Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Details

  • Make

  • Model

  • Serial number

  • Date of Manufacture

  • Tag number

  • Next routine inspection and service due.

Footings and structure

  • Foundation bolts

Operation and controls

  • Operation instructions clearly displayed.

  • Operation manual readily available

  • All controls operate as designed i.e. Hold to operate.

  • Movement direction clearly displayed

  • All Safety devices operate as designed

  • Lockable Isolator

  • Warning signs clearly displayed.

  • Unit Clean

Pneumatics

  • Air / Oil pressure vessels

  • Regulator / lubricator

Moving Parts

  • Turntable

  • Rams and pins

  • Guide Rollers / sliding Jaws

  • Mounting Head

  • Protection covers for Demount head / and Jaws.

General items

  • Overall condition out of 10

  • Any comments

  • Service tech signiture

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.