After arrival at your work location, have you:
Applicable AHA Documents for Electrical Work:
If any questions above were answered 'No', provide explanation:
Note: If live work is required, additional HECP documentation (Hazard Analysis Documentation and Energized Electrical Work Permit) must be completed before work begins.
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.