Title Page
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Conducted on
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Prepared by
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Location
Piller Drill
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Piller Drill Condition
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Signage in Place
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Guards in Place
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Emergency Stop - Function Check
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Handles and Controls
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Power Supply
Band Saw
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Band Saw Condition
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Signage in Place
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Guards in Place
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Emergency Stop - Function Check
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Handles and Controls
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Power Supply
Lathe
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Lathe Condition
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Signage in Place
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Guards in Place
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Emergency Stop - Function Check
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Handles and Controls
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Coolant Pump Function
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Leaking Coolant
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Power Supply
Three Phase Welder
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Machine ID
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Is the equipment clean?
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Condition of Gas Hoses?
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Condition of Regulators?
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Condition of Torch?
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Power Supply & Condition of Leads?
400 AMP Welder
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Machine ID
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Is the equipment clean?
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Condition of Gas Hoses?
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Condition of Regulators?
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Condition of Torch?
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Power Supply & Condition of Leads?
240v Welder
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Machine ID
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Is the equipment clean?
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Condition of Gas Hoses?
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Condition of Regulators?
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Condition of Torch?
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Power Supply & Condition of Leads?
Gas Bottles
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Secure Location
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Condition of Regulators
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Condition of Hoses
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Leak Tested?
Mag Drill 110v
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Condition - Visual Check
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Handles
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Emergency Stop Function Check
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Pat Tested
Powered Hand Tools
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Machine Type ( Grinder etc)
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Visual Inspection
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Is the Equipment Clean?
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Guards in Place and Secure?
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Handles in Place and Secure
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Pat Tested
Fixed Wall Grinder
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Machine ID/Location
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Visual Inspection
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Is the Equipment Clean?
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Guards in Place and Secure?
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Handles in Place and Secure
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Pat Tested
Extension Lead
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Visual Inspection
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Pat Tested
Sign Off
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