Title Page
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Assigned Chute:
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Employee Name:
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Employee ID Number:
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Inspector:
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Date of Inspection:
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Is the employee wearing slip resistant shoes, supplied by EVS department?<br>
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Is shoe upper in good condition without cracks, holes & stains?<br>
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Does shoe sole display any signs of separation from shoe upper?
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Is shoe sole worn evenly, no toe-in or toe-out wear?<br>
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Is shoe heel worn evenly, no heel-in or heel-out wear?<br>
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Is shoe sole split or cracked?<br>
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Does employee notify department management of any concerns regarding issued/provided shoes?
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Does overall condition of employee’s shoes require replacement?<br>
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Comments:
