Machine Guard & PPE Audit

• Document No.

Machine Guard & PPE Audit

Tewkesbury

• Conducted on

  Date

• Prepared by

• Shift

  Folding Shift A

  Folding Shift B

  Folding Shift C

  Folding Shift D

  Days or rotating shift

Folder no 1

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 2

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 3

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 4

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 5

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 6

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 7

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 8

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 9

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 10

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 11

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

Folder no 12

• Are all machine guards on the folding machine and in the down position?

  Yes

  No

  N/A

• Is the operator wearing ear plugs?<br>

  Yes

  No

  N/A

• Is the operator wearing safety shoes?

  Yes

  No

  N/A

• Is the operator wearing the company supplied uniform?<br>

  Yes

  No

  N/A

• Add signature

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