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ABRASIVE BLASTING OPERATIONS INSPECTION FORM

Date / Time :
Location :
Blasting Medium :
Description of Work :
JSA Control Number :
Name of Supervisor :
S/No Checklist Item Yes No

Are the personnel performing the abrasive blasting operations provided with the
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appropriate PPE?

Is the blast cleaning operator equipped with an air supplied hood and appropriate
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aprons and gloves?

Has the compressor supplying breathing air been inspected to ensure its
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serviceability?

Has the compressor been tested to ensure that it is capable of supplying breathing
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air meeting Grade D quality?

Is an in-line CO monitor attached between the compressor and the respirator air
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intake?

6 Is the CO monitor calibrated with a valid certificate of calibration?

7 Is the CO monitor set to trigger off an alarm if the CO levels reach 10 PPM?

8 Are employees tasked to perform abrasive blasting medically fit for the task?

9 Are dead man controls provided at the nozzles?

Are whip lash arrestors used to prevent the hose from whipping should the coupling
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become disconnected?

11 Is there a bonding system being grounded to prevent a buildup of static charge?

Are warning signs indicating “BLASTING IN PROGRESS” and adequate barricades


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erected to prevent unauthorized entry to the blasting area?
Comments: