Equipment Safety Inspection Form

By Jennifer Filgate / June 30, 2025

Date / Time *

Equipment: (check of equipment inspected)

Conducted by

Equipment Type

Company Vehicle
Power and Hand Tools
PPE
Other (write below)

Other

Inspection Schedule

Weekly
Monthly
Quarterly

1. Priority

Unsafe Act/Condition

Corrective Action by

Date/Time Completed

2. Priority

Unsafe Act/Condition

Corrective Action by

Date/Time Completed

3. Priority

Unsafe Act/Condition

Corrective Action by

Date/Time Completed

4. Priority

Unsafe Act/Condition

Corrective Action by

Date/Time Completed

5. Priority

Unsafe Act/Condition

Corrective Action by

Date/Time Completed

6. Priority

Unsafe Act/Condition

Corrective Action by

Date/Time Completed

Copies To

Review Date

Comments

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