Information

  • Document No.

  • PMH1 Safety Inspection

  • Operation Name

  • Conducted on

  • Prepared by:

  • Location
  • Select date

  • Is the housekeeping (garbage, electrical cords, cleanliness, ladders, debris, material storage, etc) in good condition?

  • Add media

  • Is there an eyewash station and muster points identified within the operation?

  • Add media

  • Electrical - Proper grounding, LOTO, GFCI, cords in good condition?

  • Add media

  • All access (walking/working) surfaces free of holes, debris and is slippery conditions?

  • Add media

  • All personal protective equipment (respirators, harnesses, common PPE etc.) being worn and worn properly?

  • Add media

  • All electrical tools have their guards in place, are in good condition and stored properly?

  • Add media

  • Cranes - Rigging equipment such as slings and shackles properly inspected and stored?

  • Add media

  • Excavation - Properly sloped or shored, GDP permits in place and reviewed/signed off and barricades in place?

  • Add media

  • Flammable sand combustibles stored properly, fire extinguishers, welding and cutting equipment all in place?

  • Add media

  • Scaffold system fully assembled, tagged properly, inspections complete?

  • Add media

  • All barricaded areas properly signed/tagged with appropriate contact information?

  • Add media

  • Is there a Job Hazard Analysis created for the operation/task?

  • Add media

  • Supervisor name (type): Supervisor Signature:

  • Safety name (type): Safety Rep Signature:

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.