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Ohs-Pr-09-11-F05 (A) Portable Electrical Equipment Check
Ohs-Pr-09-11-F05 (A) Portable Electrical Equipment Check
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
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
Equipment nameplate
Conditions of Switch
Double insulation of
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
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
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)
Fittings of cord-equipment
Availability/ Conditions of
Availability /Conditions of
Condition of body (casing,
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
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
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
Availability/ Conditions
Availability /Conditions
of blade, drill bit, key.
of Switch (dead man
Double insulation of
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
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
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
Availability/ Conditions
Availability /Conditions
(casing, fittings, handle)
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)
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
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
Fittings of cord-equipment
Availability/ Conditions of
Availability /Conditions of
Condition of body (casing,
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)
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
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
Availability/ Conditions of
Condition of body (casing,
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
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
RAISE THE ISSUES THROUGH CORRECTION REPORT (BEFORE & AFTER PHOTO) FOR ACTION TAKEN
Fittings of cord-equipment
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
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
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)