Routine Safety Inspection

• Document No.

• Singer Routine Safety Inspection

• Markwest Bluestone

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Procedures

• Pre Task Planner

  Yes

  No

  N/A

• Lock Out/ Tag Out/ Try Out

  Yes

  No

  N/A

• Confined Space Entry

  Yes

  No

  N/A

• Hot Work

  Yes

  No

  N/A

• Critical Lifting Procedure

  Yes

  No

  N/A

Physical Conditions

• General Housekeeping

  Yes

  No

  N/A

• Walking/Working Surfaces

  Yes

  No

  N/A

• Storage

  Yes

  No

  N/A

• Barricades/Warnings

  Yes

  No

  N/A

• Handrails

  Yes

  No

  N/A

• Hole Covers

  Yes

  No

  N/A

• Leading Edge

  Yes

  No

  N/A

• Ladders

  Yes

  No

  N/A

• Scaffolds

  Yes

  No

  N/A

• Excavations

  Yes

  No

  N/A

• Rigging

  Yes

  No

  N/A

• Tools

  Yes

  No

  N/A

• Mobile Equipment

  Yes

  No

  N/A

• Electrical

  Yes

  No

  N/A

• Lighting

  Yes

  No

  N/A

• Fire Protection

  Yes

  No

  N/A

Body Positioning

• Line of Fire

  Yes

  No

  N/A

• Pinch Points

  Yes

  No

  N/A

• Hands Off Loads

  Yes

  No

  N/A

• Eyes and Hands on Task

  Yes

  No

  N/A

• Climbing

  Yes

  No

  N/A

Personal Protective Equipment

• Fall Arrest

  Yes

  No

  N/A

• Head Protection

  Yes

  No

  N/A

• Eye/Face Protection

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Respiratory Protection

  Yes

  No

  N/A

• Hand Protection

  Yes

  No

  N/A

• Foot Protection

  Yes

  No

  N/A

Tools/Equipment

• Inspections

  Yes

  No

  N/A

• Proper Use

  Yes

  No

  N/A

• Proper Tool for Task

  Yes

  No

  N/A

Ergonomics and Motion

• Lifting/Lowering

  Yes

  No

  N/A

• Pushing/Pulling

  Yes

  No

  N/A

• Grip/Force/Stress

  Yes

  No

  N/A

• Assistance/Job Rotation

  Yes

  No

  N/A