Title Page

  • Conducted on

  • Prepared by

  • Location

Reviewed Department

  • Which department are you reviewing?

Machine Guarding

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

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

  • Are portable power tools equipped with appropriate guards?

  • Have machine guards been removed or modified?

Signature

  • Supervisor's Signature

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.