HEO MONTHLY INSPECTION

• HEO

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• 

  Yes

  No

  N/A

GENERAL

• Safety board present with up to date info

  Yes

  No

  N/A

• Are first aid and BBP supplies available?

  Yes

  No

  N/A

• Are floors free from tripping hazards, holes or cracks?

  Yes

  No

  N/A

• Overhead lights protected from breakage?

  Yes

  No

  N/A

• Emergency Exit lights work?

  Yes

  No

  N/A

• Are SDS sheets readily available?

  Yes

  No

  N/A

• Are flammable liquids stored properly?

  Yes

  No

  N/A

• Are secondary containers labeled accordingly?

  Yes

  No

  N/A

• Are emergency exit routes posted?

  Yes

  No

  N/A

• Are emergency exit paths and doors not blocked or locked? Doors open easy?

  Yes

  No

  N/A

• Are fire extinguishers readily available, accessible, inspected monthly, and maintained annually?

  Yes

  No

  N/A

• Alarm pull stations good?

  Yes

  No

  N/A

• Eye wash serviceable, inspected, not blocked, sign posted, tested weekly and signed off?

  Yes

  No

  N/A

• Safety Signs posted as needed?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Eye and Face protection worn as required?

  Yes

  No

  N/A

• Other HEO PPE worn when required? hard hat and gloves?

  Yes

  No

  N/A

• Hearing Protection worn as required?

  Yes

  No

  N/A

• High noise areas warning signs posted?

  Yes

  No

  N/A

• Personal Protective Equipment in good condition?

  Yes

  No

  N/A

TOOLS

• Power tools have guards in place?

  Yes

  No

  N/A

• Power tools either grounded or double insulated?

  Yes

  No

  N/A

• Power tool electrical cords and plugs in good condition?

  Yes

  No

  N/A

• Impact tools heads dressed to avoid mushrooming?

  Yes

  No

  N/A

• Broken tools taken out of service?

  Yes

  No

  N/A

• Are extension cords serviceable?

  Yes

  No

  N/A

• Tool Accountability and Control Log Maintained?

  Yes

  No

  N/A

HOUSEKEEPING

• Walkways and work aisles clearly marked and kept clear?

  Yes

  No

  N/A

• Cords and hoses routed to prevent trip hazards?

  Yes

  No

  N/A

• work area clean, orderly and free of combustibles?

  Yes

  No

  N/A

• Trash, scrap, and debris picked up and disposed of?

  Yes

  No

  N/A

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ELECTRICAL

• Correct voltage used for application?

  Yes

  No

  N/A

• Extension cords rated for usage?

  Yes

  No

  N/A

• Lockouts used as needed?

  Yes

  No

  N/A

• Electrical panels not blocked (36")

  Yes

  No

  N/A

• Electrical panel doors closed?

  Yes

  No

  N/A

• Electrical outlets checked including GFCI plugs?

  Yes

  No

  N/A

LADDERS

• Have all employees been trained in ladder safety?

  Yes

  No

  N/A

• Are all ladders in good condition and used properly?

  Yes

  No

  N/A

MISCELLANEOUS

• At a minimum are monthly safety inspection done?

  Yes

  No

  N/A

• JHA's available and signed?

  Yes

  No

  N/A

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• NOTES