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HTML Preview Equipment Inventory List page number 1.

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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.

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