Safety Inspection Checklist

Area_____________________________Date:______________Time:_____ SUPV/FM_______________

SR.# INSPECTION ITEMS YES NO N/A REMARKS

1. PERMIT TO WORK
A. Permit to Work Certificate PTWC – exists
B.u API/APR/AGT/APC ) – signed
C. Isolation Certificate – exists
D. Work details clearly specified
E. Excavation Work Request – Completed

2. MACHINERY GUARDING
Guard – provided
A.
Machine – stable & rigid
B.
Color Coding – Updated
C.
Push sticks for carpentry machines – provided / used
D.
Emergency stop switch – provided & operational
E.
3. MOBILE VEHICLES / TANKERS
A. Vehicle / Equipment – Equipment Inspection Sticker
B. Reversing backup alarm – provided
C. Operator – licensed
D. Oil and fuel tank free from leaks

Reported By: ____________________ Noted By: ______________________