SAFETY INSPECTION CHECKLIST
Project : RECOVERY RECLAMING LINE 1 & 2 CRUSHER BUIDING PLTU TARAHAN # 3 & 4
Location :
Inspector :
Date :
STATUS
SUBJECT POTENTIAL HAZAERD (Y) (N) (N/A)
A. WALKWAYS 1. Walkways clear and clean ( ) ( ) ( )
B. FLOOR OPENING 1. Drain and Ditch grating in place ( ) ( ) ( )
2. Drain and ditch grating in good repair ( ) ( ) ( )
3. Temporary holes protected ( ) ( ) ( )
4. Excavation shored ( ) ( ) ( )
C. PORTABLE LADDER 1. All ladders in good repair ( ) ( ) ( )
2. Ladder Properly stored ( ) ( ) ( )
3. Safety feed in good repair ( ) ( ) ( )
4. Scaffolds built to standard ( ) ( ) ( )
D. FIRE PROTECTION 1. Fire extinguisher in readily accessible location ( ) ( ) ( )
2. Employees familiar with extinguisher type & ( ) ( ) ( )
Location
3. Hot Work permits posted and up-to-date ( ) ( ) ( )
E. LIFE SAFETY 1. Fire exit doors easily accessible ( ) ( ) ( )
2. Emergency staging identified ( ) ( ) ( )
3. System for accounting for employees ( ) ( ) ( )
4. Are fire drills conducted ( ) ( ) ( )
5. MSDS Sheet in Operation area ( ) ( ) ( )
F. PERSONAL 1. Hard hats and safety glasses with side shields( ) ( ) ( )
PROTECTIVE 2. Goggles on hard hat where required ( ) ( ) ( )
EQUEPMENT 3. Ear Plugs worn where required ( ) ( ) ( )
4. Work shoes or boots meet standard ( ) ( ) ( )
5. Safety belts worn where required ( ) ( ) ( )
6. Goggles, face shields clean & Available ( ) ( ) ( )
G. MATERIAL HANDLING 1. Lifting is being done correctly ( ) ( ) ( )
2. Housekeeping acceptable ( ) ( ) ( )
H. HAZARDOUS MATERIAL 1. Proper storage ( ) ( ) ( )
2. Chemical classification displayed ( ) ( ) ( )
3. Proper handling ( ) ( ) ( )
4. Proper labeling ( ) ( ) ( )
I. INDUSTRIAL HYGIENE 1. Personal exposure ( ) ( ) ( )
2. Any possible exposure ( ) ( ) ( )
3. Monitoring report ( ) ( ) ( )
4. Hearing conservation program ( ) ( ) ( )
5. Respiratory protection ( ) ( ) ( )
6. Food consumed in lunch room only ( ) ( ) ( )
J. SANITATION 1. Cleanliness meets requirements ( ) ( ) ( )
2. Water tie-ins are correct ( ) ( ) ( )
3. Condition if requirement is satisfactory ( ) ( ) ( )
4. Area is free or rodents/insects ( ) ( ) ( )
5. Drinking water containers are sanitary ( ) ( ) ( )
K. MACHINERY GENERAL 1. Guard in place ( ) ( ) ( )
2. In good repair ( ) ( ) ( )
3. Equipment is being used correctly ( ) ( ) ( )
4. Welding leads and ground in good repair ( ) ( ) ( )
L WELDING ,CUTTING 1. Proper eye protection ( ) ( ) ( )
2. Proper compressed gas cylinder storage ( ) ( ) ( )
M. NAT. ELECTRICAL CODE 1. Electrical equipment grounded ( ) ( ) ( )
2. Wiring to machines in good repair ( ) ( ) ( )
3. Temporary electrical service proper ( ) ( ) ( )
N. GENERAL SAFETY 1. All employees oriented before starting work ( ) ( ) ( )
2. First Aid equipment available ( ) ( ) ( )
3. Safety meeting held frequently ( ) ( ) ( )
4. safety suggestions followed up ( ) ( ) ( )
Deficient items should be remedied within a time period acceptable to the field representative
Y – Yes No – No, deficient should be explained on last page N/A – Not Applicable