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Visual Check List For Electrical Safety

Commercial

Facility Name DATE:


Address

Observation Yes No N/A Repaired


• Lights Not Working
Location
Location
Lights Appear Secured and Lenses in Place
Location
Location
• Exit Signs Working
Location
Location
• Emergency Lights Working
Location
Location
Location
• Misuse or Damaged Extension Cords
Location
Location
• Extension Cord Through Ceiling
Location
Location
• Box and Device Cover Missing
Location
Location
• Device Box Loose
Location
Location
• One Meter Clearance in Front of Electrical Equipment Minimum
Location
Location
• Panel Openings (finger or object can be inserted)
Location `
• Is the Electrical Room Unobstructed
• Open Wiring
Location
Location
• Other Observations
Location
Location
• Unapproved/Unsafe Electrical Products (see list of acceptable marks)
Location
Location

The checklist is intended as a guide for H&S committees

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