Information
Work Area Inspection (Complete Weekly)
-
Date:
-
Completed by:
-
Accompanied by:
-
Job Site:
-
Power on Site:
-
Voltage / Amps of Power:
Work Area
Work Area Inspection - Complete Weekly
-
1. Housekeeping
-
1.1 Work Area: clean and tidy
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
1.2 Aisles & Hallways: free of obstructions
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
1.3 Fire Exits: unblocked
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
1.4 Floorimg: clean and tidy, free of spills
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
2. Storage
-
2.1 Supplies & Material: properly stored
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
3. Access/Egress
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
4. Guardrails
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
5. Stairs
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
6. Ladders
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
7. Scaffolds
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
8. Other work platforms
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
9. Floor/roof openings
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
10. Personal Protective Equipment
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11. Electrical
-
11.1 Generator is properly grounded
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.2 Electrical cords are properly grounded
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.3 Ground pins are not broken on electrical cords
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.4 Electrical cord connected power tools have double insulated casing
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.5 Equipment does not have any exposed electrical parts
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.6 Live switches and receptacles have necessary cover plates
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.7 GFCI receptacles used in wet locations/conditions
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.8 Live electrical panel has cover
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
11.9 Circuits are not overloaded
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
12. Lighting
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
13. Machine guards/power tools
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
14. Material handling
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
15. Gas cylinders
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
16. Ventilation
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
17. Traffic control
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
18. Public protection
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
19. Fire protection
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
20. Other: (please specify)
-
Hazard Rating:<br>HIGH-Condition resulting in fatality, permanent disability, expensive loss to property<br>MEDIUM-Serious injury or illness resulting in temporary disability & property damage<br>LOW-Minor injury or illness non disabling, non disruptive property damage
-
Recommended corrective action to be taken (please include pictures)
-
Add media
-
Signature:
-
Copies to: