Shop Safety Inspection Form
Please complete this form to conduct a safety inspection in the shop.
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector's Name
First Name
Last Name
Shop Name
Shop Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are all fire extinguishers in good working condition?
Yes
No
Other
Are all emergency exits clear and easily accessible?
Yes
No
Other
Are there any electrical hazards in the shop?
Yes
No
Other
Is personal protective equipment (PPE) being used by all employees?
Safety glasses
Hard hats
Ear protection
Other
Are all equipment and machinery properly maintained and in good working condition?
Yes
No
Other
Additional Comments
Submit
Should be Empty: