Arkansas Department of Labor & Licensing

AOSH Reporting

High Voltage Reporting Form

  • FOR WORK NEAR OVERHEAD HIGH VOLTAGE POWER LINES AND CONDUCTORS

    This form must be completed by any person, firm, or corporation that desires to carry on any work or activity within ten feet (10’) of overhead energized electrical lines or conductors. Arkansas Code § 11-5-307. The ten feet clearance applies to any part of any machinery, equipment or materials, as well as any employee or person.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • IMPORTANT Arkansas Code § 11-5-307 also requires written notice to the owner or operator of the electrical lines. You must also make appropriate arrangements with the operator of the electrical lines before proceeding with any work which would violate the ten feet clearance requirement.

Arkansas State Government

Arkansas Department of Labor and Licensing

900 West Capitol Avenue, Little Rock, AR 72201-3108

501-682-4500 
501-682-4535 Fax 
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