Title Page

  • Conducted on

  • Prepared by

  • Location
  • ELECTRICAL ENCLOSURES/JUNCTION POWER: Boxes and handles damage free? If damaged shut off power and LOTO

  • EXTENSION CORDS: Cords should be free from damage, cuts, fraying, burned jackets, exposed wire, etc. All ground pins should be intact.

  • TURNBUCK ELECTRICAL CORDS: Cords should be free from damage, cuts, fraying, burned jackets, exposed wire, etc. Housing covers on motor/gears? No foreign materials stored in housing units. No damage to foot control cords.

  • WELDING UNIT CORDS: Cords should be free from damage, cuts, fraying, burned jackets, exposed wire, etc.

  • COMPUTER TERMINAL CORDS: Cords should be free from damage, cuts, fraying, burned jackets, exposed wire, etc. Make sure there is no daisy-chaining occurring!

  • MULTIPLE PLUG ADAPTORS: Cords should be free from damage, cuts, fraying, burned jackets, exposed wire, etc.

  • WET/DAMP LOCATIONS: Electrical tools and equipment appropriate for the use of location?

  • DISCONNECT SWITCHES AND CIRCUIT BREAKERS: Are they labeled to indicate their use or equipment served? Located within sight of the motor control device?

  • GUARDING: Are energized parts of electrical circuits and equipment guarded against accidental contact by approved cabinets or enclosures?

  • Notes:

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