FER Workplace Inspection

Workplace Inspection

Site/Unit Location:

Date Inspected:

Weather Conditions:

Inspected By:

GENERAL

Item	Y	N	N/A	Description of Finding
Workplace is clean and organized.
Walking areas are free of tripping, slipping, and falling hazards, including corridors, hallways, and stairs.
Stairways, sidewalks, and ramps are free of defects.
Scaffolds in good condition and signed off before use. (Stable planks, scaffold secured, mud boards etc.)
Permit received and signed off. (Confined space, Daily work, etc.)
H2S monitors assigned and working properly
JSA received and signed by all employees
Ladder inspected when in use (correct quarterly color)
Barricade installed when necessary

EMERGENCY EXITS/EQUIPMENT

Item	Y	N	N/A	Description of Finding
Are emergency exit routes and windsocks clearly identified; all members are aware of muster points.
Emergency exit doors easily open (If applicable)
Required emergency equipment is readily available and easily accessible. (eye wash stations, etc.)

PERSONAL PROTECTIVE EQUIPMENT

Item	Y	N	N/A	Description of Finding
Is personal protective equipment provided where necessary (gloves, safety glasses, hard hats, etc.)
Is the proper PPE being used.
Is PPE stored and maintained correctly.
Are the correct gloves utilized for the task.
Respirators inspected and properly fitted.
FRCs in good condition (no tears, rips, etc.)
Safety harness and lanyards inspected and documented quarterly.

ELECTRICAL

Item	Y	N	N/A	Description of Finding
All electrical equipment in good condition. Extension cord, GFCI adapters. (No cuts, exposed wire, missing ground prong etc.)
Extension cords secured and not potential trip hazards or cause damage to the cord itself.
Extension cords used only for temporary power.
Correct quarterly tape applied.

COMMENTS

If there is a finding please make note of where the finding is, as well as take a picture to help correct the finding(s). If there are finding(s) not listed on the form please make a note in the comment section of this form. This inspection is to be performed monthly.

Inspector Signature

Inspector Name:

Signature (draw below):

Date:

FER-CORP-HSE-FORM-45