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JOB SAFETY CLASS INSPECTION CHECKLIST AND CORRECTION FORM <br /> Class : All laborers <br /> Instructions : Checklist is based on the Code of Safe Practices <br /> for the area . If corrections are required, <br /> distribute copies to the responsible person(s) . <br /> Condition, Practice , or Equipment Initial Corrective Action <br /> 1 . Workers fatigued or impaired': <br /> 2 . Horseplay evident? <br /> 3. Proper lifting procedures? <br /> 4 . Proper shoe wear? <br /> ' 5 . Proper eye protection? <br /> 6 . Proper protective clothing? <br /> 7 . Proper use of equipment or <br /> machinery? <br /> 8 . Proper procedures used for <br /> excavations or installations? <br /> 9 . Hard hats worn? <br /> Corrective Action (specify in detail ) : <br /> Person responsible for correction : <br /> Copy provided? (yes/no) : <br /> Copy reviewed by management (signature) <br /> Date : <br /> Page - 27 <br />