Title Page

  • Supervisor:

  • Attendant(s)

  • Date:

INSPECTION

  • Does the sump have adequate room?

  • Are the high-pressure warning lights operational

  • Are warning signs clean and readable? Face shield required signage, HPD required signage, Blue light warning signage.

  • Is the washdown area free of trip hazards?

  • Is there a good standard of housekeeping in the washdown area?

  • Is the Hotsy Machine in good working order? Inspect for leaks..

  • Are the hoses on the wand and the cannons in good working order? Example no leaks and condition of hoses and cannons

  • Before washing was the area inspected? example: speaker has been moved out of washing area.

  • Is all the proper PPE being used? HPDs, rain gear, water proof boots, and good fitting face shield....

  • Is the attendant aware of procedures and has the operator completed an area walk around/inspection of work area before beginning work in the wash bay?

  • Has SLAM been completed and reviewed by Supervisor

Inspection Team

  • Signature:

  • Signature:

  • Signature:

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