Title Page
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Client / Site
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Location
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Conducted on
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Competent Person
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Nature of Work
General Electrical Safety
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Are power sources assumed to be energized unless certain that they are safe?
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Are equipment used only for its designed purpose?
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Are making extension cords with ROMEX® wire avoided?
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Are equipment intended for indoor usage being utilized outside?
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Are ungrounded, two-prong adapter plugs avoided from attaching into three-prong cords or tools?
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Are circuit breakers or fuses with the wrong rating (example: using a 30-amp breaker in a system with a 15- or 20- amp outlet) avoided?
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Is there an emergency response plan for electrical injuries?
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Is the emergency response plan practiced for electrical injuries?
Power Tool Safety
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Is carrying power tools by their cords avoided?
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Is yanking cords to disconnect them from outlets avoided?
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Are cords kept away from heat, oil and sharp edges?
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Are cords kept away from cutting surfaces of power saws or drills?
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Are tool disconnected when not in use?
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Are tools disconnect before servicing or when changing blades or bits?
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Is holding your finger on the “ON” switch avoided when carrying a plugged-in tool?
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Are gloves and safety footwear worn when using electrical tools?
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REFERENCE: Working on electricity wearing insulated gloves
[This is an example of how you can use iAuditor to include best practice reference images in your templates to assist with inspections] -
Are tools in damp or wet locations not used unless tools are specifically approved for such use?
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Are tools in a well-lit area being used?
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Are damaged tools tagged with “Do Not Use”?
Extension and Flexible Cord Safety
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Are factory assembled cord sets being used?
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Are extension cords that are three-wire type being used?
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Are extension cords marked with a designation code for hard or extra-hard usage being utilized?
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Are yanking cords to disconnect them from outlets being avoided?
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Is there a system for auditing cords to ensure they are the proper kind?
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Is straining flexible cords avoided?
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Is dragging flexible cords along the window and other sharp edges avoided?
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Is dragging flexible cords through staples and other sharp objects avoided?
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Is removing ground plugs avoided?
Ground Fault Protection
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Are all power supply systems grounded?
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Are all electrical circuits grounded?
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Are all electrical equipment grounded?
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Are ground-fault circuit interrupters (GFCIs) on all 120-volt, single-phase, 15- and 20-ampere receptacles being used?
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Are manufacturers’ testing procedures followed to ensure GFCI is working properly?
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Is double-insulated equipment being used?
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Are tools being used according to their instructions?
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Are tools with frayed cords avoided?
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Are tools with missing ground prongs avoided?
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Are tools with cracked tool casings avoided?
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Are all exposed metal parts of equipment grounded?
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Are all of your electrical systems grounded?
Working Around Power Lines
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Are overhead power lines looked upon before entering a worksite?
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Are utilities for buried power line locations being contacted?
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Are power lines de-energized, guarded or insulated?
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Are warning signs posted when power lines can’t be de-energized?
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If power lines are not de-energized, is there enough clearance?
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Are safe routes identified where cranes and other equipment travel?
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Are cranes operated at slower-than-normal speeds when near power lines?
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Is there a designated signal person to indicate when clearance is safe?
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Is touching or handling the crane or its load avoided unless a signal person says it is safe to do so?
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Are boom guards being used?
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Are insulating links being used?
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When handling equipment or materials with a crane boom, does an equipment which has an electrical ground connected directly to the upper structure of the boom being used?
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Are metal frames and tracks of electrically operated cranes grounded?
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Are frames of non-electrically driven elevator cars to which electric conductors are attached grounded?
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Are hand-operated metal shifting ropes or cables of electric elevators grounded?
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Are ladders made of non-conductive wood or fiberglass?
COMPLETION
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Overall Hazard Rating
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Recommendations
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Full Name and Signature of the Inspector