Safe Working Environment Shift Inspection (4).pdf

Text preview
Safe Working Environment Shift Inspection
Facility Inspected :
Shift:
Date:
Indicate if a subsequent notification exists for all items requiring attention?
D/S
Yes
N/S
No
Hazard Removed, Area Cleaned:
Comments of Action
Taken
Notifications Numbers and description including equipment numbers
Comments of action
required
Inspected By:
Supervisor:
Date:
Date:
Signature:
Signature:
Good Condition
Attention Required
Notification Numbers
Stored Correctly
Secured Correctly
No Product Build up spillage
Clear of Obstruction
Tagged in date
Condition
--Indicate equipment inspected--
Comments
General Environment
Lighting General
Personal Access Walkways
Process Pads
Handrails
Grid mesh
Stairways
Deployed
Revalidate
05.09.2016
05.09.2019
Author
Greg Kimber
Owner
Materials Execution Superintendent
WAPL Plant Inspection UNCONTROLLED ONCE PRINTED
Version 3.0
01021225
Page 2 of 5