Title Page

  • PCN #

  • Resource / Equipment :

  • Process Control Document #

  • Conducted on

  • EEHS reviewer:

  • Which type of change applies:

  • 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 ( painting- changes to ECA permit operations, changes in plant or process) Magna Environmental Department MUST be notified as soon as possible.

  • Information on change or modification

  • Are contractors working on the project / change / modification? WSIB, COI, Contractor Orientation, Contractor hazard assesment completed? If yes, which contractor?

  • Will approved production limits on ECA permit be affected or require a increase ?

  • Does the process /change include the use of flammables or combustibles?

  • Are there new chemcials being used in the process

  • Has a New Product Submission been completed and product added to SDS database?

  • Are there any new hazards or risks with the chemical involved?

  • Are new spill kits required ? if yes,which type of material

  • Will quantities for chemicals ( resins, adhesive, lubricants, plastic pellets, ect) or metals ( stainless steel, aluminum, coils, wires) increase ? If yes verify substance notification requirements, NPRI, Spill plan

  • Does the process/change use acids , corrosives or alkalies?

  • Is there any Designated Substances used in this process?

  • Has the Designated Substance list been updated ?

  • Is there any potential for a spill from the change or process?

  • Is there a fire risk associated with the change or process?

  • Will change increase lubricant, water or scrap in press pit ?

  • Does change involve coils?

  • Is the crane in the stamping/coil area able to lift and move the coil safely? (Crane max lift weight acceptable)

  • Is there room to safely store the coils and can the coils be loaded onto mandrel without issue?

  • Can any of the waste generated be recycled?

  • Are there any hazardous wastes or by-products from this process or change?

  • Which hazardous waste area will the wastes be stored in?

  • Waste class :

  • Are new or specific recycling, hazardous waste or additional garbage bins required ? List type /details

  • Would the machine / process increase the energy usage ? Water , Electricity ,Gas

  • Does this process need to be added to the Environmental Aspects list?

  • Does this process need to be added to the Significant Environmental Aspects list?

  • Is a Controlled Environment needed for this process?

  • Is this a modification to an existing process already documented?

  • Does this process vent or exhaust to the outside?

  • If Yes, Stack or Exhaust number or location:

  • 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 )

  • Is any Environmental Legislation affected by this process?

  • Are any permits / certificates or testing required before process begins?

  • Industrial hygiene testing recommended for Air, Noise or Vibration?

  • Internal Noise Measurement db Reading ( if applicable )

  • Does Electrical equipment have the ESA sticker?

  • Has a Pre-Start Safety Review been completed by an engineer and all non-conformances corrected?

  • Is a Ergonomic Design Checklist Required ?

  • Was the EDC completed? Are all design guidelines met and EDC added to HSELinx?

  • Is a Ergonomic Risk Assessment required? (NIOSH, snook,ERA or other)

  • Was the ERA completed and added to HSElinx?

  • Has a JSA been completed by Engineering ?

  • Does the JSA align with JES? Risk ratings must match, risk methodologies need to be the same

  • Does all equipment conform to Reg. 851 for Industrial Establishments?

  • Has a lock out / tag out placard been posted? Lock out points identified and labelled ?

  • Have Job Element Sheets and Safe Work Instructions been completed and posted?

  • Have equipment specific Pre-Use Inspection sheets been implemented?

  • Are additional emergency response or specific procedures or postings required ( robot placards , press specific entrapment, Injection molding shut down steps, chemical warnings ect)

  • Additional Personal Protective Equipment Recommended

  • Enter requested PPE ( if applicable )

  • Training : EEHS training plan for this change need updating ?

  • Can employees safely access the new area or equipment

  • What is required and or what is the issue that requires investigation?

  • Add signature

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