Title Page
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PCN #
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Resource / Equipment :
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Conducted on
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EEHS reviewer:
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1.0 Which type of change applies:
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1.06.a) Has the ( REAF ) Real Estate Approval Form been submitted to Magna Real Estate for the applicable Change(s)
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1.06. b) Magna corporate has been notified 6 weeks in advance for any new lease, new property construction on exisiting property, decomissioning a building, soil excavation
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1.06. c) Is landlord approval / authorization required?
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1.02.a) Has Magna corporate been notified ?
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1.02. b) Has a REAF, Real Estate Approval Form been sent to Magna for applicable changes?
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1.01.a) Do areas involved in the renovation have asbestos, lead based paint or PCBs?
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1.01.b) Have you notified Magna corporate of change ?
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1.10. a)Have you notified Magna Corporate
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1.10. b) Will change require importing fill soil onto the site?
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1.10. c) Does change require an amendment to site operational permits or approvals ? ( IE. land use zoning, environmental impact approvals)
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1.13.a) Has decomissioning checklist been completed?
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1.13.b) Has ECA modification log been updated to reflect change?
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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 ( 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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1.1 Information on change or modification
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1.2 Are contractors working on the project / change / modification? WSIB, COI, Contractor Orientation, Contractor hazard assesment completed? If yes, which contractor?
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1.3 Will approved production limits on ECA permit be affected or require a increase ?
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1.4 Is this a modification to an existing process already documented?
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1.5 Does this process need to be added to the Environmental Aspects list?
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1.6 Does this process need to be added to the Significant Environmental Aspects list?
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1.7 Is a Controlled Environment needed for this process?
2.0 Training/ Key Personnel / Resources
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2.1 Are there personnel changes such as Emergency planning contacts, Permit notifictions, Notification updates or other resources changes to be made?
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2.1.a) What change needs to be made ?
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2.1.b) Has training matrix been updated and reviewed?
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2.1.c) Has Magna corporate been notified of change?
3.0 Interior / Exterior Subgrade Features
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3.1 If any vegetation or land use around the building is impacted by change, has Magna been notified
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3.2 Will soil be removed?
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3.3 Subgrade Features have been added to the inventory and updated?
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3.4 Are any subgrade features being coated or sealed to prevent contamination?
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3.5 Are subgrade features being closed?
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3.6 Will any materials, waste, or equipent be stored outside ?
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3.7 Is there a risk of contamination to sewers, stormceptors or sanitary system from change? (Now or in the future)
4.0 Wastes, Chemicals, Spills,Designated Substances
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4.1 Are there new chemicals or materials being used in the process?
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4.1 a) Has a New Product Submission been completed and product added to SDS database?
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4.1 b) Has SDS been reviewed for regualtory reportable substances, magna prohibited substances, chemical compatability, proper labelling requirements?
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4.2 Is there any potential for a spill from the change or process?
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4.3 Are there any new hazards or risks with the chemicals involved?
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4.3 a) What new hazards have been identified with the chemicals?
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4.4 Has spill plan inventory been updated including spill kit location /quanity for the new material/ chemical / waste?
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4.5 Are new spill kits required ? if yes,which type of material
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4.6 Does the process /change include the use of flammables or combustibles?
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4.7 Are there any hazardous wastes, liquid industrial wastes,or by-products from this process or change?
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4.7 a) Which hazardous waste area will the wastes be stored in?
- Toolroom- Flammable /Ignitable waste area
- Oil room- Liquid industrial wastes
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4.7 b) Waste class :
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4.8 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
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4.9 Will change increase lubricant, water or scrap in press pit ?
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4.10 Can any of the waste generated be recycled?
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4.11 Are new or specific recycling, hazardous waste or additional garbage bins required ?
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4.11 a) List Type /Details
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4.12 Does the process/change use acids , corrosives or alkalies?
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4.13 Is there any Designated Substances used in this process?
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4.13 a) Has the Designated Substance list been updated ?
5.0 Air Emissions, Energy
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5.1 Does change affect air emissions or are emissions generated?
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5.1 a) Is air emission inventory updated
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5.2 Does this process vent or exhaust to the outside?
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5.2 a) If Yes, Stack or Exhaust number or location:
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5.3 Does change have Ozone depleting substances or refrigerants?
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5.3 a) Has Refrigerant Containing Equipment list been updated and ODS removed or added?
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5.4 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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5.5 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
6.0 General Safety, Ergonomics, Environmental
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6.1 Is there a fire risk associated with the change or process?
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6.2 Is any Environmental Legislation affected by this process?
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6.3 Are any permits / certificates or testing required before process begins?
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6.4 Industrial hygiene testing recommended for Air, Noise or Vibration?
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6.5 Internal Noise Measurement db Reading ( if applicable )
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6.6 Does Electrical equipment have the ESA sticker?
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6.7 Has a Pre-Start Safety Review been completed by an engineer and all non-conformances corrected?
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6.8 Is a Ergonomic Design Checklist Required ?
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6.8 a) Was the EDC completed? Are all design guidelines met and EDC added to HSELinx?
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6.9 Is a Ergonomic Risk Assessment required? (NIOSH, snook,ERA or other)
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6.9 a) Was the ERA completed and added to HSElinx?
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6.10 Has a JSA been completed by Engineering ?
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6.10 a) Does the JSA align with JES? Risk ratings must match, risk methodologies need to be the same
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6.11 Does all equipment conform to Reg. 851 for Industrial Establishments?
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6.12 Are there any new interested parties with this change?
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6.12 a) Update Scope of EEHS Management System SOP 00014 with any new needs and expectations for new interested parties
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6.13 Has a lock out / tag out placard been posted? Lock out points identified and labelled ?
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6.14 Have Job Element Sheets and Safe Work Instructions been completed and posted?
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6.15 Have equipment specific Pre-Use Inspection sheets been implemented?
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6.16 Are additional emergency response or specific procedures or postings required? ( robot placards , press specific entrapment, Injection molding shut down steps, chemical warnings ect)
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6.16 a) What is required? Robot Placards, Press Entrapment, Injection Molding Shut Down Steps, Chemical Warnings, Laser Warning Placards, ect
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6. 17 Additional Personal Protective Equipment Recommended
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6.18 Enter PPE required for the task to be completed safely ( if applicable)
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6.19 Can employees safely access the new area or equipment
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6.19 a) What is required and or what is the issue that requires investigation?
7.0 Coils Press Safety
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7.1Does change involve coils?
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7.1 a) Is the crane in the stamping/coil area able to lift and move the coil safely? (Crane max lift weight acceptable)
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7.1 b) Is there room to safely store the coils in coil area? Do they have a home location ?
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7.1 c) Are the coils in plastic or strapped / wrapped two coils together? ( No black plastic allowed)
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Can the coils be loaded onto mandrel without issue?
Summary
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Signature
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Summary / Notes: