Title Page
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Audit Title
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Conducted on
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Prepared by
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Personnel
Power and Controls
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Are the cabinets securly closed ?
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Are all controls clearly marked ?
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Are all Emergency Stop Controls working ?
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Does the machine stop before access is possible ?
Guarding
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Are all dangerous moving parts guarded
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Are all gaps in guards as small as possible
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Are guards of sound material and strength ?
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Is visibility good through clear guards ?
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Are interlocks working ?
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Are light beams working ?
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Are all "hold to run" / 2 handed controls working ?
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Are jigs and / or push sticks used ?
Warnings
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What warning signs are present ?
- Hearing
- Manual Handling
- Eye Ptotection
- Hand Protection
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Are all Panel Lights Working ?
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Is the LOTO Sign posted ?
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Action required as a result of the inspection...
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Auditor Signature