Safe 111 - Grading Rubric - Machine Guarding

• Name of Student

• Conducted on

  Date

• Evaluated by

• Location
  Address

Descriptive Information

• • Company Name and Title of Inspection

  Yes

  No

• • Date of Inspection

  Yes

  No

• • Name and Signature of Inspector

  Yes

  No

• • Press Identifier

  Yes

  No

• • Identified Specific OSHA standards that may be applicable: <br> 1910.217(e)(1) <br> ANSI B11.1

  Yes

  No

• Score

Inspection Items

Mechanical System

• • Ram/slide in good condition and lubricated

  Yes

  No

• • Single Stroke/Anti-repeat

  Yes

  No

• • Flywheel condition and lubrication

  Yes

  No

• • Bolster plate is secured to bed of press

  Yes

  No

• • Motor is secure and aligned with flywheel

  Yes

  No

• • Flywheel belt in good condition and proper tension

  Yes

  No

• • Frame is secured to floor and has no cracks

  Yes

  No

• • Pins, bolts and fasteners are tight and not damaged

  Yes

  No

• • Manufacturer plate (capacity) legible

  Yes

  No

• Score

Electrical Systems

• • Start/Stop Switch

  Yes

  No

• • Lockout/Tagout capable

  Yes

  No

• • Condition of electrical wiring

  Yes

  No

• • Restart required for power disruption

  Yes

  No

• Score

Safeguarding

• • Point of operation is guarded

  Yes

  No

• • PO guard is properly adjusted and secure

  Yes

  No

• • Rear of press guarded

  Yes

  No

• • Power transmission is guarded

  Yes

  No

• • PT guard is secure

  Yes

  No

• • Foot Treadle is guarded and compression spring secure

  Yes

  No

• • PPE provided for operators

  Yes

  No

• • Hand tools to support safeguarding

  Yes

  No

• Score

Administrative/Programs

• • Good Housekeeping around press and press is clean

  Yes

  No

• • Inspectors are trained

  Yes

  No

• • Documentation of Inspections

  Yes

  No

• Score

Review/Recommendations

• • Recommendations and/or actions for "NO" responses

  Yes

  No

• • Follow-up time/date for recommendations/actions

  Yes

  No

• • Management Review/sign-off

  Yes

  No

• Score

Completion

• Name and Signature of Student

  Sign

• Checked by

  Sign