Title Page
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Completed Vehicle Walk-Around Inspection
-
Required PPE on hand (including safety glasses, ear protection, proper footwear, hard hat)
-
Asked customer if there was additional PPE required for visit
-
Was there any congestion within the work area
-
Please detail congestion below and attach picture
-
Attach picture here
-
Is work area clean and free from slip or trip hazards
-
Please detail hazards below and attach picture
-
Attach picture here
-
If ladder use is required, is a safe ladder provided
INSPECTOR'S SIGNATURE
-
Please Sign Here