Crew Visit
Today's Date
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Time of Day
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Hour
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10
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30
40
50
Minutes
AM
PM
AM/PM Option
Crew Foreman
First Name
Last Name
Crew Members
Tailgate Meeting Held?
Yes
No
Traffic Control Devices Used?
Yes
No
Description of Work
Proper PPE Equipment worn by all crew members?
Yes
No
If not, please explain.
Truck Grounds?
Yes
No
Not Available
Wheel Chocks?
Yes
No
Not Available
Handline Used?
Yes
No
Not Available
Cover-Up Used?
Yes
No
Not Available
Personal Grounds?
Yes
No
Not Available
Gloves and Sleeves have current test date
Yes
No
Not Available
Tags Used Properly?
Yes
No
Not Available
Condition of Vehicle Cab
Insurance. registration, accident form
Yes
No
Not Available
Vehicle Bins Organized?
Yes
No
If not, please explain.
Vehicle Inspection Up To Date?
Yes
No
First Aid Kit and Fire Exstinguisher Inspection
Yes
No
Hot Line Tools Inspection Date
Current
Out of Date
Equipment and Material safely secured
Yes
No
Not Available
All Sharps Covered
Yes
No
Not Available
Completed By
First Name
Last Name
Signature
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