Equipment Safety checklist template

Audit

Documentation

New installation or transferred machine?

new machine
transferred from other locationu

For new machine, has PM program been documented?

Yes
No
N/A

For transferred machine were PM records received?

Yes
No
N/A

Are there training manuals / documentation for operators & maintenance?

Yes
No
N/A
1.] Machine Guarding

1.1 Are all pulleys and belts, chains, sprockets and other power transmission sources guarded?

Yes
No
N/A

1.2 Are operations that have rotating parts, pinch points, nip points, etc., guarded?

Yes
No
N/A

1.3 If the machine is designed for a fixed location is it securely anchored?

Yes
No
N/A

1.4 Are commonly used tools at hand so people are not encouraged to improvise, at risk of doing unsafe activities?

Yes
No
N/A
2.] Equipment Shutdown

2.1 Is there a single, lockable, clearly marked electrical power disconnect?

Yes
No
N/A

2.2 Are isolation valves for air, steam and other utilities accessible and marked?

Yes
No
N/A

2.3 Is there an adequate number of properly labeled manual reset emergency stops?

Yes
No
N/A

2.4 If equipment has pneumatic or hydraulic cylinders or motors, does the fluid power circuit have a solenoid block and bleed valves-interlocked to the emergency stop circuit?

Yes
No
N/A

2.5 Have employees who will perform repairs, maintenance and servicing operations been trained in the equipment specific lockout/tag out or chemical handling procedures before they have to perform these operations?

Yes
No
N/A

2.6 Have the equipment- specific procedures been put in writing and are they easily accessible?

Yes
No
N/A
3.] Walking Surfaces

3.1 Are floors and aisles clear of any slippery areas or other trip hazards?

Yes
No
N/A

3.2 Are changes in floor elevations clearly identified by color coding where necessary?

Yes
No
N/A

3.3 The equipment does not produce discharge on the floor that are not adequately contained or directed towards drains?

Yes
No
N/A

3.4 Should non-slip surface coatings be applied around the equipment?

Yes
No
N/A

3.5 Has all construction debris, packaging materials, and setup equipment been removed from working areas?

Yes
No
N/A
4.] Electrical

4.1 Is all conduit, cable, and wire properly attached to all supports and tightly connected to junction and outlet boxes?

Yes
No
N/A

4.2 There is no evidence of fraying on electrical cords?

Yes
No
N/A

4.3 Are cords free of Grease, oil, and chemical?

Yes
No
N/A

4.4 Are cords used so they are not on pipes, nails, etc.?

Yes
No
N/A

4.5 Is all electrical equipment secured to a surface?

Yes
No
N/A

4.6 Are switches mounted in a clean, tightly closed metal box?

Yes
No
N/A

4.7 Switches do not show signs of overheating?

Yes
No
N/A

4.8 Are switches easily accessible and the paths to them free of obstructions?

Yes
No
N/A

4.9 Are all unused openings in junction boxes plugged?

Yes
No
N/A

4.10 Are all controls properly labeled?

Yes
No
N/A

4.11 Do electrical push buttons have correct color coding? [ Only stop buttons should be red]

Yes
No
N/A

4.12 Have all employees who may be exposed to electrical voltage equal or greater than 50 volts been given electrical safety training?

Yes
No
N/A

4.13 Are all load center panel areas accessible and clear of obstructions?

Yes
No
N/A
5.] Ladders, platforms and stairs.

5.1 Are platforms that are more than 4 feet above the floor level equipped with standard railing and toe boards?

Yes
No
N/A

5.2 Are fixed ladders properly secured against movement?

Yes
No
N/A

5.3 Are ladders that are more than 20 feet in unbroken lengths provided with safety cages that start between 7 & 8 feet off the floor and extends at least 42" above the top landing?

Yes
No
N/A

5.4 Do stairs have handrails on them?

Yes
No
N/A

5.5 Is there a mid-rail?

Yes
No
N/A

5.6 Do crossovers over equipment have handrails?

Yes
No
N/A
6.] Personal Protective Equipment

6.1 Has a PPE assessment been completed for this equipment?

Yes
No
N/A

6.2 Has engineered solutions been investigated before the implementation of PPE?

Yes
No
N/A

6.3 There are no special PPE requirements for the equipment or operations?

Yes
No
N/A

6.4 Has the appropriate PPE been provided to the employees?

Yes
No
N/A

6.5 Have employees been trained in the proper use/care of PPE?

Yes
No
N/A
7.]Ergonomics

7.1 Does the equipment require employees to manually handle raw materials or finished product?

Yes
No
N/A

7.2 If it does, have the ergonomic risk associated with those task been evaluated from a standpoint of weight, distance, frequency of task?

Yes
No
N/A

7.3 Are controls easy to reach and laid out in a manner that makes them easy to read and use for the equipment operator?

Yes
No
N/A

7.4 Does operation of equipment require employees to stand for extended periods of time?

Yes
No
N/A

7.5 If so are there mats?

Yes
No
N/A

7.6 Have operators been trained in the operation of the equipment, manufacturer's requirements for operating and maintaining, equipment safeguards, warning systems, etc.?

Yes
No
N/A

7.7 Are there sharp edges on the equipment that could cut the operator or others passing by the equipment?

Yes
No
N/A

7.8 Does operation of the equipment require the operator to engage in highly repetitive hand, wrist, arm, and finger movement or exertion?

Yes
No
N/A

7.9 Is frequent bending, twisting, and reaching required?

Yes
No
N/A
8.] Industrial Hygiene

8.1 If any chemical agents are required for the operation, servicing, or maintenance of the equipment, have MSDSs been obtained?

Yes
No
N/A

8.2 Have the employees been trained in the chemical hazards, exposures and required PPE?

Yes
No
N/A

8.3 Does the equipment emit any hazardous chemicals?

Yes
No
N/A

8.4 Are there excessive noise levels?

Yes
No
N/A

8.5 are there excessive temperatures or heat being put off?

Yes
No
N/A

8.6 Is there radiation or other physical hazards?

Yes
No
N/A

8.7 Have those hazards been evaluated?

Yes
No
N/A

8.8 Are there hot surfaces that require quarrying or labeling and if so has it been done?

Yes
No
N/A

8.9 Are appropriate warning labels provided on the equipment?

Yes
No
N/A

8.10 If ventilation systems are required on the equipment, are flow indicators provided and have the operators been trained in using and interpretation of them?

Yes
No
N/A

8.11 Are low-flow alarms installed on critical ventilation systems?

Yes
No
N/A
9.] emergency Procedures

9.1 Have employees been trained in emergency shut-Dow procedures?

Yes
No
N/A

9.2 Does the placement of the equipment present any evacuation hazards in the event of a serious equipment malfunction?

Yes
No
N/A
10.] Fire Hazards

10.1 Does the equipment present any inherent fire hazards such as open flames, flammable liquids, solid and gases, etc.?

Yes
No
N/A

10.2 are these hazards properly controlled by safeguards built into the equipment or provided outside, over and around the equipment?

Yes
No
N/A

10.3 Are fire extinguishers or other fixed extinguisher system required?

Yes
No
N/A
11.]Recomendations

Suggestions

Approved for use?

Yes
No
N/A
Sign here if approved and additional inspection not required
Sign
Select date
Date

Reinspected and approved for use

Yes
No
N/A
Re-inspection approval inspector signature:
Sign
Select date
Date

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