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Electrical Risk Assessment Template and Safety Guidelines
Section 1: Job Number
1. Job Number
Section 2: JOB DESCRIPTION
1. JOB DESCRIPTION
Section 3: HAZARDS
1. Lifting
Pass
Fail
N/A
2. Heights / Falls
Pass
Fail
N/A
3. Access
Pass
Fail
N/A
4. Temperature
Pass
Fail
N/A
5. Energy Source
Pass
Fail
N/A
6. Stored Energy
Pass
Fail
N/A
7. Falling Object
Pass
Fail
N/A
8. Slip, Trip etc
Pass
Fail
N/A
9. Confined space
Pass
Fail
N/A
10. Roads / Traffic
Pass
Fail
N/A
11. Excavation
Pass
Fail
N/A
12. Sun exposure
Good
Fair
N/A
13. Weather conditions
Good
Fair
N/A
14. Manual handling
Pass
Fail
N/A
Section 4: RISK SCORE
1. High; Moderate; Low
Good
Fair
N/A
Section 5: P.P.E
1. Head
Pass
Fail
N/A
2. Eyes
Pass
Fail
N/A
3. Ears
Pass
Fail
N/A
4. Hands
Pass
Fail
N/A
5. Mask
Pass
Fail
N/A
6. Suit
Pass
Fail
N/A
7. Harness
Pass
Fail
N/A
8. Feet
Pass
Fail
N/A
Section 6: ISOLATION CONTROL
1. Electrical
Yes
No
N/A
2. Mechanical
Yes
No
N/A
3. Infectious
Yes
No
N/A
4. Switchboard rescue kit
Yes
No
N/A
5. Safety observer
Yes
No
N/A
6. Rubber mat / Barrier mat
Yes
No
N/A
7. Insulating gloves
Yes
No
N/A
8. Safety gloves
Yes
No
N/A
Section 7: ACCESS CONTROL
1. Barricade / Fence
Yes
No
N/A
2. Signage
Yes
No
N/A
3. Traffic Control
Yes
No
N/A
Section 8: ENVIRONMENT
1. Silt & Sediment
Yes
No
N/A
2. Noise Pollution
Yes
No
N/A
Section 9: Waste Management
1. Collection
Yes
No
N/A
2. Disposal
Yes
No
N/A
Section 10: RISK ASSESSMENT CARRIED OUT BY
1. Name