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

    7. Date

    8. Detailed Description of Open Issues

    9. Is all safety guarding in position? YesNo

    10. Note: If a guard is not in position, please note the location of the missing guard in the field below:

    11. Are all moving parts properly guarded and not accessible by hand? YesNo

    12. Note: If a moving part is accessible by hand, please note the location of this potential hazard in the field below:

    13. Are all safety interlocks operational? YesNo

    14. Note: If a safety lock is NOT operational, please note the location of this potential hazard in the field below:

    15. Are all electrical disconnects operating correctly? YesNo

    16. Note: If an electrical disconnect is NOT operational, please note the location of this potential hazard in the field below:

    17. Are all E-stops functioning properly? YesNo

    18. Note: If an E-stop is NOT functioning properly, please note the location of this potential hazard in the field below:

      19. 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).

    Related Topics & Accessories:

    Daily Log Report Equipment Evaluation Equipment Settings
    Servicetech Bonus Request Open Issues & Safety Evaluation Post Service Checklist
    Sales Call Checklist Service-Sales Expense Report Training Survey