Machine Guarding Checklist
MACHINE GUARDS
Rows
Yes
No
N/A
Are all machine guards in good condition?
1
2
3
Do machine guards prevent workers hands, arms, and other body parts from making contact with dangerous moving parts of machine?
4
5
6
Are all machine guards firmly secured and not easily removed?
7
8
9
Do machine guards ensure that no objects fall into the moving parts?
10
11
12
Do machine guards permit safe, comfortable, and relatively easy operation of the machine?
13
14
15
Are all pulleys and belts on working level properly guarded?
16
17
18
Are all moving chains and gears properly guarded?
19
20
21
Are all fan blades protected with a guard with opening not larger than the standard size?
22
23
24
Can the machine be oiled without removing the machine guards?
25
26
27
Does the machinery automatically shut down when machine guard is removed?
28
29
30
Do machine guards prevent operators to access machinery while in operation?
31
32
33
Do machine guards protect against hazards to the rear and sides of machinery?
34
35
36
TRAINING
Rows
Yes
No
N/A
Are all operators trained on how machine guards work?
37
38
39
Do operators have the necessary education and training in how to use the guards?
40
41
42
Do operators know the procedure when guards are damaged, missing or inadequate?
43
44
45
Are all operators trained on how and under what circumstances guards can be removed?
46
47
48
PEOPLE
Rows
Yes
No
N/A
Are all employees wearing appropriate PPE?
49
50
51
Do employees follow safe handling instruction using machineries?
52
53
54
Are all employees aware of emergency procedures in case of an accident involving machinery?
55
56
57
Is adequate supervision provided to ensure that employees are following safe machine operating procedures?
58
59
60
POST-OPERATION
Rows
Yes
No
N/A
Are all machine guards in good condition?
61
62
63
Is lock-out tag placed when removing machine guard?
64
65
66
Are all machine updates were escalated to a supervisor?
67
68
69
Are all incidents reported to a supervisor?
70
71
72
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Reviewer
First Name
Last Name
Recommendations
Signature
Submit
Submit
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