Chainsaw Safety Inspection Form
Use this form to inspect a chainsaw before use, record its condition, note defects, and document any required corrective actions.
Equipment Identification
Inspector Name
*
Date of Inspection
*
-
Month
-
Day
Year
Date
Chainsaw Asset / Equipment ID
*
Chainsaw Make / Model
*
Serial Number or Other Identifier
Location of Inspection / Use
*
Intended Work / Task
*
Please Select
Felling
Limbing
Buckling
Pruning
Storm Cleanup
Maintenance / Testing
Other
Safety and Condition Inspection
Chain condition
*
Pass
Fail
N/A
Bar condition
*
Pass
Fail
N/A
Chain brake function
*
Pass
Fail
N/A
Throttle trigger function
*
Pass
Fail
N/A
Throttle lockout function
*
Pass
Fail
N/A
On/off switch function
*
Pass
Fail
N/A
Guards/shields present and intact
*
Yes
No
Fuel/oil leak check
*
Pass
Fail
N/A
Fasteners/nuts/bolts secure
*
Pass
Fail
N/A
Chain tension
*
Pass
Fail
N/A
General cleanliness/condition
*
Pass
Fail
N/A
Safe to use?
*
Yes
No
Required Corrective Actions and Sign-off
Defects Found
Corrective Actions Required
Repair before use
Replace damaged part
Adjust settings
Clean and lubricate
Remove from service
Other
Removed from Service?
*
Yes
No
Who Was Notified
Inspection Remarks
Inspector Sign-Off Name
*
Submit Inspection
Should be Empty: