🔐 Machine Specific File

• Document No. :

• Assessment Title:

• Client / Site:

• Conducted on:

  Date

• Prepared For:

• Prepared by:

• Location:
  Address

• Review Schedule:

  Date

Details

• Machine Name (Common Location Identifier)

• Machine Name:

• Make:

• Model:

• Shed/ Location

• Year of Manufacture:

• Supplier:

• Supplier Contact:

• Supplier Website:

• Image of Equipment:

  Media

• Image of Equipment

  Media

Asset Owners

• Owner:

• Responsible Senior Management:

• Maintenance Manager:

Planned Maintenance Schedule

• Maintenance Requirements

Detail

• Task🔨:

• Frequency⌚:

• Precautions✋:

• Extra Notes📝

Approved Trainers

Guarding Requirements New /Existing Machinery

• Is guarding required to stop workers coming in contact with dangerous moving parts?

  Yes

  No

  N/A

• Does the machine need maintenence access more than once a shift?

  Yes

  No

  N/A

• Is guarding needed to stop objects or access to moving parts or to stop parts exploding out of the machine?

  Yes

  No

  N/A

• Is it required that guards are removed to maintain the machine if it was enclosed fully?

  Yes

  No

  N/A

• Is it necessary that ergonomics are built on top guarding to ensure its safe and comfortable for its use?

  Yes

  No

  N/A

• If there are already guards can they be improved in your opinion?

  Yes

  No

  N/A

Operator hazards (point of operation)

• Are there any parts not guarded at the point of operation?

  Yes

  No

  N/A

• Could the operator put their hands, fingers or any other body part in dangerous part's?

  Yes

  No

  N/A

• Have any original guards been removed? If so why?

  Yes

  No

  N/A

• Knowing the operators use, is there a better guard that could be used?

  Yes

  No

  N/A

• Is there other means to remove point of operation hazards? If yes suggest how.

  Yes

  No

  N/A

• Are tooling or equipment used in machine operation contribute to any hazard associated with the machinary? If yes describe.

  Yes

  No

  N/A

Operator Control's

• At any point in operation are controls out of reach of the operator?

  Yes

  No

  N/A

• Recommendation:

• If there is more than one operator, at any time does rougher operator have the controls out of their reach?

  Yes

  No

  N/A

• Recommendation:

• Can controls be accidentally turned on in any way?

  Yes

  No

  N/A

• Recommendation:

• Are controls labeled clearly? Answer yes if they are not suitable.

  Yes

  No

  N/A

• Recommendation:

• Are controls mis matched to other dominant equipment in the place of work?

  Yes

  No

  N/A

• Recommendation:

• Would it be easy to miss where the emergency stop is?

  Yes

  No

  N/A

• Recommendation:

• If the power goes out can the machine start back up by its self when power comes back on?

  Yes

  No

  N/A

• Recommendation:

Mechanical Transmission Hazards

• Is their any access to sprockets, pulleys, or flywheels? Including during normal maintenence

  Yes

  No

  N/A

• Recommendation:

• Are there any exposed belts or chain drives?

  Yes

  No

  N/A

• Recommendation:

• Are there any hazardous moving parts exposed including auxiliary parts?

  Yes

  No

  N/A

• Recommendation:

• If your at the transmission parts are stop controls out of reach?

  Yes

  No

  N/A

• Recommendation:

Other Hazards

• Are there other Hazards such as noise, fumes or dust?

  Yes

  No

  N/A

• Recommendation:

• Are workers supplied ppe gear suitable to manage these hazards? Answer yes if they DONT.

  Yes

  No

  N/A

• Recommendation:

• Are there hazards with layout, repeditive movement and workload?

  Yes

  No

  N/A

• Recommendation:

Electrical Hazards

• Is the test and tag expired or not in place? Comment how often they are done.

  Yes

  No

  N/A

• Recommendation:

• Are there lose fittings or open electrical boxes?

  Yes

  No

  N/A

• Recommendation:

• Do workers ever get minor shocks of the machine?

  Yes

  No

  N/A

• Recommendation:

Training and Supervision

• Can workers explain how to use guarding and competent? Are there records detailing training?

  Yes

  No

  N/A

• Recommendation:

• Can workers describe where guards are, how they protect them and what hazards they protect them from?

  Yes

  No

  N/A

• Recommendation:

• Are operators supervised by suitably trained staff?

  Yes

  No

  N/A

• Recommendation:

• Are workers trained to know what to do if they notice guards are missing out not suitable?

  Yes

  No

  N/A

• Recommendation:

Protective Equipment

• Is PPE gear needed?

  Yes

  No

  N/A

• Recommendation:

• Do they have correct PPE gear for the job?

  Yes

  No

  N/A

• Recommendation:

• Is the operator wearing any inappropriate clothing or accessories?

  Yes

  No

  N/A

• Recommendation:

Repair and Cleaning (including maintenence)

• Is there up to date procedures for maintenence and cleaning of machines?

  Yes

  No

  N/A

• Recommendation:

• Is their lock out procedures and are they followed by workers and contractors?

  Yes

  No

  N/A

• Recommendation:

• Does maintenance equipment pose a significant hazard?

  Yes

  No

  N/A

• Recommendation:

• When multiple people work on machines is there a group lock out procedure and it's strictly followed?

  Yes

  No

  N/A

• Recommendation:

• Does the machine get properly maintained and cleaned on a regular schedule?

  Yes

  No

  N/A

• Recommendation:

Machine Setup

• Is the machine secure in place and can't tip over?

  Yes

  No

  N/A

• Recommendation:

• Is the lady out of the machine give the operators and others a good working space?

  Yes

  No

  N/A

• Recommendation: