Title Page

  • Document No.

  • Company representative:

  • Client / Site Representative:

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  • Prepared by

  • Location

General

GENERAL

  • Have all electrical been identified for the project?

  • Have risk assessments been undertaken where required?

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

  • Have workers been consulted and/or trained on electrical hazards and risk control outcomes?

  • Have other relevant duty holders been consulted and/or trained on electrical hazards and risk controls?

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

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

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

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

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