Docstoc

Inspection Checklist Operations

Document Sample
Inspection Checklist Operations Powered By Docstoc
					The purpose of the Inspection Checklist is to document and verify equipment safety and
operation. The checklist presented is for demonstration purposes only and should be
modified to meet the requirements of a business. If an inspector finds that a piece of
equipment is out of compliance, the actions required to resolve the issues should be
documented in the recommendations section and signed-off by the appropriate
individuals. This form contains standard language commonly use in this type of form,
however, this form should be modified to fit the needs of the user. Small businesses
can use this form to verify equipment safety.
                                   Inspection Checklist

Equipment: _________________________________                       Date: _______________________

Equipment Location: _________________________


                      Checklist                             Yes       No         Action Required
Walking Surfaces
1. Are floors and aisles clear of tripping hazards?        __X___ _____
2. Is there adequate drainage to collect liquid
                                                           __X___ _____
   discharge from the equipment?
3. Is non-slip surface coating applied around the                            Install non-slip coating in
                                                           _____    __X___
   equipment?                                                                front of stairway
4. ________________________________                        _____    _____
Equipment Guarding
1. Is the equipment securely anchored?                     __X___ _____
2. Are the rotating parts, pulleys, belts, etc. guarded?   __X___ _____
3. ________________________________                        _____    _____

Equipment Shutdown
                                                                           Apply yellow reflective
                                                                           adhesive around the
1. Is the electrical power shutdown clearly marked?        _____    __X___
                                                                           shutdown box and install
                                                                           an “Emergency Stop” sign
2. Is there an adequate number of properly located
                                                           __X___ _____
   manual reset emergency stops?
3. Have maintenance employees been trained in the
   equipment-specific shutdown and chemical                __X___ _____
   handling procedures?
4. ________________________________                        _____    _____

Electrical
1. Is all conduit, cable, and wire properly attached?      ___X__ _____
2. Is there evidence of fraying electrical cords?          _____    __X___
3. Are switches mounted in clean, tightly closed
                                                           ___X__ _____
   metal boxes?




© Copyright 2011 Docstoc Inc.                                                                2
Recommendations:

To prevent the risk of falling, a non-slip coating needs to be installed in front of the equipment
stairway.

The electrical power shutdown switch is not clearly marked and could prevent a rapid shutdown
of the equipment in the case of an emergency.

These repairs must be complete by 12/05/2011, and a re-inspection will be scheduled for
12/06/2011.




Inspected by:                                      Approved by:
(Signature)                                        (Signature)




© Copyright 2011 Docstoc Inc.                                                            3
INFORMATION AND FORMS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND
INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS
FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL DOCSTOC, INC., OR ITS AGENTS, OFFICERS, ATTORNEYS,
ETC., BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF
PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE
THE MATERIALS, EVEN IF DOCSTOC HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. They are for
guidance and should be modified by you or your attorney to meet your specific needs and the laws of your state or jurisdiction. Use at
your own risk. Docstoc® is NOT providing legal or any other kind of advice and is not creating or entering into an Attorney-Client
relationship. The information, reports, and forms are not a substitute for the advice of your own attorney. The law is a personal matter
and no general information or forms or like the kind Docstoc provides can always correctly fit every circumstance.

Note: Carefully read and follow the Instructions and Comments contained in this document for your customization to suit your specific
circumstances and requirements. You will want to delete the Instructions and Comments from open bracket (“[“) to close bracket (“]”)
after reading and following them. You (or your attorney) may want to make additional modifications to meet your specific needs and the
laws of your state. The Instructions and Comments are not a substitute for the advice of your own attorney.

◊ Where within this document you see this symbol: ◊ or an instruction states “Insert any number you choose◊,” or something similar, or
there is a blank for the user to complete, please note that although Docstoc believes the information or number may be any that the user
chooses, and that there is no law governing what the informatio
				
DOCUMENT INFO
Shared By:
Tags:
Stats:
views:491
posted:1/4/2012
language:English
pages:4
Description: The purpose of the Inspection Checklist is to document and verify equipment safety and operation. The checklist presented is for demonstration purposes only and should be modified to meet the requirements of a business. If an inspector finds that a piece of equipment is out of compliance, the actions required to resolve the issues should be documented in the recommendations section and signed-off by the appropriate individuals.  This form contains standard language commonly use in this type of form, however, this form should be modified to fit the needs of the user.  Small businesses can use this form to verify equipment safety.