Machine Guarding 1234

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Contacts

• Name

• Title

• Phone Number

• E-Mail

Identification of Machine

• Make / Model / Identification evidence of machine

• Photo

  Media

• Use

Guarding

• What type of machine guarding is being utilised (eg PLC, Laser detection, automated guards, motion detectors)?

  Yes

  No

  N/A

• Is there current guarding in place on machinery?

  Yes

  No

  N/A

• Is guarding sufficient to prevent access to the moving parts?

  Yes

  No

  N/A

• Are the gaps adequate to prevent accidental access to dangerous moving parts?

  Yes

  No

  N/A

• Are there any unguarded nip points?

  Yes

  No

  N/A

• Is a specialist tool required to remove exiting guarding?

  Yes

  No

  N/A

• Is the tool stored away from machinery?

  Yes

  No

  N/A

• Is there a permit system in place prior to the removal of guarding?

  Yes

  No

  N/A

• Are all electrical fixtures covered?

  Yes

  No

  N/A

• Is there a need for integrated guarding (eg two handed operation due to exposed dangerous components while in use)?

  Yes

  No

  N/A

• Are guard rails used to prevent access to dangerous parts?

  Yes

  No

  N/A

• Is there suitable access for servicing eg removable section to service, maintenance, removable panels to allow access to adjust bolts etc?

  Yes

  No

  N/A

• Are guards secured eg mounting bolts tightened, grills secured?

  Yes

  No

  N/A

• Are safety lock out devices fitted, operational?

  Yes

  No

  N/A

Additional Information and comments

Findings

Recommendations

Auditee

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