Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Checklist

  • Is the electrical supply to equipment safe and compliant with Electricity Regulations?

  • Contact with moving parts? Have the moving parts of the machine been designed in such a way to prevent risk of contact.

  • Contact with sharp objects? Are accessible parts of the machine free from sharp edges, sharp angles.

  • Contact with the machine? Crushing, shearing, cutting hazards evident.

  • Contact with rotating parts? Drawing in or trapping hazards.

  • Fire or explosion hazard?

  • Contact with airborne/falling objects? Have precautions been taken to prevent falling or ejected objects.

  • Slips, trips and fall hazards? Have parts of the machine, where persons work, been designed to prevent slips, trips and falls.

  • Lifting operations? Access to forklift truck, overhead cranes?

  • Pressurised systems? Gases, hydraulic fluid, water, hydrogen, nitrogen, acetylene.

  • Compressed Air? Airline regulators fitted to reduce pressure.

  • Noise? Is the noise output above 80dB(A).

  • Exposure to chemicals? This includes dust, fumes, chemicals, vapours, mists, gases, biological agents.

  • Guards and protective devices of robust construction?

  • Emergency stops evident?

  • Unexpected start-up? Is it possible for the machine to start-up unexpectedly.

  • Alphanumeric or graphical display screens?

  • Access/egress to and from machine?

  • Lighting acceptable?

  • Working at height? Is there any working above ground level involved.

  • Confined spaces? No openings to be smaller than 700mm square.

  • Manual handling involved?

  • Asbestos issues in the area or the machine?

  • Radiation hazards?

  • Vibration issues?

  • Repetition issues?

  • Stress/Fatigue/Mental Health hazards?

  • Temperature in workplace?

  • Electromagnetic fields?

  • Contact with moving vehicles?

  • Are all control devices on machine clearly visible and identifiable?

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.