Maintenance Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

1. Environment

• Dust

• Gases

• Fumes

• Sprays

• Lighting

• Noise

• Ventilation

• Corrective Actions Comments

2. Buildings

• Windows

• Doors

• Floors

• Stairs

• Roofs

• Walls

• Corrective Actions Comments

3. Electrical

• Switches

• Cables

• Outlets

• Connectors

• Grounding

• Connections

• Breakers

• Corrective Actions Comments

Hand tools

• Wrenches

• Screwdrivers

• Saws

• Power Tools

• Corrective Actions Comments

5. Materials handling

• Conveyors

• Cranes

• Hoists

• Hoppers

• Carts

• Dollies

• Bins

• Corrective Actions Comments

6. Personal protective equipment

• Bump Caps

• safety Glasses

• Respirators

• Safety Footwear

• Gloves

• Corrective Actions Technician's Comments

7. Pressurized equipment

• Boilers

• Vats

• Tanks

• Piping

• Hoses

• Couplings

• Valves

• Hydraulics

• Corrective Actions Technician's Comments

8. Production equipment

• Dough Carts and Wheels

• Mills

• Shapers

• Cutters

• Borers

• Presses

• Lathes

• Lock Out Systems

• Robotics

• Corrective Actions Technician's Comments

9. Personnel support equipment

• Ladders/Stepladders

Ladders/Stepladders

• Yellow- 1

  Safe

  At Risk

  N/A

• Yellow - 2

  Safe

  At Risk

  N/A

• Yellow - 3

  Safe

  At Risk

  N/A

• Yellow - 4

  Safe

  At Risk

  N/A

• Yellow - 5

  Safe

  At Risk

  N/A

• Scaffolds

• Platforms

• Catwalks

• Staging

• Corrective Actions Technician's Comments

10. Powered equipment

• Engines

• Electrical Motors

• Compressor Equipment

• Corrective Actions Technician's Comments

11. Storage facilities

• Racks

• Bins

• Shelves

• Cabinets

• Closets

• Yards

• Floors

• Corrective Actions Technician's Comments

12. Protective Guards

• Gear Covers

• Pulleys

• Belt Screens

• Work Station

• Guards

• Railings

• Drives

• Chains

• Corrective Actions Technician's Comments

13. Safety devices

• Valves

• Emergency Switches

• Cutoffs

• Warning Systems

• Limit Switches

• Mirrors

• Sirens

• Signs

• Corrective Actions Technician's Comments

14. Controls

• Start-Up Switches

• Steering Mechanisms

• Speed Controls

• Manipulating Controls

• Corrective Actions Technician's Comments

15. Lifting components

• Handles

• Eye-Bolts

• Lifting Lugs

• Hooks

• Chains

• Ropes

• Slings

• Corrective Actions Technician's Comments

• Interview one worker (Squeaky belts, Dangerous equipment, Equipment requiring repairs, etc...)

• Initials

  Sign