Information

  • Document No.

  • Machine Identification

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Points of Operation

  • Is there a guard or safety device provided for each point of operation of the machine?

  • Are the guards complete? (Do the guards allow the operator's hands, arms, or other body parts to make contact with hazardous machine parts?)

  • Are the guards effective? (Is there evidence that the guards have been tampered with or bypassed to make them ineffective?)

  • Are the guards firmly secured and not easily removed?

Operator Controls

  • Are starting / stopping controls within easy reach of the operator?

  • If there is more than one operator station, are separate controls so located that operators can see the entire operation?

  • Are controls, including foot controls, guarded against accidental activation?

  • Are controls labeled to identify their function?

  • Are controls similar in type and arrangement to other similar machines in the plant?

  • Are emergency stop controls easily accessible and clearly identified?

  • Is the machine wired so that it must be manually restarted if power is interrupted and then reapplied?

General Safeguarding Requirements

  • Are controls that require two handed activation wired to include the following:<br>- Concurrent use of both hands?<br>- Anti-Repeat?<br>- Anti-Hold Down?

  • Can the machine be locked out at each power source?

  • If applicable, has a separate circuit and lockout capability been provided for auxiliary equipment (i.e. Hot melt pot) on the machine which may require power during short duration maintenance shut downs?

  • If equipment is provided with a jog function, is it designed so that it cannot be used to operate the machine continuously (instead of inching)?

  • If access is normally required to a danger zone of the machine, (such as for clearing jams) are interlocked barrier guards or similar system used to prevent access while the machine is in operation?

  • If the machine has a thread speed mode, do safety devices (e.g. interlocks, photocells, etc) continue to function in this mode?

  • Do interlocked barriers incorporate a braking system, or zero motion detection system, when coast down time is a concern?

  • Are the guards designed so that they will not create hazards such as shear or pinch points or sharp edges?

  • Can adjustments be made without removing or opening any guards?

  • Can the machine be lubricated without opening or removing any guards?

  • Is there sufficient room for maintenance and repair?

  • Is there adequate lighting in general at the points of operation?

  • Is there adequate supervision to ensure that employees are following safe machine operating procedures?

  • Are safety procedures in place for minor intervention activities (such as jam clearing, cleaning, adjustments) and start up?

  • Are employees trained on all applicable safety procedures relating to machine operation?

  • Is all machinery and equipment kept clean and properly maintained?

  • If special hand tools are used for placing and removing material, do they protect the operator's hands?

  • Are provisions made to prevent machines from automatically starting when power is restored after a power failure or shut down?

  • Is the operator dressed safely for the job? (i.e. No loose fitting clothing or jewelry)?

  • Signature

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