Weekly MHE Audit

• Weekly MHE Audit

• Department

• Conducted on

  Date

• Prepared by

MHE Machine #1

• Did the Machine have a Proper Machine inspection affixed to it?

  Yes

  No

  N/A

• At time of Audit was the machine in use by an operator?

  Yes

  No

  N/A

• Did the Operator have a valid Certification for the machine being used ?

  Yes

  No

  N/A

• Was the operator of the machine utilizing Proper PPE? ( High Visibility Vest, Certified Green tag footwear, Fall arrest Harness, Lanyard)

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the Proper Machine number on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the proper type of Machine on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet Indicate the Proper Weekly Date Range on it?

  Yes

  No

  N/A

• Was the inspection sheet properly filled out by the Operator?

  Yes

  No

  N/A

MHE Machine #2

• Did the Machine have a Proper Machine inspection affixed to it?

  Yes

  No

  N/A

• At time of Audit was the machine in use by an operator?

  Yes

  No

  N/A

• Did the Operator have a valid Certification for the machine being used ?

  Yes

  No

  N/A

• Was the operator of the machine utilizing Proper PPE? ( High Visibility Vest, Certified Green tag footwear, Fall arrest Harness, Lanyard)

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the Proper Machine number on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the proper type of Machine on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet Indicate the Proper Weekly Date Range on it?

  Yes

  No

  N/A

• Was the inspection sheet properly filled out by the Operator?

  Yes

  No

  N/A

MHE Machine #3

• Did the Machine have a Proper Machine inspection affixed to it?

  Yes

  No

  N/A

• At time of Audit was the machine in use by an operator?

  Yes

  No

  N/A

• Did the Operator have a valid Certification for the machine being used ?

  Yes

  No

  N/A

• Was the operator of the machine utilizing Proper PPE? ( High Visibility Vest, Certified Green tag footwear, Fall arrest Harness, Lanyard)

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the Proper Machine number on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the proper type of Machine on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet Indicate the Proper Weekly Date Range on it?

  Yes

  No

  N/A

• Was the inspection sheet properly filled out by the Operator?

  Yes

  No

  N/A

MHE Machine # 4

• Did the Machine have a Proper Machine inspection affixed to it?

  Yes

  No

  N/A

• At time of Audit was the machine in use by an operator?

  Yes

  No

  N/A

• Did the Operator have a valid Certification for the machine being used ?

  Yes

  No

  N/A

• Was the operator of the machine utilizing Proper PPE? ( High Visibility Vest, Certified Green tag footwear, Fall arrest Harness, Lanyard)

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the Proper Machine number on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the proper type of Machine on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet Indicate the Proper Weekly Date Range on it?

  Yes

  No

  N/A

• Was the inspection sheet properly filled out by the Operator?

  Yes

  No

  N/A

MHE Machine # 5

• Did the Machine have a Proper Machine inspection affixed to it?

  Yes

  No

  N/A

• At time of Audit was the machine in use by an operator?

  Yes

  No

  N/A

• Did the Operator have a valid Certification for the machine being used ?

  Yes

  No

  N/A

• Was the operator of the machine utilizing Proper PPE? ( High Visibility Vest, Certified Green tag footwear, Fall arrest Harness, Lanyard)

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the Proper Machine number on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet indicate the proper type of Machine on it?

  Yes

  No

  N/A

• Did the Machine inspection sheet Indicate the Proper Weekly Date Range on it?

  Yes

  No

  N/A

• Was the inspection sheet properly filled out by the Operator?

  Yes

  No

  N/A

Review /Filing & Retention

• Are completed MHE inspections audited and Signed off By Supervisor or Team lead. ( 10% audit Compliance)

  Yes

  No

  N/A

• Are completed MHE inspection sheets Organized, Filed and easily accessible to Management.

  Yes

  No

  N/A

• Are there 90 days worth of machine Inspections in the file folder as per filing SOP.

  Yes

  No

  N/A

• Please sign to complete your Audit

  Sign