Weekly Supervisor Inspection Form
Basic Information
Inspector Name
: ________________________
Date
: ________________________
Location/Area Inspected
: ________________________
Type of Inspection
: Weekly Supervisor Inspection
Inspection Checklist
Item
Condition (Good/Fair/Poor)
Notes/Actions Required
Safety Signage
Personal Protective Equipment
Fire Extinguishers
Electrical Cords and Outlets
Tools and Equipment
First Aid Kits
Walkways and Exits
Scaffolding and Ladders
Additional Observations
General Observations
: (Describe any potential hazards, unsafe conditions, or good practices observed during the inspection.)
Action Items
Immediate Actions Taken
: (List any immediate corrective actions taken during the inspection.)
Recommended Follow-Up Actions
: (List recommendations for further action or monitoring.)
Inspector's Signature
Signature
: ________________________
Date
: ________________________
Monthly Safety Representative Inspection Form
Basic Information