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Pre-Energization Safety Checklist
Project Name
(Required)
Today's Date
(Required)
MM slash DD slash YYYY
Panel Number
(Required)
Circuit Number(s)
(Required)
Verified by (Person 1)
Name
(Required)
First
Last
Verification Items
(Required)
All junction boxes closed and secured
All light fixture boxes secured and terminated
All outlet boxes secured and terminated
All switch boxes secured and terminated
All wires properly capped and terminated
No exposed conductors or open splices
Area visually inspected for loose wires/debris
All personnel aware power is being turned on
All necessary PPE available and used (e.g., safety glasses, arc-rated gear)
Is everything electrically safe to energize?
Check the boxes to confirm.
Verification by (Person 1)
(Required)
By checking this box, I certify that the information provided is accurate to the best of my knowledge and authorize its verification.
Verified by (Person 2): Journeyman
Name
(Required)
First
Last
Verification Items
(Required)
All junction boxes closed and secured
All light fixture boxes secured and terminated
All outlet boxes secured and terminated
All switch boxes secured and terminated
All wires properly capped and terminated
No exposed conductors or open splices
Area visually inspected for loose wires/debris
All personnel aware power is being turned on
All necessary PPE available and used (e.g., safety glasses, arc-rated gear)
Is everything electrically safe to energize?
Check the boxes to confirm.
Verification by (Person 2): Journeyman
(Required)
By checking this box, I certify that the information provided is accurate to the best of my knowledge and authorize its verification.
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