Lawn Mowing Field Observation

• Audit Title

• Community

  Select City of Kaukauna Kaukauna Utilities Menasha Utilities Two Rivers City of Sturgeon Bay Sturgeon Bay Utilities New Holstein

  • City of Kaukauna
  • Kaukauna Utilities
  • Menasha Utilities
  • Two Rivers
  • City of Sturgeon Bay
  • Sturgeon Bay Utilities
  • New Holstein

• Conducted on

  Date

• Prepared by

• Location
  Address

• Employees Present

Equipment

• Please select the equipment being used

  Select Riding Mower Push Mower Grass Trimmer Blower

  • Riding Mower
  • Push Mower
  • Grass Trimmer
  • Blower

Pre-Operation Safety Checklist

• Was the mowing equipment driven to the site or hauled in a trailer?

  Driven

  Hauled

• If hauled to work site, are the truck and trailer parked in a safe and visible location?

  Yes

  No

  N/A

• Are there any known hazards where the mowing or trimming operation will be taking place?

  Safe

  At Risk

  N/A

• Was a visual inspection performed of the equipment prior to operation?

  Yes

  No

  N/A

• Are all protective guards and shields in place and secured on the mowing and hand held equipment?

  Yes

  No

  N/A

• Is the mowing area clear of large debris such as sticks, rocks, garbage, etc.?

  Yes

  No

  N/A

• Identify slope of mowing operation.

  0 - 15 degree slope

  15 - 22 degree slope

  22 degree or greater

• If greater then 15 degree slope, is the mowing operation conducted within the manufacturers allowable slope for the mowing equipment.

  Yes

  No

  N/A

Personal Protective Equipment

• Is high visibility clothing being worn while operating mowing or hand held equipment?

  Yes

  No

  N/A

• Is hearing protection being worn while operating mowing or hand held equipment.

  Yes

  No

  N/A

• Are safety glasses or goggles being worn while operating mowing or hand held equipment.

  Yes

  No

  N/A

• Does footwear meet all requirements to safely perform mowing or hand held operations? (i.e. closed toe, safety toe, non-slip, etc.)

  Yes

  No

  N/A

• Are long pants being worn to prevent leg injuries if mowing or using hand held equipment for trimming or edging?

  Yes

  No

  N/A

Operational Safety Checks

• Was the operator wearing a seat belt while the mowing equipment was moving?

  Yes

  No

  N/A

• Did the operator perform all tasks at a safe speed?

  Yes

  No

  N/A

• Was a buffer zone maintained within 5 feet of a drop-off while operating riding equipment?

  Yes

  No

  N/A

• If equip, did the mower have a strobe light working and turned on?

  Yes

  No

  N/A

• Was the operator alert and aware of potential hazards while operating equipment?

  Yes

  No

  N/A

• Are the mower blades turned off when crossing gravel paths, removing the grass catcher, unclogging any chute, or when away from the mower?

  Yes

  No

  N/A