• Enter inspectors name here

  • I. Accident Reporting

  • First Aid Logs are in use and accurate?

  • If answer was "no" what is the correction date

  • Near misses are reported and on file

  • If answer was "no" what is the correction date

  • Accidents are being reported promptly - no lag time

  • If answer was "no" what is the correction date

  • Property damage is reported promptly and accurately

  • If answer was "no" what is the correction date

  • II. Sprains and Strains

  • Good body mechanics during lifting tasks

  • If answer was "no" what is the correction date

  • Forces to lift, push, carry < 50#

  • If answer was "no" what is the correction date

  • Awkward postures are avoided when possible

  • If answer was "no" what is the correction date

  • III. Material Handling

  • Round stock is racked, banded or chocked

  • If answer was "no" what is the correction date

  • Material is stored flat not Leaning i.e. Pallets

  • If answer was "no" what is the correction date

  • Stacks of material are sturdy without fall hazard

  • If answer was "no" what is the correction date

  • Arms length noted while moving material stacks

  • If answer was "no" what is the correction date

  • Slings are several inches from end of beams

  • If answer was "no" what is the correction date

  • IV. Cranes and Rigging

  • Push buttons labeled

  • If answer was "no" what is the correction date

  • No exposed wires

  • If answer was "no" what is the correction date

  • Safety latches working

  • If answer was "no" what is the correction date

  • Crane hooks inspected, wire rope unfrayed

  • If answer was "no" what is the correction date

  • Cranes in use without shock loading

  • If answer was "no" what is the correction date

  • Material lifted/moved is within load capacity

  • If answer was "no" what is the correction date

  • Crane hooks insulated during welding

  • If answer was "no" what is the correction date

  • Slings, hooks, grabs in safe condition

  • If answer was "no" what is the correction date

  • Hands and body positions are safe during C & R work

  • If answer was "no" what is the correction date

  • Plate clamps are being used correctly

  • If answer was "no" what is the correction date

  • V. Building and Fire Codes

  • Extinguishers, aisles, and exits are clear / unblocked?

  • If answer was "no" what is the correction date

  • Access to circuits, fuse and electrical panels are clear?

  • If answer was "no" what is the correction date

  • Fire extinguishers ready and inspected in past year?

  • If answer was "no" what is the correction date

  • Painting is done 25' away from hot work?

  • If answer was "no" what is the correction date

  • Hot work permit visible in coatings?

  • If answer was "no" what is the correction date

  • VI. Electrical

  • Electrical repair performed by authorized personnel?

  • If answer was "no" what is the correction date

  • No visible or exposed wires?

  • If answer was "no" what is the correction date

  • Extension cords not in use as permanent wiring?

  • If answer was "no" what is the correction date

  • Lock and Tag hardware visible during machine maint.?

  • If answer was "no" what is the correction date

  • Machine & EE flooring is dry during operations?

  • If answer was "no" what is the correction date

  • Are ground prongs intact?

  • If answer was "no" what is the correction date

  • Paint pumps and containers are grounded / bonded?

  • If answer was "no" what is the correction date

  • VII. Chemical Safety

  • Clothing and PPE prevent skin and eye exposure?

  • If answer was "no" what is the correction date

  • Clothing is free from wet chemical saturation?

  • If answer was "no" what is the correction date

  • Safety Data Sheets available and accessible?

  • If answer was "no" what is the correction date

  • Drums and containers contents are labeled?

  • If answer was "no" what is the correction date

  • Labels have been supplied?

  • If answer was "no" what is the correction date

  • Are areas free from fluid spills, hoses, trip hazards?

  • If answer was "no" what is the correction date

  • VIII. PPE / Respirators

  • Respirator barrier and face are free from facial hair?

  • If answer was "no" what is the correction date

  • Employee # on the respirators in the shop?

  • If answer was "no" what is the correction date

  • Cartridges have service date in writing?

  • If answer was "no" what is the correction date

  • Cartridge has < 30 days of service life?

  • If answer was "no" what is the correction date

  • Respirator and cartridge storage is sanitary?

  • If answer was "no" what is the correction date

  • Respirators are stored in a cinched bag on shop floor?

  • If answer was "no" what is the correction date

  • Ear plugs used in designated areas?

  • If answer was "no" what is the correction date

  • IX. Eye Protection

  • Eyewear meets Z87+, Z87-1+, Z87-2+ standard?

  • If answer was "no" what is the correction date

  • Safety glasses worn under weld helmet/face shield?

  • If answer was "no" what is the correction date

  • Double eye protection or goggles while grinding?

  • If answer was "no" what is the correction date

  • Double eye protection or goggles to blowdown? (3 ft Ext)

  • If answer was "no" what is the correction date

  • No readers with clip on side shields?

  • If answer was "no" what is the correction date

  • Goggles in use where required? Strap in place?

  • If answer was "no" what is the correction date

  • X. Fall Protection

  • Ladders free from damage?

  • If answer was "no" what is the correction date

  • Ladders used and stored correctly?

  • If answer was "no" what is the correction date

  • Employees above 4' on steel or platforms are using personal fall arrest protection?

  • If answer was "no" what is the correction date

  • PFAS in use is anchored securely?

  • If answer was "no" what is the correction date

  • SRL in place for falls high work below 20 feet?

  • If answer was "no" what is the correction date

  • XI. Yard and Roadway Safety

  • Shipping in all PPE with Reflective vests on roadways & job sites?

  • If answer was "no" what is the correction date

  • Employees working in Company Yards are wearing hard hats, safety glasses and steel toe boot/shoes? Including left truck drivers?

  • If answer was "no" what is the correction date

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