Title Page

  • Conducted on

  • Prepared by

  • Location

  • Project

PSSR

Information

  • Equipment/Facility

  • Equipment name

  • Equipment Serial Number

  • Location of Equipment

  • Facility name

  • PSSR Team Members

PUWER and MC EQPT Risk Assessment

  • Has PUWER Risk Assessment been completed?

  • Is equipment CE Marked?

  • Has MC-EQPT Risk Assessment been completed?

Lockout/Tagout

  • Is the machine capable of being locked out?

  • Have the LOTO points been clearly identified?

  • Are there any special lockout devices needed?

  • Have they been ordered and distributed to the appropriate personnel?

  • Have all staff been properly trained on the lockout procedures?

Mechanical Hazards

  • Are equipment disconnects and operating controls labeled?

  • Are the start and stop controls within easy reach of the operator?

  • Is there plant maintenance for the equipment?

  • Are maintenance / technical personnel trained to perform the plant maintenance?

  • Can the machine be oiled without removing the safeguards?

  • Is there more than one operator?

  • Are separate controls provided?

  • Are Emergency Stops working and accessible to the operator?

Machine Guarding

  • Have all pinch points and points of operation been properly guarded?

  • Have all chains and sprockets been properly guarded?

  • Have all pulleys and belts been properly guarded?

  • Have augers (if present) been properly guarded?

  • Are all machine guards securely attached?

  • Are interlocks prohibited from being bypassed if applicable?

  • Test all interlocks to ensure functioning properly if applicable?

Electrical

  • Is the machine wired (main power cable not internal cabling) according to UK regulation?

  • For new building / site change has all electrical wiring been completed and certified to necessary UK regulation?

  • Is the machine or equipment grounded?

  • Is the power supply correctly fused and protected?

  • Will additions or modifications require an Arc Flash analysis?

  • Are all electrical connections secured, cords only the length necessary, conduit only used where required (no cords running through walls, under doors, etc)?

  • Is equipment free of any temporary extension cables?

  • If temporary extension cable is required it is only allowed for only 90 days and please note the follow up required.

Personal Protective Equipment (PPE)

  • Has PPE Hazard Analysis been conducted for new jobs?

  • Is required PPE available and issued to operators?

  • Have operators been properly trained in the use and care of required PPE?

Noise

  • Have appropriate measures been taken to safeguard workers against noise hazards?

  • Has an area survey been conducted?

  • If noise is above 85 dB, has noise reduction measures been considered?

Evacuation/Egress and Fire

  • Have existing means of egress remained unobstructed / unchanged?

  • Have exit routes been rerouted if necessary?

  • Have employees been trained in new exit routes?

  • Has the emergency evacuation drawing been updated?

  • Have adequate new / additional emergency exits been added?

  • Have all new / added emergency exits been designated by appropriate signage/lighting?

  • Are new sprinkler systems operational and tested?

  • Fire Extinguisher accessible and adequately marked?

  • Have adequate new / additional Fire Alarm call points been included?

  • Have adequate new / additional Fire Alarm sounders and/or beacons been added?

Ventilation

  • Does the new equipment generate hazardous vapors/gasses/fumes which will require additional ventilation?

  • Has ventilation been installed?

  • If ventilation has not been installed, have employees been instructed in temporary hazard abatement procedures?

Ergonomics

  • Do all necessary interaction points with the machine comply with ergonomic principles?

  • Is head room adequate at all points around the equipment?

  • Have any identified ergonomic hazards been corrected?

  • If manual handling is required to load/unload parts from the machine/equipment has a manual handling risk assessment been completed?

  • For new building or changed use building have 5S principles been applied?

Confined Spaces & Hazardous Locations

  • Has the new equipment / building (or change to) created a hazardous location?

  • What is the nature of the hazard?

  • Identify hazard

  • Are all hatches and other means of entry labeled as confined spaces?

  • Have space specific entry procedures been developed?

  • Have employees been trained on entry procedures?

Fall Protection

  • The new equipment will not create a situation in which employees must work at height above 1.2m and outside of a guard rail or provided step platforms?

  • Has appropriate fall protection equipment been provided to employees?

  • Have employees been trained in the use of required fall protection equipment?

  • No slip/trip/fall (same height) hazards created?

  • For new / changed buildings has access to height (roofs/silos/gantries etc) been considered?

  • For new / changed buildings do areas requiring working at height (roofs/silos/gantries/rooflights etc) have suitable protection (barriers etc)?

  • For new / changed buildings has access to height (roofs/silos/gantries etc) been restricted with suitable locked system?

  • For new / changed buildings has the site Working at Height Management Plan been updated?

Chemical / Substance Hazard Communication (COSHH)

  • The new equipment has not introduced any new hazardous chemicals into the facility?

  • Any new chemicals / substances required for the machine / equipment have been added to the COSHH system?

  • Have employees been trained in the hazards and protective measures for the new chemical?

Training

  • Does the new/modified equipment require additional process training?

  • Has the training been conducted?

  • Is the training matrix updated with any new training?

Air Permits

  • Has equipment received any necessary air permits?

  • Has a standard operating procedure been modified or created to control the equipment per regulations?

  • Does the facility have spare/redundant critical equipment to keep equipment running within compliance standards?

Wastewater Compliance

  • Has the equipment received the necessary wastewater permits and/or notifications?

  • Has a standard operating procedure been modified/created to control the equipment to not impact wastewater?

  • Is wastewater treatment operations prepared to handle the impact of this process change?

SWERP/Storm water

  • Are secondary containment and/or storm water controls in place?

  • Has the SWERP plan been updated, including site maps?

Environmental

  • Has the machine / equipment been evaluated for Environmental Aspects and Impacts?

Waste/Chemical Notification /Utilities

  • Are the procedures in place to handle the waste (hazardous or non-hazardous) from the process change?

  • Has notification to regulators occurred to address legal requirements (if required)?

  • Are appropriate back flow connections installed to prevent contamination of potable water?

  • Are the appropriate mechanical and procedural systems installed to minimize energy/water usage?

Quality and Food Safety (BRC)

  • Is the new equipment designed and manufactured to be easily cleaned in part contact areas?

  • Is there a standard operating procedure / checklist in place for maintenance?

  • Is there a standard operating procedure / checklist in place for line cleandown?

  • Have all items necessary been added to Glass & Brittle Plastics Register?

  • Have all items necessary been added to Sharps Register?

  • Have all necessary QC forms been raised?

  • Have all necessary material forms been raised?

  • If in-line testing (camera/leak etc) fitted has its operation been verified (i.e. confirm it rejects failed parts)?

  • Please add any other comments below:

Other Reviewed Items

  • Please add any other items reviewed as part of PSSR that were not considered above.

Completion

  • Comments/Recommendations

  • Safe and ready for commissioning/startup?

  • Engineering

  • Safety

  • Quality

  • Operations

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.