Checklist Information

ESC-20260613-002
13-JUN-2026
Approved
KA2AB (Jordan)
WO: TFS-KATAB-2026-00001 -

Team

Andrew McLean
Brett Smithson

Pre-Work Safety Checklist

Electrical Work Order ObtainedYes
Proper Permits IssuedYes
Lockout/Tagout Procedures Properly ImplementedNo
Equipment De-energizedYes
Safe Plan of Action (SPA) CompleteYes
Task Safety Awareness (TSA) Meeting ConductedYes
Proper Personal Protective Equipment On SiteYes

On-Site Safety Checklist

Notified all potentially affected personnel?Yes
Hand tools in good and safe condition?Yes
Ladders safe and in good condition?Yes
Testing equipment in good condition?Yes
All applicable AHA's correct and suitable?Yes
ALL PPE in good condition and suitable?Yes

Explanation for 'No' Answers

No power at time of inspection.

Live Work Required

No

Safe Plan of Action

Before beginning task, a general walk through is performed to identify obvious hazards. Hazard analysis performed/team aware of hazard results & emergency shut offs. Collective review with team of any hazards present. Each member has emergency contact & location info readily available in case of emergency. Personnel present will be notified of tasking and asked to vacate outside limited approach. All PPE/equipment checks are performed, boundaries and sentry in place.

Certification

This is to certify that we have reviewed the electrical work as described above and authorize this work to be performed. I further certify that all required safety precautions have been taken to safeguard the employees involved.

Andrew McLean
Greg Beveridge

Review Information

Approved
13-JUN-2026

Status History

1
DateFromToChanged ByNotes
13-JUN-2026SubmittedApprovedGreg Beveridge