Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel involved

  • Document No.

Personal Protective Equipment

  • Safety Helmet

  • Comment

  • Action required

  • Safety Boots

  • Comment

  • Action required

  • Clothing

  • Comment

  • Action required

  • Other

  • Comment

  • Action required

Office Facilities

  • Housekeeping

  • Comment

  • Action required

  • Fire Extinguishers

  • Comment

  • Action required

  • MSDS File

  • Comment

  • Action required

  • Entry /Access / Egress

  • Comment

  • Action required

  • Electrical Tagging

  • Comment

  • Action required

  • Signage

  • Comment

  • Action required

Workshop - General

  • Housekeeping

  • Comment

  • Action required

  • Fire Extinguishers

  • Comment

  • Action required

  • Entry / Access / Egress

  • Comment

  • Action required

  • Run off Control

  • Comment

  • Action required

  • Floor Conditions

  • Comment

  • Action required

  • Noise

  • Comment

  • Action required

  • Pumps condition

  • Comment

  • Action required

  • Ventilation

  • Comment

  • Action required

  • Signage

  • Comment

  • Action required

  • Storage Area

  • Comment

  • Action required

  • Spill Kit

  • Comment

  • Action required

  • Eye Wash

  • Comment

  • Action required

Electrical

  • Earth Leakage Devices Functional

  • Comment

  • Action required

  • Generator Condition

  • Comment

  • Action required

  • Power Lead Routing

  • Comment

  • Action required

  • Tags Visible (Quarterly Inspection Completed)

  • Comment

  • Action required

Compressed Air

  • Blowdown nozzle fitted with shut off valve

  • Comment

  • Action required

  • Coupling fitted with safety pins

  • Comment

  • Action required

  • Routed safely and orderly

  • Comment

  • Action required

Welding and Cutting

  • Cylinder Storage

  • Comment

  • Action required

  • Cylinder secured

  • Comment

  • Action required

  • Regulator, Hoses, Handset Condition

  • Comment

  • Action required

  • Flashback Arrestors Fitted

  • Comment

  • Action required

  • Welding Machine Condition

  • Comment

  • Action required

  • Welding Leads

  • Comment

  • Action required

  • Protective Screens

  • Comment

  • Action required

  • Fire Extinguiishers

  • Comment

  • Action required

  • Housekeeping

  • Comment

  • Action required

Steam Cleaning Facility

  • Floor Condition

  • Comment

  • Action required

  • Run Off Control

  • Comment

  • Action required

Solid Waste

  • Bins

  • Comment

  • Action required

  • Recycling Efficiency

  • Comment

  • Action required

Service Truck

  • General Condition

  • Comment

  • Action required

  • Signage

  • Comment

  • Action required

  • Fire Extinguisher

  • Comment

  • Action required

  • Waste Control

  • Comment

  • Action required

  • Pumps

  • Comment

  • Action required

Chemicals

  • Storage

  • Comment

  • Action required

  • Signage

  • Comment

  • Action required

  • Fire Extinguishers

  • Comment

  • Action required

  • Eye Wash

  • Comment

  • Action required

  • Housekeeping

  • Comment

  • Action required

  • Bunding

  • Comment

  • Action required

  • Ventilation

  • Comment

  • Action required

  • Floor Condition

  • Comment

  • Action required

  • Safety Information

  • Comment

  • Action required

Spill Equipment

  • Absorbent Materials

  • Comment

  • Action required

  • Cleanup Shovels / Brooms etc

  • Comment

  • Action required

  • Location

  • Comment

  • Action required

  • Access

  • Comment

  • Action required

Waste

  • Drip Trays

  • Comment

  • Action required

  • Waste Oil Reclamation

  • Comment

  • Action required

  • Waste Water Control

  • Comment

  • Action required

  • Waste Water Treatment

  • Comment

  • Action required

Yard

  • Safety signs

  • Comment

  • Action required

  • Haz Chem

  • Comment

  • Action required

  • Emergency Information

  • Comment

  • Action required

  • Surface Condition

  • Comment

  • Action required

  • Housekeeping / Storage

  • Comment

  • Action required

  • Speed Limits

  • Comment

  • Action required

  • Wash down area condition

  • Comment

  • Action required

  • Wash down run off control

  • Comment

  • Action required

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.