Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
AGGREGATE GROUND HOPPER
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Pull cord E-stop
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Conveyor and rollers
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Lighting
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Housekeeping
SILOS
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Shuttle belt
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Pull cord E-stop
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Rollers
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Lighting
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Housekeeping
AGGREGATE WEIGHT BELTS
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Rollers
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Pull cord E-stop
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Gear boxes
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Housekeeping
MIXER FEED BELTS
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Covers
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Rollers
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Pull cord E-stop
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Gear box
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Housekeeping
MIXER/MIXER DECK EAST SIDE
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Disconnect
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E-stop
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Electrical boxes
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Hydraulic tanks
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Lighting
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Housekeeping
MIXER/MIXER DECK WEST SIDE
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Disconnect
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E-stop
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Electrical boxes
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Hydraulic tanks
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Lighting
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Housekeeping
MATERIAL HOPPER AND VIBRATORS
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Aggregate conveyor
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Belt
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Rollers
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Pull cords
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Gear box
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Housekeeping
BLOCK MACHINE #1
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Shafts and bushings
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Electrical boxes
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E-stop disconnect
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Green block conveyor
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Guarding
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Air leaks
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Housekeeping
BLOCK MACHINE #2
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Shafts and bushings
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Electrical boxes
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E-stop disconnect
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Green block conveyor
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Guarding
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Air leaks
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Housekeeping
BLOCK MACHINE #3
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Shafts and bushings
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Electrical boxes
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E-stop disconnect
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Green block conveyor
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Guarding
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Air leaks
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Housekeeping
BLOCK MACHINE #4
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Shafts and bushings
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Electrical boxes
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E-stop disconnect
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Green block conveyor
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Guarding
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Air leaks
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Housekeeping
LOADER/UNLOADER/RACK SHIFT
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Electrical box
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E-stop
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Rack shift rollers
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Hydraulics
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Housekeeping
CAR AND CRAWLER
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Safety kick bars
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E-stops
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Electrical
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Hydraulics
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Housekeeping
KILN
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Lighting
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Housekeeping
DEPALLETER
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E-stops
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Hydraulic leaks
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Wear plates
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Housekeeping
BTO
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Turnover
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Hydraulics
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E-stop
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Electrical boxes
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Housekeeping
DRY BLOCK CONVEYOR
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Rubber band spools
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Shafts
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Hydraulic motor
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Hydraulic leaks
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Housekeeping
CUBER
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In-feed
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Clamps
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Pattern maker
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Chains/Bars/Guards
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E-stop
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Electrical
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Housekeeping
OVERHEAD SIDE FEED
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Rollers
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Hydraulic motors
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Hydraulic leaks
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Rubber pads
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Chains
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Housekeeping
TIER PUSHER
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Electrical
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E-stop
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Hydraulic leaks
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Housekeeping
CARRIAGE
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Electrical
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E-stop
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Hydraulic leaks
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Housekeeping
WRAPPER
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Electrical
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E-stop
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Leaks
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Housekeeping
ELECTRICAL ROOM
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Electrical cabinets closed?
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Is the A/C working properly?
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Are the EXIT signs working properly?
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Is the fire extinguisher operational and up-to-date?
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Housekeeping
BREAK ROOM/CONFERENCE ROOM
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Is the break room clean?
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Is the conference room clean?
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Are the bathrooms clean?
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Are the safety cabinets up-to-date?
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Are the EXIT signs working properly?
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Is the fire extinguisher operational and up-to-date?
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Housekeeping
