Title Page

  • Conducted on

  • Prepared by

Check for cleaning

  • Is the area clean and free from visible contamination?

  • Is there sufficient chemical for the day?

Check each item for integrity. Compare to attached picture

  • Sheet1

  • Check Control panel

    Control panel.jpg
  • Control panel

  • Check HMI Screen

    HMI Screen.jpg
  • HMI Screen

  • Check Chemical dosing unit pump and pump isolator x 1 on the back

    Chemical dosing unit pump and pump isolator x 1 on the back.jpg
  • Chemical dosing unit pump and pump isolator x 1 on the back

  • Check Water nozzles green x 20

    Water nozzles green x 20.jpg
  • Water nozzles green x 20

  • Check Water nozzles red x 12

    Water nozzles red x 12.jpg
  • Water nozzles red x 12

  • Check Water nozzles blue x 18

    Water nozzles blue x 18.jpg
  • Water nozzles blue x 18

  • Check Grey water nozzles

    Grey water nozzles.jpg
  • Grey water nozzles

  • Check Pillar block bearing

    Pillar block bearing.jpg
  • Pillar block bearing

  • Check Chain support

    Chain support.jpg
  • Chain support

  • Check Emergency stops x 4

    Emergency stops   x 4.jpg
  • Emergency stops x 4

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.