Information
Work Area Inspection (Complete Weekly) First Aid Kit Inspection (Complete Monthly)
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Completed by:
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Accompanied by:
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Date:
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Job Site:
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Last Inspection:
Work Area
Work Area Inspection - Complete Weekly
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1. Housekeeping
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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
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Recommended corrective action to be taken (please include pictures)
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2. Storage
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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
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Recommended corrective action to be taken (please include pictures)
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3. Access/Egress
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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4. Guardrails
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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
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Recommended corrective action to be taken (please include pictures)
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5. Stairs
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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6. Ladders
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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7. Scaffolds
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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8. Other work platforms
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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9. Floor/roof openings
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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10. PPE
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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11. Electrical
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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12. Lighting
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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13. Machine guards/power tools
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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14. Material handling
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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15. Gas cylinders
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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16. Ventilation
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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17. Traffic control
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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18. Public protection
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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19. Fire protection
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
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20. Other: (please specify)
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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
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Recommended corrective action to be taken (please include pictures)
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Add media
First Aid Kit
First Aid Kit Inspection (Complete Monthly) Please review the First Aid Kit
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