Ground Mount Panel Wire Management Safety Inspection
Site
Date/Time
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
24-Hour Time Minutes
Safety Inspector
First Name
Last Name
Foreman/Lead
First Name
Last Name
Job Safety Briefing performed for the crew?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Job Hazard Analysis performed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Does the JHA Process Form match the work?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Is the JHA Form complete and with hazards and mitigation?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Cut-resistant gloves worn?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Other PPE worn properly?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Polarity respected?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Connectors secured?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
All connectors same manufacturer and model number?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Drip loops properly (minimum bend radius)?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Proper wire ties/securement used?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Wire placement proper?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Wire protected from sharp edges?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Cuttings collected for disposal?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Submit
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