Machinery Safety Checklist

Business Name: [BUSINESS NAME] Job/Site Location: [SITE LOCATION] Date of Inspection: [DD/MM/YYYY] Make/Model: [MAKE AND MODEL] Machine ID/Registration: [ID NUMBER]

1. Pre-Start Visual Inspection

Condition: [Pass / Fail / N/A]

• General condition of machine clean and free of mud/oil build up
• No visible cracks on the chassis or structural components
• Tyres or tracks in good condition with adequate tread
• All safety decals and warning stickers are legible and in place
• No fluid leaks (oil, hydraulic, coolant) visible under the machine
• ROPS (Roll Over Protection Structure) and FOPS (Falling Object Protection Structure) secure and undamaged

2. Operational Safety Features

Condition: [Pass / Fail / N/A]

• Emergency stop buttons tested and functional
• All guards (belt, pulley, gear) are securely fitted and in place
• Seatbelt / operator restraint system is functional
• Mirrors and lights (head, tail, warning beacons) are clean and working
• Horn and reversing alarm operational
• Brakes tested and effective (service and parking brakes)
• Steering functions correctly without excessive play

3. Controls and Instrumentation

Condition: [Pass / Fail / N/A]

• All control levers and pedals return to neutral position
• Dashboard warning lights illuminate on start up
• Hour meter matches maintenance log records
• Hydraulics operate smoothly without unusual noises or drift
• Electrical wiring is secure and insulation is intact

4. Documentation and Logs

Condition: [Pass / Fail / N/A]

• Operator manual available on site
• Current maintenance logbook is present and up to date
• Risk assessment for this specific machinery is available
• Plant registration documents are current (if applicable)

5. Comments and Defects

Details of any defects found: [DESCRIBE ANY ISSUES FOUND DURING INSPECTION]

Action Taken:

• Machine locked out and tagged out (LOTO)
• Supervisor notified immediately
• Defect recorded for repair
• Machine deemed safe to operate with caution

6. Sign Off

I confirm that I have inspected the above machinery and recorded the findings accurately.

Name of Inspector: [PRINT NAME] Signature: __________________________ Date: [DD/MM/YYYY]

Supervisor Review: Name: [PRINT NAME] Signature: __________________________ Date: [DD/MM/YYYY]