AMS Job Site Safety Inspection

• Client / Site

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

Site Name

Housekeeping

• Walking surfaces

  OK

  Needs Attention

  N/A

• Stairs

  OK

  Needs Attention

  N/A

• Aisles, Doors, Windows

  OK

  Needs Attention

  N/A

• Material and Equipment Storage

  OK

  Needs Attention

  N/A

• Means of Access and Egress Clear

  OK

  Needs Attention

  N/A

Fire Protection

• Extinguishers (monthly/annual checks)

  OK

  Needs Attention

  N/A

• Flammable Material Storage

  OK

  Needs Attention

  N/A

• Emergency Evacuation Plan/Maps

  OK

  Needs Attention

  N/A

• Hot Work Permits Required?

  OK

  Needs Attention

  N/A

Personal Protective Equipment (PPE)

• Job Hazard Assessment Conducted?

  OK

  Needs Attention

  N/A

Necessary Equipment Used

• Gloves

  OK

  Needs Attention

  N/A

• Eyewear

  OK

  Needs Attention

  N/A

• Footwear

  OK

  Needs Attention

  N/A

• Respiratory Protection

  OK

  Needs Attention

  N/A

• Hearing Protection

  OK

  Needs Attention

  N/A

• Work Clothing (Proper/Hi-Vis)

  OK

  Needs Attention

  N/A

Hand & Power Tools

• Electrical Grounding

  OK

  Needs Attention

  N/A

• Guards in Place

  OK

  Needs Attention

  N/A

• "Deadman" Switches Functional

  OK

  Needs Attention

  N/A

• Fittings/Connections Sound

  OK

  Needs Attention

  N/A

• Grounding Assurance Program

  OK

  Needs Attention

  N/A

• Proper Storage and Use

  OK

  Needs Attention

  N/A

Machinery

• Tool Rest/Tongue Gaurd

  OK

  Needs Attention

  N/A

• Point of Operation Guard

  OK

  Needs Attention

  N/A

• Proper Emergency Stops

  OK

  Needs Attention

  N/A

• Hot Surfaces Guarding

  OK

  Needs Attention

  N/A

• Hydraulic Hoses/Connections

  OK

  Needs Attention

  N/A

• Lock-Out Capable at Machine

  OK

  Needs Attention

  N/A

• Adequate Employee Training

  OK

  Needs Attention

  N/A

• Safety Interlocks/Limit Switches

  OK

  Needs Attention

  N/A

Electrical

• Wiring Condition

  OK

  Needs Attention

  N/A

• Ground Assurance

  OK

  Needs Attention

  N/A

• Electrical in Conduit/Covers in Place

  OK

  Needs Attention

  N/A

• Panels/Breakers Labeled

  OK

  Needs Attention

  N/A

• Panel Clearence

  OK

  Needs Attention

  N/A

• Lock-Out Capability

  OK

  Needs Attention

  N/A

• No Overuse of Circuits

  OK

  Needs Attention

  N/A

Chemical Handling

• MSDS's (SDS) Available

  OK

  Needs Attention

  N/A

• Labels on Piping, Primary and Secondary Containers

  OK

  Needs Attention

  N/A

• Proper Protective Equipment Used

  OK

  Needs Attention

  N/A

• Users Trained

  OK

  Needs Attention

  N/A

• Proper Ventilation

  OK

  Needs Attention

  N/A

• Proper Storage and Housekeeping

  OK

  Needs Attention

  N/A

• Labels on Cabinets

  OK

  Needs Attention

  N/A

Flammables

• No Smoking Signs

  OK

  Needs Attention

  N/A

• Grounding/Bonding

  OK

  Needs Attention

  N/A

• Proper Storage

  OK

  Needs Attention

  N/A

• Safety Cans for Waste Material

  OK

  Needs Attention

  N/A

Life Safety

• Emergency Lighting/Back-up Power

  OK

  Needs Attention

  N/A

• Exits Clearly Identified

  OK

  Needs Attention

  N/A

• Emergency Evacuation Maps and Training

  OK

  Needs Attention

  N/A

• Adequate Means of Egress and Cleared

  OK

  Needs Attention

  N/A

• Alarms Functional

  OK

  Needs Attention

  N/A

• First Aid/CPR Trained People Available/Adequate for Staff #'s on Site

  OK

  Needs Attention

  N/A

• Emergency Action Plan in Place

  OK

  Needs Attention

  N/A

Ladders/Fall Protection

Ladders

• Design/Condition

  OK

  Needs Attention

  N/A

• Use/Training

  OK

  Needs Attention

  N/A

Guardrails

• Guardrails/Mid rails/Toe boards on Work Platforms

  OK

  Needs Attention

  N/A

• Fall Arrest/Restraint in use over 4'

  OK

  Needs Attention

  N/A

"Man-Lifts"

• Fall Protection in Use

  OK

  Needs Attention

  N/A

• Use/Training

  OK

  Needs Attention

  N/A

Notes