Electrical Cords / Electrical Shock Abatement Audit

• Prepared by

• Conducted on

  Date

• Location

  Select Teel Plastics - DAS Teel Plastics - Industrial Court Tel Plastics - LSP Teel Plastics - Home

  • Teel Plastics - DAS
  • Teel Plastics - Industrial Court
  • Tel Plastics - LSP
  • Teel Plastics - Home

• Attendees

Instructions

• Progress through the following sections, answering each question. When an item is non-compliant, be sure to add notes and photos as evidence.

Electrical Cords

• Are there cords across walkways, aisles, or through doorways

  Yes

  No

  N/A

• Are electrical cords installed in a way that will protect them from damage

  Yes

  No

  N/A

• Are extension cords or power strips used in permanent installations (>30 days)

  Yes

  No

  N/A

• Do all electrical cords have continuous, undamaged insulation

  Yes

  No

  N/A

• Do all extension cords and receptacle multipliers have a ground conductor

  Yes

  No

  N/A

• Are extension cords of the proper length and gauge to handle the current

  Yes

  No

  N/A

Employee Interaction

• Approach an employee and ask them what they would do if they see a cord in a walkway. Record their answer.

Facility Electrical

• Are electrical panels marked and labeled to keep clear for 36 or 42 inches along with lines on the floor

  Yes

  No

  N/A

• Is access to electrical panels blocked by materials or tools

  Yes

  No

  N/A

• Are there open or exposed electrical boxes or connections

  Yes

  No

  N/A

• Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment served?

  Yes

  No

  N/A

Equipment electrical

• Are all energized parts of equipment guarded against accidental contact by approved cabinets or enclosures?

  Yes

  No

  N/A

• Is equipment labeled with the correct voltage and electrical hazard

  Yes

  No

  N/A

• Are power disconnection means in good shape

  Yes

  No

  N/A

Overall Electrical Safety

• What is the overall condition of the workplace?

  Exceptional

  Exceeds Standards

  Meets Standards

  Needs Improvement

  Needs Significant Improvement

• Enter 3 pictures of "Areas of Improvements" at the facility

  Media

• Enter 3 pictures of "Best Practice" at the facility

  Media

• Is the workplace compliant with the Teel Safety Standard?

  Compliant

  Non-Compliant

Sign Off

• I declare that the audit above was conducted and completed accurately.

• Full name and signature of auditor

  Sign