Conveyor System Safety Inspection
Please complete the safety inspection checklist for the conveyor system.
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Conveyor System Location
*
Is the emergency stop button functional?
*
Yes
No
N/A
Are all guards and safety covers in place?
*
Yes
No
N/A
Are warning signs clearly visible?
*
Yes
No
N/A
Is the conveyor belt free from damage or wear?
*
Yes
No
N/A
Are there any unusual noises during operation?
*
Yes
No
N/A
Are lubrication points properly maintained?
*
Yes
No
N/A
Additional Comments
Inspector Signature
*
Submit
Should be Empty: