ࡱ> @B? bjbj 4,||$2$*tcccQQQc QcQQQ,,QX$|:2cccc@| : Ӱɴý Greenhouse and Grounds Safety Inspection Report Date: ________________ I. Power Equipment (selfpropelled or riding mowers, edgers, etc.) 1. Equipment free from gasoline leaks? Yes____ No ____ N/A ____ 2. All guards in place? Yes____ No ____ N/A ____ 3. Gas throttles in working order? Yes____ No ____ N/A ____ 4. Braking mechanisms in working order? Yes____ No ____ N/A ____ 5. Cutting blades sharp? Yes____ No ____ N/A ____ 6. Frames in good order? Yes____ No ____ N/A ____ 7. Nuts, bolts, other connections snug and fastened? Yes____ No ____ N/A ____ II. Hand Tools (shovels, spades, blades, etc.) 1. Cutting edges sharp? Yes____ No ____ N/A ____ 2. Handles not split or cracked? Yes____ No ____ N/A ____ 3. Protected from damage during transport to job site or when stored? Yes____ No ____ N/A ____ III. Grinders 1. Is wheel covered? Yes____ No ____ N/A ____ 2. Is work rest adjustable and secure? Yes____ No ____ N/A ____ 3. Is grinder securely fastened? Yes____ No ____ N/A ____ 4. Work rest no farther than 1/8 from wheel? Yes____ No ____ N/A ____ IV. Wheelbarrows 1. Handles not cracked? Yes____ No ____ N/A ____ 2. Body bolts secure? Yes____ No ____ N/A ____ 3. Pneumatic tires properly inflated? Yes____ No ____ N/A ____ V. Garbage Containers 1. Properly stored when not in use? Yes____ No ____ N/A ____ 2. Handles and lids free from cracks? Yes____ No ____ N/A ____ 3. Containers free of sharp/jagged edges? Yes____ No ____ N/A ____ VI. Chemicals 1. Properly stored (cool, dry, isolated)? Yes____ No ____ N/A ____ 2. Personal protective gear used when exposed to chemicals (gloves, goggles, respirators, aprons, etc.) Yes____ No ____ N/A ____ 3. Protective gear in good condition? Yes____ No ____ N/A ____ 4. Warning labels properly followed? Yes____ No ____ N/A ____ 5. Leaks identified and reported? Yes____ No ____ N/A ____ VII. Personal Protective Equipment 1. Appropriate eye protection provided? Yes____ No ____ N/A ____ 2. Appropriate footwear worn (no sandals or tennis shoes)? Yes____ No ____ N/A ____ 3. Appropriate shirts worn (no tank tops)? Yes____ No ____ N/A ____ For every item reported No, please list section heading and number of discrepancy. Document hazards or improper procedure. List what corrective action should be taken to remedy the problem. Also, list any recommendations you deem necessary on items not listed on this report. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Inspector: _______________________________ Date: __________________________ Dept. 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