SWS Inspection

• Moffett 42143 Hanger # 1

  Select

• Conducted on

  Date

• Prepared by

• Customer

• Location of Task
  Address

• Description of Activity

Field Level Hazard Assessment

• Answer the following questions by selecting YES or NO You can add media, notes and actions as necessary by clicking on the paper clip icon on the upper right corner of the question. - Upload images through the add Media option. - Indicate notes through the Add Notes option - Assign to another user with a priority level and due date, and they will be notified in real-time via email, text (SMS) or push notification through the Add Action option.

  Date

Evaluating Your Work Area and Tasks

• Safety rules are being enforced visually throughout the whole facility

  Yes

  No

  N/A

• Have you walked the area?

  Yes

  No

  N/A

• Personal Protective Equipment (PPE) Have employees received the necessary training around the correct use of PPE?

  Yes

  No

  N/A

• Are you working around live systems?

  Yes

  No

  N/A

• Does this task require special training?

  Yes

  No

  N/A

• Tools and equipment inspected?

  Yes

  No

  N/A

• Equipment guards are in place and must prevent all access to moving parts?

  Yes

  No

  N/A

• Are work permits required?

  Yes

  No

  N/A

• Tools and material available?

  Yes

  No

  N/A

• Area evacuation routes established?

  Yes

  No

  N/A

• Are there previously unidentified safety issues?

  Yes

  No

  N/A

• Fire extinguishers are tagged with the last date of inspection (no more than 12 months)

  Yes

  No

  N/A

• First aid stations are in good condition and accessible during all work shifts?

  Yes

  No

  N/A

• Is fall protection plan required?

  Yes

  No

  N/A

• Have all employees attended the site specific safety orientation?

  Yes

  No

  N/A

• Adequate Tools and Equipment ?

  Yes

  No

  N/A

• Ladders are in good condition, inspected regularly and used properly?

  Yes

  No

  N/A

• Ladders are secured and only used by authorized and trained personnel?

  Yes

  No

  N/A

• Are ladder rungs, cleats, and steps parallel, level, and uniformly spaced when the ladder is in position for use?

  Yes

  No

  N/A

• Signage, hazard warnings and safety instructions are in place at the point of need?

  Yes

  No

  N/A

• Forklifts are only operated by authorized and licensed drivers?

  Yes

  No

  N/A

PPE Requirements

• Hardhat

• Hi- Visibility Vest

• Steel Toe Boots

• Gloves

• Respirators

• Face Shields

• Ear Protection

• Safety glasses

Auditors Full Name and Signature

• Signature

  Sign