Title Page

  • Job

  • Location
  • Conducted on

  • Prepared by

Hazard

  • UNTRAINED/INEXPERIENCED/UNAUTHORISED PERSONNEL

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • ELECTRICAL Hv/Lv

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • WORKING AT HEIGHTS

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • PUBLIC ACCESS

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • LOCATION OF SERVICES

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • HAZARDOUS SUBSTANCES

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • CONFINED SPACES

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • VEHICLE / PLANT MOVEMENT

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • MANUAL HANDLING

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • SLIPS / TRIPS / FALLS

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • ENVIRONMENTAL (Rain, Uv, Wind)

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • FIRE

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • WORKSITE CLEANLINESS

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • NATURAL HAZARDS (Snakes, insects)

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • NOISE / VIBRATION

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

  • BIOLOGICAL (Raw sewerage, stagnant water)

  • Electrical
  • Risk Score

  • Control Measures

  • After Score

Staff

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and signature

  • Name and 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.