CMNF Equipment Inspection Checklist Form
Complete this form to document your routine inspection of CMNF equipment. Ensure all checklist items are assessed accurately.
Inspector Full Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Equipment ID or Description
*
Location of Equipment
*
Inspection Checklist
*
Rows
Pass
Fail
N/A
Power supply and cables
1
2
3
Safety guards in place
4
5
6
Operational controls functioning
7
8
9
Emergency stop tested
10
11
12
No visible damage or wear
13
14
15
Cleanliness of Equipment
*
1
2
3
4
5
Lubrication/Oil Level Status
*
Adequate
Low
Not Applicable
Are warning labels and signage intact?
*
Yes
No
Not Applicable
Overall Equipment Condition
*
Excellent
Good
Fair
Poor
Additional Comments or Observations
Submit Inspection
Should be Empty: