Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Does the machine have safeguards?

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  • Are safeguards provided for all hazardous moving parts of the machine, including auxiliary parts?

  • What safeguards, if any, are being used to protect the operator?

  • Is there evidence that the safeguards have been tampered with or removed?

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  • Do the safeguards provided meet the minimum OSHA requirements?

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  • Are the safeguards firmly secured and not easily removable?

  • Do the safeguards insure that no object will fall into the moving parts?

  • Do the safeguards permit safe, comfortable, and relatively easy operation of the machine?

  • Is there a system for shutting down the machinery before safeguards are removed?

  • Can the existing safeguards be improved?

  • Is there a point of operation safeguard provided for the machine?

  • Do the point of operation safeguards keep the operators hands, fingers, body out of the danger area?

  • Are there any unguarded gears, sprockets, pulleys, or flywheels on the apparatus?

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  • Are there any exposed belts or chain drives?

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  • Are starting and stopping controls within easy reach of the operator?

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  • Is the machine installed in accordance with National Fire Protection Association and National Electrical Code requirements?

  • Are there loose conduit fittings?

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  • Is the machine properly grounded?

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  • Is the power supply correctly fused and protected?

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  • Have operators and maintenance workers been trained in how to use the safeguards and equipment?

  • Is the appropriate PPE available to reduce appropriate hazards for operators?

  • Is protective equipment in good condition?

  • Do maintenance persons use appropriate lockout tag out methods before servicing machines?

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