| Jobsite: |  |  |  | Project Number: |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Competent Person: |  |  |  | Shore Box Description: |  |  |  |  |
| Pre-shift inspections shall be made by a competent person BEFORE each shift. |  |  |  |  |  |  |  |  |
|  | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Date: |  |  |  |  |  |  |  |  |
| Time: |  |  |  |  |  |  |  |  |
| Inspector Initials: |  |  |  |  |  |  |  |  |

## For each “Inspection Item,” indicate one of the following: P=Pass F=Fail or N/A=Not Applicable

| INSPECTION ITEM | M | T | W | Th | F | S | Su |
| --- | --- | --- | --- | --- | --- | --- | --- |
| Is the box ID number identifiable? |  |  |  |  |  |  |  |
| Are the box walls damaged? |  |  |  |  |  |  |  |
| Do the walls deflect beyond it's intended design of use? |  |  |  |  |  |  |  |
| Are any wall repairs cosmetic and not structural? |  |  |  |  |  |  |  |
| Are the end walls damaged? |  |  |  |  |  |  |  |
| Are stacking lugs present? |  |  |  |  |  |  |  |
| Are stacking lugs made of 1/4" material? |  |  |  |  |  |  |  |
| Are any stacking lugs damaged? |  |  |  |  |  |  |  |
| Are the top rails/bottom rails damaged? |  |  |  |  |  |  |  |
| Are the top rails/bottom rails show signs of repair? |  |  |  |  |  |  |  |
| Are the top rails/bottom rails cosmetic or structural? |  |  |  |  |  |  |  |
| Does the box have four top sockets? |  |  |  |  |  |  |  |
| Does the box have two bottom sockets? |  |  |  |  |  |  |  |
| Are any spreader sockets damaged or missing? |  |  |  |  |  |  |  |

Rev Date: 1/17/2018
