Title Page

What car are you servicing?

  • Brief description of car (model, make, color, year, etc.)

  • Please include a picture of the car

  • Accomplished on

  • Completed by

  • Are you wearing safety glasses/goggles?

  • Are you wearing gloves? (for hand protection)

  • Are you wearing the appropriate footwear? (closed, non-slip)

  • Are first aid kits easily accessible?

  • Have you received training on what to do in case of injury?

  • Is there an eye wash station nearby?

  • Is there enough ventilation?

  • Is the fire alarm system working?

  • Are fire extinguishers easily accessible?

  • Have you received training on what to do in case of fire?

  • Are you aware of the flammable liquids in the car or workspace?

  • Are these flammable liquids kept away from ignition sources and points of human contact?

  • Do you have the necessary tools for car service work?

  • Do you know how to use these tools?

  • Do you need assistance from another technician?

Sign Off

  • Name and Signature

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