Tool Inspection 2.0

• Site conducted

  Select

• Prepared By

  Select Porter Baldwin Trevor Bax Brandon Clema Rick Farmer Kennie Fuller Doug Jones Andy Lukowski Mark McEwen Scott Owen Mike Perotti Mike Richards Robert Richardson Luke Roberts Ron Shepherd Nick Stueve John Toms Dan Ulhorn Ben Williams Ragor Plunkett Luke Reitz Jamison Hogsett Trae Adams

  • Porter Baldwin
  • Trevor Bax
  • Brandon Clema
  • Rick Farmer
  • Kennie Fuller
  • Doug Jones
  • Andy Lukowski
  • Mark McEwen
  • Scott Owen
  • Mike Perotti
  • Mike Richards
  • Robert Richardson
  • Luke Roberts
  • Ron Shepherd
  • Nick Stueve
  • John Toms
  • Dan Ulhorn
  • Ben Williams
  • Ragor Plunkett
  • Luke Reitz
  • Jamison Hogsett
  • Trae Adams

• Conducted on

  Date
• Location
  Address

Items

• 1. Class 0 Rubber gloves

  Pass

  Bad

  N/A

• Select date

  Date

• 2. Class 2 Rubber gloves

  Date

• 3. Rubber Glove Leather Protectors

  Pass

  Bad

  N/A

• 4. Rubber Glove Bag

  Pass

  Bad

  N/A

• 5. Hard Hat

  Pass

  Bad

  N/A

• 6. Safety Glasses

  Pass

  Bad

  N/A

• 7. Hearing Protection

  Pass

  Bad

  N/A

• 8. Leather Gloves

  Pass

  Bad

  N/A

• 9. Reflective Vest

  Pass

  Bad

  N/A

• 10. Skinning Knife

  Pass

  Bad

  N/A

• 11. Channel Locks

  Pass

  Bad

  N/A

• 12. Hammer

  Pass

  Bad

  N/A

• 13. Kleins

  Pass

  Bad

  N/A

• 14. Adjustable Crescent Wrenches☐

  Pass

  Bad

  N/A

• 15. Speed Wrenches

  Pass

  Bad

  N/A

• 16. Tape Measure/Ruler

  Pass

  Bad

  N/A

• 17. Sleeves:

  Pass

  Bad

• Select date

  Date

• 18. Tool Holder

  Pass

  Bad

  N/A

• 19. Supersqueeze (or other fall restr.)

  Pass

  Bad

  N/A

• 20. Climbing Belt

  Pass

  Bad

  N/A

• 21. Climbing Hooks

  Pass

  Bad

  N/A

• 22. Climbing Straps

  Pass

  Bad

  N/A

• 23. Climbing Hook Pads

  Pass

  Bad

  N/A

• Condition of chaps?

  Pass

  Bad

Complete

• Add signature

  Sign