Monthly Site Safety Inspection

Are walkways free of trip hazards?

• Yes
• No
• N / A

Are parking lot lights all working?

• Yes
• No
• N / A

Are wiring is secure and not exposed at light posts, vacs, and xpt's?

• Yes
• No
• N / A

Comments for No answers

Pictures of any discrepancies

Are all walkways free and clear of debris?

• Yes
• No
• N / A

Fire extinguishers labeled inspection tags present and up to date?

• Yes
• No
• N / A

Exits clearly marked?

• Yes
• No
• N / A

Is all lighting working to see clearly?

• Yes
• No
• N / A

Eyewash stations labeled and up to date?

• Yes
• No
• N / A

Eyewash bottles clean and dusted?

• Yes
• No
• N / A

Are all electrical cabinet doors closed?

• Yes
• No
• N / A

No items within three feet of electrical cabinets

• Yes
• No
• N / A

Is wiring secure and not exposed?

• Yes
• No
• N / A

Are Lock Out Tag Out tools and procedures posted by MCC?

• Yes
• No
• N / A

Ladders stored neatly and out of way?

• Yes
• No
• N / A

All chemicals labeled?

• Yes
• No
• N / A

SDS sheets present and posted?

• Yes
• No
• N / A

Motor and belt guards present and in tact?

• Yes
• No
• N / A

Safety Station stocked, clean and free of dust?

• Yes
• No
• N / A

Comments for No answers

Pictures of any discrepancies

Are all walkways and clear of debris?

• Yes
• No
• N / A

Fire extinguishers labeled inspection tags present and up to date?

• Yes
• No
• N / A

Exits clearly marked?

• Yes
• No
• N / A

Is wiring secure and not exposed?

• Yes
• No
• N / A

Are workman's comp information posted for all team members to see?

• Yes
• No
• N / A

Is all lighting working to see clearly?

• Yes
• No
• N / A

Are all spray bottles contents labeled?

• Yes
• No
• N / A

Is team member injury protocol posted?

• Yes
• No
• N / A

Is first aid kit fully stocked?

• Yes
• No
• N / A

Comments for No answers

Pictures of any discrepancies

Is condition of caution banners on Top Brushes acceptable?

• Yes
• No
• N / A

Entrance and Exit rubber door in good condition?

• Yes
• No
• N / A

All tunnel grating in place and in good condition to withstand a vehicle driving on?

• Yes
• No
• N / A

Are there any hoses present in tunnel?

• Yes
• No
• N / A

Is exposed wiring present?

• Yes
• No
• N / A

Any trip hazards present?

• Yes
• No
• N / A

Are all E-Stops functional?

• Yes
• No
• N / A

Blower Safety Cables secure?

• Yes
• No
• N / A

Comments for No answers

Pictures of any discrepancies

No Work Orders needed at this time for Safety?

• Pass
• Flag
• Fail