Mechanical Hazards

The point of operation:	Yes	No
1. Is there a point-of-operation safeguard provided for the machine?	____	____
2. Does it keep the operator's hands, fingers, body out of the danger area?	____	____
3. Is there evidence that the safeguards have been tampered with or removed?	____	____
4. Could you suggest a more practical, effective safeguard?	____	____
5. Could changes be made on the machine to eliminate the point-of-operation hazard entirely?	____	____
Power transmission apparatus:
1. Are there any unguarded gears, sprockets, pulleys, or flywheels on the apparatus?	____	____
2. Are there any exposed belts or chain drives?	____	____
3. Are there any exposed set screws, key ways, collars, etc.?	____	____
4. Are starting and stopping controls within easy reach of the operator?	____	____
5. If there is more than one operator, are separate controls provided?	____	____
Other moving parts:
1. Are safeguards provided for all hazardous moving parts of the machine including auxiliary parts?	____	____

Nonmechanical Hazards

	Yes	No
1. Have appropriate measures been taken to safeguard workers against noise hazards?	____	____
2. Have special guards, enclosures, or personal protective equipment been provided, where necessary, to protect workers from exposure to harmful substances used in machine operation?	____	____

Electric Hazards

	Yes	No
1. Is the machine installed in accordance with National Fire Protection Association and National Electrical Code requirements?	____	____
2. Are there loose conduit fittings?	____	____
3. Is the machine properly grounded?	____	____
4. Is the power supply correctly fused and protected?	____	____
5. Do workers occasionally receive minor shocks while operating any of the machines?	____	____

Training

	Yes	No
1. Do operators and maintenance workers have the necessary training in how to use the safeguards and why?	____	____
2. Have operators and maintenance workers been trained in where the safeguards are located, how they provide protection, and what hazards they protect against?	____	____
3. Have operators and maintenance workers been trained in how and under what circumstances guards can be removed?	____	____
4. Have workers been trained in the procedures to follow if they notice guards that are damaged, missing, or inadequate?	____	____

Protective Equipment and Proper Clothing

	Yes	No
1. Is protective equipment required?	____	____
2. If protective equipment is required, is it appropriate for the job, in good condition, kept clean and sanitary, and stored carefully when not in use?	____	____
3. Is the operator dressed safely for the job (i.e., no loose-fitting clothing or jewelry)?	____	____

Machinery Maintenance and Repair

	Yes	No
1. Have maintenance workers received up-to-date instruction on the machines they service?	____	____
2. Do maintenance workers lock out the machine from its power sources before beginning repairs?	____	____
3. Where several maintenance persons work on the same machine, are multiple lockout devices used?	____	____
4. Do maintenance persons use appropriate and safe equipment in their repair work?	____	____
5. Is the maintenance equipment itself properly guarded?	____	____
6. Are maintenance and servicing workers trained in the requirements of 29 CFR 1910.147, lockout/tagout hazard, and do the procedures for lockout/tagout exist before they attempt their tasks?	____	____