Title Page

  • Location / Site

  • Prepared by

  • Conducted on

Electrical Works

  • Works being conducted:

  • Leads elevated above ground level on Non conductive support/material

  • Lead stands covered in non conductive material

  • Leads not obstructing access and egress ways.

  • Are lead plugs in good condition.

  • Leads not secured or tied off directly to scaffolding or handrails.

  • Are all connection and plugs clean and fitting correctly.

  • Are handles and guards fitted and in good condition. ie grinders / drills.

  • Are the correct disks for the job being used. ie grinding disk for grinding & cutting disk for cutting.

  • Current quarterly inspection tags fitted to all Electrical equipment..

  • Are electrical hand tools and machines stored correctly when not in use.

  • Temporary power boxes located clear of hazards and obstructions.

  • Are switchboards correctly labelled

  • Are RCD’s tested and operational

  • Further Findings:

Sign

  • Name:

  • Select date

  • Signature:

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