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Portable PowerTool_Extension Cord Inspection Template

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Portable PowerTool_Extension Cord Inspection Template Powered By Docstoc
					          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?

				
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posted:9/8/2010
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