machine guarding form1机器防护评估表格

《machine guarding form1机器防护评估表格》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、MachineGuardingAssessmentFormMachine___________________________________Date___________________LocationofMachine_____________________________________________________(PictureofMachine)DescriptionofMachineOperations:_________________________________________________________________

2、_______________________________________________________________________________________________________________________________________________________________________________________________________________________________PastMachineIncidents(injuriesand/ornearmissesduringuse)

3、:1.2.3.4.5.NumberofEmployeesOperatingandAffectedbyMachine:#Operating________________________#Affected________________________#Total________________________TypesofEnergyIdentified:ElectricalðPneumaticðGravityðStoredElectricalðHydraulicðSteamðMechanicalðRadiationðThermalðChemical

4、ðOtherð______________________________TypesofMotionIdentified:TransverseðRotatingðReciprocatingðCuttingðPunchingðPinchingðShearingðCuttingðOtherð_______________HazardsIdentified:PtofOpðInRunNipPtðImpactZoneðCrushZoneðPinchPointðPowerTransðSlip/TripðOtherð________________________

5、______ExistingGuards/Controls1.Hazard________________________________________________________LocationofGuard_______________________________________________TypeofGuard__________________________________________________AdequateðInadequateðAdjustmentsNeeded_________________________

6、____________________1.Hazard________________________________________________________LocationofGuard_______________________________________________TypeofGuard__________________________________________________AdequateðInadequateðAdjustmentsNeeded__________________________________

7、___________2.Hazard________________________________________________________LocationofGuard_______________________________________________TypeofGuard__________________________________________________AdequateðInadequateðAdjustmentsNeeded___________________________________________

8、__3.Hazard____________________________________________