Electrical Safety Compliance Checklist
Here’s a Checklist you can have workers fill out before performing work on energized electrical equipment to ensure that all required safety measures are in place. You may need to adapt this Checklist in accordance with the specific hazards, work conditions and safety measures at your own workplace.
GENERAL
| Item | Yes | No | Comments |
|---|---|---|---|
| All employees who work on, near or with facility wiring or electrical conductors are trained as either qualified or unqualified workers | |||
| Unqualified persons are trained in and familiar with any electrically related safety practices not covered by this standard but necessary for their safety | |||
| Qualified persons are trained in and familiar with: | |||
| Skills and techniques for distinguishing exposed live parts from other parts of electric equipment | |||
| Voltage determination | |||
| Clearance distances that must be maintained | |||
| Training has been specific to the hazards to which the employee may or will be exposed | |||
| SAFE WORK PRACTICES | |||
| Work practices used to prevent electric shock and other injuries address de-energized parts which may be energized | |||
| Work practices used to prevent electric shock and other injuries address de-energized parts which may be energized | |||
| Procedure provided for work on or near exposed de-energized parts includes: | |||
| Written procedures specific to the equipment or worksite | |||
| De-energizing equipment | |||
| Application of locks and tags | |||
| All employees near enough to be exposed to a hazard have been trained, and are aware of the practices that must be followed to protect them from the hazard | |||
| Only qualified employees work on energized parts | |||
| Only qualified employees work on energized parts | |||
| Unqualified persons working near overhead lines are aware that they may not come approach, or use conductive objects closer than 10 feet for lines up to 50 kV, or 10 feet plus 4 inches for every 10 kV over 50 kV required | |||
| Qualified persons have a working knowledge of allowable approach distances |