Title Page

  • Equipment Audited

  • Warehouse Location

  • Conducted on

  • Prepared by

  • Any part of the equipment physically damaged?

  • Are there any missing guards?

  • Are there any missing chains or rollers?

  • Any excessive noise coming from motors or bearings?

  • Anything physically loose or rattling?

  • Any guards loose in concrete?

  • Any part of the equipment obviously not operating properly?

  • Any plastic built up on rollers or chain sprockets?

  • Is there excessive debris under or around the equipment?

  • Is there a constant hiss of leaking air?

  • Any visible oil leaks?

  • Any chain that appears excessively loose?

  • Any evidence of bearings being greased or chains being lubed?

  • Are there any safety devices that are damaged, disabled, or by-passed?

  • Add signature

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