Title Page

  • Site

  • Conducted on

  • Prepared by

  • Location

General

  • Weekly safety inspection available for review?

  • Has the site manager given you access to this?

  • First aid kit stocked?

  • Are you able to stock the first aid kit yourslef?

Personal Protective Equipment

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  • Employees wearing the above safety glasses at all times?

  • How many safety glasses are avaibile

  • Employees wearing hard hats?

  • Employees wearing gloves when exposed to cut/chemical hazards?

  • Where is the damage

Hand and Power Tools

  • Power Tools free from damage (switches, cords, and guards)?

  • Hand tools free from damage ( shaft, head, splinters, etc.

  • PAT operator have training card available for review.

Review

  • Signature

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