Zone Safety Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Zone

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• A safety inspection is a systematic process designed to evaluate and identify potential hazards in a workplace, equipment, or facility to ensure they meet established safety standards. The primary goal of a safety inspection is to prevent accidents, injuries, and illnesses by identifying and mitigating risks before they can cause harm. This process involves examining physical conditions, operational practices, and compliance with safety regulations and policies.

Housekeeping

• Environment - (floor, stairs, yard, etc)

  Good

  Fair

  Poor

  N/A

Machinery & Equipment

• Guards (condition, maintained, etc)

  Safe

  At Risk

  N/A

• Stopping Devices (condition, working, etc)

  Safe

  At Risk

  N/A

• Tools (condition, correct type, etc)

  Good

  Fair

  Poor

  N/A

Services

• Water / Gas (leaks, condition, drinking water, etc)

  Good

  Fair

  Poor

  N/A

• Steam (leaks, condition, pressure checks, etc)

  Good

  Fair

  Poor

  N/A

• Electricity (exposed wires, condition, safe, etc)

  Good

  Fair

  Poor

  N/A

Materials Handling

• Storage (racks safe, pallets good, stacking, etc)

  Good

  Fair

  Poor

  N/A

• Fork Lift Trucks (maintained, driven safely,etc)

  Good

  Fair

  Poor

  N/A

• Lifting Equipment (inspected/tested, condition, registered, etc)

  Good

  Fair

  Poor

  N/A

Protective Equipment

• Correct Use (masks, goggles, gloves, hearing protection, etc)

  Good

  Fair

  Poor

  N/A

Personnel

• Safe Practices (methods, knowledge, etc)

  Good

  Fair

  Poor

  N/A

Fire Safety

• Fire Equipment (obstructed, serviced, signage in place.)

  Good

  Fair

  Poor

  N/A

• Fire Exits (obstructed, sign-posted, routes, lighting,etc)

  Good

  Fair

  Poor

  N/A

Other

• Additional comments

Confirmation

• Safety Representative Signature

  Sign