530-FRM-0003 (Machine Safety)

• Conducted on

  Date

• Plant

  Select 0010 - 70 Rotterdam 0020 - 95 Rotterdam 0032 - Hawkesbury 0036 - Cornwall 0100 - Montgomery, PA 0100 - Warehouse 2 (Montgomery, PA) 0200 - Kingsport, TN 0220 - Kingsport, TN (TN2) 0300 - Phoenix, AZ

  • 0010 - 70 Rotterdam
  • 0020 - 95 Rotterdam
  • 0032 - Hawkesbury
  • 0036 - Cornwall
  • 0100 - Montgomery, PA
  • 0100 - Warehouse 2 (Montgomery, PA)
  • 0200 - Kingsport, TN
  • 0220 - Kingsport, TN (TN2)
  • 0300 - Phoenix, AZ

• Line and Sector

• Equipment SAP number and name

Observers

• Engineering

• Add signature

  Sign

• Production

• Add signature

  Sign

• Health & Safety

• Add signature

  Sign

Type of protection or protective device

• Hazardous area with no necessary access during the operation of the machine

• All hazardous areas are protected by a fixed guard, an interlocking protection device or a sensor (light curtain).

  Yes

  No

  N/A

• Hazardous area that requires access during machine operation

• All hazardous areas are protected by a guard with an interlock switch, a motion detector or a specific controls (eg two-hand control).

  Yes

  No

  N/A

Characteristics of fixed guards (if present)

• Each guard is held in place permanently or can be removed only with a special tool.

  Yes

  No

  N/A

Operation of guards with interlock switch (if present)

• The machine stops when any guard is opened or removed.

  Yes

  No

  N/A

• Interlocked guards meant to maintain access in the closed position are functioning properly.

  Yes

  No

  N/A

• The machine does not restart when a removed guard is put back in place (machine reset is required).

  Yes

  No

  N/A

Operation of motion sensors and light curtains (if present)

• The machine stops before the worker has time to enter the danger zone.

  Yes

  No

  N/A

• The machine does not restart when the worker has exited the area covered by the motion sensor or light curtain (Machine reset is required).

  Yes

  No

  N/A

Operation of specific controls (if present)

• The machine only operates if the specific control mode is used. (example; two hand control)

  Yes

  No

  N/A

• Each control is sufficiently far away from the danger zone that no part of the operator's body is exposed to danger.

  Yes

  No

  N/A

Emergency stops

• The number of emergency stops is sufficient enough so that one is always accessible from any working position.

  Yes

  No

  N/A

• Each emergency stop can be activated in one operation.

  Yes

  No

  N/A

• The activation of each emergency stop causes the machine to stop.

  Yes

  No

  N/A

• Reactivating an emergency stop does not cause the machine to restart (machine reset is required).

  Yes

  No

  N/A

Stickers, warning labels, and other information or instructions

• The information is present and legible

  Yes

  No

  N/A

Lockout Tagout procedure

• The zero energy state lockout tagout procedure is present

  Yes

  No

  N/A

• Authorization to commission the machine?

  Yes

  No

• An M8 notification must be created for each nonconformity to be corrected