Conserveria Africana Limited

• Document Title

• Document No

• Inspection Date &Time

  Date

• Inspected By

• Inspection Area

• Location of Inspection
  Address

Filling Machine 1

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 2

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 3

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate roller guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 4

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate roller guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 5

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate roller guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 6

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate roller guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 7

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 8

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 9

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 10

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 11

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

Filling Machine 12

• Machine running production

  Yes

  No

  N/A

• Is the machine daily maintenance record checklist available

  Yes

  No

  N/A

• Safety interlock device not broken or not bypassed or not tampered with

  Yes

  No

  N/A

• Opening the safety door stopped the machine or the safety door do not open while the machine is running

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does the machine screen cover not broken or missing or loosen

  Yes

  No

  N/A

• Is laminate shaft guard intact

  Yes

  No

  N/A

• Is the emergency stop button of the machine working

  Yes

  No

  N/A

• Is the emergency stop button of the conveyor working

  Yes

  No

  N/A

• Electrical panel door closed

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is insulating footmat placed at the electrical panel

  Yes

  No

  N/A

• Does the printer cover/door closed

  Yes

  No

  N/A

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• Environment Health and Safety Officer/Manager

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