubber gloves and the importance of using ground chains. A line is not dead until it is grounded.
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. Monthly Safety Report - fl lmt June 10,2011
There were no lost time accidents to report this month. The regular Monday morning safety meetings were held by various staff members of Grayson Rural Electric.
May 02,201 1-Andrea McCleese, Technical Services Supervisor, was in charge of the meeting. Andrea started her meeting with the pledge to the flag. She showed and explained the new Special Equipment change form to everyone. She discussed line inspections and also gave an update on the new IVR phone system that was activated on April lSt. Bob Potter, Manager of Operations, handed out certificates for the completion of Advanced Telelink System Training to Andrea McCleese, Brian Poling, 1G.m Bush, and Peggy Skaggs. May 09,201 1-Brian Poling, Mgr. of Technical Services, was in charge of the meeting. Rick Overby from E.K.P.C. attended the meeting. His topic was on Lock Out/Tag Out and the 10 steps of switching. Bob Layman was there to check the fire extinguishers. May 18,201 1-Bob Potter, Manager of Operations, was in charge of the meeting. Employees from I(ing's Daughters Medical Center attended for a Health Screening. Screenings included lipid profile, blood pressure, blood sugar, blood oxygen and an EKG. There were also handouts on heart, stroke, and tobacco education. May 24,201 1-Priscilla Sparks, Dir. Of Purchasing/Accounts Payable, was in charge of the meeting. She had the monthly safety give-a-way. Mike Blevins, Maintenance Leadman, had a meeting on first aid kits. He discussed how often they needed to be checked and that everyone needs to lmow how to use them: Bob Potter talked about the good results of the safety achievement and thanked everyone for their help in getting those results. Carol Frdey tallced about last week's annual meeting. May 31,201 1-Sherry Buckler, General Accounting Supervisor, was in charge of the meeting. She read from the Safety Manual 1 13 : Cellular Telephones & Electronic Wireless Cornmunication Devices.< An AT & T representative attended to sign employees up for a discount. Kyle Clevenger warned everyone about the
.heat and to work safe.
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' ..
Bob continues'to kention the necessity and importance of hard hats, rubber gloves and the importance of using ground chains. A line is not dead until it is grounded.
:r of Operations
Monthly Safety Report $)* June 29,201 1
There were no lost time accidents to report this month. The regular Monday morning safety meetings were held by various staff members of Grayson Rural Electric.
June 08,201 1-Kim Bush, Mgr. of Marketing & Member Services, was in charge of the meeting. Jeff Hohman from E.K.P.C. attended the meeting and showed a I
video on the Blue Grass Energy substation fire. The fire was caused by a snalce and had 4,000 consumers without power. Bob Potter talked about what a good job the men were doing getting their work done in the hot weather. Carol Fraley reminded everyone to be careful during collections.
0 June 13,201 1-Kyle Clevenger, Assistant Mgr. of Operations, was in charge of the meeting. Kyle read from the Safety Manual, pages 107 - 1 10 Vehicle Operations. Bob Potter reported the work order inspection went well and the clean-up had already been completed.
0 June 20,201 1-Don Combs, Manager of Finance & Accounting, was in charge of the meeting. His topic was on retirement living and questions to consider when planning your retirement. He handed out a budget worksheet for everyone to fill out. Carol Fraley talked about Relay for Life. She reminded everyone it was wet and to watch about slips, trips, and falls. Bob Potter also reminded everyone to work safe. June 29,201 1-Carol Fraley, President & C.E.O., was in charge of the meeting. She gave certificates to Joe Sargent and Scott Speaks for completion of the pipeline emergency response & damage prevention training program. Bill Massey from K.A.E.C. attended for the monthly safety meeting. He read from the Safety Manual and discussed substation training. Linville Spangler from East Icentuclcy Power attended and had training at the substation. Bob Potter, Manager of Operations, reminded everyone to be careful over the holiday week end. Bradley Cherry had the monthly safety give-a-way.
0
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Bob continues to mention the necessity and importance of h&d hats, rubber gloves and the importance ofusing s. A line is not dead until it is grounded.
Bob Potter, Manager of Operations
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
lob Briefing I Yes Conducted Before job & signed lob procedure covered v’ Energy Control procedure II‘
LINE CREW FIELD INSPECTION FORM
JO M/A If No-Corrective Action Taken ,
Inspector:
PPE used Job hazards Emergency procedures Special precautions Work Area Protection Appropriate Work Signs Flagman required Flag person used Flag person properly equipped Traffic cones in place TrucI<s grounded Truck chocks used Personal protective grounds
Position: Y
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Com pa ny : Address:
Weather Conditions: s-8
Date: L3- // Time: [Lr 00 A M
County:
Crew Members: 8
Energized Work Bein PerFormed: YES Overhead ,/Underground Voltage 79 &
I ’
- PPE Being Used Yes No N/A If No-Corrective Action Taken Hard hat Safety gasses /- Rubber gloves f/
Rubber sleeves FR Clothing Fall Protection v' Rubber Goocls Inspections Yes No N/A If No-Corrective Action Taken Gloves Sleeves
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Notes/Comments:
I
Line hoses Blankets MiscellanesObservations Pilce O@ECQ Decals in Place Proper Clearance Rolling Grounds In Place Public Hazards Present
Job Site Findings Discussed with Crew: YES NO:
/ Corrective Actions Needed: Yes NO-
If Corrective Actions Taken Explain in Detail:
o/ /
Yes NO N/A If No-Corrective Action Taken LI'
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Line Supervisor's Signature:
Inspector's Signature:
Safety Ti Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
Job Briefing Conducted Before job & signed Job procedure covered Energy Control procedure PPE used Job hazards Emergency procedures Special precautions Work Area Protection Appropriate Work Signs Flagman required Flag person used Flag person ~ properly equipped -
I raiiic cones in place Trucks grounded Truck chocks used Personal protective grounds
LINE CREW FIELD INSPECTION FORM
Yes No Rl/A If No-Corrective Acrion Taken 4 c/ alr
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Inspector:
Position: - County:
Weather Conditions:
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PPE Being Used Yes ,, No N/A Hard ha t G/ Safety gasses . Rubber sleeves /; FR Clothing //- Fall Protection Rubber Goocls Inspections Yes No hl/A Gloves Sleeves /
Line hoses I/ Blankets ~ ~
Miscel laneoeervat ions Yes NO N/A
Rubber gloves v ..
PiI<e W@ECC// / Decals i n K c e L/ Proper Clearance w’
Rolling Grounds In Place Public Hazards Present /
/ / w
Notes/Com ments :
If No-Corrective Action Taken
If No-Corrective Action Taken
If No-Corrective Action Taken
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Job Site Findings Discussed with Crew: YES NO:
Corrective Actions Needed: Yes N 0 - d -
If Corrective Actions Taken Explain in Detail:
Line Supervisor‘s Signature:
Inspector’s Signature:
Safety 3 Loss Coordinator Signature:
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lob Briefing Yes No M/A If No-Corrective Acrion Taken Conducted Before job & signed lob procedure covered Energy Control procedure PPE used
Emergency procedures
Work Area Protection 4-
Appropriate Work Signs Llcr
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Special precautions r /
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GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
Flagman required Flag person used Flag person properly equipped I raiiic cones in place Trucks grounded Truck chocks used Personal protective grounds
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LINE CREW FIELD INSPECTION FORM
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Inspector:
Weather Conditions: x V
Energized W o r k w g Performed: YES ,/
Crew hAembers:
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Overhead Underground Voltage /j7cg0d 3g S/S>
PPE Being Used Yes No Hard hat Safety gasses ern Rubber gloves C / I
Rubber sleeves u- FR Clothing /. Fall Protection I/’
Rubber Goocls Inspections Yes No Gloves Ld” Sleeves R / /
Line hoses v; Blankets g IjlqqJlaneous Observations Yes Id0
‘pi k+o r G R ECC &&ais in Place A
Proper Clearance P Rolling Grounds In Place Public Hazards Present
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N otes/Co m me nts :
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N/A If No-Corrective Action Talceii
N/A If No-Corrective Action Taken
N/A If No-Corrective Action Taken
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Job Site Findings Discussed with Crew: YES NO:
Corrective Actions Needed: Yes
If Corrective Actions Taken Explain in Detail: -
Line Supervisor‘s Signature:
Inspector’s Signature:
Safety & Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
Job Briefing Yes No N/A Conducted Before iob & sianed V-
LINE CREW FIELD INSPECTION FORM
If i\lo-Correcti\fe Action Taken
Company: Address:
Job procedure covered Energy Control procedure PPE used
Date: y- //- //
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Special precautions I / Worlc Area Protection l 0 -
Appropriate Worlc Signs Flagman required
Phone #: Crew Members:
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U Weather Conditions:
Flag person used I r/ Flag person properly equipped I raiiic cones in place Truclcs grounded L / /
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Energized Worlc Bein Performed: YES NO:- Truclc #'s Overhead /Underground Voltage 7 3
Personal protective grounds I I / - - -
I Emeraencv mrocedures I d I I I
PPE Being Used Yes Jlo Hard ha t /
Safety gasses s/-
Rubber sleeves c/' A
FR Clothing "I/-
Rubber gloves b'.
-
N/A If No-Corrective Action Taken
Notes/Comments:
Fall Protection Rubber Goods Inspections Yes Ns N/A If No-Corrective Action Taken Gloves L' Sleeves t+ Line hoses B la n kets Mhllaneous Observations Yes NO N/A If No-Corrective Action Taken
.@jd'or GRECC J L
Decals in Place /
Proper Clearance 1/ Rolling Grounds In Place Public Hazards Present
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Job Site Findings Discussed with Crew: YES / NO:
Corrective Actions Needed: Yes NO / If Corrective Actions Taken Explain in Detail:
Line Supervisor's Signature:
Inspector's Signature:
Safety & Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
Job Briefing Conducted Before job & signed Job procedure covered
Inspector:
Yes !lo N/A If No-Corrective Action Taken
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Position: 1
Energy Control procedure QF l l PPE used L/' Job hazards L/"
Emergency procedures - c
Phone#: -e d
Work Area Protection Appropriate PVorlc Signs Flagman required Flag person used Flag person properly equipped I raffic cones in place Trucks grounded Truck chocks used Personal protective grounds
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County : -
Location :
Crew Members:
Energized Work Beinwerformed: YES NO:- Truck 8's Overhead E/ Underground Voltage
I P P E Being Used Yes Hard hat
,No N/A If No-Corrective Action Taken
Rubber gloves Rubber sleeves FR Clothing
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I Fall Protection Rubber Goocls inspections Gloves Sleeves Line hoses Bla nltets
Yes No Rl/A If No-Corrective Action Taken vr v- L'=
&ellaneom Observations pi@ or G RECC
Yes -, NO N/A If No-Corrective Action Taken J -4
N otes/Co m m e n ts : PO
Decals in Place Proper Clearance Rolling Grounds In Place Public Hazards Present
Job Site Findings Discussed with Crew: YES 'y NO:
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Corrective Actions Needed: Yes NO- J if Corrective Actions Taken Explain in Detail:
Line Supervisor's Signature
Inspector's Signature:
Safety & Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
Job Briefing Conducted Before job & signed Job procedure covered
LINE CREW FIELD INSPECTION FORM
Yes Qlo hI/A li No-Correcti~~e Action Taken u-
VI-
Inspector:
Energy Control procedure PPE used Job hazards Eme rae ncv oroced u res
Date: ’/ / 3.- / /
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Crew Members: 37Y
Special precautions I w-
Appropriate Work Signs Flagman required Flag person used I
Work Area Protection t/’
Flag person properly equipped I raiiic cones in place Trucks grounded Truck chocks used V’ Personal protective grounds
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Weather Conditions:
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Energized Work Being Performed: YES NO:& Trucic trs- Overhead / Underground Voltage 3- 0
.- ' PPE Being Used Yes No
Hard hat 0" Safety gasses V" Rubber gloves Rubber sleeves FR Clothing c/'
Fall Protection Rub be r G o oc1 s I ns pec.ti o ns Gloves SI e eves Line hoses BI a nlcets M is ce I 13 "LIS 0 bse rvat i n s Piice ~ @ G R E ~ c ~ ' t- Decals in Place P' Proper Clearance i 2 / Rolling Grounds In Place Public Hazards Present
Yes No
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Notes/Comments:
N/A If No-Corrective Action Taken
N/A If No-Corrective Action Taken L/ c/
Y ? K x x
Job Site Findings Discussed with Crew: YES / NO:
Corrective Actions Needed: Yes NO- d' If Corrective Actions Taken Explain in Detail:
Line Supervisor's Signature:
Inspector's Signature:
Safety & Loss Coordinator Signature:
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GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
Job Briefing Yes P& M/A If No-Corrective Acrion Taken Conducted Before job & signed c(
Job procedure covered - 1/'
PPE used v Job hazards
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Energy Control procedure L-r- t
Emergency procedures L' Special precautions k'
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Work Area Protection Appropriate Work Signs v", Flagman required Flag person used ur Flag person properly equipped L' I raiiic cones in place )/ /
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Personal protective grounds I/'
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Truck choclc used I I
Weather Conditions:
Time: / : o d 2 4 4
Location :
Crew Members: -_
Energized Work Being Performed: YES NO:^ Truclc fi's w Overhead [/ Underground Voltage 7 2 0
PPE Being Used Yes No Hard hat Safety gasses LIC Rubber gloves Rubber sleeves FR Clothing Fall Protection CI'
Rubber Goocls Inspections Yes No Gloves Sleeves Y.- Line hoses 4-
B I a n ket s Miscellaneous Observations Yes JdO
Decals in Place 1/ , Proper Clearance Rolling Grounds In Place Public Hazards Present
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@jEPor GRECC L/
Notes/Comments:
N/A If No-Corrective Action Taken
hl/A If No-Corrective Action Taken
N/A If No-Corrective Action Taken
If/
Job Site Findings Discussed with Crew: YES NO:
Corrective Actio& Needed: Yes
If Corrective Actions Taken Explain in Detail:
Line Supervisor's Signature:
Inspector's Signature:
Safety 23 Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
Job Briefing Conducted Before job & signed Job procedure covered Energy Control procedure PPE used Job hazards Emergency procedures Special precautions Work Area Protection Appropriate Work Signs Flagman required Flag person used Flag person properly equipped Traffic cones in place Trucks grounded Truck chocks used Personal protective grounds
Compan Address
Yes No N/A If No-Corrective Acrion Taken r / J
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Phone #:
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Crew Members:
Energized Work BeJng Performed: YES /
- PPf Being Used Yes No N/A If No-Corrective Action Taken Hard hat Safety gasses
Rubber sleeves FR Clothing Fall Protection v Rubber Goocls Inspections Yes >lo N/A If No-Corrective Action Taken Gloves Sleeves Line hoses Bla nliets v
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Rubber gloves v- r
Notes/Comments:
Miscellaneous Observations Yes NOp N/A @lor GRECC d, Mals in Place J Proper Clearance v'
Job Site Findings Discussed with Crew: YES
Corrective Actions Needed: Yes
If Corrective Actions Taken Explain in Detail:
Line Supervisor's Signature:
Inspector's Signature:
Safety E% Loss Coordinator Signature:
If No-Corrective Action ;Taken
Rolling Grounds In Place Public Hazards Present
/ ,
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
lob Briefing Yes No Conducted Before iob & signed Wr
Inspector:
N/A If Plo-Correcti\ie Action Taken
4 U Weather Conditions:
l ob procedure covered Energy Control procedure PPE used
Date:
Time: ) 2 4 #
County: w - /&-
Location:
Crew Members:
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Energized Work Be&g Performed: YES /
Job hazards I I /
NO:- Overhead I/ Underground Voltage 7
Special precautions Work Area Protection Appropriate Work Signs Flagman required
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Flag person used Flag person properly equipped Traffic cones in place Trucks grounded -I
I Emernencv mocedures I & I I I
Personal protective grounds I
I Yes I No I N/A I If No-Corrective Action Taken -3
PPE Being Used Ha-d hat Safety gasses Rubber gloves Rubber sleeves
Fall Protection Rubber Goods Inspections Gloves Sleeves Line hoses BI a n kets Miscellaneous Observations
Decals in Place Proper Clearance Rolling Grounds In Place Public Hazards Present
FR Clothing
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Yes No hl/A If No-Corrective Action Taken CI
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Yes NO N/A If No-Corrective Action Taken
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Notes/Comments:
Job Site Findings Discussed with Crew: YES ./ NO:
Corrective Actions Needed: Yes NO.-...-- /
If Corrective Actions Talcen Explain in Detail:
Line Supervisor‘s Signature:
Inspector’s Signature: c
Y - Safety & Loss Coordinator Signature: Y
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
Job Briefing Conducted Before iob & signed
Phone#: .-A
Yes ,No RI/A If No-Corrective Action Taken t/
Name of 9 e Crew Observed:
Job procedure covered Energy Control procedure PPE used
Date: t3”/>6- //
Time: / p : a a r;i’,.e County :
Location:
Crew Members:
4- /. /
Emergency procedures Special precautions Work Area Protection Appropriate Work Signs Flagman required
Flag person properly equipped I raiFic cones in place Trucks grounded
I T k l < chocks used
Flag person used
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Personal protective grounds I l / i I I
PPE Being Used Yes ,No N/A Hard hat /
Safety gasses JT
Rubber sleeves F
FR Clothing v- Fall Protection &/’ Rubber Goods lnspections Yes ,No N/A Gloves - Sleeves /-
Line hoses ~ d / , Blankets ~~ I / MiST;Ellaneous Observations Yes ,NO N/A &&or GRECC Decals in Place Proper Clearance &’
Rubber gloves v’
- t/
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Y-
Notes/Comments:
If No-Corrective Action Taken
If No-Corrective Action Taken
If No--Corrective Action Taken
N
Job Site Findings Discussed with Crew: YES / NO:
Corrective Actions Needed: Yes NO d If Corrective Actions Taken Explain in Detail:
Rolling Grounds In Place Public Hazards Present
Line Supervisor‘s Signature
Inspector’s Signature:
Safety 5. Loss Coordinator Signature:
LI-
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
Job Briefing Conducted Before job & signed Job arocedure covered
Inspector:
Yes No N/A If No-Corrective Action Taken r / - w-
Position:
Energy Control procedure PPE used Job hazards Emergency procedures
Work Area Protection
Flagman required Flag person used Flag person properly equipped Traffic cones in place Trucks grounded Truck chocks used Personal protective grounds
Special precautions
Appropriate Work Signs
Y
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NameofLin Cre Obse ed: W d / & Weather Conditions:
County:
Location: '
Crew Members:
7F 13r
Overhead - Underground Voltage 7W 0 196 NO:-/ Truc\<Ws l q * 7bY
Energized Work Being Performed: YES
PPE Being Used Yes No N/A Hard hat w- Safety gasses Rubber gloves
If No-Corrective Action Taken
3
Sleeves Line hoses Blankets
FR Clothing Fall Protection Rubber Goocls Inspections Gloves
I I I I I
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Yes No hl/A If No-Corrective Action Taken -
~~
N otes/Co m ments:
Job Site Findings Discussed with Crew: YES / NO:
Corrective Actio& Needed: Yes NO- / If Corrective Actions Taken Explain in Detail:
Line Supervisor's Signature
Inspector's Signature:
Safety & Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LINE CREW FIELD INSPECTION FORM
lob Briefing Conducted Before iob e( signed
Inspector: &A /1 ,m
Yes PI0 N/A If i\lo-Corrective Action Taken Wy’
tion: fl&/ & / -
YES
lob procedure covered Energy Control procedure PPE used lob hazards
Date:
Time: j /:5-0 /&bq
Crew Members:
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Emergency procedures I Ir,: S peci a I precautions Work Area Protection Y‘ Appropriate Work Signs Flagman required Flag Derson used
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Flag person properly equipped I raffic cones in place Trucks grounded Truck chocks used
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Personal protective grounds I / I 1 1
PPE Being Used Yes No N/A If No-Corrective Action Taken
Safety gasses Hard hat 1J-
Rubber gloves 1/’ 7
cc
v I Rubber sleeves I b l
N otes/Co mments :
FR Clothing Fall Protection Rubber Goocls Inspections Yes No N/A If No-Corrective Action Taken Gloves I
c
Job Site Findings Discussed with Crew: YES / NO:
Corrective Actions Needed: Yes NO -id/-
If Corrective Actions Taken Explain in Detail:
Line hoses Blankets M i s c e l l a m b s e r v a t i o n s Piite O ~ G R E C ~ Decals in Place Proper Clearance Rolling Grounds In Place Public Hazards Present
Line Supervisor‘s Signature:
Inspector’s Signature:
Safety & Loss Coordinator Signature:
Yes NO N/,4 If No-Corrective Action Taken c
L/ -
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GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
Job Briefing Conducted Before job & signed lob procedure covered Energy Control procedure PPE used l o b hazards Emergency procedures Special precautions Work Area Protection Appropriate Work Signs Flagman required Flag person used Flag person properly equipped I raiiic cones in place Trucks grounded Truck chocks used Personal protective grounds
-
LINE CREW FIELD INSPECTION FORM
Yes frlo N/A If frlo-Corrective Action Taken L'
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Company: Address:
Weather Conditions: f6
Crew Members:
Energized Work Bein .Performed: Overhead /Underground
YES c/c
PPE Being Used Yes No N/A If No-Corrective Action Taken Hard hat Safety ;asses /- Rubber gloves
W--'
1
FR Clothing Fall Protection Rubber Goods Inspections Gloves Sleeves Line hoses
- v-
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Yes No N/A If f\lo--Correc"cve Action Taken
u" Blankets Miscellaneous Observations
v- Yes NO N/A If No-Corrective Action Taken
Notes/Comme nts :
mr GRECC Decals in Place
lob Site Findings Discussed with Crew: YES / NO:
Ir ,/ I
Corrective Actiohs Needed: Yes NO i/
Proper Clearance Rolling Grounds In Place Public Hazards Present
If Corrective Actions Taken Explain in Detail:
- - -~
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I
Line Supervisor's Signature -c-
Inspector's Signature:
Safety 13 Loss Coordinator Signature: I
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
Job Briefing Conducted Before job & signed Job procedure covered
PPE used Job hazards Emergency procedures
Work Area Protection
Energy Control procedure
Special precautions
LINE CREW FIELD INSPECTION FORM
Yes Plo N/A If No-Corrective Action Taken
v-
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: I
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Position: , B .
Appropriate Work Signs Flagman required Flag person used Flag person properly equipped I raiiic cones in place Trucks grounded Truck chocks used Personal protective grounds
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Company: County: Address:
/ Location: *Pli& 1
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Phone#: &c/M Lc Crew Members:
Name of Line Crew D O V 5
gJ Weather Conditions: .,.< l / N M I/
Energized Work Being Performed: YES L/I N O : L Truck Ws qA <- Overhead // Underground Voltage b
PPE Being Used Yes No N/A Hard hat Safety gasses
b b&-gloves Rubber sleeves FR Clothing L,
Fall Protection Rubber Goocls Inspections Yes No N/A Gloves Sleeves
I Line hoses
- If No-Corrective Action Tal<en
~ _ _
If No-Corrective Action Taken
I /A I I BI a nkets Miscellaneous Observations
Decals in Place
Rolling Grounds In Place Public Hazards Present
Proper Clearance
v Yes NO N/A If No-Corrective Action Taken
I
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Notes/Comments:
Job Site Findings Discussed with Crew: YES / NO:
f / Corrective Actiotk Needed: Yes NO.--..--
If Corrective Actions Taken Explain in Detail:
P
Line Supervisor's Signature:
Inspector's Signature:
Safety & Loss Coordinator Signature:
GRAYSON RURAL ELECTRIC COOPERATIVE CORPORATION
LlNE CREW FIELD INSPECTION FORM
Conducted Before job G signed lob procedure covered Energy Control procedure PPE used lob hazards Emergency procedures Special precautions Work Area Protection Appropriate Work Signs Flagman required Flag person used Flag person properly equipped -
Position :
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v' /
Date: I/
I G( I raiiic cones in place Trucks grounded Truck chocks used I//' Personal protective grounds r/
County :
I ///
Location : a 17-3 Crew Members:
Energized W p g Performed: YES NO:- ,/ Trucl<gs
Overhead Underground Voltage 7 2 8 CPYY- 1 Job Briefing I Yes I NO I M/A I ~i NO-~orrective Action Talcen I
’
Not es/Co m me nts :
PPE Being Used Yes ,510 N/A If No-Corrective Action Taken Hard hat Safety gasses Rubber gloves Rubber sleeves FR Clothing - Fall Protection Rubber Goocls Inspections Yes,, No N/A If No-Corrective Action Taken Gloves
I
Sleeves G/. -
Job Site Findings Discussed with Crew: YES / NO:
Corrective Act iok Needed: Yes
If Corrective Actions Taken Explain in Detail:
__ __p__
Line Supervisor‘s Signature:
Inspector’s Signature:
Safety Ei Loss Coordinator Signature: