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Application NameSITE_INSPECTION Form NameSITE_INSPECTION_ELECTRICAL Form TitleWHS Site Inspection - Electrical Form Description

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WHS Site Inspection - Electrical Assignment

System Number

Group OrganisationFirst choiceSecond choiceThird choice

Manager Responsible

Site

Site Address

WHS SITE INSPECTION - ELECTRICAL CHECKLIST

Date of Inspection

Inspection Completed Byby the Inspector

Review Completed Byby the Reviewer

WHS Site Inspection - Electrical Safety

Policy Review

Arriba Group Electrical Safety Procedure
You have read and understand the Arriba Group Electrical Safety ProcedureYesNo	Please read and click you understand the procedure or contact whs@arribgroup.com.au if you have any questions.
All electrical and computer cords are secured and not dangling or trailing on the groundYesNo	Ensure all electrical and computer cords are safely secured neatly and not dangling or trailing on ground.

Power Boards and Extension Leads

	Include any pictures of damaged equipment or property
	Include any pictures of damaged equipment or property

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Date of Assignment

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Where power boards are present, they are only in use for computers and printersYesNo	Remove power boards for any electrical equipment that is not a computer or a laptop.
Power boards in use include an on/off switch for EVERY outlet and surge protection (see image below)YesNo	Remove power boards and replace with a policy-approved power board
Power board
Are there any double adaptors in use at the site?YesNo	Remove all double adaptors from the site. If there are insufficient electrical sockets use a policy-approved power board (computers and printers only) or contact property manager to discuss options for additional power outlets.
Are there any extension leads in use in the office?YesNo	Remove all extension leads from the site. Extension leads are not permitted to be used on site (see Electrical Safety Procedure)

Are there any employee personal electronic equipment in use on site (except mobile phone chargers and USB chargers)?YesNoCheck for heaters, toasters, radios, air fryers, coffee machines etc.	Employees are NOT permitted to bring personal electrical equipment (including but not limited to heaters, toaster, radio, air fryer, coffee machines) to work and any items within the workplace should be removed.Exception to this is mobile phone charger, USB chargeable item.
All plugs, sockets and switches have been checked to see that there is no damageYesNoThe Inspector should check all electric plugs, sockets and switches to see that there is no damage. If damage has been identified, remove, replace or arrange for the item to be fixed.	Check all electric plugs, sockets and switches to see that there is no damage.
All electrical leads have been checked to see that there is no damageYesNoThe Inspector should check all electrical leads to see that there is no damage. If damage has been identified, remove, replace or arrange for the item to be fixed.	Check all electrical leads to confirm there is no damage. Remove any damaged leads or contact Property Manager for support.
Switchboards (lighting / air conditioning / etc) are in safe conditionYesNo	Contact Property Manager to arrange for maintenance.