Zanjoe Incorporation

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Machine Guarding Checklist conducted for Zanjoe Incorporation Date and Time of Inspection 21 May 2018 09:24 AM Machine Name Industrial Machines Machine Number ZI-12346 Inspected by SafetyCulture Staff Location 315 San Rafael, San Miguel, Manila, 1005 Metro Manila, Philippines Completed on 21 May 2018 11:27 AM Score 19/26.0-73.08%

Failed Responses This section lists responses that were set as "failed responses" in the template used for this audit Question Response Details Are all machine guards firmly secured and not easily removed? Loose screw machine guard Appendix 1 Are all pulleys and belts on working level properly guarded? Put additional guarding on this Appendix 2 Can the machine be oiled without removing the machine guards? Is warning sign placed around the machine? Are all employees wearing appropriate PPE? Use lockout tag when lubricating the machine warning signs at the vicinity Wear appropriate PPE Appendix 3 Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff - 2 -

Question Response Details Are all machine guards in good condition? Do not use this machine until further notice Appendix 4 Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff - 3 -

Actions #1. Fix this machine guard Assignee: james@zi.com Priority: HIGH Due Date: 21 May 2018 09:50 PM Audit: Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff Linked to item: Are all machine guards firmly secured and not easily removed? Status: To Do #2. Place warning signs around machine guarding Assignee: jack@zi.com Priority: HIGH Due Date: 22 May 2018 09:55 AM Audit: Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff Linked to item: Is warning sign placed around the machine? Status: To Do Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff - 4 -

Inspection - 19/26 73.08% Question Response Details Description of work to be performed List down the name of employees working on machines Choose the type of guards This machine is intended for aluminum extrusion 1. Mark Joe 2. Emily Rose 3. Jim Ang 4. Angel Aquin 5. Sam Mills Interlocked guards PRE-OPERATION CHECKS Score (16/21) 76.19% MACHINE GUARDS Score (9/13) 69.23% Are all machine guards in good condition? Do machine guards prevent workers hands, arms, and other body parts from making contact with dangerous moving parts of machine? Are all machine guards firmly secured and not easily removed? Loose screw machine guard Appendix 1 Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff Score (19/26) 73.08% - 5 -

Question Response Details REFERENCE: Machine guards that are secured and cannot be easily removed [This is an example of how you can use iauditor to include best practice reference images in your templates to assist with inspections] Do machine guards ensure that no objects fall into the moving parts? Do machine guards permit safe, comfortable, and relatively easy operation of the machine? Are all pulleys and belts on working level properly guarded? Put additional guarding on this Appendix 2 Are all moving chains and gears properly guarded? Are all fan blades protected with a guard with opening not larger than the standard size? Can the machine be oiled without removing the machine guards? Does the machinery automatically shut down when machine guard is removed? Do machine guards prevent operators to access machinery while in operation? Use lockout tag when lubricating the machine Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff Score (19/26) 73.08% - 6 -

Question Response Details Do machine guards protect against hazards to the rear and sides of machinery? Is warning sign placed around the machine? warning signs at the vicinity TRAINING Score (4/4) 100.00% Are all operators trained on how machine guards work? Do operators have the necessary education and training in how to use the guards? Do operators know the procedure when guards are damaged, missing or inadequate? Are all operators trained on how and under what circumstances guards can be removed? All operators undergone proper training All operators were informed to report all incidents to their supervisor PEOPLE Score (3/4) 75.00% Are all employees wearing appropriate PPE? Wear appropriate PPE Appendix 3 Do employees follow safe handling instruction using machineries? Are all employees aware of emergency procedures in case of an accident involving machinery? Is adequate supervision provided to ensure that employees are following safe machine operating procedures? Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff Score (19/26) 73.08% - 7 -

Question Response Details POST-OPERATION Score (3/4) 75.00% Are all machine guards in good condition? Do not use this machine until further notice Appendix 4 Is lock-out tag placed when removing machine guard? Are all machine updates were escalated to a supervisor? Are all incidents reported to a supervisor? 1. Fix broken machine guard 2. injuries or accidents happened COMPLETION Score (0/1) 0.00% Observation or recommendations - Fix loose machine guards - Additional guard needed to cover up pulleys and belts - Remind each employee to put lockout tag when lubricating machinery - Warning signs must be visible to all employees - Remind each employee to use appropriate PPE - Fix broken machine guard Overall assessment n-compl iant Do not use this machine until further notice. Work on failed items. Inspector's Name and Signature Joe Black Smith 21 May 2018 11:22 AM Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff Score (19/26) 73.08% - 8 -

Media Appendix 1 Appendix 2 Appendix 3 Appendix 4 Zanjoe Incorporation / 21 May 2018 / Industrial Machines / ZI-12346 / SafetyCulture Staff - 9 -