| Division | Choose Division |
|---|---|
| Inspector's Initials | AW |
| Area | test |
| Tools stored as required | OK |
| Do you know where the SDS binders are located? | OK |
| Safeguards in place and in working order | OK |
| Interlocks in place as required and function properly | OK |
| E-stop red, with yellow halo behind | OK |
| Are electrical cords in good condition, free of cuts, frays splices and exposed wiring and correct replacement plug end used. | OK |
| Are extension cords used for temporary use only? | OK |
| Angle guards in place | OK |
| Machine function as intended by the manufacturer | OK |
| Cords out of aisles | OK |
| Third prong plug intact | OK |
| GFCI protection used in extension cord or connection. | OK |
| Is lockout tagout used during service and maintenance? | OK |
| Lockout lock used company issued | OK |
| Is there a lockout lock used for every person performing service or maintenance | OK |
| Walking/working surfaces and storage areas free of potential slip/trip/fall hazards. | OK |
| Daily pre-shift inspection completed on powered industrial vehicles | OK |
| All Pass or Fail | Pass |
| Entry Notes |
