Inspection Information

  • Conducted On:

  • Location:
  • Well Number:

  • WBS Number:

  • Site Monitor on location:

  • Conducted By :

  • Status of Operations:

Inspection Check List

Fire Suppression Trailer

  • Inside clean and in good condition

  • Extinguishers clean, inspected and ready for use

  • Tie down straps and anchor bolts in good condition

  • Wrenches for anchors

  • Outside clean and in good condition

  • Tires and Wheels in good condition

  • Spare tire in good condition

  • Hitch safety latch pin

Site Monitor Trailer

  • Outside clan and in good condition

  • Tires and Wheels in good condition

  • Spare tires in good condition

  • Hitch safety latch Pin

  • Inside clean and good condition

  • Extinguisher clean, inspected and ready for use

  • Trailer stocked with cleaning supplies

  • Paperwork neat and in good order

  • Policies and procedures manual available

  • Dry erase board up to date with proper information

  • MSDS book out and visable

  • Proper outside signage clean and good condition

Site Monitor Truck

  • Outside clean and no dents

  • Windshield in good condition

  • Fuel and DEF Fluid at least half full

  • Trash or other item in bed of truck

Site Monitor Personal Appearance

  • All clothing clean and professional

  • Presenting himself in a professional manner

  • Wearing the proper safety vest

  • Wearing all the proper PPE

Additional Findings

Additional Findings or Concerns:

  • Issue #1:

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  • Issue #2:

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  • Issue #3:

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  • Issue #4:

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  • Issue #5:

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  • Issue #6:

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  • Issue #7:

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  • Issue #8:

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  • Issue #9:

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  • Issue #10:

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Approval

  • Supervisor

  • Add signature

  • Site Monitor

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.