Information
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Electrocution
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Conducted on:
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Auditor:
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Person being Audited:
Electrical Training and Competency
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Have you identified hazards and controls are in place and effective to safely work with Electricity?
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Do you have a current procedure in place and on the job to complete this electrical task?
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Are you trained and have the require licenses to work with electricity?
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Has all fixed, mobile, portable, and hand held electrical equipment been inspected and tagged in date prior to use?
Section: Electrical PPE
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Have you checked your electrical PPE to ensure it is fit for purpose and has the correct protection rating?
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Have you inspected your Electrical PPE prior to use and it is free of holes, nicks and other damage?
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Is your electrical PPE in date and labelled with checked/issue date (test date)?
Isolation Confirmation
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Have all hazardous energy sources associated with the task been identified?
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Have all energy sources been contained / de-energised and a try test or a test before touch been completed to confirm the integrity of the isolation and ensure a zero energy state?
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Have all personnel isolated and applied their personnel lock to all isolation points?
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Have all personnel confirmed they are working on the correct isolated equipment?
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Additional comments/observation
Observation
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Add observations/comments here.
Signatures
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I hereby certify that all information is accurate and that an actual inspection was conducted.
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Auditor's Printed Name & Signature
