Electrical

• Conducted on

  Date

• Prepared by

• Location
  Address

Reviewed Department

• Which department are you reviewing?

  Select Frame Floor Wall Top Electrical Exterior Front Door Moulding Final Finish Shipping/Receiving Cabinet

  • Frame
  • Floor
  • Wall
  • Top
  • Electrical
  • Exterior
  • Front Door
  • Moulding
  • Final Finish
  • Shipping/Receiving
  • Cabinet

Electrical

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

  Safe

  At Risk

  N/A

• Are panel box breakers labeled clearly?

  Safe

  At Risk

  N/A

• Are any electrical panels or disconnect switches blocked?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Do any extension cords have damage?

  Safe

  At Risk

  N/A

• Are extension cords stored properly when not in use?

  Safe

  At Risk

  N/A

• Is there any loose or broken electrical conduit?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Signature

• Supervisor's Signature

  Sign