Disconnect by fuse / lock

• Document No.

• Audit Title

• NMI#

• Conducted on

  Date

• Prepared by

• Location
  Address

• Photo of site

  Media

• Tech being audited

• Audit type

  Side by side

  Blind

• Date/time of audit

  Date

• Job type

  Fuse

  Lock

pre-job assessment

• Inspect site for possible hazards

  Yes

  No

  N/A

• Contact customer (if applicable)

  Yes

  No

  N/A

• confirm safe access to service point / meter board

  Yes

  No

  N/A

• Confirm meter serial number(s) match job sheet / palm pilot

  Yes

  No

  N/A

Job completion

• Read and record meter reading(s)

  Yes

  No

  N/A

• Put on low voltage glove(s), outer protective glove(s) & safety glasses

  Yes

  No

  N/A

• Use an approved fibreglass ladder and/or insulated mat (if required)

  Yes

  No

  N/A

• Remove service point cover seal

  Yes

  No

  N/A

• Remove service point cover

  Yes

  No

  N/A

• Remove fuse cartridge

  Yes

  No

  N/A

• Open fuse cartridge and remove service fuse

  Yes

  No

  N/A

• Close fuse cartridge and re-insert into service point

  Yes

  No

  N/A

• Replace service point cover and re-seal

  Yes

  No

  N/A

Finish and vacate site

• Tidy area including remove old seals from bottom of meter box

  Yes

  No

  N/A

• Complete "disconnection notice" and give to customer or place in letter box, under front door, in meter box

  Yes

  No

  N/A

• vacate site

  Yes

  No

  N/A

• Tech being audited

  Sign

• Auditor

  Sign