Management Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Training & Documentation

• New employees have completed orientation.

  Yes

  No

  N/A

• Equipment operator(s) - Documentation is available to show operator has been trained to operate the unit.

  Yes

  No

  N/A

• Hazardous Communication - Employees know where MSDS's are located

  Yes

  No

  N/A

• Hazardous Communication - Employee has appropriate level of training for the work they are performing.

  Yes

  No

  N/A

• Housekeeping - Work area clean and uncluttered. Trash picked up and disposed of daily.

  Yes

  No

  N/A

• Pre-task paperwork is complete and correct. Crew have correct permits.

  Yes

  No

  N/A

• Postings - Are required posters and signs on-site. (Can be in job trailer or office)

  Yes

  No

  N/A

Personal Protective Equipment

• Fall protection - Harness & Lanyard / Monthly inspection (Documented) / No more than 5 years old

  Yes

  No

  N/A

• Gloves - Right kind for the job / is the crew using them

  Yes

  No

  N/A

• Hearing Protection - Available & used / right type for the work

  Yes

  No

  N/A

• Mask - Right kind for job / crew using them

  Safe

  At Risk

  N/A

• PPE (Special) - is there

  Yes

  No

  N/A

Equipment

• Aerial lift(s) - Daily inspection

  Yes

  No

  N/A

• Air Compressor(s) - Daily Utility Equipment Inspection

  Yes

  No

  N/A

• Crane(s) - Daily inspection

  Yes

  No

  N/A

• Forklift(s) / Lull(s) / Front-end loader(s) - Daily inspection

  Yes

  No

  N/A

• Generator(s) - Daily Utility Equipment Inspection

  Yes

  No

  N/A

• Ladder(s) - Daily visual inspection. Documented on Pre-task paperwork

  Safe

  At Risk

  N/A

• Scaffolding - Daily inspection / Tag filled out by Competent Person

  Safe

  At Risk

  N/A

Rigging

• Carabineer(s) - Visually inspected. Documented on Pre-task paperwork.

  Safe

  At Risk

  N/A

• Cargo strap(s) - Visually inspected. Documented on Pre-task paperwork.

  Safe

  At Risk

  N/A

• Chain falls - Visually inspected. Good working clips on hooks. Documented on Pre-task paperwork.

  Yes

  No

  N/A

• Shackle(s) & Hook(s) - Visually inspected. Documented on Pre-task paperwork.

  Yes

  No

  N/A

• Sling(s) - Visually inspected. Documented on Pre-task paperwork.

  Yes

  No

  N/A

• Wire sling(s) - Visually inspected. Documented on Pre-task paperwork.

  Yes

  No

  N/A

Tools

• Electrical cord(s) - Visual inspected before use / no cuts in outer sleeve / ground pin not missing / outer sleeve not pulled loose from ends.

  Safe

  At Risk

  N/A

• Tool(s) Electrical - Visual inspected before use / no cuts in outer sleeve / ground pin not missing / outer sleeve not pulled loose from end.

  Safe

  At Risk

  N/A

• Tool(s) Hand- Visual inspection before use

  Safe

  At Risk

  N/A

• Tool(s) Pneumatic - Visual inspection before use / not leaking / either pinned or whip-checked when in use

  Safe

  At Risk

  N/A

• Pneumatic hose(s) - Visual inspection before use / good condition, not leaking when in use

  Yes

  No

  N/A

Welding

• Arc welding machine - Visual inspection of unit before use. Documented on Pre-task paperwork.

  Safe

  At Risk

  N/A

• Gas welding bottles / hoses / gauges - Visual inspection of unit before use. Documented on Pre-task paperwork.

  Safe

  At Risk

  N/A

• Gas cylinders - Properly stored and secure when not in use.

  Yes

  No

  N/A

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