Title Page
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Site conducted
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Conducted on
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Prepared by
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Machine Name / Number
1.0 Guarding
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1.1 - Is there current guarding in place on machinery?
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1.2 - Is guarding sufficient to prevent access to moving parts?
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1.3 - Are the gaps adequate to prevent accidental access to dangerous moving parts?
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1.4 - All potential nip points are guarded?
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1.5 - If fixed guarding is in place, is a specialist tool required to remove guarding?
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1.6 - Is the tool stored away from machinery?
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1.7 - Integrated guarding in place (if required) - e.g. two handed operation due to exposed components while in use?
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1.8 - Are all electrical fixtures covered?
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1.9 - Do machine guards prevent workers fingers, hands, arms & other body parts from making contact with moving parts of a machine?
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1.10 - Are all guards in good condition, of solid construction to withstand impact or shock & secured in place?
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1.11 - Machine guards ensure that no objects fall into the moving parts?
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1.12 - Machine guards prevent parts, components etc. from being ejected from the machine?
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1.13 - Is presence sensing equipment (light curtain, pressure pad, being used?) Does the machine stop in time when activated?
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1.14 - Are all machine guards in good condition?
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1.15 - Parts of or full guards are missing on the machine?
Any further comments:
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Comments:
Sign off:
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Signature: