INSPECTION / SURVEY CHECK SHEET &

REGISTER FOR
MECHANICAL EQUIPMENT
 SAFETY AND FIRE DEPARTMENT
INSPECTION / SURVEY CHECK SHEET & REGISTER FOR MECHANICAL
EQUIPMENTS
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECKLIST – MECHANICAL EQUIPMENTS

SN Title Page No
MI01 INSPECTION CHECK LIST FOR GAS CUTTING SET 1-2
MI02 INSPECTION CHECK LIST FOR ELECTRIC ARC WELDING MACHINE 1-2
MI03 INSPECTION CHECK LIST FOR CUTTING MACHINE 1-2
MI04 INSPECTION CHECK LIST FOR PORTABLE DRILL MACHINE 1-2
MI05 INSPECTION CHECK LIST FOR PORTABLE GRINDING MACHINE 1-2
MI06 INSPECTION CHECK LIST FOR PEDESTAL DRILL MACHINE 1-2
MI07 INSPECTION CHECK LIST FOR BENCH GRINDING MACHINE 1-2
MI08 INSPECTION CHECK LIST FOR BAR BENDING MACHINE 1-2

SURVEY CHECK SHEET – MECHANICAL EQUIPMENTS

SN Title Page No
MS01 SURVEY CHECK SHEET FOR GAS CUTTING SET 1-2
MS02 SURVEY CHECK SHEET FOR ELECTRIC ARC WELDING MACHINE 1-2
MS03 SURVEY CHECK SHEET FOR CUTTING MACHINE 1-2
MS04 SURVEY CHECK SHEET FOR PORTABLE DRILL MACHINE 1-2
MS05 SURVEY CHECK SHEET FOR PORTABLE GRINDING MACHINE 1-2
MS06 SURVEY CHECK SHEET FOR PEDESTAL DRILL MACHINE 1-2
MS07 SURVEY CHECK SHEET FOR BENCH GRINDING MACHINE 1-2
MS08 SURVEY CHECK SHEET FOR BAR BENDING MACHINE 1-2
MS09 SURVEY CHECK SHEET FOR MOVING MACHINARY GUARD 1-2

REGISTER – LIST OF MECHANICAL EQUIPMENTS

SN Title Page No
MR01 REGISTER – LIST OF MACHINE GUARDING / SAFETY DEVICES 1-1
MR02 REGISTER – LIST OF MACHINE EQUIPMENTS 1-1
 INSPECTION CHECK LIST FOR GAS CUTTING SET
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR GAS CUTTING SET

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

Is Protective valve cap provided for both

1
cylinders? (Check for Damage / Crack if
any)
Are Pressure Gauges two for each
2 cylinder (Regulator Inlet & Outlet) are in
working
condition? (Both Oxygen & Acetylene gas)
Are Flash Back Arrestors (FBAs) provided for
3
Acetylene & Oxygen cylinders?

Are Non Return Valves (NRVs) provided for

4
both Acetylene & Oxygen cylinders?

Are Tight Crimping of Gas hoses done

5
with Jubilee clamps?

Are Gas Hoses free from any damage?

6
(Cut and Cracks )

7 Are Cylinders secured by chain to the trolley?

8 Are Trolley tires free from damages?

Is there availability of industrial type lighter?

9
(no match box / commercial lighters).

Are Cutting areas barricaded and warning

10
boards displayed?
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR GAS CUTTING SET
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS

Sr. Dates of Inspection

DESCRIPTION
No

Is Cutting area free from debris and flammable

11
materials?
Are all necessary PPEs available & used?
12
(Cutting Goggles, Leather Gloves etc.)

13 Others (If any)

14 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR ELECTRIC ARC WELDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR ELECTRIC ARC WELDING MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

Is ON / OFF knob provided?

1
(Check for damage and insulation knob)

2 Is Regulator with indicator provided?

Are Welding cables connected to the welding

3
machine with lugs at the joints?

Any Damage in the insulation of welding

4
cables?

Is Electrode holder and Ground clamp (earthing

5
holder) proper?

Is Industrial type Plug for power tapping cable

6
of welding machine Provided?

Are Internal live electrical parts of welding

7
machine exposed?
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR ELECTRIC ARC WELDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
Is Welding machine Trolley without
8
damaged wheels?
Is Fire extinguisher / fire bucket with sand
9
available?
Is Welding area is barricaded and warning
10
boards displayed?

11 Is Welding Curtain / Screen available?

Are all necessary PPEs available & used?

12
(Welding Goggles, Leather Gloves etc.)
Is Welding area free from debris and
13
flammable materials?

15 Others (If any)

16 Others (If any)

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR CUTTING MACHINE
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR CUTTING MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

Is ON / OFF knob provided / Damaged?

1
(Check for damage and insulation knob)

Any Damage in the insulation of power

2
supply cable and Plug top is used?

3 Any Crack & Damage of the Cutting wheel?

4 Is Cutting Wheel guard provided?

5 Is Cutting Wheel guard locking properly?

6 Is Job Holding clamp in good condition?

7 Is Handle in good condition?

 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR CUTTING MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

8 Is Cutting dust guard provided / working?

Are all necessary PPEs available & used?

9
(Safety Goggles, etc.)

10 Is Machine clearly identified & numbered?

11 Any Other

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR PORTABLE DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date

INSPECTION CHECK LIST FOR PORTABLE DRILL MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Dates of Inspection
Sr.
DESCRIPTION
No

1 Is Machine clearly identified & numbered?

Is Physical condition of Body & parts

2
in good condition/ Damaged?

Is Force Handle in good

3
operating condition?

Is Condition of replaceable Consumable

4
part (Drill bit) in good condition?

5 Is electrical power cable in good condition?

Is Earth connection given?

6 (Not required for Machine is double
insulated).

7 Is Three pin-plug provided?

 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR PORTABLE DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

8 Is Drilling trigger in working condition?

9 Is Switch Lock in working condition?

10 Any Other

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR PORTABLE GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR PORTABLE GRINDING MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Dates of Inspection
Sr.
DESCRIPTION
No

1 Is Machine clearly identified & numbered?

Is Physical condition of Body & parts

2
in good condition/ Damaged?

Is Force Handle in good

3
operating condition?

Is Condition of replaceable Consumable

4
part (Grinding wheel) in good condition?

5 Is electrical power cable in good condition?

Is Earth connection given?

6 (Not required for Machine is double
insulated).

7 Is Three pin-plug provided?

 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR PORTABLE GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

Is Grinding trigger switch in working

8
condition?

Is Spindle Lock Switch is in

9
working condition?

Is Machine Wheel guard (covering 3/4th

10
area) provided or adequate guarded?

11 Any Other

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR PEDESTAL DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR PEDESTAL DRILL MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Dates of Inspection
Sr.
DESCRIPTION
No

1 Is Machine clearly identified & numbered?

Is Physical condition of Body & parts

2
in good condition/ Damaged?

Is Force Handle in good

3
operating condition?

Is Condition of replaceable Consumable

4
part (Drill bit) in good condition?

Is electrical power cable in

5
good condition?

6 Is Earth connection given?

7 Is Three pin-plug provided?

 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR PEDESTAL DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No

8 Is Drilling trigger in working condition?

Is Isolation Switch Lock in

9
working condition?

Is Machine Drill bit Guard / Belt drive

10
Guard provided or inadequate guarded?

11 Any Other

12 Any Other

13 Any Other

14 Any Other

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR BENCH GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR BENCH GRINDING MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Dates of Inspection
Sr.
DESCRIPTION
No

1 Is Machine clearly identified & numbered?

Is Physical condition of Body & parts

2
in good condition/ Damaged?

Is Condition of replaceable Consumable

3
part (Grinding Wheel) in good condition?

Is electrical power cable in

4
good condition?

5 Is Earth connection given?

6 Is Light Switch in working condition?

7 Is Master Switch in working condition?

 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR BENCH GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
Are Machine Guards (safety glass shields,
8 Spark guards, Wheel guards) provided or
adequate guarded?
Are Grinding area Warning boards
9
displayed?

Is Grinding Wheel RPM marked on

10
Machine?

11 Any Other

12 Any Other

13 Any Other

14 Any Other

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR BAR BENDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

INSPECTION CHECK LIST FOR BAR BENDING MACHINE

Plant / Agency HOD (Name)

Department - Section Equipment Number

Location of Inspection Inspection Frequency

CHECK ITEMS
Dates of Inspection
Sr.
DESCRIPTION
No

1 Is Machine clearly identified & numbered?

2 Is Machine Erected on a firm base?

Is Machine grouted properly / Base

3
wheel stopper provided?

4 Is Machine Body Earthing provided?

Is Distribution Board connected with the

5
machine equipped with MCB and ELCB?

6 Is Condition of electrical cable in good?

Are Machine guarding - Belt and other

7
internal moving parts covered /
Guarded?
 SAFETY AND FIRE DEPARTMENT
INSPECTION CHECK LIST FOR BAR BENDING MACHINE
Issue No.: 01 Rev. No: 00 Date:

CHECK ITEMS
Sr. Dates of Inspection
DESCRIPTION
No
Is Emergency switch available in
8 working condition?
(Front side and Back side of Machine)
Is Power ON & OFF switch with
9
indicator light available in working
condition?

10 Are Both side - Hand guards available?

Are Limit switches (Both Side, below

11
the job plate) in working condition?

12 Any Oil leakage from machine?

Are standard limit switch pins available?

13
(Use of Nail & Other material)

14 Any Other

Remarks:

SN Observations

Name
Checked by
Signature
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR GAS WELDING & CUTTING SET
Issue No.: 01 Rev. No: 00 Date:

SURVEY CHECK SHEET FOR GAS WELDING & CUTTING SET

Plant Inspection Frequency Bi Monthly
Area / Department Date

GAS WELDING & CUTTING SET

Sr.
Deficiency List
No.
Protective valve cap NOT provided for both cylinders.
1 (Check for Damage / Crack if any)
Pressure Gauges two for each cylinder (Regulator
2 Inlet & Outlet) are NOT in working condition.
(Both Oxygen & Acetylene gas)
Flash Back Arrestors (FBAs) are NOT provided for
3 Acetylene & Oxygen cylinders.
Non Return Valves (NRVs) are NOT provided for both
4 Acetylene & Oxygen cylinders.
Tight Crimping of Gas hoses are NOT done with
5 Jubilee
clamps.
Gas Hoses are NOT free from any damage.
6 (Cut and Cracks )
7 Cylinders are NOT secured by chain to the trolley.

8 Trolley tires are NOT free from damages.

NON Availability of industrial type lighter.
9 (no match box / commercial lighters).
Cutting area is NOT barricaded and warning boards are
10 NOT displayed.
Cutting area is NOT free from debris and flammable
11 materials.
All necessary PPEs are NOT available & used.
12 (Cutting Goggles, Leather Gloves etc.)
13 Any Other

Details of GAS WELDING & CUTTING SET with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
1

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR GAS WELDING & CUTTING SET
Issue No.: 01 Rev. No: 00 Date:
v

Details of GAS WELDING & CUTTING SET with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR ELECTRIC ARC WELDING SET
Issue No.: 01 Rev. No: 00 Date:

SURVEY CHECK SHEET FOR ELECTRIC ARC WELDING SET

Plant Inspection Frequency Monthly
Area / Department Date

ELECTRIC ARC WELDING SET

Sr.
Deficiency List
No.
ON / OFF knob is NOT provided.
1 (Check for damage and insulation knob)
2 Regulator with indicator is NOT provided.
Welding cables connected to the welding machine NOT
3 with lugs at the joints.
4 Damage in the insulation of welding cables.
Electrode holder and Ground clamp (earthing holder) are
5 damaged.
Industrial type Plug for power tapping cable of welding
6 machine NOT Provided.
Internal live electrical parts of welding machine is
7 exposed
8 Welding machine Trolley is with damaged wheels.

9 Fire extinguisher / fire bucket with sand NOT available.

Cutting area is NOT barricaded and warning boards are
10 NOT displayed.
11 Welding Curtain / Screen is NOT available.
All necessary PPEs are NOT available & used.
12 (Welding Goggles, Leather Gloves etc.)
Welding area is NOT free from debris and flammable
13 materials.
14 Any Other

Details of ELECTRIC ARC WELDING SET with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
1

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR ELECTRIC ARC WELDING SET
Issue No.: 01 Rev. No: 00 Date:
v

Details of ELECTRIC ARC WELDING SET with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR CUTTING MACHINE
Issue No.: 01 Rev. No: 00 Date:

SURVEY CHECK SHEET FOR CUTTING MACHINE

Plant Inspection Frequency Monthly
Area / Department Date

CUTTING MACHINE
Sr.
Deficiency List
No.

1 ON / OFF knob is NOT provided / Damaged.

(Check for damage and insulation knob)
Damage in the insulation of power supply cable and
2
Plug top is NOT used.

3 Crack & Damage of the Cutting wheel.

4 Cutting Wheel guard is missing.

5 Cutting Wheel guard locking NOT proper.

6 Job Holding clamp is NOT in good condition.

7 Handle is NOT in good condition.

8 Cutting dust guard is NOT provided / working.

All necessary PPEs are NOT available & used.

9
(Safety Goggles, etc.)

10 Machine is NOT clearly identified & numbered.

11 Any Other

Details of CUTTING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
1

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR CUTTING MACHINE
Issue No.: 01 Rev. No: 00 Date:
v

Details of CUTTING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR PORTABLE DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date:

SURVEY CHECK SHEET FOR PORTABLE DRILL MACHINE

Plant Inspection Frequency Bi Monthly
Area / Department Date

PORTABLE DRILL MACHINE

Sr.
Deficiency List
No.

1 Machine is NOT clearly identified & numbered.

Physical condition of Body & parts is NOT in good
2
condition/ Damaged.
3 Force Handle NOT in good operating condition.
Condition of replaceable Consumable part (Drill
4
bit) is NOT good condition.
5 Condition of electrical power cable is NOT good.
Earth connection is not given.
6
(Not required for Machine is double insulated).
7 Three pin-plug is NOT provided.

8 Drilling trigger is NOT in working condition.

9 Switch Lock is NOT in working condition.

10 Any Other

Details of PORTABLE DRILL MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR PORTABLE DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS04
v

Details of PORTABLE DRILL MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR PORTABLE GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS05

SURVEY CHECK SHEET FOR PORTABLE GRINDING MACHINE

Plant Inspection Frequency Bi Monthly
Area / Department Date

PORTABLE GRINDING MACHINE

Sr.
Deficiency List
No.
1 Machine is NOT clearly identified & numbered..
Physical condition of Body & parts is NOT in good
2
condition/ Damaged.
3 Force Handle NOT in good operating condition.
Condition of replaceable Consumable part
4
(Grinding wheel) is NOT good condition.
5 Condition of electrical power cable is NOT good.
Earth connection is not given.
6
(Not required for Machine is double insulated).
7 Three pin-plug is NOT provided.

8 Grinding trigger switch is NOT in working

condition.
9 Spindle Lock Switch is NOT in working condition.
Machine Wheel guard (covering 3/4th area) is NOT
10
provided or inadequate guarded.
11 Any Other

Details of PORTABLE GRINDING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
1

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR PORTABLE GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS05
v

Details of PORTABLE GRINDING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR PEDESTAL DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS06

SURVEY CHECK SHEET FOR PEDESTAL DRILL MACHINE

Plant Inspection Frequency Bi Monthly
Area / Department Date

PEDESTAL DRILL MACHINE

Sr.
Deficiency List
No.
1 Machine is NOT clearly identified & numbered..
Physical condition of Body & parts is NOT in good
2
condition/ Damaged.
3 Force Handle NOT in good operating condition.
Condition of replaceable Consumable part (Drill
4
bit)
is NOT good condition.
5 Condition of electrical power cable is NOT good.

6 Earth connection is NOT given.

7 Three pin-plug is NOT provided.

8 Drilling trigger is NOT in working condition.

9 Isolation Switch Lock is NOT in working condition.

Machine Drill bit Guard / Belt drive Guard is NOT
10
provided or inadequate guarded.
11 Any Other

Details of Portable Electrical Equipment with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR PEDESTAL DRILL MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS06
v

Details of PEDESTAL DRILL MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR BENCH GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS07

SURVEY CHECK SHEET FOR BENCH GRINDING MACHINE

Plant Inspection Frequency Bi Monthly
Area / Department Date

BENCH GRINDING MACHINE

Sr.
Deficiency List
No.
1 Machine is NOT clearly identified & numbered.
Physical condition of Body & parts is NOT in good
2
condition/ Damaged.
Condition of replaceable Consumable part
3
(Grinding Wheel) is NOT good condition.
4 Condition of electrical power cable is NOT good.

5 Earth connection is NOT given.

6 Light Switch is NOT in working condition.

7 Master Switch is NOT in working condition.

Machine Guards (safety glass shields, Spark guards,
8 Wheel guards) are NOT provided or inadequate
guarded.
9 Grinding area Warning boards are NOT displayed.

10 Grinding Wheel RPM NOT marked on Machine.

11 Any Other

Details of BENCH GRINDING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
1

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR BENCH GRINDING MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS07
v

Details of BENCH GRINDING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR BAR BENDING MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS08

SURVEY CHECK SHEET FOR BAR BENDING MACHINE

Plant Inspection Frequency Bi Monthly
Area / Department Date

BAR BENDING MACHINE

Sr.
Deficiency List
No.
1 Machine is NOT clearly identified & numbered.
2 Machine is NOT Erected on a firm base.
Machine is NOT grouted properly / Base wheel
3
stopper NOT provided.
4 Machine Body Earthing is NOT provided.
Distribution Board connected with the machine is
5
NOT equipped with MCB and ELCB.
6 Condition of electrical cable is NOT good.
Machine guarding - Belt and other internal moving
7
parts are NOT covered / Guarded.
Emergency switch is NOT available in working
8
condition (Front side and Back side of Machine)
Power ON & OFF switch with indicator light are
9
NOT available in working condition.
10 Both side - Hand guards are NOT available.
Limit switches (Both Side, below the job plate) are
11
NOT in working condition
12 Oil leakage from machine.
Non availability of standard limit switch pin.
13
(Use of Nail & Other material)
14 Any Other

Details of BAR BENDING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
1

7 .

10
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR BAR BENDING MACHINE
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS08
v

Details of BAR BENDING MACHINE with Deficiency

Sr. Deficiency
Equipment No. Description / Type Location
No. No.
11

12

13

14

15

16

17

18

19

20

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
 SAFETY AND FIRE DEPARTMENT
SURVEY CHECK SHEET FOR MOVING MACHINERY GUARD
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS09

SURVEY CHECK SHEET FOR MOVING MACHINERY GUARD

Quarterly
Plant Inspection Frequency (Monthly - Area wise)
(Plant to be covered in a
Quarter)

Area of Survey Date

MOVING MACHINERY GUARD

Sr.
Deficiency List
No.
No Identification Nos. & Description not clearly painted
1
(needs repainting).
Not fixed Properly.
2
(Tied with metallic wire, No / with Less bolts etc.)

3 Guard Broken / Deformed / Corroded.

Incomplete Guard.
4
(Excess opening /Gap to normal reach to moving parts)

5 No Guard (Missing guard).

6 Any Other

Details of Moving Machinery Guard with Deficiency

Moving
Sr. Location - Deficiency
Area Machinery Corrective Action Taken
No. Description No.
Tag. No
1

10

11

12

13

14

15
 SAFETY AND FIRE DEPARTMENT
Details of Moving Machinery Guard with Deficiency
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No – MS09

Details of Portable Ladder with Deficiency

Moving
Sr. Location - Deficiency
Area Machinery Corrective Action Taken
No. Description No.
Tag. No.
16

17

18

19

20

21

22

23

24

25

Remarks:

SN Observations

10

Check By Review By

Signature

Name

Designation

Date
Note : Master list mentioning (Sr. No./ Equipment Description / Location / Remarks) shall be prepared and made available.
Section / Area wise Quarterly inspection schedule shall be prepared.
 SAFETY AND FIRE DEPARTMENT
REGISTER – LIST OF MACHINE GUARDING / SAFETY DEVICES
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No - MR01

REGISTER – LIST OF MACHINE GUARDING / SAFETY DEVICES

Plant

Department - Section Frequency Ongoing

Electric Motor GUARDING / SAFETY DEVICES

Name of Type of
Sr. Type of Date of Last
Machine / Marking Location Guarding Foundation Working
No. HP RPM Transmission Earthing Painting Inspection
Auxiliary / Safety / Fitting Condition
Devices
1 2 3 4 5 6 7 8 9 10 11 12 13
1

10

11

12

13

14

15
 SAFETY AND FIRE DEPARTMENT
REGISTER – LIST OF MACHINE / EQUIPMENTS
Issue No.: 01 Rev. No: 00 Date: 01-01-2014 Form No - MR02

REGISTER – LIST OF MACHINE / EQUIPMENTS

Plant

Department - Section Frequency Ongoing

Sr. Date of Last Person

Name of Machine / Equipment Make Identification No
No. Inspection In-Charge

1 2 3 4 5 6
1

10

11

12

13

14

15