Title Page

  • Site conducted

  • Conducted on

  • Prepared by

personal Protective Equipment

  • Do you have eye protection

  • Is eye protection available

  • Do you have ear protection

  • Is ear protection available

  • Do you have gloves

  • Are gloves available

Housekeeping

  • Are there any trip hazards in the area

  • Are the trip hazards able to be eliminated

  • Is the machine clear of any debris

  • Is the debris able to be cleared safely

Machine Checks

  • Is the blade guard down and secure

  • Is the blade guard able to be lowered and secured safely

  • Does the E-Stop button function as it is designed to

  • Is the power cable in good condition

  • Is the water tank full

  • Is the water tank able to be filled safely

  • Is the water tank leaking

  • Are you able to stop the leak safely

  • Does the face shield have any chips or cracks

  • Are you able to repair the face shield safely

Blade

  • Does the blade run true

  • Is the blade able to be replaced safely

  • Are there any chips or cracks in the blade

  • Is the flange the correct size and tight

  • Does the water flow onto the blade at the correct volume

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.