Machine Guarding eTool
Additional References » Appendix F
Sample Pullout/Restraint Inspection Checklist
Each pull-out or restraint device in use must be visually inspected and checked for proper adjustment at the start of each operator shift, following a new die set-up, and when operators are changed. Necessary maintenance, repair, or both shall be performed and completed before the press is operated.
| MACHINE NO.__________________________ DEPARTMENT____________________________ | ||||
| OPERATOR ID_________________ | ||||
| DATE____________________ TIME__________________ SHIFT CHANGE___________________ | ||||
| DIE CHANGE___________________________ OPERATOR CHANGE________________________ | ||||
| A SEPARATE PULLOUT/RESTRAINT DEVICE MUST BE PROVIDED FOR EACH OPERATOR IF MORE THAN ONE OPERATOR IS USED ON A PRESS. EACH OPERATOR'S DEVICE MUST BE INSPECTED. | ||||
| OK | NOT OK | PART INSPECTED | IF NOT OK, CONDITION | DATE OF CORRECTION | 
| ___ | _____ | All parts, nuts, bolts etc. secure | _______________________________________ | _______________ | 
| ___ | _____ | Attachments connected to and being operated only by the press slide or upper die | _______________________________________ | _______________ | 
| ___ | _____ | Attachments adjusted to prevent each operator from reaching into the point of operation or to withdraw the operator's hands from the point of operation before the die closes | _______________________________________ | _______________ | 
| ___ | _____ | Horizontal support secure | _______________________________________ | _______________ | 
| ___ | _____ | Vertical support secure | _______________________________________ | _______________ | 
| ___ | _____ | Cables must not be bent, frayed or twisted | _______________________________________ | _______________ | 
| ___ | _____ | Brackets secure and in good condition | _______________________________________ | _______________ | 
| ___ | _____ | Visual inspection of total system | _______________________________________ | _______________ | 
| Signature_____________________________________________________________________________ (Name and Job Title) | ||||
| PULL-OUTS APPROVED FOR OPERATION___________________________________________________ | ||||
| RED TAGGED___________________________________________________________________________ | ||||
