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Format No.

: IMS-HIRA-CL01

ELECTRICAL SAFETY Issue No. : 01 ( 01/09/17 )


CHECK SHEET
Rev. No. : 00( 18/01/18 )

AREA:- MONTH:-

ACTUAL CONDITION
CHECK POINT ACTION TAKEN REMARK
OK / NOT OK

Loose Wiring

Wire connection
without plug

Joint in Cables

Signage on
Electrical board

Electrical mat
are on Electrical
panel

Electrical Wire
Fitting

Signature

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