Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Contacts

  • Name

  • Title

  • Phone Number

  • E-Mail

Identification of Machine

  • Make / Model / Identification evidence of machine

  • Photo

  • Use

Guarding

  • What type of machine guarding is being utilized (eg PLC, Laser detection, automated guards, motion detectors)?

  • Is there currently guarding in place on machinery?

  • Is guarding sufficient to prevent access to the moving parts?

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

  • Are there any unguarded nip points?

  • Is a tool required to remove exiting guarding?

  • Is the tool stored away from machinery?

  • Are all electrical fixtures covered?

  • Is there a need for integrated guarding (eg two handed operation due to exposed dangerous components while in use)?

  • Are guard rails used to prevent access to dangerous parts?

  • Is there suitable access for servicing ( eg removable section to service, maintenance, removable panels to allow access to adjust bolts etc)?

  • Are guards secured ( eg mounting bolts tightened, grills secured)?

  • Are safety lock out devices fitted, operational?

Additional Information and comments

Findings

Recommendations

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