Title Page
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Site conducted
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Date & Time
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Task
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Work Area
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Prepared by
Tasman Power Contact With Electricity
Access Control
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Have you complete a "Proximitiy/Vicinity Permit" before working next to live HV equipment
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Are the Electrical cabinets panels/doors clear and accessible?
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Are controls in place to keep unauthorized people out of the work area?
Isolation & Verification of Zero Energy
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Have you followed an approved isolation procedure?
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Have you placed your personal lock onto the correct isolation point?
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Have you tested for the absence of voltage in order to verify the electrical isolation? E.g using a multimeter or approved device?
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Have I confirmed there is no risk of inadvertent contact with exposed live parts within my work area?
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For Un isolated work (including testing and fault finding), are you following an approved procedure?
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Have all energy sources been identified, isolated and checked for zero energy?
Electrical PPE
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Are you wearing the correct Arc Flash rated PPE to work in this location e.g. CAT 0, 1, 2 or 4?
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Is your electrical PPE in good condition and safe for use? e.g. free from damage and contaminants (such as water, grease and oil)
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If using voltage rated gloves, are they within their test date?
Electrical Protection
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Are you using the most recent single line and electrical drawings?<br>
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Have you verified the portable earthing equipment in use is properly connected and tested?
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When using plug in electrical equipment, are all socket outlets protected by appropriate earth leakage protection e.g. Residual Current Devices (RCDs)?<br>
Non-Conductive Tools and Equipment
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Are the tools and equipment being used adequate for the task? i.e. appropriate voltage rating, free from defects, unmodified.
