Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Work area observation

  • Uniform: appearance, UGL Service, USafe logo

  • Posters: Usafe

  • Equipment: Electrical powered tools

Walking & working surfaces

  • Grounds care: Caution signs in use

  • Ladders: proper set-up and usage

  • Proper footwear for job task

  • Slips, Trips & Fall hazards

  • Disposal area: load trucks, dumpsters, etc.

  • Eye wash/Showers: Battery charging, corrosive chemical exposure (stripping solution)

Personal Protective Equipment

  • Eye/face protection: safety glasses, goggles, face shield

  • Hand protection: Disposable gloves, heavy duty utility gloves.

  • Foot protection: slip resistant shoes and toe protected.

  • Dust masks when required: Leaf blowing, sweeping, dusting, wheel blower.

  • Body protection: when working with weed eaters, edgers, etc.

  • Fall protection: when falls of 6' or greater, aerial lifts

  • Ear protection: Ear plugs, ear muffs.

  • Other required PPE

Body Mechanics and Ergonomics

  • Lifting/Carrying/Pulling/Pushing: Body movement

  • Tree removal and debris: from ground areas.

  • Disposal of grounds waste: to compactor and/or dumpster

Tools and equipment

  • Selection: Proper tool or equipment for job

  • Condition: Tools and equipment in safe conditions for use

  • Use: Tool and equipment being used as intented

  • Mobile equipment: Inspected prior to use, safe ops.

Hazard communication/ chemicals

  • Hazard Communication Written Program

  • Chemical inventory list, Material Safety Data Sheet (MSDS)

  • Proper labeling of containers

  • Compatibility storage - acid/base

  • Flammable storage cabinets

Follow-up

  • Is any follow up required?<br><br>

  • Add media

Commendable behaviors observed:

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.