Power Line Awareness Permit Today's Date _____________
Job Number ____________
Before beginning
any project, you must first survey your work area to find power lines
at the job site. (See job site sketch on reverse side)
After finding all
of the power lines at your site, identify the activities you'll be doing
that may put you or your workers at risk. Mark one or more of the following:
After identifying
the power line and high-risk activities on our job site, we must determine
how to eliminate or control the risk of electrocution (a successful determination
is often reached only after consultation with the utility). Mark one or
more of the following:
Always maintain your
minimum safe clearance distance from the power line, except when the utility
has de-energized and visibly grounded the power line.
Jobsite
sketch (draw in location of power lines and their proximity to construction site, include such things as; proposed excavations, location of heavy equipment, scaffolding, material storage areas, etc.) Completed by_____________________ Date__________ Title_____________________ Approved by______________________ Date__________ Title_____________________ |