QuestMark, Toronto Flooring Office
Flooring Project Safety Inspections.
Job Name - Number
Please Select
Cleveland Range.
2600099899
Foreman's Name
Please Select
Bhojkumar Jagraine (B.J)
Deodat Nardeo (Ray)
Kenny Shwenauth (Kenny)
Name of Inspector
Please Select
Vishal Persaud
Thomas McDonald
Antonio Pitaro
Respiratory Protection
Rows
Compliant
None Compliant
NA
All employee’s cleared & fit tested
1
2
3
Equipment in use and correct for job
4
5
6
Employees clean shaven
7
8
9
Storage area clean & sanitary
10
11
12
Work Area Safety
Rows
Compliant
None Compliant
NA
Adequate ventilation to area
13
14
15
Customer exits free of obstructions
16
17
18
Opened containers properly resealed
19
20
21
Work area demarcated
22
23
24
Employees know location of exits
25
26
27
Personal Safety
Rows
Compliant
None Compliant
NA
All guards in place
28
29
30
Mixer marked with warning signs
31
32
33
Equipment Safety
Rows
Compliant
None Compliant
NA
GFCI in use
34
35
36
Assured Grounding complete
37
38
39
Pigtail installed by qualified electrician
40
41
42
Fire Safety
Rows
Compliant
None Compliant
NA
2, 10 lb. extinguishers at work area
43
44
45
Electric unplugged during breaks
46
47
48
20 lb. Extinguisher for gas powered equipment
49
50
51
Safety gas cans in use
52
53
54
Materials away from fire hazards
55
56
57
No smoking in work area
58
59
60
First Aid Booklets
61
62
63
Safety Box
Rows
Compliant
None Compliant
NA
Eyewash bottles and First Aid Kit
64
65
66
HazComm Program & Loss Control Manual
67
68
69
5-Gallon Water Cooler
70
71
72
Date
-
Month
-
Day
Year
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Comments:
73
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74
Photo 1 Comment:
75
Photo 2 Comment:
76
Photo 3 Comment:
77
Photo 4 Comment:
78
Photo 5 Comment:
Signature
Signature of Inspector
Please Select
Vishal Persaud
Thomas McDonald
Antonio Pitaro
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