Audit

Electrical Equipment

Equipment Description

Location

Risk Assessment: Is Electrical Integrity Testing Required?

Date of Test

Visual Test Result

The appliance has failed an electrical safety inspection. The appliance is to be tagged out. This tag may only be removed by an authorised person after repair.

no label

Electrical Integrity Test Result

The appliance has failed an electrical safety inspection. The appliance is to be tagged out. This tag may only be removed by an authorised person after repair.

no label

Electrical Tag No

Date of Retest

Remarks

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.