Title Page
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Conducted on
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Prepared by
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Which machine is being audited?
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Photo (Taken at the time of inspection)
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Name of the current machine operator.
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Is the operator aware of the safety devices present on the machine?
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Can the operator provide knowledge of where the safety devices are, and how they work?
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Does the operator have any specific and documented training or instruction on running the machine?
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What safety features are currently in place?
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Is the pre start safety check completed and accurate?
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Are all the safety devices in place, secure and working correctly?
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Is there adequate means of isolating energy (electrical/mechanical)?
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Does the machine stop immediately once the emergency stop is pressed?
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Are the start, stop and emergency controls located so the operator is not put at risk when using them?
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Can the operator demonstrate the effective use of one or more safety devices?
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Are all safety guards/panels in place, and secure?
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Are all safety guards intact, with no access to moving parts possible?
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Are the controls clearly visible and identifiable?
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Are all safety notices clearly visible and relevent?
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If the machinery has a maintenance log (PPM's) is it kept up to date?
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Is the lighting around the machine suitable and sufficient?
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Is the work equipment stable?
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Where appropriate, is the machine fitted with one or more emergency stop controls?
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Auditor Name & Position
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Engineering Representative Name & Position
