HV LIVE Work Audit Report

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Personel.

• Team members

Team Member

• Name

• Service Number

• Tap to enter information

  Select Observer Working aloft Ground attendant Plant Operator

  • Observer
  • Working aloft
  • Ground attendant
  • Plant Operator

• PPE ?

  Select Safety Helmet Safety footwear Safety Glasses

  • Safety Helmet
  • Safety footwear
  • Safety Glasses

Documentation

• WHRA Completed ?

  Yes

  No

  N/A

• Hv live work permit completed ?

  Yes

  No

  N/A

• HV LIVE Work Manual on site. ?

  Yes

  No

  N/A

• Hv live work supplementary manual on site ?

  Yes

  No

  N/A

• Add photos

  Media

Insulation

• Insulation correct class for voltage being worked upon ?

  Yes

  No

  N/A

• Insulation in good order and within test date

  Yes

  No

  N/A

• Retest due on ?

  Date

Stick insulation

• Sticks in good order and within test date ?

  Yes

  No

  N/A

• Clearance marker of a contrasting color and set to correct distance for voltage being worked upon ?

  Yes

  No

  N/A

• Retest due on?

  Date

• Add photos

  Media