QUARTERLY PORTABLE POWER TOOL, EXTENSION CORD, AND POWER STRIPS INSPE Date of inspection: _________________ PORTABLE POWER TOOLS Double Insulated Non-Double Insulated All Tools If double insulated, has the tool been Extension tested Ground Guards Cord, with wire Tool body Cord used on Power insulation fastener in 3-wire plug shows no insulation grinders Strip, or Double resistance safe in good damage and plugs and Tool ID # Manufacturer insulated? tester? condition? condition? or cracks? unbroken? saws? POWER STRIPS INSPECTION FORM EXTENSION CORDS POWER STRIPS ll Tools Only Cord not Power cord Movable industrial frayed, 3-wire not frayed, Power On guards type cut, plug in Casing in cut, taped, Indicator operate extensions taped, or good good/undamaged or otherwise light freely? used? crushed? condition? condition? damaged? functioning?