Job Brief Gas Ops & Excavation

JOB BRIEF GAS OPS AND EXCAVATION

A JOB BRIEF MUST BE CONDUCTED AT THE JOBSITE BY ANY MULTI-PERSON CREW BEFORE THE START OF EACH JOB, SHIFT OR WHEN CONDITIONS CHANGE
DateTime
WORK LOCATION - ON STREET*
CROSS ST 1*
CROSS ST 2*
BOROUGH OR TOWN*
NEAREST HOSPITAL*
MUST CHOOSE PROPER WORK TYPE-

Misc. excavations and test hole jobs for complex construction start with the letter E, all other jobs are 3 digit number job numbers FOR MAIN AND SERVICE TYPE WORK). OQ's will be verified for all Main and Service related work by National Grid with a separate report. you must choose the proper job type
Work Type Being Performed*

Service Work (job numbers are 3 digit numbers)Main Work (including tie in, walkthroughs, Live gas pits,backfill etc job numbers are 3 digit numbers)PavingSaw-Cutting / Coring onlyMisc Excavation Test Pits (complex construction contract ONLY JOB NUMERS START WITH THE LETTER E)
Will you be BUTT FUSING OR HYDRAULIC BUTT FUSING OR SADDLE FUSING TODAY?

YESNO
Operator Qualifications Verified for work tasks?*

YesNoOther
Name of Designated Spotter*
Was the HASP reviewed with all on site personnel? Signatures on this job brief will confirm the HASP review process has been completed*

YESNO
Operator Qualification list

Please note that this if ONLY for crew members with Operator Qualifications. Flaggers , Truck drivers and Visitors should be listed at the end of the form and sign in there. If a crew members name is in RED on the daily crew sheet then they do NOT have OQ's to be on this list
How many crew members including the crew leader are on site with OQ's (minimum of 70/71)

123456789
GAS FOREMAN

AZCONA ADRIANBIDDY JOSEPHBROWN CHARLESCORCINO JAVIERCORREA JOSEDEMARINIS PAULDICARLO ANTHONYFARRELL SEANGONCALVES DANIELGOUNARIDES MICHAELHAGANS KARYHENN MATTKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMLOW DAVIDMAGUIRE DENNISMALDONADO JONATHANMCCABE DENNISMOORE VINCENTMULLUSKY MAXOHAGAN IMARSANTOS FERNANDOSICIGNANO JOHNSILVA PEDROSUAREZ MIGUELTIMMINS ROBERTVILLARI ANTHONYVOTA VINCENT
FOREMAN ITS#
GAS FOREMAN SIGNATURE

Clear
CREW EMPLOYEE 1

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 1 ITS#
CREW EMPLOYEE 1 SIGNATURE

Clear
CREW EMPLOYEE 2

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 2 ITS#
CREW EMPLOYEE 2 SIGNATURE

Clear
CREW EMPLOYEE 3

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 3 ITS#
CREW EMPLOYEE 3 SIGNATURE

Clear
CREW EMPLOYEE 4

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 4 ITS#
CREW EMPLOYEE 4 SIGNATURE

Clear
CREW EMPLOYEE 5

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 5 ITS#
CREW EMPLOYEE 5 SIGNATURE

Clear
CREW EMPLOYEE 6

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 6 ITS#
CREW EMPLOYEE 6 SIGNATURE

Clear
CREW EMPLOYEE 7

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 7 ITS#
CREW EMPLOYEE 7 SIGNATURE

Clear
CREW EMPLOYEE 8

AGOSTINO ROCCOAGUILERA LEONELAHEARN KENNETHALVAREZ KEVINARRE DANNIEAZCONA ADRIANBABST ROBERTBERGSTOL DYLANBIDDY JOSEPHBORDWICK ROBERTBOZIDAR SAUBROWN CHARLESBROWN JOSEPHCASTILLO CRUZ LUDWIGCENTENO JAIMECHAMORRO ARTHURCLARKE KEVINCLYNE DORIENCORCINO JAVIERCORLESS RICHARDCORREA JOSECORTES JUSTOCOSTA MICHAELDACOSTA JIMDANIELS MICHAELDASILVA LOANADELANEY JEREMIAHDEMARINIS PAULDICARLO ANTHONYFARRELL SEANFERRER JOHNFIGUEROA CESARFIORINO JOHNFRANCISCO LUISFUERTE FERNANDOGELB LEEGIANNA MATTGLEASON THOMASGONCALVES DANIELGONCE RYANGOUNARIDES MICHAELHAGANS KARYHARRICHARAN HARRYHELF TIMOTHYHELF JR TIMOTHYHENN MATTHEWHOGAN JAMESJACKSON SHELDONJAMES BYRONKAISER KEITHKAVANAGH WILLIAMKELLY RYANKING TOMKRCIC ALISLANEVILLE MICHAELLIQUORI LOUISLOW DAVIDLUCIANO DAVEMAGUIRE DENNISMAGUIRE THOMASMALDONADO JONATHANMARIANO CHARLESMARIN MICHAELMARROCCO JR TROYMARROCCO TROYMARUCA ITALOMCCABE DENNISMCDONALD JOHNMOORE VINCENTMORRISSEY MICHAELMULLUSKY MAXOCONNOR KEVINOGRADY RICHARDOHAGAN IMARORTIZ ALEXIPABLO TONYPACE ANTHONYPERALTA SERGIOPETOSA BERNARDPETROZZIELLO JOSEPHQOKU GLEDJANRAGNAUTH RUDOLPHRITINS INGUSRODRIGUEZ JOSEROMAN AUSTINRUSTICO JOESANCHEZ BRIANSANTOS FERNANDOSCHIAVONE FRANCISSCHIMMENTI PAULSCOTT ANDREWSESNY JUSTINSESNY ROBERTSICIGNANO JOHNSILIPO MICHAELSILVA PEDROSMART JEFFREYSOLDANO AUSTINSORTO JOSESTEPHENSON DELONSUAREZ MIGUELTELLEFSEN JOSEPHTIMMINS ROBERTTRINIDAD ANGELURRICO ANTHONYVANDERSTAR GERALDVILLARI ANTHONYVOTA VINCENTWALSH KIERANWILLIAMS LATRELL
CREW EMPLOYEE 8 ITS#
CREW EMPLOYEE 8 SIGNATURE

Clear
Vehicles and Compressors on Site with This Job Brief (multiple selections ok)

#201_ 250 VAN#202_ 250 VAN#203_ 250 VAN#204_ 250 VAN#205_ 250 VAN#301_F250 PICKUP#302_F250 PICKUP#303_E350 VAN#304_E350 VAN#305_E350 VAN#306_E350 VAN#307_F350 PICKUP#308_E350 VAN#322_F350 PICKUP#401_GMC DUMP#402_F450 PICKUP#403_ISUZU BOX TRUCK#404_ISUZU BOX TRUCK#405_ISUZU BOX TRUCK#406_ISUZU BOX TRUCK#407_ISUZU BOX TRUCK#408_ISUZU BOX TRUCK#409_ISUZU BOX TRUCK#410_ISUZU BOX TRUCK#414#501_F550 PICKUP / DUMP#601_2017 CAT BACKHOE#602_2017 CAT BACKHOE#603_LOUIS LIQUORI BACKHOE#C-1_COMPRESSOR#C-2_COMPRESSOR#C-3_COMPRESSOR#C-4_COMPRESSOR#C-5_COMPRESSOR#C-6_COMPRESSOR#C-7_COMPRESSOR#C-8_COMPRESSOR#C-9_COMPRESSOR#C-10_COMPRESSOROther
-FRESH AIR QUESTIONAIRE-

PLEASE NOTE THAT SELECTING YES STATES YOU WILL BE DONNING AND USING FRESH AIR BREATHING APPARATUS ACCORDING TO NATIONAL GRID GUIDLINES. ONCE YOU SELECT YES YOU WILL BE PROMPTED TO TAKE A PHOTO OF ALL REQUIRED MEMBERS WITH BREATHING APPARATUS AND FACE PIECE DONNED WITH ALL REQUIRED PPE AS WELL AS A PHOTO OF THE GUAGE ON THE AIR CYLINDER TO SHOW THAT IT IS FILLED TO THE PROPER LEVEL. THESE PHOTOS WILL AUTOMATICALLY BE SENT TO NATIONAL GRID CONTRACT OVERSIGHT REPRESENTATIVES.
FRESH AIR - Will you be doing work where there will be escaping gas or that requires the donning and use of Fresh Air breathing apparatus?

NOYes but not at this time, I will edit this Job briefing prior the to use of Fresh Air Breathing Apparatus for Fly, leak type work.Yes (This option will lead you to take photos of Donned Fresh Air Breathing Apparatus)
Who is the Lead Person Using Fresh Air
First And Last Name
Who is the Secondary Person Using Fresh Air
First and Last Name
Have the Grooming Standards been checked and adhered to? Clean Shaven in proper accordance with grooming standards.

YESNO - DO NOT PROCCEED WITH FRESH AIR WORK, ENSURE CREW IS PROPERY SHAVED AND THEN PROCEED.
PHOTO OF FULLY DONNED FRESH AIR FACEPIECE CONNECTED TO APPARATUS WITH ALL REQUIRED PPE WORN FOR ESCAPING GAS LEAK / FLY WORK. PHOTO CAPTURES ALL REQUIRED PERSONNEL
SECOND PHOTO OF DONNED PPE IF NEEDED
THIRD PHOTO OF DONNED PPE IF NEEDED
PHOTO OF GUAGE ON FRESH AIR CYLINDER TO SHOW IT IS FILLED TO PROPER CAPACITY
Required PPE / Safety Equipment
Required PPE / Safety Equipment*

Hard Hat, Safety Glasses, Work Boots, Safety Vest / Class 3 HI-VIS Clothing, Hearing protection, Cell Phone CoverageFR Coverall / 100% Cotton undergarment, Air Respirator / FR Balaclava / FR Glove Liners, Fire extinguisherOther
Pre-Work Assessment
Pre-Work Assessment*

Approved SOPCellphone CoverageValid Work PermitValid Dig Safe / One Call Ticket, Valid Dig Safe Pre-Marks PresentCGI CalibratedCAT Used to identify underground electricG2 Verifier Locator box used to identify underground electric / utilitiesOther
Within 200 Ft of Regulator Station*

YES - *** (if yes MUST contact Gas Control) ***No
Referencing the Energy Wheel above, which source(s) of potential illness and injury common on industrial worksites have you identified?*

GravityMotionMechanicalElectricalPressureSoundRadiationBiologicalChemicalTemperature
Hazard Categories and Preventative Measures

Please note any hazards that are present and their preventative measures
Hazard Category 1- Pipeline Safety Hazards That are Present*

Gas Leak / DamageCI Main BreakUndermineOver-Pressurization / Poor PressureWater in Gas FacilityDeep Gas FacilityN/AOther
Hazard Category 1- Pipeline Safety -Preventative Measures

Establish "Safety Perimeter"Utilize Air RespiratorsClose Roadways / SidewalksInstall / Monitor GaugesExcavate Remote OpeningsContact Gas ControlRequest Environmental SupportDavit Retrieval SystemEvacuate BuildingsTake Gas ReadingsUtilize ShoringOther
Hazard Category 2- Weather Conditions That are Present and Associated Preventative Measures*

Rain -(Slip resistant footwear, Slippery Surface Walking Techniques, Tent, Water Pumps)fog (Re-assess Signage, Need for Flag-Person)Sleet / Snow - (Slip resistant footwear, Slippery Surface Walking Techniques, Tent, Sand / Salt Work Zone)Thunderstorms (Slip resistant footwear, Slippery Surface Walking Techniques, Tent, Water Pumps)High Wind -(Secure Worksite)High Temp / Low Temp - (Proper Hydration, Periodic Work Breaks)Flooding -(Water pumps)MudN/AOther
Hazard Category 3- Traffic Hazards That are present*

Heavy Vehicular TrafficProximity To School / BusinessesHigh Speed VehiclesCommercial VehiclesPedestrian VolumeN/AOther
Hazard Category 3- Traffic Hazards -Preventative Measures

Signage, Cones and BarricadesPolice DetailVehicle as BarrierArrow BoardPedestrian WalkwayRadar Speed SignFlag Person(s)LED Road FlaresJobsite LightingOther
Hazard Category 3.5 Jobsite Hazards That are Present*

FireWater Main BreakUndermineActive ConstructionTripping HazardsTraffic PlatesMaterial StorageDebrisEnvironmental ConcernsNoisyDarkN/AOther
Hazard Category 3.5 Jobsite Hazards Preventative Measures

Establish Incident command with FD / PDIdentify / Eliminate Tripping HazardsHazardous Atmosphere TestingTraffic Plates Stored / Handled ProperlyClose Roads/SidewalkEquipment, Tools & Material Stored ProperlyFall ProtectionHearing ProtectionJob Site LightingOther
Hazard Category 4- Other Utility Assets That are Present And Preventative Measures*

