Branch Power & Lighting Energization Checklist (Includes Construction Power)

• Site conducted

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• Conducted on

  Date

• Prepared by

• Location
  Address

Branch Power & Lighting (Includes Construction Power) Check list

• EQUIPMENT ID:

• Fed From:

• Circuit or Group of Circuits

• Location:

• Installer Approval:

• The following prestart up checklist must be completed for every piece of equipment, area, or group of circuits prior to energization or if any installation changes have occurred. Only upon completion of the following items listed is it acceptable to energize individual branch circuits one at a time

• Have all conductors been verified to be away from all sharp edges or bolts/screws including ones for securing removable covers?

  Yes

  No

  N/A

• Have all conductors been terminated and torqued properly?

  Yes

  No

  N/A

• Have all conductors been properly labeled?

  Yes

  No

  N/A

• Have all breakers been exercised without power for verification of function?

  Yes

  No

  N/A

• Are all doors/covers closed and dead fronts installed properly with factory screws?

  Yes

  No

  N/A

• Are all interior barriers in equipment installed properly?

  Yes

  No

  N/A

• Has equipment been cleaned, vacuumed and wiped down?

  Yes

  No

  N/A

• Are lock bars installed on each panel?

  Yes

  No

  N/A

• Are electrical loads in the equipment that are not to be energized at this time locked out and tagged out?

  Yes

  No

  N/A

• Is the "Lock Out Tag Out" form placed on equipment or in a log book to indicate which circuits are to be tested and tracked on every panel? Are the LOTO logs for this panel or equipment up to date to reflect what shall be locked out and by who?

• Are current Arc Flash Stickers present indicating appropriate hazard?

  Yes

  No

  N/A

• Are all current labels and/or panel schedules installed?

  Yes

  No

  N/A

• Is Signage “Warning Energized Electrical Equipment” put on each piece of distribution equipment and does the electrical room have a sign on the door stating that the room is restricted to “Authorized Personnel Only”?

  Yes

  No

  N/A

• Are all down stream loads, conductors terminated or capped and taped or capped and in a box even if LOTO?

  Yes

  No

  N/A

• Has a continuity check been done on all loads and feeds verified clear after all work being completed?

  Yes

  No

  N/A

• Is this a construction power install? If not select N/A for the listed questions in the Construction Power Install Section below.

Construction Power Install

• Have all splices been terminated in a j box?

  Yes

  No

  N/A

• Have all cords been hung by non conductive means?

  Yes

  No

  N/A

• Have all soft cables or cords been installed correctly and female cord caps are on the power end only?

  Yes

  No

  N/A

• Have turtles been inspected for damage and proper function?

  Yes

  No

  N/A

• Has all temp lighting been properly supported by a nonconductive means?

  Yes

  No

  N/A

• Have all lighting cables or cords been installed correctly and female cord caps are on the power end only?

  Yes

  No

  N/A

• Have all unused starter cords been removed or capped and LOTO?

  Yes

  No

  N/A

• Have all starter cords been verified that female cord caps are on the power end only?

  Yes

  No

  N/A

Branch Power & Lighting Continued

• Has all personnel reviewed the AHA and been notified of energization?

  Yes

  No

  N/A

• Have Controlled Access Zones (CAZs) been Installed and Authorized Personnel been identified?

  Yes

  No

  N/A

• Has equipment and circuits to be energized been discussed in todays morning daily huddle with all crews working in effected areas?

  Yes

  No

  N/A

• Is the equipment or circuits safe to energize?

  Yes

  No

  N/A

Signatures

• Print:

• Signature:

  Sign

• Date:

  Date

• Supervisor Signature:

  Sign

• Date:

  Date

The following prestart up checklist must be completed for every piece of equipment, area, or group of circuits prior to energization or if any installation changes have occurred. Only upon completion of the following items listed is it acceptable to energize individual branch circuits one at a time

• Is this a construction power install? If yes the Construction Power Install section above must be completed and verified by both Supervisor and Installer?

  Yes

  No

  N/A

• Are final Arc Flash Stickers present indicating appropriate hazard?

  Yes

  No

  N/A

• Is the available fault above 25KA? (If yes you must refer to Encore Circuit breaker and Switch flow chart)

  Yes

  No

  N/A

• Can breakers be operated by a remote means? (Encore Pole, Chicken Switch Etc.) If yes please do so

  Yes

  No

  N/A

• Have Controlled Access Zones (CAZs) been Installed and Authorized Personnel have been identified?

  Yes

  No

  N/A

• Are lock bars installed on each panel. Is proper LockOut TagOut installed where applicable and Authorized Personnel have been identified? Have either lockable permanent or temporary doors installed on all electric rooms that will be energized?

  Yes

  No

  N/A

• Is Signage “Warning Energized Electrical Equipment” put on each piece of distribution equipment and does the electrical room have a sign on the door stating that the room is restricted to “Authorized Personnel Only”

  Yes

  No

  N/A

• Are all labels installed on j boxes and devices per specs or Encore minimums? (All J boxes and devices shall be labeled with panel and circuit IDs)

  Yes

  No

  N/A

• Has a complete walk through of raceway and equipment to verify all make up and terminations of all systems been completed in an area? List names below who completed the walk through. No circuits will be turned on until walked by 2 of the 3 approved startup personnel

  Yes

  No

  N/A

• Walk #1

• Walk #2

• Walk #3 Optional

• Are electrical all loads in the equipment that are not to be energized at this time locked out and tagged out?

  Yes

  No

  N/A

• Is the "Lock out Tagout form placed on equipment or in a log book to indicate which circuits are to be tested and tracked on every panel. Are the LOTO logs for this panel or equipment up to date to reflect what shall be locked out and by who?

  Yes

  No

  N/A

• Is the energization permit completed and approved for the corresponding equipment or circuits?

  Yes

  No

  N/A

• Has all personal read and understands the energy control plan? Has all personnel been notified of energization?

  Yes

  No

  N/A

• If various crews, has the point of demarcation been reviewed, marked and coordinated as well as communicated to all teams and members?

  Yes

  No

  N/A

• Has equipment to be energized been discussed in todays morning daily huddle with all crews working in effected areas?

  Yes

  No

  N/A

• Has a preenergization confrence been conducted to include all responsible parties including subs and other trades?

  Yes

  No

  N/A

• Have contractors and vendors other than Encore placed there own LockOut TagOut?

  Yes

  No

  N/A

• Has a continuity check been done on all loads and feeds verified clear after all work being completed?

  Yes

  No

  N/A

• Are all down stream loads, whips or conductors terminated, capped and taped or capped and in a box regardless if it is LOTO

  Yes

  No

  N/A

• Is the equipment or circuits safe to energize?

  Yes

  No

  N/A

Signatures

• Print:

• Signature:

  Sign

• Date:

  Date

• Supervisors Signature:

  Sign

• Date:

  Date

COMMENTS / CONCERNS: