Workbase Site Inspection

• Conducted on

  Date

• Prepared by

• Address:
  Address

• Company name:

• Site supervisor:

• Site supervisor phone number:

General Safety

• Is the work site kept clean and well organized?

  Yes

  No

  N/A

• Are appropriate protective measures such as guardrails and personal protective equipment in place?

  Yes

  No

  N/A

• Are workers practicing safe work practices?

  Yes

  No

  N/A

• Comments:

Electrical Safety

• Are electrical panels and emergency shut off switches accessible?

  Yes

  No

  N/A

• Is there exposed wiring?

  Yes

  No

  N/A

• Any ungrounded and uninsulated electrical equipment?

  Yes

  No

  N/A

• Comments:

• Are fire extinguishers available?

  Yes

  No

  N/A

• Are emergency exits unblocked?

  Yes

  No

  N/A

• Are there first aid kits available?

  Yes

  No

  N/A

• Comments:

• Are there any serious safety concerns such that students should not be sent to this site?

  Yes

  No

  N/A

• Items to be corrected:

• Center Safety Officer:

  Sign