OH/UG Electric, Cable, Telephone, Water, Sewer -(Verify Markout, Hand Excavate Within Tolerance Zone, Utilize Cat To Locate UG Electric, Request De-Energization if needed and Wear Rubber Gloves / Use Insulating Blankets)Cesspool (Dig with Care)Sprinklers (Dig with care)N/AOther
Hazard Category 5- Heavy Equip / Tools / Rigging That is Present*

Backhoe, Digit, Dump Truck, Pneumatic EquipRoad SawTrencherSkid SteerHDDN/AOther
Hazard Category 5- Heavy Equip / Tools / Rigging - Preventative Measures

Backup Alarm FunctionalHand Signals ConfirmedSwing Radius ReviewStabilizers up when movingUtilize SpotterBlind Spot AwarenessInspect Rigging Equipmentstablish Drop ZoneVerify Sufficient Load Capacity of Lifting EquipmentOther
Hazard Category 6- Vehicle Hazards that are Present*

BackingVehicle SecurityDamage By Public VehiclesEntering / Exiting RisksN/AOther
Hazard Category 6- Vehicle -Preventative Measures

Wheel ChocksLock Vehicles Outside Work ZoneMonitor Vehicle Within Work ZoneParking BreakSpotter for Backing & Tight ManeuversRemove keysUtilize 3 Points of ContactSafe Parking LocationsOther
Hazard Category 7- Soft Tissue Injury Prevention Hazards that may occur*

Sprain, StrainContusionLacerationAbrasionOther
Hazard Category 7- Soft Tissue Injury Prevention -Preventative Measures*

Co-worker/Mechanical Lift AssistIdentify Pinch Points/Sharp EdgesStretch and FlexProper Body Position3 Points of ContactOther
Hazard Category 8- Other Hazards and Risks That are Present*

Complacency, DistractionTime ConstraintsFatiguePersonal Safety / SecurityAnimalsInsects
Hazard Category 8- Other Hazards and Risks -Preventative Measures*

Maintain Situational AwarenessEffective CommunicationFirst Aid Kit AvailableBurn Kit AvailableSafety Stop / Time OutOther
Potential Abnormal Operating Conditions
Monitor for the development of the following potential Abnormal Operating Conditions (AOC's) which are NOT currently present (Choose 1 or more)*

Damage to FacilityEscaping Blowing GasIgnitionComponent FailureOver PressurizationInadequate PressureOther
Excavation Log

All Excavations are to be evaluated by the competent person at least once per day, prior to entry and as needed throughout the shift - Estimate DEPTH based on prints & update prior to entry if needed. The excavation depth must be measure from the deepest point. Excavations 5 feet or greater require a protective system unless within stable rock
How Many Excavations*

1 or MoreNone
Soil Classifications: Each soil and rock deposit shall be classified by a competent person as Stable Rock, Type A, Type B, or Type C using OSHA approved visual and manual tests. If, after classifying a deposit, the properties, factors, or conditions affecting its classification change in any way, the changes shall be evaluated by a competent person. The deposit shall be reclassified as necessary to relfect the changed circumstances. Brief Desciriptions of soil type can be found here -> Click here for brief Soil Type Descriptions. In Depth Classifications on the OSHA website can be found here ->OSHA Soil Classifications.

Means of Egress: Ladders or other safe means of egress shall be provided in excavations 4' or greater and (1) per 25' lateral travel for employees. Ladders used in excavations secured ad extended 3' above landing or grade level.

Soil Setback: Soil and materials must be maintained 24" from the edge of the excavation.
Competent Person:
Comments
Excavation(s)
Describe the size(s) of proposed excavation(s)
Length (ft)
Width (ft)
Depth (ft)
Soil Classification

Stable RockType AType BType C
Protective System Required?

NoYes
If Yes, Supervisor Notified at What Time
Ex. 10 A.M.
Type Of Protection System Used

Timber ShoringShoring Box - ModularSlopingOther
Excavation 2
Length (ft)
Width (ft)
Depth (ft)
Soil Classification

Stable RockType AType BType C
Protective System Required?

NoYes
If Yes, Supervisor Notified at What Time
Ex. 10 A.M.
Type Of Protection System Used

Timber ShoringShoring Box - ModularSlopingOther
Excavation 3
Length (ft)
Width (ft)
Depth (ft)
Soil Classification

Stable RockType AType BType C
Protective System Required?

