Punching Machine Safety Checklist Form
Complete this safety inspection form for the punching machine and record any issues, missing safeguards, or corrective actions before operation continues.
Inspection Details
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Shift / Location
*
Machine ID / Asset Tag
*
Inspector Name
*
Safety Checklist
Emergency stop functioning
*
Yes
No
Not applicable
Guard or barrier in place
*
Yes
No
Not applicable
Two-hand control functioning
*
Yes
No
Not applicable
Light curtain or presence-sensing device working
Yes
No
Not installed
Not applicable
Controls and foot pedal in safe condition
*
Yes
No
Not applicable
Lubrication checked; no visible leaks
*
Yes
No
Not applicable
Work area clear of obstructions
*
Yes
No
Warning labels visible
*
Yes
No
Lockout/tagout verified before maintenance
Yes
No
Not applicable
Overall Outcome
Overall machine status
*
Pass
Pass with Notes
Fail
Corrective actions needed
Inspector acknowledgment
First Name
Last Name
Submit Checklist
Should be Empty: