OUTAGES

Date:___________ Call #:__________

Location/Address:_________________________________________

_________________________________________

Is this a Call-Out?___ Yes ___ No

If Yes, what time:____________

Crew Size:____________________

Time Dispatched:______________

Time Outage Started:__________

Time Outage Ended:____________

Contributing Factors to the Length of the Outage

___Needed a Clearance How long?_________________

___Told to Standby How Long?_________________

___Unable to talk to NRDO How Long?_________________

___Needed Assistance How Long?_________________

___Trouble Releasing Clearance How Long:_________________

___Tree Trimming How Long?_________________

___Equipment Breakdown How Long?_________________

Other:____________________________________________________

____________________________________________________

C25’S/ESS WORK

Date of Original Order:__________

Date Completed:__________________

Work Performed:___________________________________________

___________________________________________

___________________________________________

Please turn in to Shop Steward or Chief Job Steward to be forwarded to Union Hall.