PPHS - Health and Saftey Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Customer Name

• Customer Address
  Address

• Measure

  EWI

  UFI

  Dual

• Team

  Select Aigars Arturas Eve Justas Nerijus Tyby Other: See notes

  • Aigars
  • Arturas
  • Eve
  • Justas
  • Nerijus
  • Tyby
  • Other: See notes

• Men at work sign visible

  Yes

  No

• Dust sheet/floor protection down

  Yes

  No

  N/A

• Steel work/safety boot worn

  Yes

  No

• Hi vis worn

  Yes

  No

• Ladders

  Yes

  No

• Ladder slip mats in use or accessible to use

  Yes

  No

• Hard hat worn or accessible to wear

  Yes

  No

• Gloves worn or accessible to wear

  Yes

  No

• Safety Goggles/Safety Glasses worn or accessible to wear

  Yes

  No

On Van

• Fire extinguisher on van & accessible

  Yes

  No

• First aid kit accessible

  Yes

  No

• Eye wash in first aid kit (and in date)

  Yes

  No

• Face masks worn/accessible if needed

  Yes

  No

• Torch in use/accessible

  Yes

  No

• Hand wipes/sanitizer accessible

  Yes

  No

• Shoe/boot covers accessible

  Yes

  No

Other

• Additional Comments

  Yes

  No

  N/A