Electrical Equipment Safety Audit Form
General Information
Auditor Name
Audit Date
Location
Department
Equipment Details
Equipment Name
Model/Serial No.
Location
Inspected By
Condition
Comments
Good
Needs Repair
Replace
Good
Needs Repair
Replace
Audit Checklist
Item
Yes
No
N/A
Comments
Proper grounding of equipment
No exposed wiring or conductors
Functional emergency stop/switch
Labels and warning signs in place
Cords, plugs and sockets undamaged
Findings & Recommendations
Findings
Recommendations
Auditor Signature
Signature
Date