Personal Tool Inspection
Please complete this monthly form to ensure equipment reliability and safety.
Today's date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit 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: