It's not as foolproof as it may seem. If linemen are out working it's because something has changed the normal flow of power. If they're fixing downed power lines then all bets are off as to what the circuit diagram has effectively become. They might ground out the spur going to the break but that still leaves everything after the break ungrounded. Take for example, Joe homeowner bought a big 5kW generator and he wants to keep his fridge running. It's easy enough for someone to "install" a generator themselves without calling an electrician and just make a suicide cord to hook it up during a power outage. If the break is just upstream of the generator, or the neutral broke instead of the live line, you can have a situation where the generator is still producing a lethal voltage potential between the live line and ground yet it wouldn't be low enough resistance to short out the generator.

It's unreasonable to assume that a lineman can identify which sections of a downed line are isolated before they get to work repairing the power lines. There are circumstances where the line might even be isolated without being physically disconnected because a fuse blew downstream of where the line was grounded before the lines actually came down. Fuses will have a visual indication that they are blown but it's just a pin that sticks out the bottom and it's easy to miss when you think the only problem is a downed power line. There's an army of fools who know just enough to be dangerous and it's easy to see this on YouTube. Here's a great example of what linemen have to worry about when repairing downed lines.

https://www.youtube.com/watch?v=KiByz1E4IBU

Wouldn't you be worried working with downed lines not knowing if that guy just so happened to live across the street?