Title Page

  • Conducted on

  • Prepared by

  • RAMS available to view<br>

  • RAMS Being worked too

  • RAMS suitable and sufficient for job<br>

  • Are hazardous energy sources present and being controlled

  • Is appropriate LOTO equipment being used

  • Do all persons working on equipment with hazardous energy sources applied a personal lock

  • Is a work permit being used, filled out appropriately and signed by the team leader

  • Is the work permit being adhered too

  • Is PPE identified in RAMS being worn to control risk at appropriate times

  • Is hard hat in good condition

  • Face shield in good condition

  • Safety glasses in good condition

  • Balaclava in good condition

  • Hearing protection in good condition

  • And flash uniform worn and in good condition

  • Electricians gauntlets in good condition and been issued within the last 6 months

  • Leather over gloves in good condition

  • Safety footwear in good condition

  • Hand tools free of defects and damage and in good condition

  • Insulated tools free of defects and damage and in good condition

  • Persons working on electrical equipment are competent and authorised to do so

  • Safety standby person appointed and in attendance when live working is performed

  • Electrical equipment and tools in good condition

  • Appropriate barriers and signage used

  • Work area clean, tidy and free of trip hazards

  • Ladders used are in good condition

  • Step ladders opened fully and locked when in use

  • Fall prevention equipment used when working above 1.8 metres or where a fall of over 1.8 metres can occur

  • Digital Volt Meter in calibration

  • Current Clamp in calibration

  • Voltage tester and proving unit in calibration

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.