Electrical Safety Checklist
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Checklist Information
ESC-20260618-005
18-JUN-2026
Approved
KFAB (Jordan)
WO: TFS-KFAB22-2026-00018 -
Team
Salomon Munoz
Jongi Ledbetter
Pre-Work Safety Checklist
| Electrical Work Order Obtained | Yes |
| Proper Permits Issued | Yes |
| Lockout/Tagout Procedures Properly Implemented | No |
| Equipment De-energized | No |
| Safe Plan of Action (SPA) Complete | Yes |
| Task Safety Awareness (TSA) Meeting Conducted | Yes |
| Proper Personal Protective Equipment On Site | Yes |
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
Live testing required.
Live Work Required
YES - Additional HECP documentation required
Required HECP Documents:
ApprovedHAD: HAD-20260618-004
ApprovedEEWIP: EEWIP-20260618-003
Safe Plan of Action
Ensure everyone knows where and how to de-energize all panels in the unit. Ensure all ladders are in working operation. Inspect all tools for proper operation and wear and tear. Insure everyone dons required PPE. Inform all worker of identified hazards. Clear all obstructions from our work area.
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.
Salomon Munoz
Salomon Munoz
Review Information
Approved
18-JUN-2026
Status History
1
| Date | From | To | Changed By | Notes |
|---|---|---|---|---|
| 18-JUN-2026 | Submitted | Approved | Greg Beveridge |