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Hazard report form · Electrical

Hazard report form for electrical contractors

Short answer

An electrical hazard form is about what was live, what was isolated and who held the lock. It asks for the board or circuit label, the tag number, whether it was tested dead and the RCD status. This page lists those fields, with a free PDF and Word template and a voice version.

What goes wrong in electrical

An electrician’s near miss often comes down to one question: was it dead? A general hazard form doesn’t ask. This one does, and it asks for the label on the board, because “a switchboard in the plant room” could be any of six.

  • Switchboards with covers off or blanking plates missing
  • Leads and cord sets with cracked insulation or taped joins
  • Circuits that someone assumed were isolated and never proved dead
  • Ceiling spaces where old cabling runs close to new work
  • Temporary supply with RCDs that haven’t been tested lately
  • Rooftop solar and battery work where the DC side stays live in daylight

Fields that earn their place on a electrical form

The aim is a record another sparky can read cold. If it takes three phone calls to find out what was isolated, the form didn’t do its job.

  • Board, circuit or equipment label as printed on site
  • Isolated, locked and tagged, and who holds the lock
  • Lock or tag number
  • Tested dead before touching, and the instrument used
  • RCD protection present, and the last test date if known
  • Supply type and level: single phase, three phase, extra-low voltage or DC

On paper and by voice

The apprentice is in the plant room on a Friday. DB-3 has its cover off and three breakers sit exposed at hip height. Typing that with a torch in one hand is slow. Recording it takes ten seconds: “plant room two, DB-3, cover off, three ways exposed, no tag”. A photo from the doorway shows the whole board without going near it.

Where Haznote fits

Haznote puts the recording, the photo and the location in one report the manager sees straight away. The AI drafts a category and priority, and the manager confirms them. It doesn’t decide whether a circuit is safe. That judgement stays with the licensed person on site.

Template

Download the form.

A free example to print or edit. It’s general information, not legal advice, and it asks for no email.

Questions

Plain answers.

Does the form record isolation?

It records what the person saw and was told: the lock number, who holds it and whether anyone tested dead. It doesn’t replace the isolation procedure.

Can an apprentice file one?

Yes. Anyone who spots a board with the cover off should be able to report it without hunting for a supervisor.

What about a shock or burn?

That’s an incident, not a hazard. Use the electric shock incident template and read the notifiable incidents page.

Sources

Where this comes from.

This page describes how Haznote works. It makes no claims about the law, so it cites no regulator.

Report a electrical hazard by voice. A manager confirms it.

Run it on one site and see the first report land in the manager’s list.