Electrical Hazards Safety Violation Form (Construction)
Project Site Name
Location of Incident
Date of Observation
Time of Observation
Observed By
Role/Position
Description of Safety Violation
Type of Electrical Hazard
Exposed live wires
Improper grounding
Overloaded circuits
Defective equipment/tools
Missing lockout/tagout
Wet conditions near electrical parts
Improper use of extension cords
Other
Immediate Action Taken
Further Recommendations
Supervisor Notified
Date & Signature