Webb Wheel Tell City Safety Observations Checklist

• Type of Inspection

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• Department

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• Conducted on

  Date

• Prepared by

Electrical Safety Observations

• Panels Clear of Obstructions

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• Panels Blocked

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• Electrical Equipment Free of Damage

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• Electrical Equipment Damaged

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• Exit Lights Good Working Order

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• Exit Lights Not Working

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• Emergency Lights Clean

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• Emergency Light not Clean

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• Lockout/Tagout references clean

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• Lockout/Tagout not clean

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General Safety

• Forklift and other Mobile Equipment Inspections Completed

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• Forklift and other Mobile Equipment Inspections NOT Completed

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• Fire Equipment Accessible

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• Fire Equipment NOT Accessible

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• Chemicals Properly Labeled

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• Chemicals MISSING Labels

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• Employees Wearing Safety Glasses

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• Employees NOT Wearing Safety Glasses

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• Employees Wearing Hearing Protection

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• Employees NOT Wearing Hearing Protection

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• Employees Wearing Proper Gloves/Hand Protection

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• Employees NOT Wearing Proper Gloves/Hand Protection

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• Tools in Good Condition

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• Tools Broken or Improperly Modified

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• Handles on stampers in good condition

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• Handles mushroomed on hand stampers

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• Lock blocks for lockout/tagout present and attached

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• Lock blocks for lockout tagout missing or not attached

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• Lockout tagout on person in good shape and legible

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• Lockout tagout on person in bad shape or not legible

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Housekeeping

• Working and Walking Surfaces Free of Oil or Other Fluids

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• Working and Walking Surfaces HAVE Oil or Other Fluids on the Floor

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• All Drinking Container Tops are Properly Closed

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• Open Top Drinks or Food in Found in the Work Areas

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