Title Page

  • Plant Name

  • Month & Week No.

  • Walkthrough conducted by

  • Walkthrough conducted on

  • Location

Machine Safety

  • Equipments are operated only with all safeguards in place

  • Safeguards prevent access to any hazard zone on the front, back, sides, top and bottom of the machine

  • Rotating shafts located less than 3 meters from the floor are fully enclosed

  • Two hand controls with an anti-repeat circuit are functional

  • Body parts of operators are not in danger zone during machine operation

  • Safety Interlocks are checked and recorded in Daily checklist

  • Compressed air gun is not being used to blow dust off clothing or skin

  • Anti-Fatigue mats are available at all workstations(except. Testing stations)

  • Machines are operated only by trained & authorized employees

  • Machine specific documents (ORA/WI/LOTO placard/Machine Safety Certificate/RACI Chart) are displayed in all powered machines (Digital/Hard copy)

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.