Tasks Inspected

  • ISS Crew Trained in Disconnecting RTD Hose Procedure?

  • Add media

General Conditions

  • Safety Information Posted (Bulletin Boards)

  • Lighting

  • Noise

  • Safe Work Zones / Barricades

  • Tool / Equipment Staging

  • Ladder / Scaffold Use

  • Equipment Inspections

  • Environmental Spill Kits

  • Chemical Labels

  • Restroom Facilities

  • Elevated Work (>6') Guardrail of Fall Protection System

  • Fire Extinguishers (Inspected and Suitable for Location)

  • General Entry / Exit (Doors and Stairs)

  • Walkways /Pathways (In Good Condition)

  • Temperature Control

  • Hazard Communication Signs / Labels

  • Body Mechanics / Ergonomics

  • Exits, Alarms, Emergency Lighting

  • First Aid Kits / Emergency Plan

  • Chemical Storage

  • SDS Book

  • Waste Handling Disposal

  • Electrical Equipment and GFCI

  • Ventilation (General and Localized)

  • Other Conditions

Personal Protective Equipment

Protective Clothing

  • Gloves

  • Safety Footwear

  • Reflective Vests

  • Hard Hat

  • Other

Eye Protection

  • Glasses

  • Face Shield

  • Goggles

Hearing Protection

  • Ear Plugs

  • Ear Muffs

  • Combination

Respiratory Protection

  • Disposable Mask

  • Half Mask

Deficiencies / Observations & Corrective / Preventive Actions

  • Deficiency or Observation

  • Suggested Corrective / Preventive Action

  • Assigned to

  • Date

  • Add Photo

Overall Assessment

  • Site Condition

  • Potential Risk

Reviewed by Site Manager

  • Print Name

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