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Machine Guarding Checklist Template

This template covers the pre-operation and post-operation checks. Pre-operation checks are conducted to evaluate the condition of machine guards and the protection and training of the workers. Check the machine guards and determine if sufficient to prevent body parts from making contact with dangerous moving parts. Evaluate workers if they have sufficient knowledge of the machine and its operation including the guard types. Ensure that all workers are wearing appropriate protection and are following safe handling instructions when using machinery.

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Description of work to be performed
List down the name of employees working on machines
Choose the type of guards
Are all machine guards in good condition?
Do machine guards prevent workers hands, arms, and other body parts from making contact with dangerous moving parts of machine?
Are all machine guards firmly secured and not easily removed?
REFERENCE: Machine guards that are secured and cannot be easily removed [This is an example of how you can use Lumiform to include best practice reference images in your templates to assist with inspections]
Do machine guards ensure that no objects fall into the moving parts?
Do machine guards permit safe, comfortable, and relatively easy operation of the machine?
Are all pulleys and belts on working level properly guarded?
Are all moving chains and gears properly guarded?
Are all fan blades protected with a guard with opening not larger than the standard size?
Can the machine be oiled without removing the machine guards?
Does the machinery automatically shut down when machine guard is removed?
Do machine guards prevent operators to access machinery while in operation?
Do machine guards protect against hazards to the rear and sides of machinery?
Is warning sign placed around the machine?
Are all operators trained on how machine guards work?
Do operators have the necessary education and training in how to use the guards?
Do operators know the procedure when guards are damaged, missing or inadequate?
Are all operators trained on how and under what circumstances guards can be removed?
Are all employees wearing appropriate PPE?
Do employees follow safe handling instruction using machineries?
Are all employees aware of emergency procedures in case of an accident involving machinery?
Is adequate supervision provided to ensure that employees are following safe machine operating procedures?
Are all machine guards in good condition?
Is lock-out tag placed when removing machine guard?
Are all machine updates were escalated to a supervisor?
Are all incidents reported to a supervisor?
Observation or recommendations
Overall assessment
Inspector's Name and Signature
Share this template:
A Machine Guarding Checklist Template is a useful tool that assists in the prevention of accidents and injuries in the workplace. It helps to ensure that all machinery is properly guarded and maintained in accordance with safety regulations. This template includes a comprehensive list of guard-related tasks, such as checking that all guards are securely attached, examining the condition of visible guards and interlocks, and verifying that all warnings and labels are clearly visible. Additionally, the template includes a section for documenting the safety inspection and corrective action, if necessary. This template is an essential safety tool for any workplace.
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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