CITIAIRE INDUSTRIAL SERVICES CORP.

SUNLIFE PROJECT

ELECTRICAL POWER TOOLS INSPECTION REPORT

MONTH: JUNE, 2010 COLOR CODE: GREEN AREA / LOCATION CREW

INSTRUCTIONS:

ELECTRICAL PLUG

(AUTO SHUT-OFF)
BODY CONDITION

CORD GRIP PLUG

MOTOR RUNNING

PROTECTIVE
ELECTRICAL

CONDITION
1.0 This ✔ symbol indicates inspection satisfactory

& OUTLET
SWITCH

GUARD
✖ indicates tools is defective

CORD
2.0 Forward report to Safety Department

EQUIPMENT
DATE
TYPE OF TOOLS SERIAL/BODY
INSPECTED
NO.

INSPECTED BY: