Personal Tool Inspection
Please complete this monthly form to ensure equipment reliability and safety.
Today's date
-
Month
-
Day
Year
Date
Inspected by:
*
your name
Email
your email
Rubber gloves
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Glove bag
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Glove protectors
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Rubber sleeves
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Sleeve bag
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Safety glasses
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Work gloves
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
FR Rain suit
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Class E hard hat
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
FR hard hat liner
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Lineman pliers
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Skinning knife/wire stripper
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Screw driver(s)
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Adjustable wrench(s)
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Ruler
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Hammer
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Channel locks
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Fall protection harness
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Ratchets/sockets
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Other personal tools
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Climbers/line belts/safety strap
Please Select
Good
Fair
Poor
Unsafe
N/A
Comments
Submit
Should be Empty: