Car-X Safety Review

• Conducted on

  Date

• Franchisee

  Select

• Market

  Select

• Prepared by

• Location
  Address

Car-X Safety Review

• Location

• Last Inspected

• All Lighting Functional

  Yes

  No

• Parking Lot free of trip hazards

  Yes

  No

• Roof Leak free

  Yes

  No

• All Glass free of defects

  Yes

  No

• Yellow Safety Chains hung between shop bay doors

  Yes

  No

• Shop bay floors clean & swept

  Yes

  No

• Railings on stairs/steps

  Yes

  No

• n/a

• Exits properly marked & clear

  Yes

  No

• Floor drain covers safe

  Yes

  No

• n/a

• Walk ways and Aisles clear

  Yes

  No

• Coffee area safe for children

  Yes

  No

• n/a

• Furnace filter clean

  Yes

  No

• No combustables stored within 3 feet of Furnace

  Yes

  No

Equipment

• Ladders meet OHSA standards

  Yes

  No

• Annual Lift Cerification Current

  Yes

  No

• Jack Stands safe

  Yes

  No

• Grinder in OSHA compliance

  Yes

  No

• Pipe Bender safe; no leaks

  Yes

  No

• n/a

• Spring compressor safe

  Yes

  No

• n/a

• Fire Extingushers tagged & properly mounted

  Yes

  No

• Gas Hoses: no leaks, spark arrestors, stored safely

  Yes

  No

• Gas cylinders chained, caps in place, labeled full/empty

  Yes

  No

• Air Compressor in good working order, gaurds in place

  Yes

  No

• Lock out/tag out kit available

  Yes

  No

• Shop tools in working order

  Yes

  No

• Racking/Shelving stable/secure

  Yes

  No

Electrical

• All circuit breakers marked

  Yes

  No

• Electrical panel doors working

  Yes

  No

• No obstruction w/in 3' of Electrical panel

  Yes

  No

• No permanent extention cords

  Yes

  No

• Extension cords in good condition and grounded

  Yes

  No

Miscellaneous

• SDS Binder available and up to date

  Yes

  No

• Emergency Phone numbers posted

  Yes

  No

• SIGN SHOULD BE POSTED

  

• First Aid Kit available

  Yes

  No

• 300 Log & Summary >10 staff

  Yes

  No

• n/a

• 5 in 1 Poster current

  Yes

  No

• Incident Report forms available

  Yes

  No

• Eye wash station working

  Yes

  No

• Metal containers for shop rags

  Yes

  No

• Containers labled

  Yes

  No

Training Records Car X Academy

• Are Employees in Car-X Academy

  Yes

  No

• Hazcom: Chemical Safety-PPE

  Yes

  No

• Hazcom: GHS & SDS

  Yes

  No

• Lock Out / Tag Out

  Yes

  No

• Manager:

  Sign

• Inspector

  Sign