Electrical Inspection Checklist

Inspector Name

First Name

Last Name

Date of Inspection

Facility Name

Address

Address Line 1

Address Line 2

City

State

ZIP Code

What is the voltage of the equipment?

What PPE will be used for the Arc Flash protection?

Inspector Safety Checks

Inspector Safety Checks
	Yes	No	N/A
Does the inspection task involve exposed energized conductors or circuit parts?	Inspector Safety Checks: Does the inspection task involve exposed energized conductors or circuit parts? (Yes)	Does the inspection task involve exposed energized conductors or circuit parts? (No)	Does the inspection task involve exposed energized conductors or circuit parts? (N/A)
Can the risk of exposure to hazards be justified?	Can the risk of exposure to hazards be justified? (Yes)	Can the risk of exposure to hazards be justified? (No)	Can the risk of exposure to hazards be justified? (N/A)
Will the inspection involve crossing the boundary for shock protection?	Will the inspection involve crossing the boundary for shock protection? (Yes)	Will the inspection involve crossing the boundary for shock protection? (No)	Will the inspection involve crossing the boundary for shock protection? (N/A)
Has an incident energy analysis been performed on the equipment?	Has an incident energy analysis been performed on the equipment? (Yes)	Has an incident energy analysis been performed on the equipment? (No)	Has an incident energy analysis been performed on the equipment? (N/A)
Do you know short-circuit current and clearing times?	Do you know short-circuit current and clearing times? (Yes)	Do you know short-circuit current and clearing times? (No)	Do you know short-circuit current and clearing times? (N/A)
Is the appropriate arc-rated PPE available?	Is the appropriate arc-rated PPE available? (Yes)	Is the appropriate arc-rated PPE available? (No)	Is the appropriate arc-rated PPE available? (N/A)

Observations and Additional Notes:

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Date

Inspector Signature

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