Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Inspection date on test tag in date
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Take photo of out of date tag
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Date last due for testing
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Inspect condition of lead
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All safety signage in place
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Add details of missing or damaged signage
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Check all guards and shields are tight and secure
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Check clearance from the backrest and tool post to the belt (should be minimal)
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Inspect the condition of belt and replace if required
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Inspect tension on belt and adjust if required
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Inspect the condition of the body, ensure no loose or worn components
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Take photo of warn parts. Tag out and take action to have repaired
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Inspect pedestal foot mounting, ensure tight and sturdy
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Inspect operation of on / of f switch and E-Stop if fitted
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Clean of excess dust and dirt
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Signature of person conducting maintenance
