Workplace Safety Inspection Checklist
What was looked at on this round, including the points that were satisfactory.
Inspections and safety checks · IC-113 · Record
Free machine guarding check record — one line per machine for guards, interlocks, stops and isolation, with faults counted. PDF, Excel and browser.
One page. The A4 and US Letter files are laid out identically, so neither is shrunk to fit.
Print it and write on it
Fillable PDF type and save
Spreadsheet formulas included
The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.
The same sheet, on screen. Totals and figures are worked out as you type, rows can be added or removed, and you can print it or download the completed version as a PDF. Everything stays in your browser — your entries are kept in this browser's own storage on this device, nothing is uploaded, and there is no account.
One line for every machine in the workshop. Four columns cover the fixed guards, the interlocks, the emergency stops and the isolation point, the defect goes in words, and a tick withdraws a machine from use until it is put right.
Workshop and production supervisors, maintenance engineers and safety representatives in engineering shops, joineries, food production, print and any small factory with machines that have moving parts.
The printable is laid out inside a box that fits both A4 and US Letter, so the two files are identical and neither one is scaled. The fillable PDF has real form fields. The workbook uses plain formulas only — SUM, IF, COUNTIF and the like — so it opens in Excel, LibreOffice and Google Sheets without anything breaking, and every calculated cell is grey so you can see which figures it worked out.
Download the A4 or US Letter file to match the paper in your printer, open it in a PDF reader and print at 100% — not "fit to page", which shrinks the writing space. Both files leave a 14 mm margin, which clears the unprintable edge on home printers. To print the online version with your entries in it, use the Print this sheet button, which prints only the sheet and none of the page around it. More on printing.
No. It is a routine check of the guarding, recorded by the person who carries it out. Any examination your rules call for, and who is allowed to do it, is set where you are and by the machine maker's instructions.
Because a machine can have perfect guards and still be dangerous to clean or unjam if it cannot be isolated and locked off. Keeping it separate stops it being assumed.
Check it anyway and mark the columns N/A where they cannot be tested, with the reason in the defect column. It keeps the machine on the record rather than quietly dropping off it.
It will work, but a tool register or an appliance inspection record suits portable kit better. This sheet is built around fixed machines with guards, interlocks and an isolator.
What was looked at on this round, including the points that were satisfactory.
Each stoppage dated, timed and attached to a named machine.
The part number, description and supplier reference for every spare held.
What the weekly walk covered and what it found, week by week.
Printable sheets, workbooks and tools on the same subject.
Keep one register of the portable electrical equipment you are responsible for, with a dated line each time an item is checked and by whom.
Keep a per-machine service history for fixed workshop equipment, so the consumable part numbers and the last service date live with the machine.
Record a risk assessment you have carried out yourself, in a layout that captures the part people forget: who is doing the further action, by when, and when it gets reviewed.
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