Hse vehicle, equipment::Tools & ppe inspection report checklist
¿Qué incluye este formulario?
Este formulario contiene 10 secciones:
Instruction: for any deviation from standard and/ expectation enter " no" and an action to address th
Vehicles
- Is a company vehicle in use?
PPE
- Is PPE in use or expected to be used?
Other:
Tools & Equipment
- Are tools and/or equipment used or in area?
Electrical
- Are extension cords, plugs and prongs appropriate for task, used only for temporary work, grounded or double insulated, GFI readily available, and in good condition?
- Are all required lockout tagout devices (single key) and tags appropriate for the work, readily available, and in good condition?
- Are electrical mats/ barriers - no rips , tears, holes- in good condition and appropriate for work conditions and hazards?
- Are Amp meters ( multimeter, etc.) clean, with no damage, calibrated if required, batter testes, properly stored, appropriately used, readily available and in good condition?
- Is all electrical PPE (selected per NFPA 70E, clothing FR, or per local requirement)appropriate for work, readily available and in good condition?
- Are all heaters equipped with tip-over protection, appropriately used and in good condition?
- Are all portable blowers properly set up, appropriate rating and use , and in good condition?
Compressed Gases & Equipment
- Are compressed gases in use or stored?
High Risk Life Safety
- Are all hazardous materials approved by HSE, SDS available, all containers appropriate, labelled, stored and secured properly? -- refrigerant logs are available and up-to -date
- Are outdoor/ inclement weather supplies and equipment appropriate for the hazards encountered (heat or cold stress, remote location - communication- no safe drinking water, no biological hazards ( insects, snakes, rodents, wildlife), di- electric spray, shovels, sand, sunscreen, water, food, shelter, winter clothing, PFD)
- Are all hand lines and ropes in good condition and appropriate for task - no cuts, abrasion, decay, burns, signs of wear-?
- Is all air monitoring equipment for confined space entry - appropriate for work conditions and hazards expected, tested and calibrated per manufacturer requirements, appropriate calibration gases and test equipment available, and in good condition?
- Are emergency rescue plans, equipment, tools, designated personnel, trained, appropriate fir work conditions and hazards expected, for CSE, work at height and other high risk activities?
- Are all fuels (gasoline, kerosine, etc.) and flammable liquids stored, transported and transferred in appropriate containers (NFPA or local rating) with self-closing lids, flame/flash arrestors, 2-dary containment,capacity of container less than 5 gallons (15L), and in good condition?
- Is any work performed at 4ft (1.2m) above level ground/structure?
Supervisor Name:
Employee Name:
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