Machine Guarding eTool
Additional References » Appendix E
Sample form - Periodic Inspection Record for Partial Revolution Power Presses.
The purpose of this form is to provide compliance assistance information to interested parties required to comply with Subpart O, 1910.217(e) regulations for mechanical power presses. This non-mandatory format has been developed to list components of machines common to most power presses, although it is not an exhaustive listing. The employer is responsible for consulting the manufacturers recommendations on each power press in operation and fully complying with the letter and intent of 1910.217(e).
MACHINE NO.__________________________ DEPARTMENT____________________________ |
DATE________________ |
OK | NOT OK | PART INSPECTED | IF NOT OK, CONDITION | DATE OF CORRECTION |
___ | _____ | Floor Condition, Clean | _______________________________________ | _______________ |
___ | _____ | Piping to Press (air, power) | _______________________________________ | _______________ |
___ | _____ | Lighting to Press | _______________________________________ | _______________ |
___ | _____ | Operator Properly Trained | _______________________________________ | _______________ |
___ | _____ | Bolster Plate Secure | _______________________________________ | _______________ |
___ | _____ | Inclining Screw, Ratchet, Screw Pin, Cotters for Screw Pin | _______________________________________ | _______________ |
___ | _____ | Tie Rods | _______________________________________ | _______________ |
___ | _____ | Leg Clamp & Pivot Bolt | _______________________________________ | _______________ |
___ | _____ | Brake-Collar | _______________________________________ | _______________ |
___ | _____ | Collar Key Strap, Fixed Half, Air Cylinder Operating, Hinged Half, Hinge Pin, Adjustment Spring, Band Nut Adjustment |
_______________________________________ | _______________ |
___ | _____ | Fly Wheel End Collar Pin | _______________________________________ | _______________ |
___ | _____ | All Parts & Screws Secure | _______________________________________ | _______________ |
___ | _____ | Frame & Base for Cracks | _______________________________________ | _______________ |
___ | _____ | Bearing Clearances | _______________________________________ | _______________ |
___ | _____ | Slibe-Jib Clearances | _______________________________________ | _______________ |
___ | _____ | Main-Drive (belts, gears) | _______________________________________ | _______________ |
___ | _____ | Air Gauge (condition-accuracy) | _______________________________________ | _______________ |
___ | _____ | Push-Palm Buttons & Wiring | _______________________________________ | _______________ |
___ | _____ | Ground Fault Potential | _______________________________________ | _______________ |
___ | _____ | Rotary Limit Switch Secure & Cams, Relays Secure & Adjusted | _______________________________________ | _______________ |
___ | _____ | Operator's Station Secure | _______________________________________ | _______________ |
___ | _____ | Main Control Cabinet Secure & Closed After Inspection for Oil, Grease, etc., and Proper Functioning of All Components, Devices Contained Therein |
_______________________________________ | _______________ |
___ | _____ | Main Motor Controls Operating | _______________________________________ | _______________ |
___ | _____ | Slide Adjust Motor Controls | _______________________________________ | _______________ |
___ | _____ | Designated Wiring Secure at Proper Terminal Points | _______________________________________ | _______________ |
___ | _____ | Foot Switch, Spring & Wiring | _______________________________________ | _______________ |
___ | _____ | Lubrication Operating at all Designated Points | _______________________________________ | _______________ |
___ | _____ | Main Clutch Valves Operating | _______________________________________ | _______________ |
___ | _____ | Brake Operating, Clean Adjusted | _______________________________________ | _______________ |
___ | _____ | Stopping Time at 90o in Milliseconds | _______________________________________ | _______________ |
___ | _____ | Safe Distance of Safeguard OK | _______________________________________ | _______________ |
___ | _____ | Anti-Repeat | _______________________________________ | _______________ |
___ | _____ | Barrier Guard Adjusted to Table 0-10 | _______________________________________ | _______________ |
COMMENTS:__________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ |
|
INSPECTED BY:________________________________________________________________ (Name and Job Title) |
Signature:____________________________________________________ (Name) |
PRESS APPROVED FOR OPERATION________________________________________________________ |
RED TAGGED______________________________________________________________________ |