Title Page

  • Site conducted

  • Conducted on

  • Assessor Name & Job Title

  • Operative Name & Job Title

  • Location
    Select Equipment
  • Type and model of equipment

  • Equipment ID mark or number

  • Is the equipment fit for purpose and free from obvious defects?

  • Provide Image

  • Provide details

  • Create and assign corrective action

  • Where available, are dust ejection and collection methods in place and fit for purpose?

  • Provide details

  • Create and assign corrective action

  • Where necessary, are safety guards in place, in good condition, and difficult to override without authorisation?

  • Provide details

  • Create and assign corrective action

  • Provide type and model

Signed

  • Operative Name

  • Assessor Name

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.