Confirmation Checklist Form
Please confirm completion of each operational step by checking the boxes below.
All required equipment has been inspected and is in working order.
*
Completed
Safety protocols have been reviewed and followed.
*
Completed
All team members have received necessary instructions.
*
Completed
Work area has been cleared of unnecessary items.
*
Completed
Emergency exits are accessible and unobstructed.
*
Completed
Communication devices are tested and functional.
*
Completed
Supplies and materials are stocked and organized.
*
Completed
Pre-operation briefing has been conducted.
*
Completed
All documentation is up to date and accessible.
*
Completed
Final walk-through of the site has been completed.
*
Completed
Submit Checklist
Should be Empty: