CD Blue Plains 2

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Are machines shut down before maintenance is performed?

  Yes

  No

  N/A

• 1.2 - Are oil rags, waste, and other grease soaked materials disposed of in metal containers with self closing lids and emptied daily?

  Yes

  No

  N/A

• 1.3 - Are personnel cautioned about wearing loose clothing, long sleeves, dangling neckties, gloves, and rings when working on moving machinery?

  Yes

  No

  N/A

• 1.4 - Is eye protection worn where flying particles are produced?

  Yes

  No

  N/A

• 1.5 - Are machines so located as to provided operators with sufficient space to handle materials and perform job operations without conflict?

  Yes

  No

  N/A

• 1.6 - Are safety signs (danger, warning, or caution, etc.) posted where necessary?

  Yes

  No

  N/A

• 1.7 - Are there manufacturers manuals or other reference manuals available?

  Yes

  No

  N/A

• 1.8 - Is the shop floor free from slip, trip, and fall hazards (water, oil, debris, etc,)?

  Yes

  No

  N/A

• 1.9 - Flammable liquids stored in approved liquid cabinets?

  Yes

  No

  N/A

• 1.10 - Exits, corridor, stairways, and aisles unobstructed?

  Yes

  No

  N/A

• 1.11 - Are all machines and rotating equipment properly adjusted and guarded?

  Yes

  No

  N/A

Sign Off

• Auditor's signature

  Sign

• Yes

  No

  N/A