Title Page

  • Conducted on

  • Conducted By

  • Version Number - 1

  • Date Created - 03/07/2023

  • Date Amended - N/A

  • 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, functioning and locked?

  • Is all glass on the doors undamaged?

  • 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 cause a health & safety issue?

  • Are the handles for manual cranking in place?

  • Is the lighting in the area sufficient?

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

  • Are all rollers secure?

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

  • Is the chain away and in a secure location?

  • Is the lifting gear in working condition, with no damage? Include chains/pressure/suction cups

  • Are all buttons, controls on the lifting gear in undamaged/working condition?

  • Are all safety devices on the lifting gear working and undamaged?

  • Are all cabinets locked?

  • Do you have all required PPE before starting?

  • Are there any other safety observations to raise?

Completion

  • Where any issues raised?

  • What issue was raised, and how was it rectified?

  • Where any issues raised?

  • What issue was raised, and how was it rectified?

  • Where any issues raised?

  • What issue was raised, and how was it rectified?

Completion

  • Signed - Person completing inspection

Completion

  • Signed - 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.