SPEED HOUSE

SAFETY OBSERVATION REPORT

Location: Inspector:
AruDivision: Supervisor: Date:
Item

Working at height

Category ☒Critical ☐Violation ☒Important ☐Favorable

Corr. Action
Item

Walking and Working Surfaces / House keeping

Category ☐Critical ☐Violation ☒Important ☒Favorable

Corr. Action
Item

Electrical trip and slip hazards

Category ☐Critical ☒Violation ☒Important ☐Favorable

Corr. Action
Item

Fall and trip hazards

Category ☒Critical ☒Violation ☒Important ☐Favorable
Corr. Action

*After all corrective action is completed, please sign and date below, and return to the safety office.
*After all corrective action is completed, please sign and date below, and return to the safety office.

Signature: Date:
 Speed House Group
SAFETY OBSERVATION REPORT
Page 2
Item

Housekeeping

Category ☐Critical ☒Violation ☒Important ☐Favorable

Corr. Action

.
Item

Electrical Cables

Category ☐Critical ☒Violation ☒Important ☐Favorable

Corr. Action
Item

Grinding machine

Category ☒Critical ☐Violation ☒Important ☐Favorable

Corr. Action
Item

Electrical power board

Category ☒Critical ☒Violation ☒Important ☐Favorable

Corr. Action

*After all corrective action is completed, please sign and date below, and return to the safety office.
*After all corrective action is completed, please sign and date below, and return to the safety office.

Signature: Date: