Power Supply Housekeeping Audit and Safety Observation Copy

• Conducted on

  Date

• Prepared by

• Location
  Address

• Was the Job observed safe?

  Yes

  No

  N/A

• Was a correction made?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Yes

  No

  N/A

Was the walkways clear?

• Yes

  No

  N/A

Was the trash pickup and removed?

• Yes

  No

  N/A

• Final Picture

  Media

• Yes

  No

  N/A

• Initial Picture of the housekeeping?

  Media

• Was the housekeeping in good shape?

• Was the housekeeping in good shape?

  Good

  Fair

  Poor

  N/A

• Is the material being removed ?

• Yes

  No

  N/A

• Final Picture

  Media