PDC Safety Commitee Facility Inspection

• Document No.

• Client / Site

• Conducted on

  Date
• Location
  Address

• Prepared by

Inspection

• All PIV inspection cards found to be completed and without issue.

  Yes

  No

  N/A

• PIV travel and flow consistent with training and PDC guidelines.

  Yes

  No

  N/A

• PPE utilized as per training (gloves when handling metal, gloves and face shield when changing batteries, etc.).

  Yes

  No

  N/A

• Aisles and intersections free and clear of all obstructions allowing for easy travel.

  Yes

  No

  N/A

• Fire exits, breaker boxes, fire extinguishers, eye wash and emergency shower free and clear of obstructions.

  Yes

  No

  N/A

• Parts properly stored in active and reserve locations (secure, stable, pushed in, etc.).

  Yes

  No

  N/A

• Battery stops in place to prevent battery from coming off of rollers.

  Yes

  No

  N/A

• No items present that could present a stored energy hazard ( leaning pallets, bars, pipes, etc.).

  Yes

  No

  N/A

• Electrical cords and battery cables in good order and free of cuts or other defects.

  Yes

  No

  N/A

• Comments:

  Yes

  No

  N/A