MetroTek Start of Day Job Brief

MetroTek - Start of Day Job Brief

Office Telephone: 610-365-2390
Completed By:*
Completed by Email:*
Client/Customer:
Site Address:
Date:*

MonthDayYear
Date
Job Title:
Job #:*
Scope:
Project Manager Name:
Cell:
General Foreman Name:
Cell:
Client Representative Name:
Cell:
Office:
Job Prerequisites: (Tasks to be done at start of job, associated hazards and mitigation steps)
Full Description of Job Tasks:

STEP 1 - EMERGENCY SERVICES IF NOT 911
Contact Number(s):
Location(s)/Directions:

STEP 2 - SAFETY HAZARDS (Identify safety concerns associated with job)

Safety Hazards

	Description	Mitigation
1
2
3

STEP 3 - ENVIRONMENTAL HAZARDS

Environmental Hazards

	Description	Mitigation
1
2
3

STEP 4 - ENERGY SOURCE CONTROLS (check all that apply & write)
Check all that apply

VoltageMinimum approach DistanceEnergizedOne ShotDisconnect LocationCoverGrounds & LocationLOTOOther
Voltage:
Minimum Approach Distance:
One Shot Name:
One Shot Time:
Disconnect Location:
Cover:
Grounds & Location:
LOTO Holders Name:
Other: