Title Page

  • Conducted on

  • Prepared by

  • Name:

INSPECTION RECORD

  • PLEASE ENSURE TO ADD PHOTO OF ITEM AND ANY ACTIONS ON THE 'EQUIPMENT/PPE/KITS DESCRIPTION' QUESTION:

    Inspection.png
  • Please select Inspection Required:

  • Operator PPE Inspection:
  • PLEASE ENSURE THE FOLLOWING RULES ARE UNDERTAKEN WHEN INSPECTING PPE:

    1. Take a photo of PPE

    3. set action if needing replacement/cleaning

    a. Assign to 'Operator'
    b. Note comments - Start with Operators Name
    c. Images to clarify requirements

    Info Only.jpg
  • Select PPE to be inspected:

  • PLEASE ENSURE PPE COMPLIES WITH THE BELOW:

    Chainsaw PPE.jpg
  • SAFETY HELMET – CONFORMING TO EN 397

  • EYE PROTECTION – EITHER A MESH VISOR COMPLYING WITH EN 1731 OR SAFETY GLASSES CONFORMING TO EN 166

  • HEARING PROTECTION – CONFORMING TO EN 352

  • LEG PROTECTION – CONFORMING TO EN 381-5

  • PROTECTIVE BOOTS – CONFORMING TO EN 345-2

  • PPE.jpg
  • SAFETY HELMET – CONFORMING TO EN 397

  • HIGH VISIBILITY CLOTHING – CONFORMING TO EN471

  • SAFETY FOOTWEAR – CONFORMING TO EN345-1

  • PLEASE ENSURE THE FOLLOWING RULES ARE UNDERTAKEN WHEN INSPECTING COSHH CONTROLS:

    1. Take a photo of COSHH CONTROL

    3. set action if needing replacement/cleaning

    a. Assign to 'CONTRACTOR'
    b. Note comments
    c. Images to clarify requirements

    Info Only.jpg
  • COSHH Controls Inspection:
  • COSHH Control to be inspected:

  • SPILL KIT:

    Spill Kit.jpg
  • Spill Pads (Minimum of 12 Pads)

  • Socks (Minimum of 2)

  • 1 Disposable bag

  • 1 Zip Tie

  • not contaminated?

  • adequate gloves

  • goggles

  • not contaminated?

  • PLEASE ENSURE THE FOLLOWING RULES ARE UNDERTAKEN WHEN INSPECTING FIRST AID KITS:

    1. Take a photo of FIRST AID KITS

    3. set action if needing replacement

    a. Assign to 'CONTRACTOR'
    b. Note comments
    c. Images to clarify requirements

    Info Only.jpg
  • First Aid Kit Inspections:
  • First Aid Kit Type:

  • EQUIPMENT Item:
  • Machine / Operation:

  • Equipment Description:

  • Name:

  • Assessment:

  • DO NOT USE EQUIPMENT - Please Mark up and inform operators not to be used in operations

    9D793FA7-2ECC-4254-8ACF-557D313BBAF6.jpeg
  • Please note reason for Failure:

  • Equipment Description:

  • Name of item:

  • Assessment:

  • DO NOT USE EQUIPMENT - Please Mark up and inform operators not to be used in operations

    9D793FA7-2ECC-4254-8ACF-557D313BBAF6.jpeg
  • Please note reason for Failure:

  • Equipment Description:

  • Name:

  • Assessment:

  • DO NOT USE EQUIPMENT - Please Mark up and inform operators not to be used in operations

    9D793FA7-2ECC-4254-8ACF-557D313BBAF6.jpeg
  • Please note reason for Failure:

APPROVAL

  • Inspections added and completed to the requirements:

  • Signature of designated person:

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