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Student Name: ___________________ Class: _____________________

Complete the following Home Electrical Safety checklist:

Safety Item

Status

(see note)

No extension cords under rugs

Unused electrical outlets are covered (if small children are in the home)

Fuses are of the correct value (if applicable)

Floor around washer is dry

No cords are frayed or nicked (check appliances, lamps, extension cords, etc.)

Multiple outlet adapters are not “abused”

(turn on all devices then feel adapter to see if it is warm)

No electrical devices near bath/shower/sink/washtubs, etc.

Main electrical switch is easily accessible

“Hot” appliances (irons/toasters/etc.) are unplugged when not in use

Electrical heaters (space or baseboard) are clear of drapes, etc.

Fire extinguisher available in accessible location.

**Note: Status should be one of “OK”, “fixed”, “not safe”, or “n/a” (not applicable)

Parent/Guardian Signature Date

Parent/Guardian Comments (optional):

rev. # 1b P. Beens – email: pbeens@gmail.com ref. # 0180

Home Electrical Safety Checklist