Sprouted Grain Bread Mixer Safety Inspection Sheet

Date:
Inspected By:
Mixer Location:
Mixer Model:
Inspection Checklist
Item Pass Fail Comments
Emergency stop is operational
Guards and interlocks in place
Electrical panel secured
Cleanliness around mixer
No loose parts or tools
Personal Protective Equipment (PPE) used
Hearing protection used if required
Proper signage posted
Safe access to mixer (no obstructions)
Observations / Actions Required
Signature
Name:
Date: