Mechanical/Electrical Equipment & Compressed Air

• Conducted on

  Date

• Prepared by

• Location
  Address

• Lifting devices (Scissor lift tables, pallet trucks) are in good working order?

  Good

  Fair

  Poor

  N/A

• Please specify actions taken:

• All the mechanical equipment in the prep room has been checked?

  Good

  Fair

  Poor

  N/A

• Please specify actions taken:

• All work equipment in the prep room has safe working instructions and authorised users displayed?

  Good

  Fair

  Poor

  N/A

• Please specify actions taken:

• Machine guards in place and in good condition?

  Good

  Fair

  Poor

  N/A

• Please specify actions taken:

• Good

  Fair

  Poor

  N/A

Electrical Equipment:

• Electrical cables, plugs and sockets and in good condition?

  Good

  Fair

  Poor

  N/A

• Please specify actions taken:

• PAT testing labels are on all portable electrical equipment?

  Good

  Fair

  Poor

  N/A

• Please specify actions taken:

• Are extension leads in the area being permanently used?

  Yes

  No

  N/A

• Please specify actions taken:

• Electrical panels, distribution boards are locked, not obstructed and clear of combustible items?

  Yes

  No

  N/A

• Please specify actions taken:

Compressed Air:

• Compressed air lines & fittings are in good repair and working order?

  Yes

  No

  N/A

• Please specify actions taken:

• Compressed air lines are being used correctly including the use of safety glasses?

  Yes

  No

  N/A

• Please specify actions taken: