Machine Guarding Assessment

• Site conducted at

• Location

• Equipment Name

• Picture of Equipment

  Media

• Conducted on

  Date

• Prepared by

• Auditor Signature

  Sign

• Co-Auditor, if applicable

• Do the safeguards prevent employees’ hands, arms, and other body parts from contacting dangerous moving parts?

  Yes

  No

  N/A

• Are the safeguards firmly secured and not easily removable (i.e., specialty tool needed for removal)?

  Yes

  No

  N/A

• Do the safeguards ensure that no object will fall into the moving parts?

  Yes

  No

  N/A

• Do the safeguards permit safe, comfortable, and relatively easy operation of the machine?

  Yes

  No

  N/A

• Can the machine be oiled or periodically adjusted without removing the safeguard?

  Yes

  No

  N/A

• Is there a system for shutting down the machinery before safeguards are removed?

  Yes

  No

  N/A

• Is the point-of-operation safeguarded for the machine?

  Yes

  No

  N/A

• Does it keep the operator’s hands, fingers, and body out of the danger area?

  Yes

  No

  N/A

Power Transmission Apparatus

• Are there any unguarded gears, sprockets, pulleys, or flywheels on the apparatus?

  Yes

  No

  N/A

• Are there any exposed belts or chain drives?

  Yes

  No

  N/A

• Are there any exposed set screws, keyways, collars, etc.?

  Yes

  No

  N/A

• Are starting and stopping controls within easy reach of the operator?

  Yes

  No

  N/A

• If there is more than one operator, are separate controls provided?

  Yes

  No

  N/A

Other Moving Parts

• Are safeguards provided for all hazardous moving parts of the machine including auxiliary parts?

  Yes

  No

  N/A

• Are all moving drive components guarded – gears, sprockets, pulleys, chains, belts, fly wheels, shafts, cylinders, fans, etc.?

  Yes

  No

  N/A

• Are all exposed shafts with the length exposed at more than half their diameter properly guarded?

  Yes

  No

  N/A

• Have appropriate measures been taken to safeguard employees against noise hazards?

  Yes

  No

  N/A

• Have special guards, enclosures, or personal protective equipment been provided, where necessary, to protect employees from exposure to harmful substances used in machine operation

  Yes

  No

  N/A

• Is the machine installed in accordance with National Fire Protection Association and National Electrical code requirements?

  Yes

  No

  N/A

• Are there loose conduit fittings?

  Yes

  No

  N/A

• Is the machine properly grounded?

  Yes

  No

  N/A

• Is the power supply correctly fused and protected?

  Yes

  No

  N/A

• Do employees occasionally receive minor shocks while operating the machine?

  Yes

  No

  N/A

• Are adequate emergency stops provided within the operators reach?

  Yes

  No

  N/A

• Are the emergency stops colored red with a yellow background?

  Yes

  No

  N/A

• Does the machine have redundant safety circuitry?

  Yes

  No

  N/A

• Are all safety interlocked switches, emergency stops, contacts, and devices in good working condition and operating as they should?

  Yes

  No

  N/A

• Are energy isolation disconnects installed for each type of energy identified on the machine?

  Yes

  No

  N/A

• Is there a machine specific LOTO procedure written for the machine?

  Yes

  No

  N/A

• Are employees trained as LOTO authorized users who perform any maintenance or repairs on the machine?

  Yes

  No

  N/A