Title Page
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PCN #
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Resource / Equipment :
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Process Control Document #
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Conducted on
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Building
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EEHS reviewer:
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Which type of change applies:
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If change involves construction, renovation, building demolition, new property ,modifications to existing HVAC or pollution control equipment, changes in operation, equipment installations or removals that may require pollution control( welding painting- changes to ECA permit operations, changes in plant or process) Magna Environmental Department MUST be notified as soon as possible.
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Information on change or modification
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Will approved production limits on ECA permit be affected or require a increase ?
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Does the process /change include the use of flammables or combustibles?
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Will quantities for chemicals ( resins, adhesive, lubricants ect) or metals ( stainless steel, aluminum , wires) increase ? If yes verify Substance notification requirements, NPRI, Spill plan
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Does the process/change use acids , corrosives or alkalies?
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Is there any Designated Substances used in this process?
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Is there any potential for a spill from the change or process?
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Is there a fire risk associated with the change or process?
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Can any of the waste generated be recycled?
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Are there any hazardous wastes or by-products from this process or change?
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Waste class :
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Are new or specific recycling, hazardous waste or additional garbage bins required ? List type /details
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Would the machine / process increase the energy usage ? Water , Electricity ,Gas
- Increase Hydro / KWH
- Increase Water consumption
- Increase Gas consumption
- Decrease Hydro /KWH usage
- Decrease Water usage
- Decrease Gas usage
- Not relevant to change
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Does equipment qualify for energy rebates or energy savings ?
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Is there more energy efficient equipment ,systems or methods available? Detail what energy rating comparisons were made and where they can be found
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Does this process need to be added to the Environmental Aspects list?
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Does this process need to be added to the Significant Environmental Aspects list?
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Is a Controlled Environment needed for this process?
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Is this a modification to an existing process already documented?
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Does this process vent or exhaust to the outside?
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If Yes, Stack or Exhaust number or location:
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Is an exhaust system or air scrubber required? (Laser , chemicals hazardous/ combustible fumes or dusts created in process, check dust is not accumulating on items )
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Is any Environmental Legislation affected by this process?
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Are any permits / certificates or testing required before process begins?
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Industrial hygiene testing recommended for Air, Noise or Vibration?
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Internal Noise Measurement db Reading ( if applicable )
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Does Electrical equipment have the ESA sticker?
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Has a Pre-Start Safety Review been completed by an engineer and all non-conformances corrected?
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Has a Ergonomic Design Checklist been completed by the line engineer ?
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Has a Hazard assessment / Risk assessment been completed by Engineering ?
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Does all equipment conform to Reg. 851 for Industrial Establishments?
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Has a lock out / tag out placard been posted? Lock out points identified and labelled ?
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Have Operator Instruction sheets been completed and posted? (JES )
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Have equipment specific Pre-Use Inspection sheets been implemented?
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Are additional emergency response or specific procedures or postings required ( robot placards , press specific entrapment, chemical warnings ect)
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Additional Personal Protective Equipment Recommended
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Enter requested PPE ( if applicable )
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Training : EEHS training plan for this change need updating ?
- EEHS training plan needs updating
- Not relevant
- Will be reviewed with HR
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