Machine Pre-Use Safety Checklist
Complete this checklist before operating any machine to ensure safety and readiness for use.
Machine Name or ID
*
Location of Machine
*
Operator Full Name
*
First Name
Last Name
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Is the machine free from visible damage or leaks?
*
Yes
No
Not Applicable
Are all guards, shields, and protective devices in place and secure?
*
Yes
No
Not Applicable
Are emergency stops and safety controls functioning properly?
*
Yes
No
Not Applicable
Are warning labels, signs, and instructions clearly visible?
*
Yes
No
Not Applicable
Are power supply and connections safe and secure?
*
Yes
No
Not Applicable
Are all moving parts operating smoothly without unusual noise or vibration?
*
Yes
No
Not Applicable
List any defects, issues, or concerns found during inspection
Authorization to Proceed: I confirm that all pre-use checks have been completed and the machine is safe to operate.
*
Yes, machine is safe to use
No, machine is NOT safe to use
Submit Checklist
Should be Empty: