Encore Electric Executive Audit - Electrical Hazards

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Electrical Hazards

• Has the company's assured grounding program been implemented?

  Yes

  No

  N/A

• Add media

  Media

• Are weekly GFCI test being conducted?

  Yes

  No

  N/A

• Add media

  Media

• Are electrical danger signs on all electrical rooms and any where an electrical hazard exist

  Yes

  No

  N/A

• Add media

  Media

• Is there lockout/tagout equipment available on site?

  Yes

  No

  N/A

• Add media

  Media

• Are temporary lights on a dedicated circuit?

  Yes

  No

  N/A

• Add media

  Media

• Are temporary lights properly supported?

  Yes

  No

  N/A

• Add media

  Media

• Are all cord connected tools on GFCI Protection?

  Yes

  No

  N/A

• Add media

  Media

• Are all tools and equipment grounded?

  Yes

  No

  N/A

• Add media

  Media

Signatures

• Person performing the audit

  Sign

• Add signature

  Sign