Machine Guarding

• Conducted on

  Date

• Prepared by

• Location
  Address

Reviewed Department

• Which department are you reviewing?

  Select Frame Floor Wall Top Electrical Exterior Front Door Moulding Final Finish Shipping/Receiving Cabinet

  • Frame
  • Floor
  • Wall
  • Top
  • Electrical
  • Exterior
  • Front Door
  • Moulding
  • Final Finish
  • Shipping/Receiving
  • Cabinet

Machine Guarding

• Are all machines guarded to prevent hand, arms, body, or clothing from contacting moving parts?

  Safe

  At Risk

  N/A

• Are fixed machine guards in place, secure, and properly maintained?

  Safe

  At Risk

  N/A

• Are portable power tools equipped with appropriate guards?

  Safe

  At Risk

  N/A

• Have machine guards been removed or modified?

  Safe

  At Risk

  N/A

Signature

• Supervisor's Signature

  Sign