Ventia Safety HV Completion Form

• The version control will be maintained by the SHEQ team and is controlled via the Safety Equipment Inspections Document 2073838157-15.

• Document No.

• Work Order Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

The version control will be maintained by the SHEQ team and is controlled via the Safety Equipment Inspections Document 2073838157-15.

SWMS

• Is SWMS completed

  Yes

  No

  N/A

• Is the HV switching suit available and serviceable

  Yes

  No

  N/A

• Do you have authorised HV switching instructions

  Yes

  No

  N/A

• Do you have approved Emergency HV switching instructions

  Yes

  No

  N/A

Photos

• HV switching instructions

  Yes

  No

  N/A

• HV switching suit available

  Yes

  No

  N/A

• Site safe and secure

  Yes

  No

  N/A

POSITIVE OBSERVATIONS

• Note Positive Observations :

  Yes

  No

  N/A

AT RISK OBSERVATIONS

• Note Observations to be rectified by WHEN and WHO ! "Help desk and Direct Manager"

  Yes

  No

  N/A

• Provide a sketch of the area of concern if applicable to support findings

  Drawing

• WORKPLACE SIGN OFF

  Sign

• Select date

  Date