Machinery Safety Training Checklist
Complete this checklist to record machinery safety training details, safety knowledge, and readiness review for the covered equipment or work area.
Trainee and Training Details
Trainee full name
*
First Name
Middle Name
Last Name
Job title / role
*
Department
*
Trainer / instructor name
*
First Name
Middle Name
Last Name
Training date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Machinery / area covered
*
Please Select
Forklift operations
Press machine
Conveyor system
CNC machine
Packaging line
Maintenance workshop
Loading dock
Other
Safety Knowledge and Checklist Assessment
Pre-operation checks are completed before starting the machine
*
Always
Usually
Sometimes
Never
Machine guards and protective devices are in place and functional
*
Always
Usually
Sometimes
Never
I can locate and use the emergency stop control on the machine
*
Confidently
With some help
Not yet
Not applicable
I understand when lockout/tagout procedures are required before servicing or clearing jams
*
Fully understand
Mostly understand
Need more training
Not applicable
Required personal protective equipment for this machinery
*
Safety glasses
Hearing protection
Gloves
Safety footwear
High-visibility vest
Face shield
Other
Confidence level for safe operating procedures
*
Rows
Not confident
Slightly confident
Confident
Very confident
Starting the machine safely
1
2
3
4
Operating controls correctly
5
6
7
8
Stopping the machine safely
9
10
11
12
Responding to an abnormal noise, vibration, or fault
13
14
15
16
Overall readiness to follow the machine safety checklist
*
1
2
3
4
5
Hazard or near-miss reporting examples
Practical Readiness and Supervisor Review
Practical readiness confirmed
*
Yes
No
Partially
Supervisor/assessor comments
Identified gaps or corrective actions
Follow-up training needs
Lockout/tagout refresher
Machine guarding review
PPE reinforcement
Emergency stop procedure
Housekeeping and hazard awareness
Other
Final sign-off status
*
Approved to operate
Approved with restrictions
Not approved
Submit Checklist
Should be Empty: