Information
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Document No.
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Audit Title
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Picture of machine
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Documentation
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New installation or transferred machine?
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For new machine, has PM program been documented?
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Are there Lockout Tag out instructions for new equipment?
1.) Machine Guarding
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1.1 Are all pulleys and belts, chains, sprockets and other power transmission sources guarded?
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1.2 Are operations that have rotating parts, pinch points, nip points, etc., guarded?
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1.3 If the machine is designed for a fixed location is it securely anchored?
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1.4 Are commonly used tools at hand so people are not encouraged to improvise, at risk of doing unsafe activities?
2.) Equipment Shutdown
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2.1 Is there a single, lockable, clearly marked electrical power disconnect?
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2.2 Are isolation valves for air, steam and other utilities accessible and marked?
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2.3 Is there an adequate number of properly labeled manual reset emergency stops?
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2.4 Have employees who will perform repairs, maintenance and servicing operations been trained in the equipment specific lockout/tag out or chemical handling procedures before they have to perform these operations?
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2.5 Have the equipment- specific procedures been put in writing and are they easily accessible?
3.) Walking Surfaces
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3.1 Are floors and aisles clear of any slippery areas or other trip hazards?
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3.2 Are changes in floor elevations clearly identified by color coding where necessary?
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3.3 Does the equipment produce discharge on the floor that is not adequately contained or directed towards drains?
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3.4 Should non-slip surface coatings be applied around the equipment?
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3.5 Has all construction debris, packaging materials, and setup equipment been removed from working areas?
4.) Electrical
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4.1 Is all conduit, cable, and wire properly attached to all supports and tightly connected to junction and outlet boxes?
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4.2 Is there evidence of fraying on electrical cords?
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4.3 Are cords free of Grease, oil, and chemical?
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4.4 Is all electrical equipment secured to a surface?
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4.5 Are switches mounted in a clean, tightly closed metal box?
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4.6 Are switches easily accessible and the paths to them free of obstructions?
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4.7 Are all unused openings in junction boxes plugged?
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4.8 Are all controls properly labeled?
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4.9 Are the STOP buttons red? ( Only stop buttons should be red)
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4.10 Have all employees who may be exposed to electrical voltage equal or greater than 50 volts been given electrical safety training?
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4.11 Are all electrical panels accessible and clear of obstructions?
5.) Ladders, platforms and stairs.
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5.1 Are platforms that are more than 4 feet above the floor level equipped with standard railing and toe boards?
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5.2 Are fixed ladders properly secured against movement?
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5.3 Are ladders that are more than 20 feet in unbroken lengths provided with safety cages that start between 7 & 8 feet off the floor and extends at least 42" above the top landing?
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5.4 Do stairs have handrails on them?
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5.5 Is there a mid-rail?
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5.6 Do crossovers over equipment have handrails?
6.) Personal Protective Equipment
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6.1 Has a PPE assessment been completed for this equipment?
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6.2 Are there any special PPE requirements for the equipment or operations?
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6.3 Has the appropriate PPE been provided to the employees?
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6.4 Have employees been trained in the proper use/care of PPE?
7.)Ergonomics
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7.1 Does the equipment require employees to manually handle raw materials or finished product?
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7.2 If it does, have the ergonomic risk associated with those task been evaluated from a standpoint of weight, distance, frequency of task?
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7.3 Are controls easy to reach and laid out in a manner that makes them easy to read and use for the equipment operator?
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7.4 Does operation of equipment require employees to stand for extended periods of time?
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7.5 If so are there mats?
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7.6 Have operators been trained in the operation of the equipment, manufacturer's requirements for operating and maintaining, equipment safeguards, warning systems, etc.?
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7.7 Are there sharp edges on the equipment that could cut the operator or others passing by the equipment?
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7.8 Does operation of the equipment require the operator to engage in highly repetitive hand, wrist, arm, and finger movement or exertion?
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7.9 Is frequent bending, twisting, and reaching required?
8.) Industrial Hygiene
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8.1 If any chemical agents are required for the operation, servicing, or maintenance of the equipment, have SDSs been obtained?
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8.2 Have the employees been trained in the chemical hazards, exposures and required PPE?
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8.3 Does the equipment emit any hazardous chemicals?
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8.4 Are there excessive noise levels?
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8.5 are there excessive temperatures or heat being put off?
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8.6 Is there radiation or other physical hazards?
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8.7 Have those hazards been evaluated?
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8.8 Are there hot surfaces that require quarrying or labeling and if so has it been done?
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8.9 Are appropriate warning labels provided on the equipment?
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8.10 If ventilation systems are required on the equipment, are flow indicators provided and have the operators been trained in using and interpretation of them?
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8.11 Are low-flow alarms installed on critical ventilation systems?
9.) emergency Procedures
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9.1 Have employees been trained in emergency shut-Dow procedures?
10.) Fire Hazards
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10.1 Does the equipment present any inherent fire hazards such as open flames, flammable liquids, solid and gases, etc.?
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10.2 Are these hazards properly controlled by safeguards built into the equipment or provided outside, over and around the equipment?
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10.3 Are fire extinguishers or other fixed extinguisher system required?
11.)Recomendations
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Suggestions
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Approved for use?
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Sign here if approved and additional inspection not required
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Select date
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Reinspected and approved for use
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Re-inspection approval inspector signature:
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Select date
