Delta Company Ltd.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Monthly Machine Guarding Inspection

• AREA

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

• Date of Inspection

  Date

• 2017

• Schedule of Checks (Quarterly)

  Select January February March April May June July Augutst September October November December

  • January
  • February
  • March
  • April
  • May
  • June
  • July
  • Augutst
  • September
  • October
  • November
  • December

• Do not "tick". Write OK or use the number of the specific deviation given in the legend alone. If the hand tool is defective it must be tagged – “Defective” – and must be reported to the person responsible for the repair of the equipment. If the hand tool is beyond repair it must be destroyed and discarded.
  Each hand tool must be inspected separately according to its own criteria. The object of inspecting hand tools is to ensure that the hand tool is in a safe condition to do the work it was designed for without injuring the person who uses the tool.

• Hand Tools ID No.:

• Location:

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

Inspections

• Hand Tools

• Brooms

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Mops

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Squeegees

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Trolleys

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Toolbox

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Spade/shovels

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Picks/gwala

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Rakes

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Pitch fork

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Wheel barrows

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Axes

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Screwdrivers

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Pliers

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Chisels

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Hammers

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Knives

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Ring spanners

  Select Damaged-repair Unsafe-replace Not provide-supply Guarding devices missing Storage facilities-inadequate Handles Missing Badly worn

  • Damaged-repair
  • Unsafe-replace
  • Not provide-supply
  • Guarding devices missing
  • Storage facilities-inadequate
  • Handles Missing
  • Badly worn

• Hand tools ID:

• Inspection Done by:

  Select Aju Thomas Amal Muraly Sindarth Khrisnan Archie Pulmano Darwin Llantada Michael Dave Herrero Allan Rey Rizalde Bryle Cyril Besinga Ryan Cabarlo Charlie Villanueva Charles Subong Jaafar Lagayan Bahar Ali Muhammad Rainerio Bacon

  • Aju Thomas
  • Amal Muraly
  • Sindarth Khrisnan
  • Archie Pulmano
  • Darwin Llantada
  • Michael Dave Herrero
  • Allan Rey Rizalde
  • Bryle Cyril Besinga
  • Ryan Cabarlo
  • Charlie Villanueva
  • Charles Subong
  • Jaafar Lagayan
  • Bahar Ali Muhammad
  • Rainerio Bacon

Inspector Initials and Date

• Inspector

  Sign

• Inspector

  Select Aju Thomas Amal Muraly Sindarth Khrisnan Archie Pulmano Darwin Llantada Michael Dave Herrero Allan Rey Rizalde Bryle Cyril Besinga Ryan Cabarlo Charlie Villanueva Charles Subong Jaafar Lagayan Bahar Ali Muhammad Rainerio Bacon

  • Aju Thomas
  • Amal Muraly
  • Sindarth Khrisnan
  • Archie Pulmano
  • Darwin Llantada
  • Michael Dave Herrero
  • Allan Rey Rizalde
  • Bryle Cyril Besinga
  • Ryan Cabarlo
  • Charlie Villanueva
  • Charles Subong
  • Jaafar Lagayan
  • Bahar Ali Muhammad
  • Rainerio Bacon

• Date and time

  Date