| Division | Great Lakes |
|---|---|
| Location | Waukesha - Machinery |
| Area | Bay 1 |
| Inspector's Initials | CVSJ |
| Slip Trip Hazards | Safe |
| Correct Tool for Task | Safe |
| Proper Use of Tool | Safe |
| Tool in Good Condition | Safe |
| Trained in Tool Use | Safe |
| Trained in Equipment Use | Safe |
| Proper Use of Equipment | Safe |
| Correct Equipment. for Task | Safe |
| Equipment in Good Condition | Safe |
| Equipment Inspected | Safe |
| Lifting / Bending | Safe |
| Reaching / Twisting | Safe |
| Walking / Climbing | Safe |
| Pushing / Pulling | Safe |
| Crawling / Squatting | Safe |
| Entry Notes |
