Contractor Name and Logo

  • Job location
  • Date and start time
  • Work order or job number
  • Person in charge
  • Owner's representative on site
  • Weather and site conditions

Today's Work Plan

  • Tasks for today, in order
  • Hold points and who releases each one
  • Locate ticket status, utility crossings and pothole status
  • PPE required today per the employer's safety program, including high-visibility apparel where the MUTCD work-zone rules require it and hard hats where the employer's program or OSHA requires them, checked for everyone

Site Hazards and Controls

  • Hazards found on this site today and the control for each

Aerial Hazards to Discuss

Lines from AE-04 hazards

  • Electrical Contact
  • Falls from Poles and Lifts
  • Struck by Vehicles
  • Lift Tip-Over
  • Pole Failure
  • Lightning and High Wind

Directional Bore Hazards to Discuss

Lines from UG-05 hazards

  • Electrical Strike
  • Gas Line Strike
  • Pit Cave-In
  • Inadvertent Fluid Returns (Frac-Outs)
  • Work Zone Traffic

Splicing Hazards to Discuss

Lines from SPL-02 hazards

  • Glass Fiber Shards in Eyes and Skin
  • Invisible Laser Light from Live Fibers
  • Hazardous Atmosphere in Manholes and Vaults
  • Engine Exhaust (Carbon Monoxide) Drawn into Manholes
  • Splicer Arc and Heat-Shrink Oven Igniting Gas
  • Energized Power Cables and Splices in Joint-Use Manholes
  • Flammable Gel Cleaner and Alcohol
  • Falls and Electrical Contact at Aerial Closures

Roles and Assignments

  • Person in charge
  • Competent person
  • Traffic control
  • Spotter or attendant
  • Trained rescuers
  • First aid and CPR trained

Emergency Contacts

  • Emergency services
  • Nearest hospital or urgent care, and the route there
  • Supervisor
  • Owner's emergency contact
  • Power and gas utility emergency lines
  • One-call center, for damage reports

Emergency and Rescue Plan

  • Rescue method and equipment for today's work: pole-top, bucket or confined-space retrieval
  • Response to electrical contact, a gas release or an injury, per the employer's emergency plan
  • Where the crew gathers and who calls emergency services

Stop-Work Triggers

  • Conditions that stop work today
  • Who restarts the work after a stop

Aerial Records to Keep

Lines from AE-04 Records to Keep

  • Signed tailboard or job briefing sheet with the emergency plan, the rescue plan and the names of trained rescuers.
  • Daily lift inspection record.
  • Traffic control layout used and any permit conditions.
  • Poles rejected at inspection, reported to the owner.
  • Any incident, near miss or stop-work event, reported per the employer's program.

Directional Bore Records to Keep

Lines from UG-05 Records to Keep

  • Bore plan and profile, with crossing clearances noted.
  • Locator calibration record.
  • Strike system test.
  • Tailboard sign-in sheet.
  • Traffic control setup photos.

Splicing Records to Keep

Lines from SPL-02 Records to Keep

  • Tailboard sign-in sheet with the hazards discussed.
  • Pre-entry atmospheric readings (oxygen, flammable, toxic) and times, plus continuous-monitoring readings or alarms, per the employer's program.
  • Gas monitor calibration or bump-test record.
  • Any injury, near miss or exposure report.
Tailboard The table body is blank rows to fill in by hand.
Printed NameCompany or CrewRoleSignature

Sign-Off

  • Person in Charge

    • Name
    • Signature
    • Date

From FAHMYhttps://fahmy.io/reference/templates/tailboard/Version 0.2.0

FAHMY is a reference, not a substitute for owner specifications, the authority having jurisdiction, manufacturer instructions, training or qualified supervision. Follow your employer's safety program and all applicable laws.

How to Use This Sheet

A tailboard is the short briefing at the job site before work starts. This sheet walks the person in charge through the topics and gives the crew a place to sign in. It does not replace the employer’s safety program, which says when a briefing is required and what it covers, or any briefing the owner’s contract requires.

Run the Briefing

  • Hold it at the work site, after you have looked at the site, so the hazards on the sheet are the ones in front of the crew.
  • Tick every list that matches today’s work; an aerial splice uses both the aerial and the splicing lists. The lists are a starting point, not a full hazard assessment, so write any other hazard under Site Hazards and Controls. The lists come from the site safety and traffic control, bore planning and rig setup and safety for splicing steps.
  • Write the control next to each site hazard. A hazard with no control is a reason to stop and fix the plan.
  • Fill every emergency contact before work starts, including the route to care. Nobody should be looking up a number during an emergency.
  • Name the competent person and the trained rescuers out loud, so the crew knows who they are.
  • Tell the crew that anyone can stop the work, and agree on the triggers.

Sign In and Keep It

Every person on the site signs in, including people who arrive after the briefing; brief them first. Brief again when the plan, the site or the crew changes. Keep the signed sheet with the records listed for the step, as the employer’s program requires.

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