HTML Preview Equipment Inventory List page number 1.
Machinery/Equipment Inventory
Industrial Accident Prevention Association, 2007
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Injuries/
Illness or
Worker
Complaints
Y/N
Type of
Equipment/
Machinery
N
Injury to eyes if no safety
glasses are worn
Vibration/movement
of grinder
Hazardous
Fugitive
Emissions
Y/N/U
Machinery/Equipment Inventory (Sample)
No. of
Machines
Energy
Sources
All
Exposed
Moving
Parts
Guarded
Y/N/U
Process
Location(s)
Guarding
Meets CSA
Standards
Y/N/U
Noise
Hazard
Y/N/U
Ergonomic
Hazard(s)
Y/N/U
Other
Hazards
(list)
Key
Y = Yes N = No U = Uncertain
Surface grinder
Centre of
trade shop
2
Electrical
Y
Y Y U
(need to
assess
material)
Y
Fillable form is on page 2.