Site Visit - T-P Acoustics, Inc.

Job Site Visit Report

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Safety Site Visit Date *

Time

Name *

Job Site *

PPE CHECK

Helmets *

YES
NO
N/A

Glasses Lanyards Job

Safety Glasses *

YES
NO
N/A

Appropriate Gloves *

YES
NO
N/A

Appropriate Shirts/Vests *

YES
NO
N/A

Appropriate boots *

YES
NO
N/A

Appropriate pants *

YES
NO
N/A

EQUIPMENT CHECK

Tools in good condition *

YES
NO
N/A

Perry Scaffold(s) in good condition *

YES
NO
N/A

Snappy Lift in good condition *

YES
NO
N/A

Scissor Lift(s) in good condition *

YES
NO
N/A

FALL PROTECTION/PREVENTION

Fall Protection *

YES
NO
N/A

Harnesses being worn correctly *

YES
NO
N/A

SRLs being worn correctly and in good condition *

YES
NO
N/A

Lanyards being used correctly and in good condition *

YES
NO
N/A

JOB SITE CONDITION

Lasers being used *

YES
NO
N/A

Visible signs at entry points *

YES
NO

Powder Actuated Gun being used *

YES
NO
N/A

Signage at entry points *

YES
NO
N/A

Uncovered holes in floor *

YES
NO
N/A

Overcrowed workspace *

YES
NO
N/A

Floors clear of debris *

YES
NO
N/A

Appropriate lighting *

YES
NO
N/A

Comments