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

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