Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Is access to electrical panels clear and uninstructed?

  • Add media

  • Are all electrical switches and circuit breakers identified? If not list the locations of those that are not.

  • Add media

  • Are all electrical receptacles and cover plates in good condition?

  • Add media

  • Are electrical cords and plugs in good condition? Check for damaged insulation, cut cords, splices and tape wrapped around the cords.,surge protectors,splices,and tape wrapped around cord-none which should be present.

  • Add media

  • Are only fused power strip extension cords,surge protectors,used (all 3 pins on the plugs)?

  • Add media

  • Does all electrical equipment in the area appear to be in good condition?

  • Add media

  • Select date

  • Add 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. You should independently determine whether the template is suitable for your circumstances.