Title Page
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Audit Title
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Machine Name
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Conducted on
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Prepared by
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Location
Safety Doors
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Is the limit switch functioning properly?
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Is the door intact?
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Is the door handle intact?
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Are the door hinges securely mounted?
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Are there proper warning signs for safety doors?
Machine Guards
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Are moving parts sufficiently guarded?
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Are guards securely mounted?
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Are there warning signs for machine guards?
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Is the muffler/exhaust manifold insulated properly?
Heat / Chemical / Falls
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Is there proper heat insulation in place?
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Is there protection against chemical exposure?
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Is there protection against fall?
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Are there warning signs to indicate the hazards?
Ergonomic Checklist
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Are railings, ladders and steps securely mounted?
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Are the design of railings, ladders and steps suitable for work (steepness, railings on both sides, railings correct height etc.)?
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Is the work environment suitable for work (Temperature, Noise, Vibrations, etc.)?
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Is the floor condition suitable for work (clean, dry, non-slip)?
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Is the lighting adequate for work (Work area is bright enough)?
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Are equipment used in good working condition (tyres or rollers functioning properly)?
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Is the position of control panels and switches placed correctly (at a convenient location for operators)?
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. Is there adequate overhead space for work?
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Signature