NoYes
If Yes, Supervisor Notified at What Time
Ex. 10 A.M.
Type Of Protection System Used

Timber ShoringShoring Box - ModularSlopingOther
Notes

Surface Water PresentExcavation Exposed to VibrationPreviously Disturbed SoilsExcavation Contains Layered SoilsAdjacent StructuresExcavation Access / Egress Compliance - Ladders, Steps, RampsDesign of Protective System Available at Jobsite
Job Brief Comments
use this area for any comments
Tool Box Talk

Daily job Brief is to Have this Learning Section Read and reviewed by Crew Leader and Crew
Crew Leader Printed Name

First NameLast Name
Crew Leader Signature -

Clear
CREW LEADER
The Crew Leader signing this Form has conducted the Job Brief and reviewed it with All Crew Members. The Crew Leader has also read and explained the Tool Box Talk Training Excerpt.
Crew Member 1 Printed Name

First NameLast Name
Crew Member 1 Signature -

Clear
CREW LEADER
Crew Member 2 Printed Name

First NameLast Name
Crew Member 2 Signature

Clear
CREW LEADER
Crew Member 3 Printed Name

First NameLast Name
Crew Member 3 Signature

Clear
CREW LEADER
Crew Member 4 Printed Name

First NameLast Name
Crew Member 4 Signature

Clear
CREW LEADER
Crew Member 5 Printed Name

First NameLast Name
Crew Member 5 Signature

Clear
CREW LEADER
Crew Member 6 Printed Name

First NameLast Name
Crew Member 6 Signature

Clear
CREW LEADER
Crew Member 7 Printed Name

First NameLast Name
Crew Member 7 Signature

Clear
CREW LEADER
Crew Member 8 Printed Name

First NameLast Name
Crew Member 8 Signature

Clear
CREW LEADER
Crew Member 9 Printed Name

First NameLast Name
Crew Member 9 Signature

Clear
CREW LEADER
Crew Member 10 Printed Name

First NameLast Name
Crew Member 10 Signature

Clear
CREW LEADER
The Crew Members who have signed this form have reviewed the Job Brief as well as been a part in the review of the Tool Box Talk Training section Above.
Visitor / Inspector Printed Name 1

First NameLast NameCompany
Visitor / Inspector 1

Clear
Visitor / Inspector Printed Name 2

First NameLast NameCompany
Visitor / Inspector 2

Clear
Visitor / Inspector Printed Name 3

First NameLast NameCompany
Visitor / Inspector 3

Clear
Visitor / Inspector Printed Name 4

First NameLast NameCompany
Visitor / Inspector 4

Clear
Visitor / Inspector Printed Name 5

First NameLast NameCompany
Visitor / Inspector 5

Clear
Visitor / Inspector Printed Name 6

First NameLast NameCompany
Visitor / Inspector 6

Clear
Visitor / Inspector Printed Name 7

First NameLast NameCompany
Visitor / Inspector 7

Clear
Have Other Visitors arrived who need to sign this form?

YesNo
Visitor

First NameLast Name
Visitor

First NameLast Name
Visitor

First NameLast Name
Visitor

First NameLast Name
Visitor

First NameLast Name
Visitor

First NameLast Name
Visitor / Inspector

Clear
Job Brief Reviewed with other crews if present

YesNoN/AOther
JOB BRIEF REASSESSMENT

Must be completed after lunch / significant delay or when job tasks / job site conditions / hazards have changed
Is this an Initial Job Briefing or a Reassesssment?

InitialReassesssment
Reassessment Conducted By

First NameLast Name
DateTime
Changes to Hazards or Required Preventative Measures:
SUPERVISOR REVIEW
Is This for Supervisor Review?

YesNo
Supervisor name

First NameLast Name
Supervisor Signature

Clear
Date

MonthDayYear
Date
RETURN EMAIL ADDRESS
FILL THIS OUT IF YOU WANT A COPY OF THIS FORM SENT TO AN EMAIL OF YOUR CHOOSING.
Should be Empty:

JOB BRIEF GAS OPS AND EXCAVATION

MUST CHOOSE PROPER WORK TYPE-

Operator Qualification list

-FRESH AIR QUESTIONAIRE-

Required PPE / Safety Equipment

Pre-Work Assessment

Hazard Categories and Preventative Measures

Potential Abnormal Operating Conditions

Excavation Log

Excavation(s)

Excavation 2

Excavation 3

Tool Box Talk

JOB BRIEF REASSESSMENT

SUPERVISOR REVIEW