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  • Conducted on

  • Conducted By

  • Version 1

  • Date Created - 03/07/2023

  • Amend Date - N/A

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  • As an operator, have you received adequate training to operate this machine and carry out this check?

  • Are all safety guards in place? Front and rear of the machine

  • Is there any visible damage to guarding?

  • Door handles secure and functioning?

  • Are all safety interlocks/devices in place, undamaged and functioning?

  • Are all emergency stops in place, undamaged and functioning?

  • Are all nuts and bolts in place, and finger tight?

  • Is all safety signage in place and clear?

  • Is there any other damage that is likely to casue a health & safety issue?

  • Is the lighting in the area sufficient?

  • Is there any water creating a trip hazard?

  • Is the area clean, tidy and safe to operate within?

  • Are there any trip hazards? Wires, cables, broken glass etc

  • Are all cabinets locked?

  • Are there any other safety observations to raise?

Completion

  • Were any issues raised?

  • If yes, what was the issue and how was it rectified?

  • Were any issues raised?

  • If yes, what was the issue and how was it rectified?

  • Were any issues raised?

  • If yes, what was the issue and how was it rectified?

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  • Signed By - Assessor

  • Signed By - Line Manager/Supervisor

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.