Weekly Safety Inspection Form

• Site conducted

  Select

• Area

  Select

Housekeeping

• Floors Clear of Excess Debris, Dust, Shavings and Spills?

  Yes

  No

  N/A

• No Tripping Hazards Noted?

  Yes

  No

  N/A

• Work Areas Clear and Orderly?

  Yes

  No

  N/A

Electrical

• No Visible Frayed Cords or Wires?

  Yes

  No

  N/A

• Panels and Emergency Switches Accessible?

  Yes

  No

  N/A

• LOTO Kits Accessible and Stocked?

  Yes

  No

  N/A

• If LOTO is Observed in Use, is it Being Used Properly?

  Yes

  No

  N/A

Compressed Gas

• Compressed Gas Cylinders Labeled Properly?

  Yes

  No

  N/A

• Compressed Gas Cylinders in Good Condition?

  Yes

  No

  N/A

• All Unused Cylinders Stored Upright and Secured?

  Yes

  No

  N/A

• Cylinders in Storage have Closed Valves and are Capped?

  Yes

  No

  N/A

• Portable Cylinders are Secured to Carts and in Good Condition?

  Yes

  No

  N/A

Welding Area

• Fire Extinguishers are Present and Accessible, Charged and have Current Insepctions?

  Yes

  No

  N/A

• Proper Shade Lenses and PPE are Available to Employees in Welding Area?

  Yes

  No

  N/A

• Welding PPE is in Good Condition?

  Yes

  No

  N/A

Personal Protective Equipment (PPE)

• Proper PPE Provided and Accessible to All Employees?

  Yes

  No

  N/A

• Safety Toed Shoes Worn by All Employees on Floor?

  Yes

  No

  N/A

• Safety Glasses Worn by All Employees on Floor?

  Yes

  No

  N/A

• Hearing Protection Observed Being Worn When Needed?

  Yes

  No

  N/A

• Hardhats in Use by Employees During Overhead Crane Operations?

  Yes

  No

  N/A

• Proper Respiratory Protection in Used (As Needed)?

  Yes

  No

  N/A

• Proper Gloves Being Worn for Tasks (As Needed)?

  Yes

  No

  N/A

• Observations

• Company Performing Inspection?

  Select

• Inspection Date

  Date

• Completed by

  Sign