Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
PCI Weekly Inspection Checklist
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Add media
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PCI Branch - Tampa IPS - 127
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Job No.
1. PAPERWORK
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1.1 Completed? Review the following as a minimum: Job Site Safety Procedures, Fall Protection Plan, OSHA Postings, AWP Checklists, Pre-Task Plan, and Heat Stress Checklist.
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
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1.2 Posted?
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
2. HOUSEKEEPING
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2.1 Our work area
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
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2.2 Overall job site
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
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2.3 Drinking Water
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
2. FIRE PROTECTION
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2.1 Extinguishers (fully charged, inspected, & certified)
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
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2.2 Fire hazards (material liquids)
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
3. HAND TOOLS
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3.1 General Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
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3.2 Proper Tool for the Job
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
4. POWER TOOLS
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4.1 General Condition
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
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4.2 Grounded
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
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4.3 Guards in Place
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
5. ELECTRICAL
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5.1 Condition of Electric Tools
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
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5.2 GFCI's in Use
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
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5.3 Extension Cord Placement
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
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5.4 Extension Cord Not in Water
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
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DATE CORRECTED?
6. LADDERS
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6.1 General Conditions
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RESPONSIBLE PARTY?
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PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
6.2 Proper Use
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
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6.3 Straight Ladders Tied Off
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
6.4 Safety Feet in Good Condition
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
7. POWDER-ACTUATED TOOLS
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7.1 Face Shields and Ear Plugs in Use
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
7.2 Operator Licensed
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
7.3 Warning Signs Posted
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
7.4 Loads Stored & Disposed of Properly
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
8. PERSONAL PROTECTIVE EQUIPMENT
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8.1 Hard Hats
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RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.2 Eye Protection
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.3 Hearing Protection
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.4 Back Supports
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.5 Fall Protection
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.6 Respirators
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.7 Protective Clothing
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.8 Gloves - level 3 cut resistant
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
8.9 Kevlar sleeves - installing, handling, or demolishing IMP
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
9. VEHICLES
-
9.1 General Condition
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
9.2 Forklift Licenses
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
10. FIRST AID
-
10.1 First Aid Kits Available/Stocked
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
11. FLOORS, STAIRS, WALKWAYS
-
11.1 Guardrails
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
11.2 Floor Openings Covered
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
11.3 Floor Coverings Secured
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
11.4 Floor Coverings Marked
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
11.5 Adequate Lighting
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
11.6 Stair Pans Filled
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
11.7 Walkways Clear
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
12. MANLIFTS -AWPs
-
12.1 All Guardrail Gates/Chains Closed
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
12.2 Body Harness and Lanyard
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
12.3 All Operators Trained have a license
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
12.4 Operated on Level Footing
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
13. WELDING
-
13.1 Protective Equipment is Being Used
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
13.2 Fire Extinguishers in Immediate Vicinity of Fire Watch(if needed)
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
14. MATERIALS HANDLING HORIZONTAL
-
14.1 Materials Properly Stacked
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
14.2 Material Handling Equipment in Good Condition
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
14.3 Proper Handling and Lifting Practices
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
14.4 Excessive Material Not in the Way
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
15. MATERIAL HANDLING VERTICAL
-
15.1 Supervised by a Competent Person
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
15.2 Is the Swing Zone Clear
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
15.3 Slings in Good Condition
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
17. OTHER ITEMS
-
17.1 Type in the issue and information.
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
CORRECTIVE ACTIONS
-
Enter any corrective actions that will be undertaken
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
Enter any corrective actions that will be undertaken
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
Enter any corrective actions that will be undertaken
-
RESPONSIBLE PARTY?
-
PCI PERSONNEL RESPONSIBLE FOR CORRECTION?
- GIDDENS, KEN
- GIVENS, HUEY
- HACKETT, BRIAN
- KERBER, STEVE
- LUND, JIM
- MCGOWAN, RANDY
- NORRIS, STEVE
- STORY, ALAN
- STORY, GARY
- THRIFT, CHUCK
- WARNER, GREG
- CUEVAS, DANNY
- PENNIX, MIKE
- SANCHEZ, JUAN
- SHARPE, JERRY
- HOUTMAN, MATT
- PROCTOR, JAYCE
- TURBAK, ALEX
-
DATE CORRECTED?
-
Inspected by:
-
Reviewed by:
