Form No.
: IMS-QK-HSE-3-0057-37
Rev.00
Monthly Hand Tools Inspection Checklist
PROJECT:
Contract No.:
Company:
Job No.:
For the Month of
Date of Inspection:
Inspected By:
Additional Comments:
Name and Signature:
Note: This checklist is referenced in procedure number:
IMS-QK-HSE-3-0057
Remarks
Joints ( Rust, Oiled )
Insulations ( No Cracks, Pinholes,
Worn-out )
Sharp Edges ( Kept Sharp, with
Cover, Guards )
Jaws ( Cracks, Rust, No Thread
Loose )
Serial No. /
Identification No.
Head ( Mushroom, Loose, Rust )
User Name
Body ( Rust, Cracks, Loose )
Item
No.
Handle ( Cracks, Splinters, Rust )
Inspection item