Information
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Document No.
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Department
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Location
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Equipment Name
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Equipment ID Number
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Conducted on
Power and controls
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Is the power cabinet locked or interlocked?
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Are all controls clearly marked?
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Are all 'stop' / 'emergency stop' controls working?
Guards
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Are all dangerous moving parts guarded?
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Are all gaps in guards as small as practicable?
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Are guards of sound material and strength?
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Do guards have secure fastenings?
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Is visibility good through clear guards?
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Are all interlocks working?
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Are all 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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Are warning signs present?
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Are all lights and visual devices working?
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Are all audible devices working?
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Are safe systems of work posted in the area?
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Action taken as a result of this inspection
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Auditor Signature