OBAYASHI CORPORATION

Woollerton Park Project

Name of Contractor: ______________________________________________________

MONTHLY PORTABLE ELECTRICAL EQUIPMENT CHECKLIST

S/No. Type of Portable Electrical Is electrical wiring Is wire connection Is electrical equipment Is electrical equipment Remarks
Equipments in good condition? connected correctly? using industrial plug? free from defects? (If NO, please indicate
date of rectification)

1. Electric Grinder Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

2. Electric Drill Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

3. Electric Cement Mixer Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

4. Electric Handsaw Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

5. Electric Tile Cutter Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

6. Electric Breaker Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

7. Electric Abrasive Cutter Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

8. Others: Yes / No / N.A. Yes / No / N.A. Yes / No / N.A. Yes / No / N.A.

Checked and Inspected by: ________________________________________ Inspection Date: ________________

Name of Supervisor and Signature