Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

PREVIOUS INSPECTION

  • HAS THE LAST INSPECTION BEEN REVIEWED

  • ANY OUTSTANDING ACTIONS FROM PREVIOUS AUDIT

TOOLS

  • NO DAMAGED HAND TOOLS IN USE

  • NO DAMAGED POWER TOOLS IN USE

  • ALL TOOLS ARE PROPERLY GROUNDED

  • ADEQUATELY VENTILATED

  • APPROVED EXTENSION CORDS, EXTENSION CORDS WITH BREAKERS, AND MULTIPLE CONNECTORS USED PROPERLY(NOT AS FIXED WIRING)

  • FRAYED OR DAMAGED ELECTRICAL CORDS REPLACED

  • PORTABLE POWER TOOLS IN GOOD WORKING CONDITION

  • ALL GUARDS IN PLACE ON PORTABLE AND HAND TOOLS

MACHINERY

  • MACHINES KEPT CLEAN

  • FLOORS AROUND THE MACHINES KEPT CLEAN

  • OILED, CLEANED, AND WORKING PROPERLY

  • ALL GUARDS ARE IN PLACE

  • WASTE/OFF CUTS REMOVED AND STORED SAFELY

  • WARNING SIGNS ARE IN PLACE NEAR EQUIPMENT

LADDERS

  • ARE ALL LADDERS INDUSTRIAL STRENGTH

  • ARE LADDERS IN GOOD CONDITION

  • ARE LADDERS CLEAN

  • ARE LADDERS IN USE BEING USED ACCORDING TO INSTRUCTIONS

  • FOR EXTENSION LADDERS ARE ROPES, PULLEYS AND TREADS IN GOOD STATE OF REPAIR

AUDITOR COMMENTS

  • AUDITOR COMMENTS

AUDITOR SIGNATURE

  • Add signature

FACILITY SIGNATURE

  • Add signature

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