Equipment/machinery Checklist Template Page 6
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15School Name
EQUIPMENT / MACHINERY CHECKLIST
Make/Model & Edquip No
Equipment
BLOWER VACUUM - PETROL
Location/Room
Name of Staff Member
Year
Date
Date
END OF SEMESTER
/
/
Follow-up
/
ANNUAL CHECK
Signature
Actions
CHECKS
Signature
Eg. Blade & pulley alignment
Tick or comment
Tick or comment
Tick or comment
adjusted 02/10
John Smith
Sem 1
Sem 2
Check that the shoulder strap is in sound condition and replace if
damaged
Check the availability of spare parts i.e. air filters, fuel filter and
spark plug etc
Review Safety Operating Procedure and update if necessary
Lubricate all points in accordance with the manufacturer's
specification
Other:
Protect all bare metal surfaces before Term Shutdown
(CRC, WD40, RP7 of similar)
Other:
Check the filter in the fuel tank and replace if required.
Other:
Check that the zip starter and throttle controls are functioning and
Other:
repair or replace if damaged,.
Verify rubber anti vibration buffers are in good condition (if
Other:
fitted)
eg. Yellow line for operator zone repainted
Follow-up Actions
Check the spark plug and muffler replace if required
14/12 John Smith
Check carburettor and service if required.
Check the vacuum attachment bag and mechanism is in sound
condition and if damaged replace.
Service the motor to manufacturer’s specification.
Other:
Other:
Other:
Health & Safety for Schools Officers – Equipment & Machinery
Page17
July 2007
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