Safety Inspection Form

NEW RECORD     View Records

  Job Name
  Job Number
  Date Inspected
Note:  Records are referenced by Job Name.
Click the Submit button to save your work.

P.P.E./Fall Prot Pass Fail N/A
Hard Hats
Work Boots
Work Pants/Shirt
Safety Glasses
Hearing Protection
Harness & Lanyard
Face Shield
Hand Protection
Fire Extinguishers

 

Scaffolding Pass Fail N/A
Competent on Site
Proper Setup
Hand / Mid Rails
Toe Boards
Ladder Access
Locking Wheels
Planking / Platform
Rails / Outriggers
Bracing
Tied to Structure
Proper Fall Prot
Safety Nets

 

Power Tools Pass Fail N/A
Cords / Ends
Proper Maintenance
Guards in Place

 

Cords / G.F.C.I. Pass Fail N/A
Condition / Ends
Proper Insulation
G.F.C.I./Proper Use

 

Aerial Equipment Pass Fail N/A
Trained Operators
Proper Operation
Prop. Fall Protection
Basket/Platform Load Limits

 

Employee Training Pass Fail N/A
OSHA 10/30
Hour Course
First Aid / C.P.R.
Fall Protection
Aerial Equipment
Powder Actuated
Laser/Eye Protection

 

Jobsite Postings Pass Fail N/A
Emergency Response Plan
OSHA 300 Form
OSHA 300-A Form
OSHA 301 Form
HazCom
MSDS Sheets
Laser in Use Card

Actions Taken

General Notes

Click the Submit button to save your work.  You can always go back later to the entry and make changes.