Premier Safety Observations

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

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• Jobsite Location

• Project Name

• Conducted on

  Date

• Prepared by

Electrical Safety Observations

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

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

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General Safety

• Forklift and other Mobile Equipment Inspections Completed

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• Forklift and other Mobile Equipment Inspections NOT Completed

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• Fire Equipment Accessible

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• Fire Equipment NOT Accessible

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• Chemicals Properly Labeled

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• Chemicals MISSING Labels

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• Employees Wearing Safety Glasses

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• Employees NOT Wearing Safety Glasses

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• Employees Wearing Hearing Protection

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• Employees NOT Wearing Hearing Protection

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• Employees Wearing Proper Gloves/Hand Protection

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• Employees NOT Wearing Proper Gloves/Hand Protection

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• Tools in Good Condition

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• Tools Broken or Improperly Modified

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Housekeeping

• Work Areas are clear of Obstacles

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• Work Areas have slip, trip and fall hazards

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• Gas Cylinders Properly Stored

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• Trash containers not overflowing with trash

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• Trash containers overflowing with trash

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• Gas Cylinders are NOT Properly Stored

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