Workplace Electrical Safety Inspection Form
Workplace Electrical Safety Inspection Form
Please ensure all necessary safety precautions are taken during the inspection to prevent accidents and injuries. After completing the inspection, review and follow-up actions should be conducted by [Your Company Name]'s reviewer for any necessary actions.
General Information
Date of Inspection: |
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Inspector: |
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Inspector's Email: |
Safety Precautions
Please ensure all necessary safety precautions are taken during the inspection to prevent accidents and injuries.
Electrical Equipment Information
A. Electrical Panel Inspection
Equipment ID |
Equipment Description |
Condition |
Comments |
EP001 |
Main Electrical Panel |
Good |
Panel appears to be in good condition. No visible signs of damage or overheating. |
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B. Electrical Wiring and Cables Inspection
Equipment ID |
Location |
Condition |
Comments |
EW001 |
Office Area |
Good |
Wiring under desks is neatly organized and protected. No exposed wires. |
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Comments and Recommendations
Provide details of any issues, recommendations, or additional actions required.
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Review and Follow-Up
This inspection form should be reviewed by [Your Company Name] and [Your Company Email] for any necessary follow-up actions.
Completed By:
[Reviewer Name]
[Month Day, Year]