Home Safety Checklist

• Report Name:

• Client Name:

• Conducted on

  Date
• Location
  Address

• Present at inspection:

  Select Owner Tenant Owner representative Other

  • Owner
  • Tenant
  • Owner representative
  • Other

• Prepared by

• Notes:

• INSTRUCTIONS
  
  1. Answer "Pass, "Fail, " or "N/A" on the questions below.
  2. Add Photos and Notes by clicking on the paperclip icon
  3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority, and due date
  4. Complete audit by providing digital signature
  5. Share your report by exporting as PDF, Word, Excel or Web Link
  

Home Safety Check

• Does the customer authorize the service professional to perform the home safety inspection?

  Yes

  No

• Main meter panel, breakers & fuses disconnect are wired correctly & in operating condition.

  Pass

  Fail

  N/A

• Your electrical panel contains fuses or circuit breakers rated at higher currents than the ampacity and may not be wired properly. The fact that you can’t see most of your house’s wiring means that many electrical hazards are not discovered until i is too late and can lead to a fire.

• Main meter panel has correct overhead clearance.

  Pass

  Fail

  N/A

• Overhead clearance in main panel is a potential hazard.

• Point-of-access connections are encased & protected.

  Pass

  Fail

  N/A

• Additional protection needed for point-of-access connections.

• Disconnects, fuses &breakers are sized correctly.

  Pass

  Fail

  N/A

• A fuse(s) or circuit breaker(s) is needed in any electrical system (AC or DC). These protection devices react to the amount of heat being produced by electricity passing through wires and/or components. They are used to protect wires and components from the extreme heat produced should there be an electrical overload or short circuit.By having the wrong sized disconnects, fuses and breakers it may cause your electrical system to not be protected adequately which could result in a home fire.

• Electric to HVAC (heating, ventilating & air conditioning) is in operating condition.

  Pass

  Fail

  N/A

• The following conditions were noted:

  Select Fusing and/or wiring is inappropriately sized Different type fuses installed Electrical wiring and/or conduit shows damage

  • Fusing and/or wiring is inappropriately sized
  • Different type fuses installed
  • Electrical wiring and/or conduit shows damage

• Smoke detectors & carbon monoxide detectors are installed & working. If over 10 years old, recommend replacement.

  Pass

  Fail

  N/A

• Every year approximately 3000 people die each year in the U.S. in result to home fires. It is very common for people to remove the batteries when the smoke alarm sound goes off. The dangerous thing is that since the beeping is no longer annoying us, we forget to replace the batteries which can result in great loss and damage. The other deadly danger is carbon monoxide. It is the leading cause of poisonous deaths. Carbon monoxide is a colorless, odorless, tasteless, and deadly gas.

• The following conditions were noted:

  Select Install carbon monoxide detectors Install smoke detectors on each level as needed Battery at smoke detector appears to be missing or in need of replacement Smoke detectors are inappropriately located

  • Install carbon monoxide detectors
  • Install smoke detectors on each level as needed
  • Battery at smoke detector appears to be missing or in need of replacement
  • Smoke detectors are inappropriately located

• Proper surge protection to help prevent major damage to the home, garage and business electrical system, appliances and computer.

  Pass

  Fail

  N/A

• A lightning storm, a bird or animal hitting a power line or transformer, or a freak accident. Any of those incidents, and many others, can cause a power surge, which is a spike in the amount of electricity that's moving through the power lines into your home. A surge can bring with it anywhere from five to 10 times the normal amount of electricity.

• Accessible Kitchen receptacles are in operating condition.

  Pass

  Fail

  N/A

• A ground fault happens whenever electricity escapes the confines of the wiring in a kitchen appliance or light fixture and takes a shortcut to the ground. When that short cut is through a human, the results can be deadly. About 200 people in the U.S. alone die of ground faults each year, accounting for two-thirds of all electrocutions occurring in homes.

• Adequate safety and security lighting.

  Pass

  Fail

  N/A

• Adequate outdoor lighting is a benefit not only because it can make your property more aesthetically pleasing, but also because it drastically increases safety and security. At Mr. Electric we offer a wide range of outdoor lighting options that would fit your needs perfectly

• Grounding system meets code requirements.

  Pass

  Fail

  N/A

• Defects were noted in grounding system. We recommend immediate attention for safety reasons.

• AFCI (arc flash circuit interrupter) protection throughout home.

  Pass

  Fail

  N/A

• Recommend installing AFCI protection for additional safety in home.

• GFCI (ground fault current interrupter) protection throughout home.

  Pass

  Fail

  N/A

• Locations needing GFCI protection:

  Select Bathroom(s) Kitchen Garage Exterior Bar sink Pool/spa light Rydrotherapy tub Laundry sink area

  • Bathroom(s)
  • Kitchen
  • Garage
  • Exterior
  • Bar sink
  • Pool/spa light
  • Rydrotherapy tub
  • Laundry sink area

• Recommend GFCI protection in all locations near water for safety reasons

• Electrical system for outdoor pool, spa, sauna, sprinkler system, lighting and receptacles are in operating condition.

  Pass

  Fail

  N/A

• Lighting fixtures are in operating condition.

  Pass

  Fail

  N/A

• Lamp and light fixtures should be used with bulbs with wattage at or below maximum prescribed by the manufacture

• Exhaust fans are in operating condition.

  Pass

  Fail

  N/A

• An exhaust fan is a fan which is used to control the interior environment by venting out unwanted odors, particulates, smoke, moisture, and other contaminants which may be present in the air.

• Laundry area electrical system is in operating condition.

  Pass

  Fail

  N/A

• Washing = water, of course, and water and electricity don't mix well. Outlets in the laundry room should have a ground fault circuit interrupter. An ungrounded faulty appliance anywhere can be a hazard because you could become a connection to ground for escaped electricity.

• Infrared camera scan<br><br>NFPA 70B states the following:<br> <br>· 1.8°F(1°C) to 7.2°F(3°C = Possible Deficiency<br>· 7.2°F(4°C) to 28.8°F(15°C) = Deficiency, repairs needed<br>· >28.8°F(16°C) = Major Deficiency, immediate repairs needed

  Pass

  Fail

  N/A

• I understand that this Safety Check-up is performed with the intent to expose all electrical challenges but by no means carries any guarantee. Neither the company nor any representative associated with the company, nor the Service Professional performing the Safety Check-up shall be liable for any damages which may arise from the Safety Check-up but shall be sole responsibility of the property owner.

• Client/Customer Name and Signature

  Sign

• Inspected by

  Sign

• Cannot proceed with the inspection. Please document the customer's explanation in "Add notes" of the paperclip icon above.