ATC Proof of Safety JOT
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
OLT/Node#
*
Work Type
Please Select
Aerial Construction
Underground Construction
Fiber Splicing
Coax Splicing
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pic. of Sign
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pic. of Cones
*
Browse Files
Drag and drop files here
Choose a file
Behind truck
Cancel
of
Pic. of Harness
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pic. of Hardhat
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pic. of Magnets on Truck
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Tech/Crew
*
Please Select
Draylon Williams
Josh Moore
Rob Wold
DF Masters - 1
DF Masters - 2
DF Masters - 3
DNA - 1
DNA - 2
DNA - 3
OTHER
IF OTHER, INCLUDE NAME IN NOTES
Notes
List name of each crew member that should be covered by this morning inspection.
Submit
Should be Empty: