Information

Work Area Inspection (Complete Weekly) First Aid Kit Inspection (Complete Monthly)

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  • Accompanied by:

  • Date:

  • Job Site:

  • Last Inspection:

Work Area

Work Area Inspection - Complete Weekly

  • 1. Housekeeping

  • 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

  • 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. PPE

  • 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

  • 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

First Aid Kit

First Aid Kit Inspection (Complete Monthly) Please review the First Aid Kit

  • 1. First Aid a Pocket Guide = 1

  • 2. Gauze bandage 5cmx4.5cm - (1 box, 2/box) = 2

  • 3. Pressure dressing 10cmx10cm - (2 boxes, 1/box) = 2

  • 4. Gauze pads 7.5cmx7.5cm - (1 box, 4/box) = 4

  • 5. Triangular bandage 100cm - (1 box, 1/box) = 1

  • 6. Plastic strip bandage - (1 box, 12/ box) = 12

  • 7. Card of safety pins (1 card of 12) = 12

  • 8. Antiseptic isopropyl alcohol pads1 (6) = 6

  • 9. Knuckle bandages - (4) = 4

  • 10. Fingertip bandages - (4) = 4

  • 11. Nitrile medical gloves - (2 pair) = 2

  • 12. 1/2" Adhesive tape - (1 roll) = 1

  • 13. Antibiotic ointment - (1 tube, 15g) = 1

  • 14. CPR shield = 1

  • 15. Bio med wash for skin and eyes - (1 bottle, 207mL) = 1

  • 16. Instant cold pack = 1

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