Electrical Safety Checklist - duplicate

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

A. Electrical Safety-Related Work Practices Program

• 1. Training complete and documented

  Yes

  No

  N/A

• 2. Lockout/Tagout program includes electrical safety-related work practices

  Yes

  No

  N/A

B. Selection and Use of Work Practices

• 1. Minimum safe work distances established when work involves energized parts

  Yes

  No

  N/A

• 2. Illumination provided in all spaces containing exposed electrical conductors

  Yes

  No

  N/A

• 3. Measures taken to avoid inadvertent contact with energized parts in enclosed or confined spaces

  Yes

  No

  N/A

• 4. Measures taken to avoid inadvertent contact of conductive materials or equipment with energized parts during handling

  Yes

  No

  N/A

• 5. Portable ladders have nonconductive siderails

  Yes

  No

  N/A

• 6. Conductive apparel not worn unless rendered nonconductive

  Yes

  No

  N/A

• 7. Measures taken to avoid inadvertent contact with energized parts during housekeeping duties

  Yes

  No

  N/A

• 8. Electrical safety interlocks defeated only by a qualified person following specific procedures

  Yes

  No

  N/A

C. Use of Equipment

• 1. Procedures for handling portable equipment implemented

  Yes

  No

  N/A

• 2. Procedures for working with extension cords implemented

  Yes

  No

  N/A

• 3. Only qualified persons allowed to perform test work

  Yes

  No

  N/A

• 4. Measures taken to prevent hazards from the occasional use of flammable materials near electrical equipment

  Yes

  No

  N/A

D. Safeguards for Personnel Protection

• 1. Personal Protective Equipment appropriate for the electrical hazard provided and used

  Yes

  No

  N/A

• 2. Insulated tools and handling equipment used for work performed near exposed energized circuits

  Yes

  No

  N/A

• 3. Protective shields, barriers, or insulating materials used near exposed electrical circuits or where dangerous electric heating or arcing may occur

  Yes

  No

  N/A

• 4. Appropriate alerting techniques used to warn and protect workers

  Yes

  No

  N/A

• Summary of Findings

• Please sign upon audit completion

  Sign