Title Page

  • Audit Title

  • Conducted on

  • Prepared by

  • Personnel

Power and Controls

  • Are the cabinets securly closed ?

  • Are all controls clearly marked ?

  • Are all Emergency Stop Controls working ?

  • Does the machine stop before access is possible ?

Guarding

  • Are all dangerous moving parts guarded

  • Are all gaps in guards as small as possible

  • Are guards of sound material and strength ?

  • Is visibility good through clear guards ?

  • Are interlocks working ?

  • Are light beams working ?

  • Are all "hold to run" / 2 handed controls working ?

  • Are jigs and / or push sticks used ?

Warnings

  • What warning signs are present ?

  • Are all Panel Lights Working ?

  • Is the LOTO Sign posted ?

  • Action required as a result of the inspection...

  • Auditor Signature

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.