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Inspection templete
Generated on: May 12, 2025

To ensure thorough workplace safety inspections, consider the following elements for your inspection template:

  1. Hazard Identification:
  • Explanation of the hazard(s) or hazardous condition(s) 1, 2.
  • Identification of machinery or equipment involved (type, manufacturer, model, serial number) 1, 2.
  • Specific location of the hazard and potential employee exposure 1, 2.
  • Type of injury or illness likely to result from exposure 1, 2.
  • Employee proximity to the hazard and any measurements taken 1, 2.
  • For contaminants/physical agents, include relevant Safety Data Sheets (SDSs) 1, 2.
  1. Employee Information:
  • Names, addresses, phone numbers, and job titles of exposed employees 1, 2.
  1. Exposure Details:
  • Approximate duration of time the hazard has existed and frequency of exposure 2, 7.
  1. Employer Knowledge:
  • Document facts establishing whether the employer knew of the hazardous condition and what steps they failed to take to reveal it 2, 7.
  1. Abatement:
  • Appropriate and consistent abatement dates should be assigned and documented [1].
  1. Additional Information:
  • Any other relevant comments or information that may be helpful [2].
  • Names, addresses, and phone numbers of other persons contacted during the inspection [2].
  • Names and job titles of individuals who accompanied the Compliance Safety and Health Officer (CSHO) on the inspection [2].
  • Scope and purpose of the inspection [2].
  1. Regular Inspections:
  • Regularly and diligently inspect the worksite to discover hazards [3].
  1. Equipment-Specific Checks (for derricks, as an example):
  • Frequent Inspections (daily to monthly): Check control mechanisms, chords, lacing, tension in guys, plumb of the mast, air/hydraulic systems, hooks, rope reeving, hoist brakes, clutches, operating levers, and electrical apparatus [4].
  • Periodic Inspections (one to 12-month intervals): Include all frequent inspection items, plus structural members, bolts/rivets, pins, bearings, shafts, gears, sheaves, drums, rollers, locking/clamping devices, gudgeon pins, power plants, and perform magnetic particle or other crack detection on hooks [4].
  1. Excavator-Specific Checks:
  • Inspect the swing drive for leaks 9, 10, 11, 12, 13, 14.
  • Ensure all covers and guards are securely attached and inspect for damage 9, 10, 11, 12, 13, 14.
  • Inspect and clean steps, walkways, and handholds, making necessary repairs 9, 10, 11, 12, 13, 14.
  • Inspect the operator compartment for trash buildup and keep clean 9, 10, 11, 12, 13, 14.
  • Adjust mirrors for best visibility 9, 10, 11, 12, 13, 14.

Using a detailed inspection template ensures comprehensive hazard identification and promotes a safer work environment.


Important Safety Note:

Always verify safety information with your organization's specific guidelines and local regulations.

References

Page links are approximate
[1]↑

UOSH Field Operations Manual

Open Document

Page 108

[2]↑

UOSH Field Operations Manual

Open Document

Page 107

[3]↑

UOSH Field Operations Manual

Open Document

Page 232

[4]↑

Safety Standards for General Safety and Health Standards (Chaper 296-24 WAC)

Open Document

Page 62

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