Title Page

  • Conducted on

  • Prepared by

Hygiene and Cleaning

  • Is the area clean?

  • Is the equipment visibly clean and free from signs of contamination?

Glass and Brittle Plastic Check

  • Inspect each item for damage or breakage.

  • LOMA Screen

    LOMA SCREEN.jpg
  • LOMA Screen

  • LOMA Perspex Cover

    LOMA PERSPEX COVER.jpg
  • LOMA Perspex Cover

  • LOMA Light Beaker

    LOMA LIGHT BEAKER.jpg
  • LOMA Light Beaker

  • Air Cylinders

    AIR CYLINDERS.jpg
  • Air Cylinders

  • Screw Nuts x6

    SCREW NUTS X6.jpg
  • Screw Nuts x6

  • Reject Bin Windows x2

    REJECT BIN WINDOWS X 2.jpg
  • Reject Bin Windows x2

  • Blue Belt

  • Signature

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.