Title Page
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Conducted on
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Conducted By
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Version 1
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Date Created - 03/07/2023
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Amend Date - N/A
Untitled Page
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As an operator, have you received adequate training to operate this machine and carry out this check?
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Are all safety guards in place? Front and rear of the machine
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Is there any visible damage to guarding?
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Door handles secure and functioning?
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Are all safety interlocks/devices in place, undamaged and functioning?
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Are all emergency stops in place, undamaged and functioning?
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Are all nuts and bolts in place, and finger tight?
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Is all safety signage in place and clear?
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Is there any other damage that is likely to casue a health & safety issue?
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Is the lighting in the area sufficient?
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Is there any water creating a trip hazard?
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Is the area clean, tidy and safe to operate within?
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Are there any trip hazards? Wires, cables, broken glass etc
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Are all cabinets locked?
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Are there any other safety observations to raise?
Completion
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Were any issues raised?
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If yes, what was the issue and how was it rectified?
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Were any issues raised?
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If yes, what was the issue and how was it rectified?
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Were any issues raised?
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If yes, what was the issue and how was it rectified?
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Signed By - Assessor
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Signed By - Line Manager/Supervisor