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Checklist Portable Electrical Equipment

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Tasha Boshoff
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22 views1 page

Checklist Portable Electrical Equipment

Uploaded by

Tasha Boshoff
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PORTABLE ELECTRICAL EQUIPMENT CHECKLIST

Date issued: ___________________Target for completion:____________________


Inspection Type: ________________________________________________________
Equipment: ________________________________________________________
Inspector: ________________________________________________________
Division: ________________________________________________________
Department: ________________________________________________________
Location: ________________________________________________________
Work order: ________________________________________________________
Service Type: ________________________________________________________
Estimated duration:______________________________________________________
Estimated Cost: ________________________________________________________
CHECKING ITEM COMMENT ACTION JOB
TO BE REQUEST
TAKEN
Is equipment being identified ..................... ................. ...................
corresponding with number in register?
Is there any loose connection at the plug or ..................... ................. ...................
the appliance?
Is the equipment earthed? ..................... ................. ...................
Are cables free from bad joints, cracks, ..................... ................. ...................
cuts, poor insulation?
Is the polarity of the appliance - especially ..................... ................. ...................
the extension cords correct?
Are all switches in working order? ..................... ................. ...................
Are plugs in order: tap sound, cord is ..................... ................. ...................
gripped, pins are tight?
Is there any excessive wear on moving ..................... ................. ...................
parts of appliance?

COMMENTS BY COMPETENT PERSON ____________________________________


______________________________________________________________________
______________________________________________________________________

THE SAFETY HAZARDS NOTED ABOVE WERE REPORTED IN WRITING TO ______


on____________________________________________________________________
______________________________________________________________________

SIGNATURE OF COMPETENT PERSON ......................................................................

AS THE 16(2) APPOINTEE I HAVE TAKEN NOTE OF THE REPORTED SAFETY


HAZARDS AND DIRECT THAT THE FOLLOWING ACTION BE TAKEN
(Safety hazards must be reported through the Health and Safety Committee so that
responsibility may be allocated and follow up is done. Issues which remain unresolved
must be referred to the Executive Health Safety Committee for decision)
______________________________________________________________________
SECTION 16(2) APPOINTEE

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