Specific location / task:

Date:
Department(s):
Assessor:
Assessment guideline:
This Field Check is intended to assess the safe use of portable electrical tools. An additional Field Check
is available to assess the safety of electrical work peformed by electricans or other qualified indviduals.
For this LIFEsaver Field Check two independent employees / contractors have to be interviewed and one
field observation has to be completed. It’s recommended to interview the person that is supervising the
work and the person that is using the portable electrical tool.

Interview/Discussion items:
Do employee interviews verify
Electrical Safety training? When
was the last training?
What are the hazards related to
work with portable electrical
tools?
Did you inspect the extension
cord/cable while it was de-
energized? What did you check?
Did you check the electrical tool
for damage? What did you check?
Did you inspect and test the
portable RCD/GFCI? How did you
check?
Did you use a portable RCD/GFCI?
Where did you plug in the
RCD/GFCI?
Do you have to have an inspection
tag on the portable electrical tool
and extension cord/cable? Is it
valid/up to date?
Is it allowed to join multiple
extension cords/cables together in
series to perform the work?
Expected Response Person - 1 Person - 2
Yes. Response verified that training is
conducted annually.
Electrical shock / electrocution,
especially when working in ‘wet’
conditions.
Yes, I checked the plug for a ground pin,
exposed conductors, damaged insulation
and damaged cord/cable ends.
Yes, I checked the tool for non standard
modifications, missing screws, cracked
casing, damaged on/off switch, exposed
conductors, damaged insulation and
damaged cord/cable ends, etc.
Yes, I used the test button after I plugged
it into the wall outlet/socket, but before
plugging anything into it. I validated the
LED on RCD/GFCI went from on to off.
Yes. I plugged in the RCD/GFCI directly
into the wall outlet/socket before the
extension cord.
Geography dependent, but needs to be
valid/up to date if required.
No, only one extension cord/cable shall
be used.
Field Observation Items: Area / Equipment: ………………………………

Has the team working with portable electrical tools, performed a Pre Job Hazard
Assessment and / or permits to indentify hazards and are safety measures taken?  Safe  At-Risk
Comments:

Any evidence during the observation regarding unqualified electrical repairs on

portable electrical tools, extension cords/cables, portable RCD/GFCI?  Safe  At-Risk
Comments:

Is the extension cord/cable properly routed and protected against damage and
during use? Assure extension cords are appropriate and do not present a
trip hazard.  Safe  At-Risk
Comments:

Are temporary switchboards used during shutdowns, stops and projects, to

eliminate long extension cords on site?  Safe  At-Risk
Comments:

Are there any damaged portable electrical tools, power cords and outlets found
during the observations?  Safe  At-Risk
Comments:

Are all extension cords identified and controlled (securely stored) by Maintenance
E&I department?  Safe  At-Risk
Comments:

Do mandatory inspections being performed and still valid/up to date?  Safe  At-Risk
Comments:

Follow up items Deep Dive assessment

required (yes/no)
1
2
3
4

Guideline for “Deep Dive” determination :

Two or more people indicated that they were not (re-) trained in the last 12 months.
Pre Job Hazard Assessment and/or permit is not being used when necessary.
More than 20% of the answers during the discussion are below expectation.
Field observation shows damaged and/or unqualified electrical repairs on portable electrical tools,
extension cords/cables, portable RCD/GFCI.