Utility Field Work Pre-Job Brief Form
Complete this Utility Field Work Pre-Job Brief Form before starting any utility field work. Ensure all crew members are informed of job scope, safety measures, and site-specific hazards.
Job Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Crew Leader Name
*
First Name
Last Name
Crew Members (list all)
*
Job Location
*
Job/Task Description
*
Identified Hazards
*
Hazard Mitigation Measures
*
Required Personal Protective Equipment (PPE)
*
Hard Hat
Safety Glasses
Gloves
High-Visibility Vest
Steel Toe Boots
Hearing Protection
Respirator
Other
Emergency Contact Information
*
Crew Leader Signature
*
Submit Pre-Job Brief
Submit Pre-Job Brief
Should be Empty: