MTI Electrical Power & Tools Safety Checklist

• Electrical cord and Power tool inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

A. General Requirements for Hand Tools

• 1. Are hand tools in good condition with no damage?

  Yes

  No

  N/A

• 2. Tools are used according to the proper function and purpose?

  Yes

  No

  N/A

• 3. Tools are examined for damage before use?

  Yes

  No

  N/A

• 4. Damaged or unsafe tools are taken out of service?

  Yes

  No

  N/A

B. Electric Powered Tools

• 1. Tools have a three-wire cord with a ground or double insulated?

  Yes

  No

  N/A

• 2. Cords are in good condition without frays or deterioration?

  Yes

  No

  N/A

• 3. Power tools inspected prior to use?

  Yes

  No

  N/A

• 4. Damaged or unsafe tools are taken out of service?

  Yes

  No

  N/A

• 5. Correct tool used for the job?

  Yes

  No

  N/A

D. Electrical Cords

• 1. Cords have no visible damage, sheathing is not cut, no exposed wire or frayed

  Yes

  No

  N/A

• 2. Plug end prongs are not missing, bent or broken

  Yes

  No

  N/A

• 3. Plug ends are not separated from cord sheathing or insulation

  Yes

  No

  N/A

• 4. Cords do not have breaks, kinks or twists that may expose wires

  Yes

  No

  N/A

• 5. Damaged or unsafe cords are taken out of service

  Yes

  No

  N/A

• Inspectors Signature

  Sign