Reviewed Department

  • Which department are you reviewing?


  • All equipment is shut-down and unplugged at end of day?

  • Are panel box breakers labeled clearly?

  • Are any electrical panels or disconnect switches blocked?

  • All electrical appliances are rated for industrial use (fans, cords, power strips, ...)?

  • Are flexible cords running over sprinkler piping, under doors, through walls, through ceilings, or through windows?

  • All opening in electrical panels and boxes closed (knock outs, breaker openings, ...)?

  • Do any extension cords have damage?

  • Are extension cords stored properly when not in use?

  • Is there any loose or broken electrical conduit?

  • Are lockouts used on light switches while home is energized?


  • Supervisor's Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.