Title Page

  • Customer Site:

  • Conducted on

  • Prepared by

Safety

  • All required PPE was worn while performing your duties?

  • Did you LOTO the machine as per EHS policy?

  • Was the Machine cleaned and ready for inspection

Findings

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • undefined

  • Are all covers reinstalled with all hard?

  • Are parts required for the repair?

  • Is there follow up required?

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.