Daily Machinery Safety Checklist Form
Complete this checklist to ensure machinery safety and track daily inspection tasks. All fields are required for standard compliance.
Machine Name/ID
*
Name of Person Completing Checklist
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift
*
Morning
Afternoon
Night
Is the machinery operating normally?
*
Yes
No (issues found)
Pre-operation visual inspection completed (no visible damage, leaks, or obstructions)
*
Completed
Emergency stop and safety devices checked and functional
*
Checked
Guards and protective covers in place and secure
*
Checked
Fluid levels (oil, coolant, etc.) checked and within safe limits
*
Checked
Housekeeping around machinery is clear of hazards
*
Clear
Submit Checklist
Should be Empty: