ELECTRICAL SITE SAFETY CHECKLIST

• Document No.

• SENSUS REF:

• Client / Site Ref:

• Conducted on

  Date

• Prepared by

• Location
  Address

1 . GENERAL

• 1.1 Have all electrical been identified for the project?

  Yes

  No

  N/A

• 1.2 Have risk assessments been undertaken where required.

  Yes

  No

  N/A

• 1.3 Have risk controls been implemented following the hierarchy of controls ( Elimination, Engineering, Isolation, Substitution, Administrative, PPE)

  Yes

  No

  N/A

• 1.4 Have workers been consulted on electrical hazards and risk control outcomes

  Yes

  No

  N/A

• 1.5 Have other relevant duty holders been consulted on electrical hazards and risk controls?

  Yes

  No

  N/A

• 1.6 Is there a policy in place to ensure that electrical work will only be undertaken when de-energised?

  Yes

  No

  N/A

• If No list the controls that will be in place to address electrical risks for persons working on live electrical installations:

  Select Power isolated to specific circuit/s Warning tags installed to live circuits. Lock out of electrical service cupboard. All duty holders and workers informed of isolation period. All power isolated to property while work is being undertaken.

  • Power isolated to specific circuit/s
  • Warning tags installed to live circuits.
  • Lock out of electrical service cupboard.
  • All duty holders and workers informed of isolation period.
  • All power isolated to property while work is being undertaken.

• 1.7 Is there a nominated person to ensure that all inspections are undertaken as required (visual and testing)?

  Yes

  No

  N/A

• 1.8 Is all work defined as electrical work undertaken by a qualified person (licensed electrician)?

  Yes

  No

  N/A

OVERHEAD ELECTRICAL HAZARDS (POWER LINES)

• Yes

  No

  N/A