Title Page

  • Conducted on

  • Prepared by

  • Location

  • Machine Guards

  • Are all machine parts adequately guarded?

  • Electrical

  • Are all machines properly grounded?

  • Are extension cords out of the aisles where they can be abused by heavy traffic?

  • Is permanent wiring used instead of extension cords?

  • Tools and Machinery

  • Are manufacturers' manuals kept and followed for all tools and machinery?

  • Do power tools conform to standards?

  • Is proper training given in the safe use of tools and machinery?

  • Confined Spaces

  • Are the confined space procedures and training available and followed by all involved?

  • Are entry and exit procedures adequate?

  • Are emergency and rescue procedures in place (e.g. trained safety watchers)?

  • Elevating Devices

  • Are elevating devices used only within their capacity?

  • Are they regularly inspected, tested and maintained?

  • Are operators trained?

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