Open Issues & Safety Evaluation

Open Issues & Safety Evaluation
  1. Sender's E-Mail
  2. Company
  3. Customer Contact
  4. Serial Number
  5. Model Number
  6. Contact Email
  7. DEL Tech
  8. Date
  9. Detailed Description of Open Issues
  10. Is all safety guarding in position? YesNo
  11. Note: If a guard is not in position, please note the location of the missing guard in the field below:
  12. Are all moving parts properly guarded and not accessible by hand? YesNo
  13. Note: If a moving part is accessible by hand, please note the location of this potential hazard in the field below:
  14. Are all safety interlocks operational? YesNo
  15. Note: If a safety lock is NOT operational, please note the location of this potential hazard in the field below:
  16. Are all electrical disconnects operating correctly? YesNo
  17. Note: If an electrical disconnect is NOT operational, please note the location of this potential hazard in the field below:
  18. Are all E-stops functioning properly? YesNo
  19. Note: If an E-stop is NOT functioning properly, please note the location of this potential hazard in the field below:

  20. Note: It is the customers responsibility to address all safety related issues noted, in a timely manner, unless otherwise stated in writing. A copy of this evaluation will be sent to the customer contact listed. In addition, a copy will be placed in the sales order folder by the Customer Service Manager along with a return receipt (e-mail).