Grayson ectric Cooperative Corporation - KY Public … Case Referenced Correspondence/2010... ·...

34
c. 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 Jv enclosures A Touchstone Energy' Cooperative

Transcript of Grayson ectric Cooperative Corporation - KY Public … Case Referenced Correspondence/2010... ·...

c.

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

Jv

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.

c

. 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.

0

0

' ..

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

% .

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

-

1J ,

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'

L- u-

r l /

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:

/5-/ Energized Work Being Performed: YES NO:^ Truclcgs ,& .,% Overhead // Underground Voltage ?-&TO

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

J’

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:

.. i

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

W' .r

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- l o b hazards v'

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

-

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 :

-

N/A If No-Corrective Action Talceii

N/A If No-Corrective Action Taken

N/A If No-Corrective Action Taken

/ /’ 1/

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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County: fa Location : ' "

Special precautions I / Worlc Area Protection l 0 -

Appropriate Worlc Signs Flagman required

Phone #: Crew Members:

vc

U Weather Conditions:

Flag person used I r/ Flag person properly equipped I raiiic cones in place Truclcs grounded L / /

7

-

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

I Y I

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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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Time: //: dd &.A

Crew Members: 37Y

Special precautions I w-

Appropriate Work Signs Flagman required Flag person used I

Work Area Protection t/’

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Weather Conditions:

L“ cr &A

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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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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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Truclcs grounded P'/ w7

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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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

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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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w

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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/

I

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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L’l r / -

Flag person properly equipped I raffic cones in place Trucks grounded Truck chocks used

- 1/ /

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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/ -

-

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-

L1-

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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:

- - -~

~- ~

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

l / r

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

Lr

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Y ,

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

J E

/

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, I/

L+ I/

I/; I/

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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: