Fluid Power Safety Assessment Form
Evaluate your workplace's fluid power safety practices with this comprehensive assessment.
How frequently are fluid power safety procedures reviewed in your workplace?
*
Monthly
Quarterly
Annually
Rarely/Never
Rate the overall condition of fluid power equipment in your facility.
*
1
2
3
4
5
Are all fluid power systems properly guarded to prevent accidental contact?
*
All systems guarded
Most systems guarded
Some systems guarded
No systems guarded
How often are fluid power system leaks inspected and repaired?
*
Immediately upon detection
Within 24 hours
Within a week
Rarely/Never
Fluid Power Hazard Identification Assessment
*
Rows
Never
Sometimes
Often
Always
Potential hazards are clearly labeled
1
2
3
4
Hazards are documented and accessible
5
6
7
8
Employees report hazards promptly
9
10
11
12
Are lockout/tagout procedures followed before maintenance or repair?
*
Always
Most of the time
Sometimes
Never
How would you rate employee training on fluid power safety procedures?
*
1
2
3
4
5
How effective are current corrective actions for addressing identified fluid power safety issues?
*
1
2
3
4
5
Which of the following best describes the frequency of safety audits for fluid power systems?
*
Monthly
Quarterly
Annually
No regular audits
Please describe any recent corrective actions taken to improve fluid power safety.
*
Submit Assessment
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