Title Page
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Site conducted
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Conducted on
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Prepared by
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1.0 Training Program (Safety / Training Department)
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Does the site have an electrical awareness training for all new hires?
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Does the site have an authorized user training for employees who will be working on electrical equipment?
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Does the site have a separate training for employees who will work in the switch yard?
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Are electricians or other employees who regularly work on or around energized electrical equipment or lines instructed in CPR?
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Are employees trained how to visually test ARC rated PPE?
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Does the site have a training that identifies the hazards within potlines?
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Does the site have retraining requirements for all employees?
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Does the site have an electrical safety program?
2.0 Electrical Safety Program
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Are all employees required to report as soon as practicable any obvious hazard to life or property observed in connection with electrical equipment or lines?
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Are multiple plug adaptors prohibited in the program and rules?
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There is a rule that extension cords are not permitted in potlines?
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Is the location of electrical power lines and cables determined before digging, drilling or similar work is performed?
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Are tape measures of the metal type prohibited from Potlines.
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Is the use of metal ladders prohibited where a person could come into contact with parts of electrical equipment? (power lines, MCC rooms, Potlines)
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Are employees prohibited from working alone on energized lines or equipment excess of 600 volts?
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Are ARC rated gloves tested prior to first use and every six months there after?
3.0 Equipment Specifications / Safety Devices (Visual Inspection)
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Are portable electrician tools and equipment grounded or of the double insulated type?
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Are electrical appliances such as vacuum cleaners, polishers and vending machines grounded?
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Do extension cords being used have a grounding conductor?
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Are multiple plug adaptors not used?
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Does the site have electrical installations in hazardous dust or vapor areas? If so to they meet the NEC for hazardous locations? (If not to the first question simply mark N/A
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Are exposed wiring and cords with frayed or deteriorations insulation repaired or replaced promptly?
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Are flexible cords and cables free of slices or taps?
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In wet locationsare elctrical tools and equipment appropriate for the use or location or otherwise protected?
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Are only non-conductive measureing tapes, ropes, handlines or similar devices used for electrical purposes?
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Are all disconnecting switches and circuit breakers labeled to indicate their use or equipment being served?
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Are energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?
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Are electrical working areas and MCC rooms free from clutter, which provide access to equipment for safe operations and maintenance?
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Are electrical enclosures including receptacles and junction boxes, etc covered with covers of plates to prevent accidental exposure?
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Is the motor disconnecting switch or circuit breaker within site of the Motor Control Device?
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Do MCC room cabinets and disconnects have ARC flash warning label for designating limited and restricted approach?
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Is the cord jacket securely held in place on tools and appliances?
4.0 Employee behaviors (Observation and Visual Inspection)
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Are all employees required to report as soon as practicable any obvious hazard to life or property observed in connection with electrical equipment or lines?
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When electrical equipment or lines are to be services, maintained or adjusted, are necessary switches opened, locked out, or tagged out whenever possible?
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Employees are not using cords with frayes or deterioration?
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Are disconnecting means always opened before fuses are replaced?
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Does employee wear proper PPE when working on or around open cabinets?
5.0 Documentation and Retention (Safety/Medical)
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Does the site maintain documentation of awareness trainings?
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Does the site maintain documentation of all authorized employee electrical training?
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Does the site maintain documentation of ARC rated PPE being inspected?
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Does the site maintain a log of all ARC rated PPE on plant site and the expiration date of it?