CHECK LIST
INSPECTION AND OBSERVATION
No.
Applied at branch Reason for application
Applied by: Cargo
Application date Hour
Inspection workshop area Workshop Area Observation
Condition NO Action
Clean and tidy circulation corridors Workers use safety glasses C/C
PPE in good condition Workers use hearing protection equipment.
Adequate lighting Workers use respiratory protection C/C
Fuels with the proper safeguard Workers use gloves C/C
Signposted evacuation routes Workers use a safety harness C/C
Hand tools in good condition * Workers wear safety helmets C/C
Power tools in good condition Workers use nitrile gloves C/C
Access to wells free of fats and/or oils Workers wear safety footwear
Equipped, clean, and organized first aid kit They have a confident attitude in operations
Emergency button marked and operational I work under a booth with appropriate protection
Absence of flammable liquids and working at high temperatures Hydraulic elevation with proper protection
Signaled, installed, and valid fire extinguishers Absence of workers smoking
Covered and protected electrical installations Properly accumulated oils
Others (specify on the reverse) Others (specify on the back)
Inspection Workshop Area Master Area Observation
Condition YES NO Action
Corridors clear of obstacles Workers use safety glasses C/C
PPE in good condition Workers use hearing protection C/C
Aisles free of fats and/or oils Workers use respiratory protection C/C
Fuels with the appropriate safeguard Workers use C/C gloves
Signposted evacuation routes Workers use safety harness C/C
Hand tools in good condition * Workers wearing safety helmets C/C
Power tools in good condition Workers use nitrile gloves C/C
Oxy-fuel cutting equipment in good condition Workers use safety footwear
Absence of moisture in the area of electrical use They possess a confident attitude in operations
Iluminación adecuada I work under a booth with proper protection
Absence of flammable liquids in the work area Hydraulic elevation with adequate protection
Signaled, installed, and current fire extinguishers Absence of workers smoking
Others (specify on the reverse) Others (specify on the reverse)
Work Area Inspection Work area patio Observation
Condition YES NO Action
Circulation corridors free of obstacles Workers use safety glasses C/C
PPE in good condition Workers use hearing protection C/C
Absence of sharp elements on the floor Workers use respiratory protection C/C
Fuels with the proper safeguards Workers use C/C gloves
Signposted evacuation routes Workers use safety harness C/C
Vehículos/grúas cuentan con alarma de retroceso Workers wearing safety helmets C/C
Cranes in good condition Workers use nitrile gloves C/C
Access gate permanently closed Workers use safety footwear
Crane operators have a valid driver's license Workers use reflective vest
Proper lighting Appropriate speed of vehicles and cranes
Vehicles parked correctly They have a confident attitude in operations
Marked, installed, and valid fire extinguishers Absence of workers smoking
Others (specify on the reverse) Others (specify on the back)
Inspection according to the respective checklist.
Hygienic Services Area Inspection Dressing Room Inspection Area
Condition YES NO Condition
Clean Inhodoros Clean, tidy, and dry floor
Trash bins in good condition Proper lighting
Clean and dry floors Lockers in sufficient number and in good condition
Clean walls Access to showers in good condition
Adequate lighting Hot and cold water
Absence of water leaks Proper gas evacuation for water heater
Tap fittings in good condition Absence of water leaks
Covered and protected electrical installations Faucet in good condition
Others (specify on the reverse) Others (specify on the back)
Observations
Company in charge of inspection and observation
NO
NO
n
NO
NO
on