Electrical Cord Inspection Checklist
Use this checklist to assess the condition and safety of electrical cords during inspections.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspection Location
*
Cord Identification (Asset/Serial Number)
*
Type of Cord
*
Please Select
Extension Cord
Power Tool Cord
Appliance Cord
Other
Inspection Checklist
*
Rows
Pass
Fail
Plug securely attached
1
2
No exposed wires
3
4
Insulation intact (no cracks/cuts)
5
6
No signs of overheating or burn marks
7
8
Ground prong present (if applicable)
9
10
Cord is free from kinks or knots
11
12
No unauthorized repairs or splices
13
14
Cord is properly rated for use
15
16
Is the cord labeled with inspection date or tag?
*
Yes
No
Overall Condition Assessment
*
Good (Safe for use)
Needs Repair/Replacement
Additional Comments or Observations
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: