MACHINERY, TOOLS AND EQUIPMENT SAFETY

OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

ITEMS TO BE CHECKED LEGEND: OK – ALL IN GOOD CONDITION, DM– DAMAGED/ MISSING, REP –REQUIRES REPAIR, C – COMMENTS
1. Guard is damaged or missing.
2. All machines that cannot be properly guarded enclosed.
3. Guard does not cover back side of the danger area.
4. Nip Points Guarded.(areas that could injure, crush, amputate or otherwise harm persons).
5. Rotating elements guarded.
6. V-Belts guarded.
7. Chain drives guarded.
8. Shaft ends guarded.
9. Guards are robust and made of correct material.
10. Easily to be removed, and replaced.
11. Moving parts within normal reach enclosed.
SNo GUARD ID NO LOCATION 1st QUARTER 2nd QUARTER 3rd QUARTER 4th QUARTER

Name of Inspector:

Date of Inspection

Signature

COMMENTS:
ID NO COMMENTS LOG

OHS Forms  Procedure Reference Revision Number Revision Date Approved By

MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS
 MACHINERY, TOOLS AND EQUIPMENT SAFETY
OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

Compiled by : MANAGER NAME :

COMPILED DATE : DATE APPROVED :
SIGNATURE : SIGNATURE :

Photos for machine with safe guard

Ref. No________ Ref. No________

Put Your Photos here (Select from photos Below or Take photo of the Machine Put Your Photos here (Select from photos Below or Take photo of the Machine if not
if not available) available)

Ref. No________ Ref. No________

Put Your Photos here (Select from photos Below or Take photo of the Machine Put Your Photos here (Select from photos Below or Take photo of the Machine if not
if not available) available)

Ref. No________ Ref. No________

Put Your Photos here (Select from photos Below or Take photo of the Machine Put Your Photos here (Select from photos Below or Take photo of the Machine if not
if not available) available)

OHS Forms  Procedure Reference Revision Number Revision Date Approved By

MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS
 MACHINERY, TOOLS AND EQUIPMENT SAFETY
OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

Example of machine with safety guard for your reference

Photos for Electrical machine with safe guard

Safe Guard

Safe Guard

Column drilling machine Gasoline power drill ground drilling machine

Safe Guard

Safe Guard

Diesel Generator Diesel Generator

OHS Forms  Procedure Reference Revision Number Revision Date Approved By

MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS
 MACHINERY, TOOLS AND EQUIPMENT SAFETY
OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

Safe Guard
Safe Guard
Grinder machine Portable Ectrical Generator

Safe Guard

Safe Guard

Safe
Guard
Wood cutting machine Mettal cutter machine

Safe Guard
Safe Guard

Air compressor machine

OHS Forms  Procedure Reference Revision Number Revision Date Approved By
MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS
 MACHINERY, TOOLS AND EQUIPMENT SAFETY
OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

Air compressor machine

Safe Guard
Safe Guard

Compactor machine
Welding machine

Safe Guard

Safe Guard

Plate compactor machine Plate compactor machine

OHS Forms  Procedure Reference Revision Number Revision Date Approved By

MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS
 MACHINERY, TOOLS AND EQUIPMENT SAFETY
OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

Safe Guard Safe Guard

Plate compactor machine Asphalt Road Cutter Machine

Overhead Transmission Line Conductor Stringing Machine

Safe Guard

Safe Guard
Industrial cement mixer machine

OHS Forms  Procedure Reference Revision Number Revision Date Approved By

MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS
 MACHINERY, TOOLS AND EQUIPMENT SAFETY
OHS-PR-09-10-F03 (A) MACHINE GUARD CHECKLIST

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

Safe Guard

Safe Pulling cable machine for OHTL

Paint mixer Guard

Mobile Light Tower

Safe
Guard

Safe
Guard

Curing machine

Jack hammer Safe

Bending machine Safe
Guard
Guard
OHS Forms  Procedure Reference Revision Number Revision Date Approved By
MACHINE GUARD CHECKLIST OHS-PR-09-10-F03 (A) 0 MAY 2021 OHSMS