Information

  • Document No.

  • Which Trane Office is Tech Associated with

  • Conducted on Equipment that Belongs to

  • Conducted on

  • Prepared by (your name)

  • I The undersigned under OSHA 1926.23 f meet the basic definition of a competent person. I certify that I conducted this audit as noted and that I have taken prompt corrective measures to eliminate any hazard if present.

Ladders and Scaffolds

  • Are any defects notes on this Ladder or Schffold

  • Describe issue and action taken to eliminate the hazard

  • Scan Barcode if present if not take photo of device

  • If bar code is not present take photo of equipment

  • Add additional units
  • Are any defects notes on this Ladder or Schffold

  • Describe issue and action taken to eliminate the hazard

  • Scan Barcode if present if not take photo of device

  • If bar code is not present take photo of equipment

Lockout / Tagout Equipment

  • I have all necessary lockout and tagout devise necessary to preform my work safely

  • Describe issue and action taken to eliminate the hazard

  • Scan Barcode if present if not take photo of device

  • If bar code is not present take photo of equipment

Arc Flash Equipment

  • I have all necessary Arch Flash Equipment necessary to preform my work safely and it is currently in good condition.

  • Describe issue and action taken to eliminate the hazard

  • If bar code is not present take photo of equipment

Fall Protection Equipment

  • I have all necessary Fall Protection Equipment necessary to preform my work safely and it is currently in good condition.

  • Describe issue and action taken to eliminate the hazard

  • If bar code is not present take photo of equipment

  • During my inspection of my fall protection equipment there were defects

  • Describe issue and action taken to eliminate the hazard

  • If bar code is not present take photo of equipment

  • Describe issue and action taken to eliminate the hazard

  • If bar code is not present take photo of equipment

First Aid Kit

  • I have a first aid kit and is is equipped with all the necessary basic first aid item, Such as band-aids, sterile wipes, tape and others item.

  • Describe issue and action taken to eliminate the hazard

  • Scan Barcode if present if not take photo of device

  • If bar code is not present take photo of equipment

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.