General Machine Guarding Audit

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Executive Summary

• District Representative

Audit Location or Map

• Building room number

• Is map available for building?

  Yes

  No

  N/A

• Insert photo if Yes

  Media

1.0 General Information

• Name of CESA 10 Inspector(s)

2.0 Machine Guarding Information

Machine Information

• Name of Machine

3.0 General Machine Guarding Requirements (29 CFR 1910.212)

• Does the machine have safeguards?

  Yes

  No

  N/A

• Are required safeguards installed on the machine?

  Yes

  No

  N/A

• Are the safeguards firmly secured and not easily removable?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Insert photo if yes

  Media

• Are there any exposed belts or chain drives?

  Yes

  No

  N/A

• Insert photo if yes

  Media

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Insert photo if Yes

  Media

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

  Yes

  No

  N/A

• Are hand tools available to permit easy handling of material without the operator placing a hand in the danger zone? (I.E. Push sticks)

  Yes

  No

  N/A

• Are blades of a fan less than 7 feet above the floor or working level safeguarded?

  Yes

  No

  N/A

• Do fan blade safeguards have openings no less than 1/2 inch?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Can the existing safeguards be improved?

  Yes

  No

  N/A

4.0 Personal Protective Equipment (29 CFR 1910.132)

• Is personal protective equipment(PPE) required?

  Yes

  No

  N/A

• Is appropriate PPE available to reduce hazards for operators?

  Yes

  No

  N/A

• Are staff and students utilizing the proper PPE when required?

  Yes

  No

  N/A

• Is PPE in good condition?

  Yes

  No

  N/A

• Insert photo if No

  Media

5.0 General Electrical Information

• Is the machine properly grounded?

  Yes

  No

  N/A

• Insert photo if No

  Media

• Are there loose conduit fittings?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is the power supply correctly fused and protected?

  Yes

  No

  N/A

• Insert photo if No

  Media

• Are extension cords used as permanent wiring to power machines?

  Yes

  No

  N/A

• Insert photo if Yes

  Media

6.0 Machine Training

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

  Yes

  No

  N/A

• Have operators and maintenance workers been trained in how and under what circumstances guards can be removed?

  Yes

  No

  N/A

7.0 Machine Maintenance

• Are maintenance and servicing workers trained in the requirements of 29 CFR 1910.147, lockout/tagout?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

8.0 Notes

• Any other relevant information?

Sign Off

• Inspector's signature CESA 10 Employee:

  Sign