Spot Field Inspection Spot Field Inspection Inspection DetailsDate* MM slash DD slash YYYY Employee Inspected* First & Lastname Inspector First & Lastname Inspection Topics* Ladder Safety Roof Safety Tool Safety Vehicle and Bucket Safety Ladder SafetyChecklist Demonstrate safe ladder dismount from vehicle Demonstrate safe ladder carry techniquest (ex. shoulder, hip, and front carry) Identify workside hazards (ex. electrical lines, slippery surfaces, wind, and block off ladder) Ladder inspection (ex. rungs, rails, and rope) Ladder base secured Ladder is level Ladder top secured Workspace is coned off for safety 4-to-1 rule Extension ladder is 3' above roof line Ladder duty rating not exceeded Wearing high visibility clothing when appropriate (ex. busy street, bucket truck, etc) Roof SafetyChecklist Safely transition from ladder to roof Ladder next to Valley Aware of surroundings and potential hazards Use of appropriate safety equipment (ex. harness, rope, safety glasses, gloves, and hard hat) Tools, materials, and equipment secured as to prevent fall hazards Tool SafetyChecklist Tools secured to prevent theft, damage, or safety issues Vehicle and Bucket SafetyChecklist Parking brake engaged and wheels chocked when appropriate Use of harness, hard hat, and safety glasses when operating bucket Wearing high visibility clothing when appropriate Work areas coned below, behind, and in the roadway when operating bucket truck Use of certified flagger when appropriate Bucket door closed and secured Use of flashing safety light when operating bucket truck NotesInspector's Notes: Submit a copy of this report to the Safety Committee Trello Board