Dion Kingi

Mobile Extraction System Risk Assessment

This checklist is to be used in conjunction with the equipment's maintenance manual.

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Information

Document No.
Site
Conducted on
Prepared by

Inspection date on test tag in date
Inspect condition of lead
All safety signage in place
Inspect the condition of the body, ensure no loose or worn components
Inspect operation of on / off switch and E-Stop if fitted
Clean of excess filings and dirt

Electrical

Isolator switch is in place and operational?
Emergency stop buttons are mounted prominently where necessary?
"Lock out" or warning "Danger" tags are affixed to all linisher sanders under repair & maintenance?

General

Operators Manual Available?
SOP on display and followed?
Signature

Dion Kingi

Mobile Extraction System Risk Assessment

This checklist is to be used in conjunction with the equipment's maintenance manual.

Use this Template

Print as PDF

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.