Title Page

  • Audit Title

  • Client

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Main service wire conductor as correct overhead clearance

  • Utility's responsibility

  • Customers responsibility

  • Overhead clearance in main panel is a potential hazard.

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Copper wire is only wiring conductor in home

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Whole house surge protection is present on electrical system

  • 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

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All wiring at distribution system is correct

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Point of access connections are encased and protected

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Breakers are sized correctly

  • 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. In

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Grounding and Bonding is up to National Electric Code

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • AFCI protection

  • How many circuit need AFCI protection

  • Over 70% of house fires are caused by loose connections. Loose connections cause small arcs of electricity. A AFCI device detects this really small jumps of electricity and shuts off before a major issue arises.

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • GFCI protection

  • Where is GFCI protection needed

  • 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. GFCI protection reduces this risk.

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Adequate security lights outside

  • 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

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All outdoor wiring to spall, pool and sprinkler systems are to code

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All accessible outlets have correct polarity

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All accessible outlets are grounded

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All outlets are tamper-resistant

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Water heater, air conditioner, and furnace can be safely disconnected during an emergency

  • All major appliances and electrical systems must have disconnecting mean in sight of equipment in cases of emergencies.

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All smoke & Co2 alarms are 10years or newer

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • All smoke & Co2 alarms Sound & are interconnected?

  • 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.

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Proper placement of smoke and carbon monoxide detectors

  • The Proper location for alarms are in every bedroom, outside of every living area or in common areas.

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Attic wiring is visibly correct

  • What issues are present?

  • RISK level, Higher the number = Higher the risk

  • Immediate attention needed!

  • Is there anything else that needs to be noted?

  • Customer 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.