No.

Item
Rev.00

Company:
PROJECT:

Date Inspected
Form No.: IMS-QK-HSE-3-0057-28

No.
Serial No. /
Identification

Check plug for weather resistance

Inspected By: ___________________________________

Note: This checklist is referenced in procedure number:

Check electrical cord for no damage
or crack
Job No.:

Ensure casing has no cracks

Additional Comments:
GFCI sockets available for use with

IMS-QK-HSE-3-0057
drill
Activity

Color coding for drill machine

correct for the month
Contract No.:

Check plug for drill machine has no

crack

Ensure second handle is fitted to

Month:

side of drill

Ensure appropriate tools for loosing

and tighting of drill.
Monthly Electrical Drill Inspection Checklist

Remarks