Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Safety Inspection Report

  • When did you notice the problem?

  • What were you doing when it happened?

  • When was the last time you had electrical work done in the home?

  • When would you like to take care of this?

  • Is there anything else you would like me to look at today?

Main Electrical Service

  • Is there a main disconnect?

  • Condition of overhead service

  • Is meter socket in good condition?

  • Are there double taps on main wires?

  • Age/ Equipment type & brand/ amp rating

Panel(s)

  • Age/ Equipment type & brand/ amp rating

  • Is the panel protected by a main breaker?

  • Are AFCI & GFCI working correctly?

  • Is the panel of modern manufacture?

  • Are there signs of corrosion?

  • Are all breakers UL listed for panel?

  • Are all breakers sized correctly for wire?

  • Are there any double tapped wires?

  • Is the panel properly bonded for safety?

  • Proper connectors on wire at panel?

  • Are all KOs sealed?

  • One wire connected to each breaker/fuse?

  • Are grounds and neutrals separated?

  • Signs of burning/discoloration on breakers or busbar?

  • Are any breakers running at a temperature 30° higher than ambient?

Grounding System

  • Is there a ground rod present?

  • Is there a water pipe ground?

  • Is there a gas pipe ground?

Smoke and Co Detectors

  • Are smoke detectors 10+ years old?

  • Are all smoke detectors operational?

  • Are CO detectors 7+ years old?

  • Are all smoke detectors hard-wired?

General Wiring Condition

  • Are all outlets grounded 3-wire type?

  • Is house wired in aluminum wire?

  • Are devices is backstabbed?

  • Are all switches properly grounded?

  • Are bathroom outlets GFCI protected?

  • Are all GFCI devices working properly?

  • Are kitchen outlets GFCI protected?

Surge Protection

  • Is there a main surge suppression device?

  • Are AC units protected by surge suppression?

Outside Wiring

  • Are the outside outlets GFCI protected?

  • Do outside outlets have an in-use cover?

  • Are there security lights?

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.