Template

Safe Isolation Kit Checklist

This template helps engineers verify a Kewtech safe isolation kit before electrical work. It guides users to confirm the presence and condition of the proving unit, check locks and safety signage for lockout procedures, verify kit fitness for use, and ensure valid safe isolation training or electrical qualifications. It also prompts completion of toolbox talk videos via the Kewtech Safety Hub and records engineer details and sign-off. Designed to support electrical safety and compliance workflows.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template

Electrical Safe Isolation Procedure Checklist

This electrical safe isolation procedure checklist guides electricians and maintenance teams through each step required to make equipment safe before work. It covers identifying the correct point of isolation and circuit ID, selecting an appropriate isolation device based on BS7671 guidance, applying lockout tagout devices, and preventing inadvertent reinstatement. The checklist prompts verification using an approved, calibrated voltage indicator and proving unit, with photo evidence of calibration and device operation. It includes recheck steps to test before and after, securing covers, reidentifying sources, documenting actions, and formal confirmation that the system is safe to begin work. Use this template to standardize safe isolation, support compliance, and reduce risk of electric shock or unexpected energization.

by Chris Levers, from the Community

40+

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Template

Permit to Work including Electrical Isolation

Use this Permit to Work including Electrical Isolation checklist to support safe isolation and control of work on site. The template guides permit authorities and isolating authorities through verifying competency, cross-referencing Work Control Certificates and Isolation Confirmation Certificates, identifying and labeling isolation points, and ensuring up-to-date drawings are available. It also prompts toolbox talks, hazard identification, and confirmation that prerequisite controls and supporting certificates are in place. Use it to monitor boundaries of the task, manage changes in scope, and document compliance with the site's safe system of work.

by Lisa Johnston, from the Community

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Template

AGL 2022 Isolation Certificate Template

This AGL 2022 Isolation Certificate template helps teams record and control electrical isolation for maintenance and construction work. Capture site, client, and work details, identify the equipment or circuit to be isolated, and note time and location of isolation. Document safety locks and caution notices, and verify completion through visual, insulation resistance, and R1 and R2 continuity tests. Record re energisation details and obtain engineer and supervisor signatures to confirm approvals and safe return to service.

by jay hammond, from the Community

10+

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Template

Engineer Field Inspection Checklist

This engineer field inspection checklist helps assess safe work practices on site. Review EHS questions, LMRA, and compliance with field safety standards. Verify lockout tagout and safe isolation procedures, working at height controls, and that tools and materials are stored correctly. Confirm kit and PPE condition, document actions, responsibilities, and closure dates, and capture sign off from the engineer and auditor.

by Dean Bradley, from the Community

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Template

High Risk Audit - Isolation Test Checklist

Use this high risk isolation audit to assess compliance with isolation and lockout procedures on construction and electrical works. Check that workers are identified on danger or out of service tags, understand the procedure, and can identify hazardous energy sources. Verify methods to isolate, test effectiveness, and manage multiple isolation points. Confirm TRA and permit requirements, assignment of an isolation coordinator, and adherence to site procedures. Ensure communication with nearby workers, completion checks before re-energizing, and documentation of observations and corrective actions.

by JUSTINE YOUL, from the Community

10+

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Template

Electrical Isolation Procedure and Test Sheet

This isolation procedure and test sheet guides safe electrical work by documenting power isolation before and after tasks. Record job details and workers, identify the area of the installation, isolate at the main switch or final subcircuits, apply lockout kits and danger tags, and capture photos of the isolation and re-energization. Document required testing to verify circuits are de-energized and reinstated correctly. Designed to support compliance with Western Australia regulations 1991.

by Gerrit Ballast, from the Community

10+

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