Free Nursing Home Electrical Safety Inspection Checklist Template
Nursing Home Electrical Safety Inspection Checklist
Please review each item listed below and assess its condition. Mark the appropriate column for each item: "Good" if it meets safety standards, "Needs Attention" for minor issues, and "Poor" for significant concerns. Use the designated table for notes and comments to provide additional details or observations as needed.
Inspector Details
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Field |
Information |
|---|---|
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Name: |
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Contact Info: |
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Inspection Date: |
Inspection Checklist
|
Area |
Subsection |
Item |
Good |
Needs Attention |
Poor |
|---|---|---|---|---|---|
|
Exterior |
Service Entrance |
Overhead lines/Underground cables |
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Grounding and bonding |
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Clearances around service entrance |
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Lighting |
Fixture condition and functionality |
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Interior |
Electrical Panels |
Labeling and accessibility |
|
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|
Signs of overheating or corrosion |
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Outlets and Switches |
Functionality and condition |
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Coverings and exposed wiring |
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Resident Rooms & Common Areas |
Bedside Outlets |
Tamper resistance and grounding |
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Cord condition and placement |
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Common Area Lighting |
Fixture functionality and condition |
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Equipment & Appliances |
Medical Equipment |
Grounding and cord condition |
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Kitchen Appliances |
Wear, damage, and ventilation |
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|
Notes/Comments
|
No. |
Details |
|---|---|
