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GENERAL ELECTRICAL SAFETY

OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

COMPUTER MONTHLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it must
be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair it must
be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing,
LEGEND
REP – Equipment Being Repaired, N/A – Not Applicable
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION
TAKEN

equipment & plug/ socket

comfortable for the user


(casing, fittings, handle)

Availability/ Conditions
Double insulation of
Equipment & Cord
Condition of body

Provision of earth
Fittings of cord-

wire/grounding

Other; specify:
Ergonomically
Location /

of Switches
Safe guard

Type of

(sheath)
Departme
S ID Equipment Accepted
nt
N NO (Laptop, /Rejected
/Compan
Desktop, Etc.)
y

9
1
0
1
1
1
2
1
3
1
4
1
5

ID No (Fault) Comments

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

DRILL MACHINE MONTHLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it must
be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair it must
be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing,
LEGEND
REP – Equipment Being Repaired, N/A – Not Applicable
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

Equipment nameplate
Conditions of Switch
Double insulation of

and voltage rating is


equipment & plug/
Equipment & Cord
Condition of body

Provision of earth
wire/grounding
(casing, fittings,

Fittings of cord-

Other; specify:
Availability/
Safe guard

Location /
Accepted
SN ID NO Department
/Rejected
/Company

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

ID No (Fault) Comments

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
Fittings of cord-equipment

Availability/ Conditions of

Availability /Conditions of
Condition of body (casing,

Switch (dead man switch)


& plug/ socket (sheath)
Double insulation of
Equipment & Cord

blade, drill bit, key.


GENERAL ELECTRICAL SAFETY

Provision of earth
fittings, handle)

wire/grounding

Other; specify:
Safe guard
OHS-PR-09-11-F05
Location / (A) PORTABLE ELECTRICAL EQUIPMENT CHECK
Accepted
SN ID NO Department
/Rejected
Operating Area: /Company Department:
Project Name:
Contractor Name: Project Type: Contract No.:

ELECTRICAL
2 GRINDING MACHINE MONTHLY INSPECTION CHECK
Note:
3 Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it
must be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair
it6must be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing, REP – Equipment
7 LEGEND
Being Repaired, N/A – Not Applicable
8RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

10

11

12

13

14

15

ID No (Fault) Comments

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

ELECTRICAL WOOD CUTTING MACHINE MONTHLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it
must be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond
repair it must be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing, REP –
LEGEND
Equipment Being Repaired, N/A – Not Applicable
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

(casing, fittings, handle)

Availability/ Conditions

Availability /Conditions
of blade, drill bit, key.
of Switch (dead man
Double insulation of

equipment & plug/


Equipment & Cord
Condition of body

Provision of earth
wire/grounding
Fittings of cord-

socket (sheath)

Other; specify:
Safe guard
Location /
Accepted
SN ID NO Department
/Rejected
/Company

1
2
3
4
5
6
7
8
9
10
11
12
13

14

15

ID No (Fault) Comments

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________
CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER
Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

HANDHELD JIG SAW MONHTLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it must
be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair it must
be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing, REP – Equipment
LEGEND
Being Repaired, N/A – Not Applicable
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

equipment & plug/ socket

Availability/ Conditions

Availability /Conditions
(casing, fittings, handle)

of blade, drill bit, key.


Double insulation of
Equipment & Cord

(dead man switch)


Condition of body

Provision of earth
Fittings of cord-

wire/grounding

Other; specify:
Safe guard

of Switch
(sheath)
Location /
ID Accepted
SN Department /
NO /Rejected
Company

5
Comments
6

10

11

12

13

14

15
ID No (Fault)

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER
Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

SCREW GUN MONTHLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it
must be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair it
must be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing, REP – Equipment
LEGEND
Being Repaired, N/A – Not Applicable
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

Fittings of cord-equipment

Availability/ Conditions of

Availability /Conditions of
Condition of body (casing,

Switch (dead man switch)


& plug/ socket (sheath)
Double insulation of
Equipment & Cord

blade, drill bit, key.

Provision of earth
fittings, handle)

wire/grounding

Other; specify:
Safe guard

Location /
Accepted
SN ID NO Department
/Rejected
/Company

5
Comments
6

10

11

12

13

14

15
ID No (Fault)

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

TEMPORARY ELECTRICAL POWER PANEL BOARD MONTHLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it must be
tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair it must be
destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing, REP –
LEGEND
Equipment Being Repaired, N/A – Not Applicable
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

equipment & plug/ socket

Availability/ Conditions of
Condition of body (casing,

Switch (dead man switch)

Availability of electrical
Double insulation of
Equipment & Cord

Area is secured by
Physical barricade
Provision of earth
fittings, handle)

wire/grounding
Fittings of cord-

LOTO is applied

Other; specify:
Safe guard

signage’s
Location /
Accepted
SN ID NO Department /
/Rejected
Company

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

ID No (Fault) Comments

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________
Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

HEAT GUN MONTHLY INSPECTION CHECK


Note: Do not “tick”. Write Ok or use the code of the specific deviation in the legend.. If the equipment is defective, it
must be tagged “Rejected” and must be reported to the person responsible for action. If the equipment is beyond repair it
must be destroyed and discarded.
OK – Acceptable, NOT - Not Acceptable, ELM– Equipment Lost of Missing,
LEGEND REP – Equipment Being Repaired, N/A – Not Applicable

RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN

Fittings of cord-equipment

Equipment nameplate and


Availability/ Conditions of
Condition of body (casing,

voltage rating is readable.


Switch (dead man switch)
& plug/ socket (sheath)
Double insulation of
Equipment & Cord

Provision of earth
fittings, handle)

wire/grounding

Other; specify:
Safe guard

Location /
Accepted
SN ID NO Department
/Rejected
/Company

1
2
3
4
5
6
7
8
9
10
11

ID No (Fault) Comments

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________


Site Manager Name: ___________________________ Signature: ________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)
GENERAL ELECTRICAL SAFETY
OHS-PR-09-11-F05 (A) PORTABLE ELECTRICAL EQUIPMENT CHECK

Operating Area: Department:


Project Name:
Contractor Name: Project Type: Contract No.:

CORRECTION REPORT
Date Date
Inspection Correction
Inspected by Corrected by
Report Report
Signature Signature

BEFORE AFTER

Safety Observation 1: Actioned Taken:

Safety Observation 2: Actioned Taken:

Safety Observation 3: Actioned Taken:

Safety Officer Name: ___________________________ Signature: _________________ Date: ___________

Procedure
OHS Forms Revision Number Revision Date Approved By
Reference
OHS-PR-09-11-F05
PORTABLE ELECTRICAL EQUIPMENT CHECKLIST 0 MAY 2021 OHSMS
(A)

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