Electrical Outlet Inspection Checklist Form
Complete this Electrical Outlet Inspection Checklist Form to document the condition and safety of electrical outlets during inspection.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Outlet Location
*
Is the outlet free of visible damage?
*
Yes
No
Are the outlet cover and screws secure?
*
Yes
No
Is the outlet properly grounded?
*
Yes
No
Not Applicable
Test result using outlet tester
*
Please Select
Normal
Open Ground
Open Neutral
Open Hot
Hot/Ground Reverse
Hot/Neutral Reverse
Outlet type
*
Please Select
Standard (2-prong)
Grounded (3-prong)
GFCI
AFCI
Upload outlet photo (if needed)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional Comments
Submit Inspection
Should be Empty: