Title Page

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

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

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

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

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

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

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

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

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

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

  • Comments:

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