MW Builders

EQUIPMENT DEMO

MWB Weekly Inspection Report

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Information

Document No.
MWB Weekly Safety Inspection report
Client / Job Number
Conducted on
Prepared by
Location
Superintendent

Equipment & Scaffold - Select from Multiple Choice
- Scaffold
- Scissor/Articulate Lifts
- Crane
- Forklift
Responsible Party for Crane
Inspection Certificate
Fire Extinguisher
Load Limit
Swing Radius Protected
Operated Certified
Rig/Signal Certified
Loads Secured
Tag Line
Spreaders with PE letter
Crane Basket Per OSHA Standard 1926,150(g)
Responsible Party for Scaffold

GuardRails

Top
Mid-Rail
Toe Board
X Bracket Secured
Base Plates Used
Legs on Solid Material
Loads Double Planked

Secured

26' Vertically
30' Horizontally

Planks

Secured
Pass Through Protected
Tag Daily

Mobile Scaffold

Wheels Locked/Chocked
Moved Correctly
Responsible Party for Lift
Fall Protection
Edge Guard Stop
Gate Latch
Controls Visible
Responsible Party for Forklift
Backup Alarm
Daily Inspection
Seat Belt
Fire Extinguisher

MW Builders

EQUIPMENT DEMO

MWB Weekly Inspection Report

Use this Template

Print as PDF

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