• Document No.:

  • Conducted on:

  • Completed by

  • Facility / site

  • Location

Personal Protective Equipment (PPE)

  • Safety footwear - are workers wearing safety footwear in designated tray making areas

  • High visibility

  • Eye protection

  • Hearing protection

  • Gloves

  • Hair nets


  • Workspace TMP displayed in area

  • Forklift movement observed in line with TMP

  • Floors clear of trip hazards

  • Tools stored correctly

  • Lighting adequate for task required

  • Food or drink observed at machine or in area

  • Inwards - flat product to machine flows well and inline with TMP

  • Outwards - assembled product from machine flows well and in line with TMP


  • 2 x staff per machine

  • All guards in place and secured

  • Oil / air / glue - no leaks on machinery

  • SOPs, MSDS and log books at machine

  • Air lines and electrical cables positioned safely

  • Machine clean and free of excessive cardboard waste

  • Lid on glue bucket and scoop inside

  • Additional comments/observation

  • Observation
  • Additional comments

  • Add observations/comments here.


  • I hereby certify that all information is accurate and that an actual inspection was conducted.

  • Completed by Name & 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.