Machine Guarding Inspection Checklist
Ensure workplace safety with our comprehensive Machine Guarding Inspection Checklist! This Facility Management tool helps identify and mitigate hazards, protecting employees & preventing accidents. Download now for a proactive approach to machine safeguarding.
This Template was installed 5 times.
General Information
Records details about the inspection itself and the machine being inspected.
Inspection Date
Inspection Time
Machine Location (Building/Area/Specific Coordinates)
Machine Name/Model
Machine Serial Number
Inspector Name
Machine Speed (RPM/FPM)
Department Responsible
Brief Description of Machine Function
Machine Identification & Operation
Confirms accurate machine identification and observation of operational procedures.
Machine Name/Model
Machine Serial Number
Location of Machine (Building/Room)
Machine Speed (RPM/Cycles per Minute)
Brief Description of Machine Operation
Is a Standard Operating Procedure (SOP) available for this machine?
Date of Last Operational Review
Is the machine operating within its design specifications?
Guard Condition & Integrity
Assesses the physical state and effectiveness of existing guards.
Guard Material Condition
Guard Attachment Security
Guard Thickness (inches/mm)
Detailed Description of Guard Condition
Interlock Functionality
Photos/Videos of Guard Condition
Presence of Warning Signage
Notes on Guard Modifications
Point of Operation Hazard Assessment
Focuses on the areas where the machine performs its function and where potential hazards are present.
Is a physical barrier present at the point of operation?
Describe the type of guarding in place (e.g., fixed barrier, interlocked guard, light curtain).
Is the guarding adequate to prevent contact with moving parts?
Describe any observed hazards at the point of operation (e.g., pinch points, shear points, crush points).
Distance between operator and moving parts (mm/inches – specify unit)
Potential Hazards Observed (Select all that apply)
Attach photos/videos of the point of operation area (if applicable)
Ingoing/Outgoing Points Hazard Assessment
Evaluates hazards at the points where materials or parts enter and exit the machine.
Are guards present at all ingoing material points?
Are guards present at all outgoing material points?
Describe any observed hazards at ingoing points (e.g., pinch points, crush hazards).
Describe any observed hazards at outgoing points (e.g., ejected materials, sharp edges).
Distance from point of operation to nearest accessible surface (inches)
Are any moving parts exposed during material feed/removal?
If 'Yes' to exposed moving parts, describe the specific parts and potential hazard.
Upload photos/videos of ingoing/outgoing points (if applicable).
Emergency Stop Functionality
Verifies that emergency stop mechanisms are present and working correctly.
Are Emergency Stop Buttons Present?
Are Emergency Stop Buttons Clearly Marked?
Were Emergency Stop Buttons Tested?
Did Emergency Stop Buttons Function Correctly?
Describe any issues found during Emergency Stop testing (if applicable)
Number of Emergency Stop Buttons Tested
Date of Last Emergency Stop Test
Lockout/Tagout (LOTO) Compliance
Checks adherence to LOTO procedures for maintenance and servicing.
Is a written LOTO procedure available for this machine?
Are authorized employees properly trained on LOTO procedures?
Date of last LOTO training for this machine
Are lockout/tagout devices readily available?
Observed deviations from LOTO procedures (if any)
Are energy isolating devices properly secured during servicing?
Number of lockout/tagout devices used during last servicing (if applicable)
Inspector Signature to verify LOTOTO compliance
Employee Training & Awareness
Confirms employee knowledge of machine guarding and safety procedures.
Has the employee received machine-specific guarding training?
Date of last machine guarding training
Does the employee understand the purpose of machine guards?
Briefly describe employee’s understanding of machine hazards.
Which of the following safety procedures are the employees familiar with?
Was a refresher training conducted during the last year?
Trainer Name/Signature
Corrective Actions & Follow-Up
Records necessary actions to address identified deficiencies and verifies completion.
Detailed Description of Corrective Action Required
Priority Level (1-High, 5-Low)
Target Completion Date
Assigned To (Department/Individual)
Notes/Comments Regarding Corrective Action
Status of Corrective Action
Actual Completion Date (If Completed)
Supporting Documentation (Photos, Reports)
Verification Initials (Person verifying completion)
Facility Management Solution Screen Recording
Simplify facility management with ChecklistGuro! This screen recording shows how to manage work orders, track assets, and streamline maintenance. See the power of automation! #facilitymanagement #checklistguro #bpm #businessprocessmanagement #maintenance #assetmanagement
Related Checklist Templates
Lease Renewal Checklist
Maintenance Request Checklist
Resident Communication Checklist
Capital Improvement Planning Checklist
Office Opening/Closing Checklist
Operating Room Readiness Checklist
Elevator Maintenance & Safety Checklist
Compressed Air System Inspection Checklist
Swimming Pool & Spa Maintenance Checklist
Dialysis Unit Maintenance Checklist
We can do it Together
Need help with Checklists?
Have a question? We're here to help. Please submit your inquiry, and we'll respond promptly.