Critical Process Confirmation – Isolating Electrical Plant and Equipment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Time Begun

  Date

• Today's Date

  Date
• Location
  Address

• Site Code

• Service Code

• Subcontractor

  Yes

  No

• Subcontractor

  Off

  On

• Task Observed: Purpose: To verify electrical energy isolations risk controls are effective.

• Supervisor / Observers

COMMENT / CORRECTIVE ACTION

• Comment / Corrective Action / Responsible Person / Risk Ranking / Due Date / Date Completed

  Yes

  No

  N/A

• Photo

  Media

COMMENT / CORRECTIVE ACTION

• Comment / Corrective Action / Responsible Person / Risk Ranking / Due Date / Date Completed

  Yes

  No

  N/A

• Photo

  Media

Planning and Behaviours:

General

• 1. Is there evidence of inductions, qualifications and competency for Operators and Electrical Isolation Officers?

  Yes

  No

  N/A

• Comments

• 2. Has a risk assessment on 'live' work been completed and authority obtained, proving it the lesser risk compared to working on de-energised plant?

  Yes

  No

  N/A

• Comments

• 3. Are safe behaviours being demonstrated, i.e. not complacent/distracted/ rushing?

  Yes

  No

  N/A

• Comments

• 4. Has a HV switching program been used and is it signed and approved by the responsible electrical person?

  Yes

  No

  N/A

• Comments

Clothing and Protection:

• 5. Are personnel involved in the task wearing appropriate PPE and relevant flame retardant clothing to correct standards, e.g. anti-static, ARC 1 or 2 as required?

  Yes

  No

  N/A

• Comments

Emergency and Rescue:

• 6. Are emergency procedures, rescue plans & equipment available and maintained in accordance with scheduled tests?

  Yes

  No

  N/A

• 7. Are electrical systems designed and maintained to detect faults, eliminate overriding and provide protective settings?

  Yes

  No

  N/A

• Comments

• 8. Have personnel been trained in Low Voltage rescue and are LV rescue kits available in location?

  Yes

  No

  N/A

• Comments

• 9. Are Safety Switches (RCD's or ELCBs) in place and tested as scheduled?

  Yes

  No

  N/A

• Comments

Testing and Verification:

• 10. Testing equipment is calibrated maintained and compatible for the installation being tested?

  Yes

  No

  N/A

• Comments

• 11. Has ‘Test Before You Touch’ been completed and confirmed with Responsible Person?

  Yes

  No

  N/A

• Comments

• 12. Are energy sources and isolation points identified & labelled, including equipment feeding or receiving energy also requiring isolation?

  Yes

  No

  N/A

• Comments

Isolation and Access:

• 13. Is plant and equipment isolated to prevent unauthorised access or inadvertent operation, e.g. effective lockout/ tag out and / or isolation locks?

  Yes

  No

  N/A

• Comments

• 14. Are steps applied in sequence and communicated allowing authorised persons to remove locks/danger tag, e.g. Group Lock Outs, shift change and removing lock/tag of others if unable or incapacitated?

  Yes

  No

  N/A

• Comments

• 15. Design uses ‘whole circuit isolation’ and not a stop button on a control panel – i.e. power and control isolations?

  Yes

  No

  N/A

• Comments

• 16. Has verification been performed to ensure plant is safe to re-energise?

  Yes

  No

  N/A

• Comments

• 17. Have access and /or electrical work permits been issued as required and are all controls in place as specified?

  Yes

  No

  N/A

Supervisor Checks:

• 18. Are maintenance schedules implemented for installations & systems?

  Yes

  No

  N/A

• Comments

• 19. Has a 'responsible person' been identified, completed Permits/planning documents and available for supervision?

  Yes

  No

  N/A

• Comments