Experience the DEL difference
and you'll be in good company.

Manufacturing packaging machinery since 1938.

18113 Telge Road | Cypress, TX 77429
Phone: (281) 653-0099
Sales@delpackaging.com

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Open Issues & Safety Evaluation

Sender's E-Mail *
Company
Customer Contact
Serial Number
Model Number
Contact Email

Date
Detailed Description of Open Issues
Is all safety guarding in position? Yes No
Note: If a guard is not in position, please note the location of the missing guard in the field below:
Are all moving parts properly guarded and not accessible by hand? Yes No
Note: If a moving part is accessible by hand, please note the location of this potential hazard in the field below:
Are all safety interlocks operational? Yes No
Note: If a safety lock is NOT operational, please note the location of this potential hazard in the field below:
Are all electrical disconnects operating correctly? Yes No
Note: If an electrical disconnect is NOT operational, please note the location of this potential hazard in the field below:
Are all E-stops functioning properly? Yes No
Note: If an E-stop is NOT functioning properly, please note the location of this potential hazard in the field below:

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).