CSUSA Service Safety Inspection form

Does the field person have the Safety Contact information programmed in your phone. Require visual evidence.

Are lockout tagout procedures in place and in use when required?

Are all work sites adequately illuminated?

Are portable fire extinguishers of adequate number and type available?

Are safety data sheets on site and available to employees?

Is fall protection provided and in use when required?

Are pits, floor openings and holes covered or otherwise guarded?

Are safety gloves used on site and used as required?

Are hard hats or bump caps provided and in use as required? <br>

Are safety glasses and face shields on site and used when necessary?<br>

Are safety vests used on site and used when necessary?

Are all work sites clean, sanitary and orderly?

Are walking and working surfaces properly guarded when exposure to fall is present?

Are all extension cords in good condition, properly grounded, equipped with ground plugs, and used for temporary applications?

Are all ladders free from defects, approved and used as intended?

Are all tools and equipment used by employees in good condition?

Are employees aware of the hazards caused by fault or improperly used hand tools?

Is personal protective equipment and first aid kits inspected on a regular basis?

Is protection against the affects of occupational noise exposure provided and used?