Electrician's WIP and PC

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Assessment Type

• Assessment Reason

  Select Support and Monitor High Risk Assessment Normal Complaint inc HSE ERA Interim Assessment

  • Support and Monitor
  • High Risk Assessment
  • Normal
  • Complaint inc HSE
  • ERA
  • Interim Assessment

• Assessment Type

  WIP

  PC

• Business Stream

  Electrical

  CHI

  HBC

  SDC

• Product Type

  CHI

  Voids

Personal Safety/Tools and Equipment

• 1) Engineer readiness to carry out work

  Pass

  PwC

  Fail

  N/A

  UPK

• 2) Risk Assessment

  Pass

  PwC

  Fail

  N/A

  UPK

• 3) Complete Set of PPE available and in use

  Pass

  PwC

  Fail

  N/A

  UPK

• 4) Mandatory equipment check;<br>a) Personal RCD

  Pass

  PwC

  Fail

  N/A

  UPK

• b) Insulation Mat Checked

  Pass

  PwC

  Fail

  N/A

  UPK

• c) Lock off device, pad lock & warning labels

  Pass

  PwC

  Fail

  N/A

  UPK

• 5) Equipment/instruments tested, in date and labelled

  Pass

  PwC

  Fail

  N/A

  UPK

Electrical Tests/Checks (as per Operational Procedure)

• 6) Operative verifies test equipment operates

  Pass

  Fail

  N/A

  UPK

• 7) Volt stick check on appliance/equipment operates

  Pass

  Fail

  N/A

  UPK

• 8) Earth loop impedance carried out

  Pass

  Fail

  N/A

  UPK

• 9) Polarity test carried out

  Pass

  Fail

  N/A

  UPK

• 10) Precautions taken during live testing

  Pass

  Fail

  N/A

  UPK

• 11) Uses personal RCD

  Pass

  Fail

  N/A

  UPK

• 12) Isolates supply correctly

  Pass

  Fail

  N/A

  UPK

• 13) Warning Labels and Notices used

  Pass

  Fail

  N/A

  UPK

• 14) Operative identifies NICS and explains findings to customer

  Pass

  Fail

  N/A

  UPK

• 15) All wiring correctly installed

  Pass

  Fail

  N/A

  UPK

• 16) Earth continuity test carried out

  Pass

  Fail

  N/A

  UPK

• 17) Insulation resistance to earth test carried out

  Pass

  Fail

  N/A

  UPK

• 18) Fuse rating and type checked

  Pass

  Fail

  N/A

  UPK

• 19) 2nd Earth loop impedance test carried out

  Pass

  Fail

  N/A

  UPK

• 20) RCD test carried out where fitted

  Pass

  Fail

  N/A

  UPK

• 21) ESD TOPs verified by assessor

  Pass

  Fail

  N/A

  UPK

Measured Reading

• ELI Readings ()

• RCD Trip Time (Rated Current - Ms)

Maintenance Inspection/HEC

• 22) Main Earth visually inspected

  Pass

  Fail

  N/A

  UPK

• 23) Protective equipotential bonding installed/verified to: <br>a) Gas services

  Pass

  Fail

  N/A

  UPK

• b) Water Services

  Pass

  Fail

  N/A

  UPK

• c) Other Services

  Pass

  Fail

  N/A

  UPK

• 24) Work in a room containing a bath or shower: <br>a) Where circuits exists without RCD protection, supplementary bonding verified

  Pass

  Fail

  N/A

  UPK

• b) Where the circuits are intended to be protected via a RCD , RCD installed and verified

  Pass

  Fail

  N/A

  UPK

• 25) Customer check list available and completed correctly

  Pass

  Fail

  N/A

  UPK

• 26) Appropriate labels fitted

  Pass

  Fail

  N/A

  UPK

• 27) Functional test/checks carried out

  Yes

  No

  N/A

• 28) Microwave oven testing carried out as necessary

  Pass

  Fail

  N/A

  UPK

• 29) Replaces all covers, guards, accessories and floorboards etc

  Pass

  Fail

  N/A

  UPK

• 30) Job record/Electrical Safety Test Results/Field terminal updated with all actions

  Pass

  Fail

  N/A

  UPK

• 31) Faulty parts segregated and labelled for return

  Pass

  Fail

  N/A

  UPK

• 32) Waste removed and correctly disposed

  Pass

  Fail

  N/A

  UPK

Unsafe Situations

• 33) Where unsafe situations exist appropriate action taken <br>A) immediate task

  Pass

  Fail

  N/A

  UPK

• b) Potential Risk

  Pass

  Fail

  N/A

  UPK

• c) Safe Working

  Yes

  No

  N/A

Overall Attitude towards safe working

• Please follow the advice given in the guidance note to gauge the operatives overall attitude to safe working. Record which score is appropriate by entering the number (Between 1 and 5) in the Overall attitude towards safe working box below.

• Overall attitude towards Safe Working Score

  1

  2

  3

  4

  5

Assessment Questions

• What went well with the assessment

• Details of elemental failures (s) (refer to question number)

• Details of coaching given (refer to question number)

• Agreed improvement action (by who and when)

Details of Equipment

• Type of instrument

• Available. Y/N

  Yes

  No

• Make and Model

• Serial Number

• Instrument test date due

  Date

• Faulty? Y/N

  Yes

  No

• Do the Electrician has more equipment

  Yes

  No

• Type of instrument

• Available. Y/N

  Yes

  No

• Make and Model

• Serial Number

• Serial Number

• Instrument test date due

  Date

• Do the Electrician has more equipment

  Yes

  No

• Type of instrument

• Available. Y/N

  Yes

  No

• Make and Model

• Serial Number

• Serial Number

• Instrument test date due

  Date

• Do the Electrician has more equipment

  Yes

  No

• Type of instrument

• Available. Y/N

  Yes

  No

• Make and Model

• Serial Number

• Serial Number

• Instrument test date due

  Date

• Do the Electrician has more equipment

  Yes

  No

• Type of instrument

• Available. Y/N

  Yes

  No

• Make and Model

• Serial Number

• Serial Number

• Instrument test date due

  Date

• Do the Electrician has more equipment

  Yes

  No

• Type of instrument

• Available. Y/N

  Yes

  No

• Make and Model

• Serial Number

• Serial Number

• Instrument test date due

  Date

Operative Feedback

• Comments

• Attention for Manager's Action

  Yes

  No

Compliance

• Pat Tested

  Yes

  Some

  No

• Help Link ID card

  Yes

  No

• Correct Uniform

  Yes

  No

• Wet Speciation for Central Heating Systems (including Risk Assessments, Method Statements, COSHH Assessments and Waste Carriers Licence

  Yes

  No

Finish

• Assessors Signature

  Sign

• I, the engineer below hereby accept the following findings and have made the inspecting supervisor aware of any issues and or concerns.

• Engineers Signature

  Sign

• Date

  Date