Information

  • Location

  • Conducted on

  • Auditor(s)

  • Are lockout/tagout procedures required when electrical equipment is being serviced?

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

  • Are electrical appliances-such as refrigerators, coffee pots, vacuum cleaners, polishers and vending machines-grounded?

  • Do extension cords have a ground prong?

  • Are ground-fault circuit interrupters, which are not a part of the permanent wiring of the building, installed on 125-volt, single phase, 15-, 20- and 30 ampere receptacles?

  • Do you repair or replace damaged wiring or frayed cords promptly?

  • Do flexible cords or cables have strain relief at plug ends and is the cord jacket securely held in place?

  • If you work in damp or wet areas, are your electrical tools and equipment approved for that kind of work?

  • Are metal ladders prohibited from use in areas where there could be exposure to energized parts of equipment, fixtures, or circuit conductor?

  • Are all disconnecting switches labeled to indicate their use or the equipment they serve?

  • Are energized parts of electrical equipment operating at 50 volts or more enclosed in approved cabinets?

  • Is there sufficient access and working space around all electrical equipment?

  • Are all unused openings in breaker bides appropriately plugged or covered?

  • Is the use of each circuit breaker properly labeled?

  • Do switches, receptacles and junction boxes have tight fitting covers or face plates?

  • Are employees forbidden from working within 10 feet of high voltage (over 600 volts) lines?

  • Other Comments or Issue that require follow-up:

  • Sign

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.