Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Machine Type

  • Enter machine type here

  • What is the machine known as?

  • Take a photo of the machine by using the + button

1.0 - Previous inspection

  • 1.1 - Has the last inspection been reviewed?

  • 1.2 - Are there no outstanding actions?

3.0 - Lighting

  • 3.1 - Good lighting?

  • 3.3 - Light fittings clean and in good condition?

4.0 - Area Safety

  • 4.1 - Floor surfaces even and uncluttered?

  • 4.4 - Intersections kept clear of boxes etc?

  • 4.5 - Stair and risers kept clear?

  • 4.7 - Are railings in good condition?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

7.0 - Storage Design and Use

  • 7.1 - Materials stored in racks and bins wherever possible?

  • 7.2 - Storage designed to minimise lifting problems?

  • 7.3 - Floors around racking clear of rubbish?

  • 7.4 - General condition of racks and pallets?

8.0 - Machines

  • 8.1 - Is it kept clean?

  • 8.2 - Are the floors around the machines kept clean?

  • 8.3 - Guards in good condition?

  • 8.4 - Starting and stopping devices within easy reach of operator?

  • 8.7 - Adequate work space?

  • 8.8 - Is lighting adequate?

  • 8.9 - Noise levels controlled?

  • 8.12 - Operators trained/inducted into the operation of the machines as per company policy? Use on line inductions system

  • 8.13 - Is the training recorded?

  • 8.14 - Do operators comply with the training?

9.0 - Electrical Safety

  • 9.1 - Safety switches installed?

  • 9.2 - Safety switches tested every 6 months and tests recorded?

  • 9.4 - Portable equipment tested and tagged?

  • 9.5 - No broken plugs, sockets or switches?

  • 9.6 - No power leads across walkways?

  • 9.7 - No frayed or damaged leads?

  • 9.8 - No strained leads?

10. Safety Guards

  • 10.1 Are all chains and pulleys safely guarded ?

11. Drawing -in or Entrapment

  • Drawing in or Trapping occurs as a result of bodily contact with one of the following mechanisms. 1. In~running nips between counter rotating parts. 2. In-running nips between a rotating surface and a tangentially moving surface

  • 11.1 Entrapment risk for the operator

  • 11.2 Does the operator comply with company policy in terms of correct clothing. Eg. No Loose items, hair tied back, no loose bangles etc.

12.0 - First Aid Facilities

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.3 - No contents past their expiry date?

  • 12.4 - Cabinets clearly labelled?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

  • 12.7 - Are first aid officers accessible?

  • 12.8 - Are emergency numbers displayed?

Sign Off

  • On site representative

  • Auditor's signature

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.