Jarrell Mechanical Safety Inspection

• Document No.

• Job Name

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General safety

• Hazard communication program

  Safe

  At Risk

  N/A

• SDS book available

  Safe

  At Risk

  N/A

• Safety day-by-day program

  Safe

  At Risk

  N/A

• First aid kit available

  Safe

  At Risk

  N/A

• Fire extinguishers in sight

  Safe

  At Risk

  N/A

• Eye wash station available

  Safe

  At Risk

  N/A

Ladders

• No defective ladders in use

  Safe

  At Risk

  N/A

• Step ladders right height for the task

  Safe

  At Risk

  N/A

• Step ladders only used in open position.

  Safe

  At Risk

  N/A

• Straight ladders tied off at the top

  Safe

  At Risk

  N/A

• Straight ladders extend three feet above the landing

  Safe

  At Risk

  N/A

Personal Protective Equipment

• Head protection

  Safe

  At Risk

  N/A

• Eye protection

  Safe

  At Risk

  N/A

• Are face shields or goggles worn when chipping, grinding, or drilling?

  Safe

  At Risk

  N/A

• Is hearing protection required and worn?

  Safe

  At Risk

  N/A

• Are personal fall arrest devices used and checked regularly?

  Safe

  At Risk

  N/A

Scaffolds and Manlifts

• Hand rails and toeboards in place

  Safe

  At Risk

  N/A

• Proper access

  Safe

  At Risk

  N/A

• Wheels locked when rolling scaffolds are in use by workers

  Safe

  At Risk

  N/A

• Workers tied off in aerial lifts

  Safe

  At Risk

  N/A

• Workers are trained for the lift they are using

  Safe

  At Risk

  N/A

• Equipment inspected daily

  Safe

  At Risk

  N/A

Walking and working surfaces

• Guarded floor openings and edges

  Safe

  At Risk

  N/A

• Stored material properly stacked and clear of aisles?

  Safe

  At Risk

  N/A

• Spills, water, ice, and snow cleared.

  Safe

  At Risk

  N/A

• Clear access to all work areas

  Safe

  At Risk

  N/A

Gases/fuel

• Oxygen/acetylene properly used

  Safe

  At Risk

  N/A

• Gasoline in properly closed and vented container

  Safe

  At Risk

  N/A

Power tools

• Power/electric cords in good condition

  Safe

  At Risk

  N/A

• Tools stored to prevent damage

  Safe

  At Risk

  N/A

• GFCI properly in use on all temporary electric cords, at the source.

  Safe

  At Risk

  N/A

Rigging

• Slings and Choker in good condition

  Safe

  At Risk

  N/A

• Shackles in use to protect slings

  Safe

  At Risk

  N/A

Material handling

• Gloves available

  Safe

  At Risk

  N/A

• Proper manual lifting techniques

  Safe

  At Risk

  N/A

• Carts on site to move material.

  Safe

  At Risk

  N/A

• Comments

• Inspector signature

  Sign

• Foreman signature

  Sign