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Site inspection also requires investigating vicinity outside of the work area for structures and utilities. <br />Noting "YES" requires addt'l. investigation. Utilities must be field marked prior to intrusive work. <br />Utilities entering/exiting structures?No Color Evidence of stormwater network? <br />Intrusive work area marked out?Curb drains/catch basins/manholes? <br />Structural features above or below?Stormwater culverts, outfalls? <br />Public natural gas line or meter?ABOVEGROUND Features Present? <br />Private natural gas laterals/feeders?Transportation tunnels/structures/markers present? <br />Public electrical service?Overhead electrical lines? <br />Conduit from meter or on wall?< 50 kV w/in 10 ft of work area? <br />Conduit from poles into ground?>50-200 kV w/in 15 ft of work area? <br />Poles/devices w/ no visible lines?>200-350 kV w/in 20 ft of work area? <br />Overhead electrical lines?>350-500 kV w/in 25 ft of work area? <br />Solar arrays or wind turbines?>500-750 kV w/in 35 ft of work area? <br />Public water line(s)?>750-1000 kV w/in 45 ft of work area? <br />Private water line(s) or lateral(s)?Aboveground fire suppression? <br />Water meter onsite?Aboveground communications? <br />Fire hydrants/post indicator valves?Aboveground chases/racks/trays? <br />Irrigation system control box/valve?Private/Remediation system lines? <br />Sprinkler heads, drip lines, vaults?Unclassed utilities/anomalies? <br />Water dispensers, fill stations?Warning signs/stakes/markers present? <br />Telecomm. overhead or buried? <br />Telecomm. ground box or relays? <br />Telecomm./security CCTV devices? <br />Public sanitary sewer pipes?Signs of other utilities/ground disturbance <br />Combined sanitary/storm pipes? Signs of asphalt or concrete disturbance/repair? <br />Private sanitary laterals/clean outs?Any ground subsidence or change in vegetation? <br />Restrooms, kitchens, wash bays?Unknown manholes or valve covers in work area? <br />Utilities & Structures Checklist reviewed by the PM or Designee (Y/N)?If no, STOP WORK call PM <br />PM or Designee Name: <br />Name and Signature of person completing the checklist: <br />Date of checklist review / update: <br />ALL SUSPECT UTILITY STRIKES REQUIRE CORPORATE H&S NOTIFICATION WITHIN 24 hrs. OF <br />KNOWLEDGE OF STRIKE WITH A CONFIRMED RESPONSE FROM CORPORATE H&S. <br />Green <br />Green <br />Green <br />Green <br />Tips for Thorough Utility Location (HSS Section 5.6): <br /> 1. Don't forget to look up for utilities <br /> 2. Be on-site with Private Utility Locators. <br /> 3. Ask Private Locators to "confirm" other's markings. <br /> 4. Also clear alternate/backup locations <br /> 5. Mark all known utilities. <br /> 6. No hammering, no pickaxes, no digging bars, no <br />shortcutting. <br /> 7. No excessive turning or downward force of hand tools, <br />especially hand augers. <br /> 8. Utilities may run in or directly under asphalt/concrete <br /> 9. Heavy equipment may damage shallow utilities. <br />Especially during clearing and grubbing. <br />10. Use spotter for heavy equipment near aboveground <br />utilities? <br />ALL BOXES BELOW MUST BE COMPLETED BEFORE PROCEEDING <br />Is the utility present (Y/N)?Utility Color Code Is the utility present (Y/N)?Utility Color Code <br />Green <br />White Green <br />White Green <br />Yellow <br />Yellow <br />Red Red <br />Red Red <br />Red Red <br />Red Red <br />Red Red <br />Red Red <br />Blue Red <br />Blue Blue <br />Orange <br />Blue Orange <br />Blue Various <br />Blue <br />Pink <br />Blue <br />Orange Heavy Equipment: Mark travel route for overhead, next <br />to route, and/or under route (e.g. crush risk) utilities.Orange <br />Orange <br />Blue