Title Page

  • Audit Title

  • Machine Name

  • Conducted on

  • Prepared by

  • Location

Safety Doors

  • Is the limit switch functioning properly?

  • Is the door intact?

  • Is the door handle intact?

  • Are the door hinges securely mounted?

  • Are there proper warning signs for safety doors?

Machine Guards

  • Are moving parts sufficiently guarded?

  • Are guards securely mounted?

  • Are there warning signs for machine guards?

  • Is the muffler/exhaust manifold insulated properly?

Heat / Chemical / Falls

  • Is there proper heat insulation in place?

  • Is there protection against chemical exposure?

  • Is there protection against fall?

  • Are there warning signs to indicate the hazards?

Ergonomic Checklist

  • Are railings, ladders and steps securely mounted?

  • Are the design of railings, ladders and steps suitable for work (steepness, railings on both sides, railings correct height etc.)?

  • Is the work environment suitable for work (Temperature, Noise, Vibrations, etc.)?

  • Is the floor condition suitable for work (clean, dry, non-slip)?

  • Is the lighting adequate for work (Work area is bright enough)?

  • Are equipment used in good working condition (tyres or rollers functioning properly)?

  • Is the position of control panels and switches placed correctly (at a convenient location for operators)?

  • . Is there adequate overhead space for work?

  • Signature

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.