Information

  • Unit/ Location:

  • Department:

  • Machinery name:

  • Model:

  • Serial # (if available):

  • Manufacturer:

  • Checked by:

  • Conducted on:

  • Purpose:

1.0 - General

  • 1.1 Has the equipment been designed for the task it is performing?

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  • 1.2 Are there clear and comprehensive work instructions in the language of the user in place for the safe operation of this machine?

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  • 1.3 Are the START, STOP, RESET and E-Stop controls clearly identified?

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  • 1.4 Could materials or liquids be ejected from the equipment?

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  • 1.6 Are any very hot surfaces accessible?

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  • 1.5 Is there any possibility of fire or over heating? e.g. excessive friction, electric motor burning out, naked flame or spark, thermostat or cooling system failure.

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  • 1.7 Are any very cold surfaces accessible?

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  • 1.9 Does the equipment include a pressure vessel?

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  • 1.10 Could a blockage cause over pressure in the equipment?

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  • 1.11 Is there a risk of flammable vapours creating a potentially explosive atmosphere?

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  • 1.8 Is there any possibility of hazardous liquids or gases escaping?

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  • 1.12 Is there a risk of dust or fine fibres creating a potentially explosive atmosphere?

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  • 1.13 Are sufficient and appropriate fire extinguishers located within easy access to the machinery?

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2.0 - Guarding

  • 2.1 Is it possible to access any moving and/or hazardous parts or materials? These may be behind unsecured covers or guards.

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  • 2.3 Are all FIXED guards secured with suitable fixings that require a tool not kept in the workplace?

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  • 2.4 Can the guarding be easily defeated without the use of tools?

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  • 2.5 Can settings & adjustments be carried out safely?

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  • 2.6 Can the machine be loaded and unloaded safely?

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  • 2.5 Can settings & adjustments be carried out safely?

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  • 2.8 Are the guards made from a suitable material? e.g. shatterproof, sufficient strength

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  • 2.9 Have all sharp edges been removed?

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  • 2.7 Is guarding positioned so that it does not restrict the operators view?

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3.0 - Safety / System Controls

  • 3.1 How is the safety circuit designed to ensure reliable operation?<br>a) Hard wiring<br>b) Safety relay<br>c) Safety PLC

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  • 3.2 Are standard electrical switches, relays or other non-safety rated components used in safety circuits?

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  • 3.3 Are single channel safety devices used in safety circuits?

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  • 3.4 Are dual channel safety devices used in safety circuits?

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  • 3.5 Does the machine stop immediately after the E-stop is activated?

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  • 3.6 Are guards secured shut until the machine comes to a complete standstill after the E-stop has been activated?

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  • 3.7 Are guard switches fitted to all guards that can be opened without a tool?

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  • 3.8 Are the guard switches 'Positively acting'?

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  • 3.9 Are the guard switches positioned so it is not possible to open the guard without activating the safety device?

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  • 3.10 Do all of the guard switches stop the machine in the same way as activating the E-Stop?

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  • 3.11 Does the STOP control bring the equipment to a safe condition in a safe manner?

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  • 3.12 Is all stored energy (compressed air, hydraulic, springs) automatically released when a guard is opened?

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  • 3.13 Is there immediate access to an E-Stop or similar device at the operator's working position?

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  • 3.14 Do all the E-Stops on the machine operate in the same way?

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  • 3.15 Are the emergency stops suitable for the work area? e.g. Red mushroom button, pull cable, kick board

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  • 3.16 Could an operator activate the equipment with one hand while exposing their other hand to a hazard?

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  • 3.17 Where two hands are required to operate equipment, are two hands required continuously to operate the equipment?

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  • 3.18 Where two hands are required to operate equipment, does the equipment require both buttons to be pressed within 0.5 seconds of each other?

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  • 3.19 After activating a guard switch or E-Stop, does the machine require a RESET before restarting?

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  • 3.20 Where light curtains are used, are they positioned at a suitable distance to safely stop the machine before contact with hazardous parts is possible?

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  • 3.21 Are the controls positioned and designed to prevent accidental operation?

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  • 3.22 Are all push buttons in good condition, and operational?

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  • 3.23 Are all indicator lamps in good condition and working?

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  • 3.24 Are all push buttons and indicator lamps clearly labelled in the local language or with a universally understood format? e.g. O - Off, I - On

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  • 3.26 The machine should only start moving after the RESET button has been activated and then the START button. Does the machine operate this way?

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  • 3.25 Can the equipment be started from only one position?

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  • 3.28 If there is a delayed start or remote starting on the equipment, is there an appropriate warning system?

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  • 3.29 Is the equipment stable under its own weight or bolted securely to the floor?

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  • 3.27 Is there good visibility around the machine from the position where the machine can be started?

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4.0 - Electrical System

  • 4.1 Is the incoming Earth correctly and securely terminated, with measured resistance < 1Ω?

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  • 4.2 Is the main Earth clearly identified?

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  • 4.3 Based on the Phase Conductor size, is the incoming Earth correctly sized?

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  • 4.4 Does each Earth wire have its own dedicated terminal?

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  • 4.5 Is Green & Yellow coloured insulation only used on Earth cables?

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  • 4.6 Is all of the equipment and associated metalwork earthed or suitably earth bonded?

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  • 4.7 Is the main Neutral clearly identified?

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  • 4.8 Do the mains supply terminate at a lockable isolator?

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  • 4.9 Does the isolator have to be switched off before the panel can be opened?

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  • 4.10 Is the isolator easily defeated?

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  • 4.11 Are electrical panels locked and require a tool, not kept in the workplace, to be unlocked?

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  • 4.12 Is the highest voltage clearly identified on the electrical panel?

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  • 4.13 Is short circuit protection fitted?

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  • 4.14 Is over current circuit protection fitted?

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  • 4.15 Are all terminals above 50V AC or 75V DC protected from fingertip access/ ⌀12mm probe?

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  • 4.16 Are all permanently live circuits appropriately marked?

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  • 4.17 Do all electrical terminations have identification which corresponds with the electrical diagram?

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  • 4.18 Are all multi-strand wires fitted with ferrules before termination?

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  • 4.19 Do all wires run continuously from terminal to terminal or terminal to component with no joints?

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  • 4.20 Are there any loose wires in the electrical panel?

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  • 4.21 Is the Power Supply Unit bonded to Earth?

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  • 4.22 Is the armour from all armoured cables properly connected?

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  • 4.23 Can all electrical panel doors be opened beyond 90 degrees?

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  • 4.24 Are all metal electrical panel doors fitted with Earth straps to the main panel?

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  • 4.25 Is the panel door free from mains voltage components?

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  • 4.26 Are all electrical panels located outside the guarding?

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  • 4.27 Are all electrical cables free from damage, in good condition and clear of moving parts?

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  • 4.28 Do all electrical components have a suitable ingress protection (IP) rating for the environment?

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  • 4.29 Where equipment is in an area where a potentially explosive atmosphere could develop, is all of the electrical equipment suitably rated?

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  • 4.30 Do all external electrical cables have suitable physical protection for the environment?

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  • 4.31 Do all electrical panels have a suitable ingress protection (IP) rating for the environment?

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  • 4.32 Are all control panels ventilated or temperature controlled where necessary?

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  • 4.33 Are the electrical panel voltages segregated and clearly identified?

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  • 4.34 Is there a circuit diagram available in each control panel?

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  • 4.35 Are there pneumatic or hydraulic components in the electrical panels?

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  • 4.36 Is the electrical panel free from debris?

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  • 4.37 Are there any High Voltage cables in ducts with Low Voltage cables?

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  • 4.38 Where electrical sockets are fitted, do they have their own protection?

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  • 4.39 Is the available lighting sufficient for working in the electrical panels?

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5.0 - Pneumatic System

  • 5.1 Can the compressed air supply be isolated and locked out at the machine?

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  • 5.2 Is the compressed air isolation valve outside of the guarding?

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  • 5.3 Is all of the compressed air exhausted whilst in an emergency stop state?

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  • 5.4 Are all pneumatic valves / solenoids clearly identified, accessible and secure?

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  • 5.5 Do all pneumatically powered moving parts immediately return to a safe position when the compressed air is isolated?

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  • 5.6 Is there a pneumatic circuit diagram available in the control panel?

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  • 5.7 Is the equipment free from air leaks?

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  • 5.8 Are all pneumatic exhaust ports fitted with silencers?

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6.0 - Hydraulic System

  • 6.1 Can the hydraulic pump be isolated and locked out in the work area?

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  • 6.2 Are all hydraulic hoses in good condition?

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  • 6.3 Is there a pressure relief valve in working condition?

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  • 6.4 Do all hydraulically powered moving parts immediately return to a safe position when the hydraulic pack is isolated?

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  • 6.5 Are hose burst valves fitted to cylinders used in lifting and lowering?

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  • 6.6 Is there a hydraulic circuit diagram available in the control panel?

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  • 6.7 Is the work area free from oil and the equipment free from oil leaks?

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7.0 - Process Liquids and Gases

  • 7.1 Are all pipes appropriately colour coded and have their contents marked?

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  • 7.2 Do all pipes have the direction of flow marked?

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  • 7.3 Can the steam supply be isolated and locked out in the work area?

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  • 7.4 Can the water supply be isolated and locked out in the work area?

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  • 7.5 Can all other liquid or gas supplies to the equipment be locked out in the work area?

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  • 7.6 Are all liquid and gas supplies free from leaks?

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8.0 - Pressure Systems

  • 8.1 Is the pressure vessel name plate readable?

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  • 8.2 Is a unique Pressure Relief Valve or similar safety device fitted to the each pressure vessel?

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  • 8.3 Is the Pressure Relief Valve secured against unauthorised adjustment?

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  • 8.4 When was the Pressure Relief Valve last tested?

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  • 8.5 When was the Pressure Relief Valve last overhauled?

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  • 8.6 When was the Pressure Vessel last checked by an approved inspector?

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9.0 - Documentation, Instruction & Identification

  • 9.1 Are all warning labels in place and suitable for the hazards identified?

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  • 9.2 Is the machine Technical File available?

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  • 9.3 Is the Technical File in the language of the user?

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  • 9.4 For CE marked equipment, is a Certificate of Conformity in the Technical File?

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  • 9.5 For CE marked equipment, are the relevant BS/EN Standards listed in the Technical File?

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10.0 - Training

  • 10.1 Are all operators trained to use the equipment safely?

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  • 10.2 Is the delivered training documented and recorded?

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  • 10.3 Is a Pre-Use checklist available for every operator?

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  • 10.4 Has a Job Safety Analysis been carried out on this equipment?

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11.0 - Maintenance

  • 11.2 Do the task instructions detail all of the potential hazards?

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  • 11.1 Is there a Planned Maintenance schedule for this piece of equipment?

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  • 11.3 Is there reasonable access for maintenance?

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  • 11.4 Are all protective devices (Circuit Breakers, E-Stops, Pressure Relief Valve and Safety Switches etc.) subject to routine functional testing, with the results recorded?

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Conclusion

  • Recommendation:

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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.