Title Page

  • Inspectors Name

  • Date

  • Location

  • Owner

Metal Items

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Description

  • Make

  • Model

  • Image of item

  • Serial number

  • Image of serial number

  • Date of manufacturer

  • Additional notes

  • Pass/fail

  • Detail failure

  • Inspectors signature

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

  • Any more items to inspect

  • Confirmation any failed items have been taken out of service

  • Inspectors signature

  • Detail why and confirm you accept all responsibility as the inspector for any consequences from using the equipment

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.