Title Page

  • Conducted on

  • Prepared by

  • EQU Reference

  • Names of Audit Team

Information, Instruction & Training

  • Are all operators competent to operate the equipment.

  • Are maintenance team competent to carry out tasks on equipment.

Location and layout of equipment

  • Is equipment sited in a suitable location that gives access to all parts by operator

  • Area of access is clear of trip hazards

Electrical safety

  • Is isolator accessible and identified, and can be locked off

  • Are electrical controls, plugs, wiring etc undamaged

  • Are all controls clear and readable

  • Are emergency stops within reach of all places of operation

  • Do all emergency stops work

  • Does the equipment require a PAT test

  • Is the equipment PAT tested at time of audit

Guarding and interlocks

  • Are dangerous parts suitably guarded and guards are in place

  • Do interlocks prevent access to equipment

  • Are entrapment risks fully controlled

  • Is lighting around and inside equipment suitable and adequate

  • Are all persons protected against contact with hot parts of equipment

  • Are all persons protected against parts ejected from equipment

Chemical safety

  • Are chemicals clearly identified

  • Are materials SDS available, supported by a current Coshh Risk Assessment

Fire safety

  • Are suitable and sufficient measures in place in event of fire

Additional hazards

  • Are all safety issues specific to the equipment adequately controlled

Sign Off Page

  • Is the machine in its current state Safe to run?

  • Approval to Run: Maintenance Manager

  • Approval to Run: HSE Manager

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.