Title Page

  • Conducted on

  • Prepared by

  • Which machine is being audited?

  • Photo (Taken at the time of inspection)

  • Name of the current machine operator.

  • Is the operator aware of the safety devices present on the machine?

  • Can the operator provide knowledge of where the safety devices are, and how they work?

  • Does the operator have any specific and documented training or instruction on running the machine?

  • What safety features are currently in place?

  • Is the pre start safety check completed and accurate?

  • Are all the safety devices in place, secure and working correctly?

  • Is there adequate means of isolating energy (electrical/mechanical)?

  • Does the machine stop immediately once the emergency stop is pressed?

  • Are the start, stop and emergency controls located so the operator is not put at risk when using them?

  • Can the operator demonstrate the effective use of one or more safety devices?

  • Are all safety guards/panels in place, and secure?

  • Are all safety guards intact, with no access to moving parts possible?

  • Are the controls clearly visible and identifiable?

  • Are all safety notices clearly visible and relevent?

  • If the machinery has a maintenance log (PPM's) is it kept up to date?

  • Is the lighting around the machine suitable and sufficient?

  • Is the work equipment stable?

  • Where appropriate, is the machine fitted with one or more emergency stop controls?

  • Auditor Name & Position

  • Engineering Representative Name & Position

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.