Panel Inverter Combiner Installation Safety Site Inspection
Site
Date/Time
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
24-Hour Time Minutes
Safety Inspector
First Name
Last Name
Foreman/Lead
First Name
Last Name
Machine #1 Operator
First Name
Last Name
Machine #1
Machine #2 Operator
First Name
Last Name
Machine #2
Machine #3 Operator
First Name
Last Name
Machine #3
Job Safety Briefing performed for the crew?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Job Hazard Analysis performed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Does the JHA Process Form match the work?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Is the JHA Form complete and with hazards and mitigation?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Cut-resistant gloves worn?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Other PPE worn properly?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Basement or vault properly installed (ground prep, stone, drainage, access, level, square, location, etc.)?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Base support properly constructed, square, level, and fully supported (feet, slip sheets, mechanical attachments, piers, concrete, etc.)
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Panel mounting proper ergonomics (team lift, mechanical assistance, etc.)?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Panel mounting proper handling (weight, size, support, etc.)?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Panel mounting fasteners and method proper, sound, and complete?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Panel knockout punch properly used? (strongly preferred method)
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Hole saw properly used? (least preferred method)
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Drill properly used (ergonomics, sharp bit, cutting management, etc.)?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Collars/penetrations properly installed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Wire insulation protectors (bell ends, interior collars, etc.) properly installed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Grounding properly installed?
*
Acceptable
Marginal
Unacceptable
N/A
N/O
Submit
Should be Empty: