Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

  • Ensure fire suppression seal is not broken?

  • Completion Date:

  • All fire extinguishers are in good condition and current on inspections?

  • Completion Date:

  • Inspect all cab glass for cracks?

  • Completion Date:

  • Check horn for proper operation?

  • Completion Date:

  • Inspect all exterior lights / work lights?

  • Completion Date:

  • Inspect all interior lights inside machinery house?

  • Completion Date:

  • Do all lights have proper guarding?

  • Completion Date:

  • Ensure propel alarm is in good order and loud enough to be heard?

  • Completion Date:

  • Check under shovel for any leaks?

  • Completion Date:

  • Check safety switch on man basket for proper operation?

  • Completion Date:

  • Check safety chain on man lift is in place and effective?

  • Completion Date:

  • Inspect tracks, pin keepers, rollers, drive tumbler, track frame?

  • Completion Date:

  • Check window wipers?

  • Completion Date:

  • Visual inspection for loose house panels?

  • Completion Date:

  • Ensure steps, guarding and handrails are in place, mounted properly and effective?

  • Completion Date:

  • Inspect handrails for broken welds?

  • Completion Date:

  • Inspect gantry pins and welds?

  • Completion Date:

  • Boom suspension cables are in good condition?

  • Completion Date:

  • Hoist cables are in good condition?

  • Completion Date:

  • Signage and labels are in place and effective?

  • Completion Date:

  • All electrical cabinets are locked?

  • Completion Date:

  • All electrical cabinets are properly labeled?

  • Completion Date:

  • All breakers are properly labeled?

  • Completion Date:

  • Ensure there are no missing knock-outs?

  • Completion Date:

  • Ground checks are current?

  • Completion Date:

  • There is no loose conduit or wiring?

  • Completion Date:

  • Lube room is clean and organized?

  • Completion Date:

  • Mirrors are in good condition?

  • Completion Date:

  • Operators seat is in good condition?

  • Completion Date:

  • Housekeeping is acceptable?

  • Completion Date:

  • Is operators pre-shift inspection properly filled out?

  • Completion Date:

  • Operator using proper PPE?

  • Completion Date:

  • Auditor(s) Signature

  • Revision 1.0 iCloud posted document is the controlled copy. 06/17/13

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.