Pre-Use Safety Checklist
Complete this checklist before using equipment or entering an area to ensure all safety protocols are met.
Inspector Full Name
*
First Name
Last Name
Inspection Date
*
-
Month
-
Day
Year
Date
Equipment or Area Being Inspected
*
Safety Items Checklist
*
Pass
Fail
N/A
Guards and safety devices in place
1
2
3
No visible damage or wear
4
5
6
Emergency stop functions tested
7
8
9
Warning labels and signage visible
10
11
12
Work area clean and free of hazards
13
14
15
Personal protective equipment available
16
17
18
Comments or Issues Identified (if any)
Draw your signature to confirm inspection (if required by your organization)
Submit Checklist
Submit Checklist
Should be Empty: