Information

  • Document Title

  • Document No

  • Inspection Date &Time

  • Inspected By

  • Location of Inspection

FACTORY PRODUCTION FLOOR

Line 1

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat is placed at the electrical panel

Line 2

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat is placed at the electrical panel

Line 3

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 4

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 5

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 6

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 7

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 8

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 9

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 10

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 11

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Line 12

  • Machine running production

  • Is the machine daily maintenance record checklist available

  • Does the fixed safety guard of the motor drive belt or any rotating component intact

  • Is the emergency stop button of the conveyor working

  • Electrical panel door closed

  • Electrical connections of machine such as wires or cables are properly insulated and protected

  • Is insulating footmat placed at the electrical panel

Sign Off

  • Environment Health and Safety Officer/Manager

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