Title Page
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Date and Time
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Inspected By
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Location
Self-Safety Inspection Checklist
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All work areas clean and orderly, including the paint spray booth?
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Spills promptly cleaned up or contained with non-combustible absorbent materials?
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Storage neat, stable, and orderly?
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Bathroom maintained in a clean condition?
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Floors free of any trip hazards and free of any spills that could cause slips or falls?
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Portable fire extinguishers accessible, and visible?
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Respirators maintained in a clean and operable condition. Respirators properly stored when not in use in a sealed container?
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First aid kits readily accessible and properly stocked?
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Electrical cords free from damage, properly used, third prong used and grounded?
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Hoses, extension cords, utility lights, tools, etc not being used stored at assigned areas to help prevent trip hazards?
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Are all hand and power tools/equipment maintained in a good condition and free of any defects?
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Are spark shields provided on the bench grinders in place?
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Grinding wheels in good condition free of chips, cracks, grooves, defects, and does not wobble when operated?
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Are all air tools and equipment maintained in a good condition and free of any defects?
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Are lifts, hoists, and jacks clean and in good working condition?
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Lift safety locks engaged and functional?
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Are chains, slings, and hooks being inspected by the operator (daily) before use and maintain in operable condition?
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No leaks or dripping of combustible or flammable liquids?
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Combustible and flammable liquids used, dispensed, and stored away from ignition sources?
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All compressed gas cylinders secured/chained and valves capped?
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Spray room/booth and other equipment clean from accumulation of deposits of combustible materials?
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Are ladder rungs, steps, and side rails free from oil, grease, and other foreign materials?
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Exterior area free of any slip, trip and fall hazards?
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Dumpster area clean to prevent pests?
Sign Off
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Name and Signature