Inglett & Stubbs GFCI Weekly Audit

• GFCI Weekly Audit

• Jobsite Name

• Select date

  Date

• Type of equipment

  Select Blue mule Spider box Quad Duplex 1600 Amp Temp

  • Blue mule
  • Spider box
  • Quad
  • Duplex
  • 1600 Amp Temp

• GFCI Identifer

Location of equipment

• Location

• Add media

  Media

Inspection

• Does GFCI function properly when tested?

  Yes

  No

  N/A

• Any issues noted

• Add media

  Media

Equipment Status

• In Service

• Not In Service

• Removed From Service

Completed by:

• Add signature

  Sign

Safety Coordinator / Reviewer:

• Add signature

  Sign