Title Page

  • Type of Inspection-Select the type based on the Title of the Inspection being conducted

  • Jobsite Location

  • Project Name

  • Conducted on

  • Prepared by

Electrical Safety Observations

  • Electrical Equipment Free of Damage (Extension Cords, Hand-tools, etc)

  • Electrical Equipment Damaged (Extension Cords, Hand-tools, etc)

General Safety

  • Forklift and other Mobile Equipment Inspections Completed

  • Forklift and other Mobile Equipment Inspections NOT Completed

  • Fire Equipment Accessible

  • Fire Equipment NOT Accessible

  • Chemicals Properly Labeled

  • Chemicals MISSING Labels

  • Employees Wearing Safety Glasses

  • Employees NOT Wearing Safety Glasses

  • Employees Wearing Hearing Protection

  • Employees NOT Wearing Hearing Protection

  • Employees Wearing Proper Gloves/Hand Protection

  • Employees NOT Wearing Proper Gloves/Hand Protection

  • Tools in Good Condition

  • Tools Broken or Improperly Modified

Housekeeping

  • Work Areas are clear of Obstacles

  • Work Areas have slip, trip and fall hazards

  • Gas Cylinders Properly Stored

  • Trash containers not overflowing with trash

  • Trash containers overflowing with trash

  • Gas Cylinders are NOT Properly Stored

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.