Electrical Safety Audit

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Physically inspect all appropriate items and check for the following:

• Are exposed wiring and cords with frayed or deteriorated insulation repaired or replaced promptly?

  Yes

  No

  N/A

• Are the temp lights in hood condition?

  Yes

  No

  N/A

• Are extension cords, cables, and power tool cords free of damage?

  Yes

  No

  N/A

• Are portable electrical tools and equipment grounded or double insulated?

  Yes

  No

  N/A

• Do extension cords have a grounding conductor prong?

  Yes

  No

  N/A

• Are Ground Fault Circuit Interrupters (GFCI's) being used properly

  Yes

  No

  N/A

• Are tools and similar equipment provided with appropriate safety guards?

  Yes

  No

  N/A

• Emergency shut-offs / switches properly marked and working?

  Yes

  No

  N/A

• Have all power tools been inspected for damage?

  Yes

  No

  N/A

• In wet or damp locations, are electrical tools and equipment appropriate for the use or otherwise protected?

  Yes

  No

  N/A

• Are all live panels labeled, locked and contact information posted?

  Yes

  No

  N/A

• Are all live parts covered or protected? Example, outlets, switches, panels.

  Yes

  No

  N/A

• Are workers wearing the proper PPE for the task being performed?

  Yes

  No

  N/A

Trenching

• Are employees engaged in trenching activities?

  Yes

  No

  N/A

• Is the trench over 5ft deep?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Are employees entering/working in the trench?

  Yes

  No

  N/A

• If working in the trench, are they properly protected against cave-in?

  Yes

  No

  N/A

• Is adequate access/egress provided?

  Yes

  No

  N/A