Title Page

  • Company Name

  • Conducted on

  • Inspected by

  • Authorised by

Department

  • Shop Name

  • In-charge/Manager Name

  • Process

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

Questions

1. Findings :

  • Location / Machine Name / Area

  • All the rotating parts guarded ?

  • Are the gaps adequate to prevent accidental access to dangerous moving parts ?

  • Are guard are painted with hazardous band (Yellow/black strips)?

  • Is caution sign posted on the guard ?

  • Status

  • Which machines are not guarded and reason ?

  • Status

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