Pre: Sat. Unsat. Remarks Machine bolted or fastened down Area clear from anything falling onto machine All guards in place All guards function properly All guards set properly Power cord/Battery Outlet (If necessary) Covers Warning labels, Ratings During Operations: Sat. Unsat. Remarks PPE List potential hazards Stays focused on task Uses guards properly Stops machine completely to clear debris Post: Sat. Unsat. Remarks Waits for machine to come to complete stop before leaving Cleans area Puts PPE in proper place Covers machine or puts it away (If necessary) _______________________ _________ Supervisor/Trainer Signature Date
Pre: Sat. Unsat. Remarks Machine bolted or fastened down Area clear from anything falling onto machine All guards in place All guards function properly All guards set properly Power cord/Battery Outlet (If necessary) Covers Warning labels, Ratings During Operations: Sat. Unsat. Remarks PPE List potential hazards Stays focused on task Uses guards properly Stops machine completely to clear debris Post: Sat. Unsat. Remarks Waits for machine to come to complete stop before leaving Cleans area Puts PPE in proper place Covers machine or puts it away (If necessary) _______________________ _________ Supervisor/Trainer Signature Date
EVAL_machine-guard.docx