Title Page

  • Conducted on

  • Site of inspection

  • Prepared by

Check list

Review

  • Has previous report been reviewed?

  • Has corrective actions been initiated?

  • Which actions have been done?

  • Which actions need to be done?

Equipment Inspection

  • Are the saw/guards in good condition?

  • Foot pedals and two-handed controls secure and operable?

  • Are clamps in good condition?

  • Are the punches in good condition?

  • Are the stakers/guards in good condition?

  • Are the rolling tables in good condition?

  • Are start/stop switches operational?

Safety

  • All employees have required PPE and are in good condition?

  • All temps/new hires posses safety vests?

  • All tools in use are appropriate for the tasks being performed?

  • Adequate lighting in area and in good condition?

  • Are emergency switches in reach and operational?

  • Pinch/nip/shear/rotation points identified and properly guarded?

  • Are floors clear and level?

  • Are egress (+22”) assessable and clear?

  • Are egress properly marked?

  • Fire extinguisher accessible?

  • Emergency exits marked and in good condition?

House Keeping

  • Work environment is clean and orderly?

  • Floors are swept and tidy?

  • All slip/trip hazards identified and proper safety measures taken?

  • Under the rolling tables are clear?

  • Trash cans are in good condition?

PIV Review

  • Forklift inspection completed?

  • Forklift traffic separate from production?

  • “SAFE” forklift operation witnessed?

Fall Protection

  • Dock guards in place and secure?

  • Ladder inspection up to date?

  • Overhead hazards identified and safety measures taken?

Tractor Trailer

  • Trailer wheels locks engaged?

  • Trailer post in place?

  • Trailer entry forms completed?

Other corrective action

  • Other issues seen

Confirmation of inspection

  • Add signature

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