DATE OF INSPECTION _________________________ DATE OF LAST INSPECTION _________________________
PREPARED BY             _________________________ REVIEWED BY                       _________________________

 

 All NO answers require comments and a completion date for corrective action.

 

CONDITION AND PROTECTION SATISFACTORY? YES NO COMMENTS

TOOLS AND EQUIPMENT
Tools/equipment inspected regularly to ensure safe operating condition      
Unsafe/unusable equipment tagged to indicate it must not be used      
Grinders properly guarded      
Tools stored properly      
Employees properly trained in the use of tools and equipment      
Tools used only for purpose for which they were designed      
Handles are replaced when they become cracked or broken      
Air hose connections have positive locking action or securing chain      
Air hose nozzles proper type      
Tools disconnected when relieving jams, making repairs, etc.      
You may add items specific to your facility here.      
       

WORK AREA
Work areas clean and well organized      
Isles open and pallets in proper areas      
Waste, scrap and excess materials removed or placed in proper container      
Spills and leaks cleaned up when discovered      
Aisle ways clearly marked and uncluttered      
Fire extinguishers and electrical boxes unblocked      
Aisles of adequate width      
Lighting sufficient for job functions (no burned out lights)      
Personal property marked and rated for industrial applications      
Fan guards maintained with no opening in excess of ¼ inch      
Required supplies paced in proper locations and heights to limit stretching, bending, lifting or other physical strains      
Stairs equipped with handrails and kept clear      
Changes in elevation clearly marked      
Extension cords and air hoses limited in use or positioned to leave walkways and aisles clear and unobstructed      
Floor mats used in wet areas      
You may add items specific to your facility here.