Final Safety Buy Off for machinery and equipment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Information Section

• Program

• Line

• Station #

SAFETY BUY-OFF INSTRUCTIONS

• Signature required by the individual conducting

• Date

  Date

Machine Guarding

• 1. All rotating components, gears, shafts, and belts guarded?

  Yes

  No

  N/A

• 2. Are all pinch points eliminated or guarded?

  Yes

  No

  N/A

• 3. Type of guarding used?

  Yes

  No

  N/A

• 3a. Fixed?<br>

  Yes

  No

  N/A

• 3b. Light curtains?

  Yes

  No

  N/A

• 3c. Are light curtain calculations available

  Yes

  No

  N/A

• 3d.obtain copy of calculations

  Yes

  No

  N/A

• 3e. Scanner guard?

  Yes

  No

  N/A

• 4. Are interlocks installed and operational w/ LOTO ability?

  Yes

  No

  N/A

• 5. Do interlocks shut down cell?

  Yes

  No

  N/A

• 6. Check palm button to restart

  Yes

  No

  N/A

• 7. Are there lighting changes within the cell to inform TM's of LOTO?

  Yes

  No

  N/A

Controls

• 1. Are Palm buttons install and is there one for each operator at the station?

  Yes

  No

  N/A

• 2. Anti-tie down / Anti-repeat?

  Yes

  No

  N/A

• 3. Do the palm buttons have guards?

  Yes

  No

  N/A

• 4. Are the palm buttons placed in such a manner as to have ease of access and the operator is clear of hazards and danger?

  Yes

  No

  N/A

• 5. Are E-Stops in place, visible, and marked with red buttons?

  Yes

  No

  N/A

• 6. Are there E-Stop Cables and is the cable red and accessible?

  Yes

  No

  N/A

• 7. Are either style of E-Stop within reach of the operator?

  Yes

  No

  N/A

• 8. Are Stack lights or operational lights used for the work cell?

  Yes

  No

  N/A

• 9. Are the stack lights visible by the operator at the work cell?

  Yes

  No

  N/A

Robotics

• 1. Does each Robot have an independent controller with an E-stop?

  Yes

  No

  N/A

• 2. Is there an E-Stop on the teach pendent for each unit?

  Yes

  No

  N/A

• 3. Does activation of an E-stop on a teach pendent stop all robotic movement for all robots?

  Yes

  No

  N/A

• 4. Do the robot(s) have amber lights installed?

  Yes

  No

  N/A

• 5. Guarding types:

  Yes

  No

  N/A

• 5a. Muting Switches?

  Yes

  No

  N/A

• 5b. Hard stops?

  Yes

  No

  N/A

• 5c. Hand Cuffs?

  Yes

  No

  N/A

• 5d. Physical barrier? (fence, hard curtain)

  Yes

  No

  N/A

• 5e. Light curtain?

  Yes

  No

  N/A

• 6. Light curtain distance calculations available? (attach copy)

  Yes

  No

  N/A

• 7. Robotic risk assessment complete and available? (attach copy)

  Yes

  No

  N/A

Control of Hazardous Energy

• 1. Is the machine or equipment capable of being Locked Out?

  Yes

  No

  N/A

• 2. Is there an schematic drawing posted that indicates Lock Out points?

  Yes

  No

  N/A

• 3. Are Electrical points identified on drawing and machine? (disconnects, interlocks, switches)

  Yes

  No

  N/A

• 4. Are Pneumatic points identified on drawing and machine? (dump valves, pressure relief valves, gauges, piping hoses,<br>fittings, etc.)

  Yes

  No

  N/A

• 5. Are Hydraulic points identified on drawing and machine? (gauges, hoses, valves, pressure relief, blanking capable, etc.)

  Yes

  No

  N/A

• 6. Is there a set of drawings for the pneumatic and hydraulic systems?

  Yes

  No

  N/A

• 7. Does the fence have gates with interlocks?

  Yes

  No

  N/A

• 8. Has the control of hazardous light been accomplished?

  Yes

  No

  N/A

• 8a. Methods used for light reduction from operator point effective? (Can he or she see weld flash?)

  Yes

  No

  N/A

• 9. Has the machine been reviewed for sound emission?

  Yes

  No

  N/A

• 10 Are decibel readings acceptable?

  Yes

  No

  N/A

• 11. Has gravity as an energy source been evaluated and is there a hazard?

  Yes

  No

  N/A

• 12. Do the stored energy points have ID's and labels?

  Yes

  No

  N/A

• 13. Are Lock Out points ID'd in red (hasp, gate points, knobs, etc.)?

  Yes

  No

  N/A

• 14. Are Lock Out Placard's installed at each and all entry points?<br>

  Yes

  No

  N/A

• 15. Are Lock Out hasps attached to gate?

  Yes

  No

  N/A

• 16. Is there a picture of a proper lock out on each entry point?

  Yes

  No

  N/A

Ergonomics

• 1. Was a design Ergonomic risk assessment completed?

  Yes

  No

  N/A

• 2. Was there a build Ergonomic assessment completed?

  Yes

  No

  N/A

• 3. Are working heights acceptable?

  Yes

  No

  N/A

• 3a. What is the highest reach?

  Yes

  No

  N/A

• 3b. What is the furthest reach?

  Yes

  No

  N/A

• 4. Is operator position to tooling acceptable?

  Yes

  No

  N/A

• 5. Is operator position to materials acceptable?

  Yes

  No

  N/A

• 6. Is the operator lifting above 50 lbs?

  Yes

  No

  N/A

• 7. Is there a lift assist in place?

  Yes

  No

  N/A

• 8. Is the operator conducting repetitive motions in ergonomic body range?

  Yes

  No

  N/A

• 9. Is a lift assist table needed to bring materials in range of operator reach?

  Yes

  No

  N/A

• 10. Has a ERA or NIOSH calculations been completed?

  Yes

  No

  N/A

• 11. Are carts used to deliver materials to cell?

  Yes

  No

  N/A

• 12. Are Ergo mats in place?

  Yes

  No

  N/A

• 13. Are tool rest required for tool storage between cycles?

  Yes

  No

  N/A

• 14. Are tool balancers needed for tools?

  Yes

  No

  N/A

• 15. Is lighting of work station adequate?

  Yes

  No

  N/A

• 16. Has Ergonomic Ace been used to evaluate waste?

  Yes

  No

  N/A

Physical Hazards

• 1. Have risk assessments been completed?

  Yes

  No

  N/A

• 2. Does the work area have a minimum of 28 inches ingress /egress for the operator from cell or work station to a clears isle?

  Yes

  No

  N/A

• 3. Is there an isle with a minimum of 36 inches width for the operator to travel to an exit door?

  Yes

  No

  N/A

• 4. The Exits are identified?

  Yes

  No

  N/A

• 5. Trip hazards have been identified and eliminated on the outside of the cell? (i.e. cable tray, cables, pipes, air lines, etc.)<br>

  Yes

  No

  N/A

• 6. Trip hazards have been identified and eliminated on the inside of the cell? (i.e. cable tray, cables, pipes, air lines, etc.)

  Yes

  No

  N/A

• 7. All sharp corners have been identified and eliminated?

  Yes

  No

  N/A

• 8. All potential slip hazards have been identified and eliminated?

  Yes

  No

  N/A

• 9. There are Safety guards at work level and overhead where required?

  Yes

  No

  N/A

• 10. The catwalks or access ladders are in place and meet OSHA and ANSI regulations?

  Yes

  No

  N/A

• 11. All ladders have a swing gate that opens away from ladder?

  Yes

  No

  N/A

• 12. Fencing around cell has opening at floor of less than 8 inches?

  Yes

  No

  N/A

• 13. All guardrails are no less than 36 inches in height and no more 42 inches above guard surface with mid rail and toe board?<br>

  Yes

  No

  N/A

• 14. All structural components, floors, mezzanines, racks. etc. are marked with load limits?

  Yes

  No

  N/A

Electrical

• 1. Are all Electrical Panels Labeled with the following: Voltage and Amps?

  Yes

  No

  N/A

• 2. Does each Electrical panel list - supply from and supply to?

  Yes

  No

  N/A

• 3. On the inside of a covered panel is there list of what each breaker supplies?

  Yes

  No

  N/A

• 4. Exposed wires, broken conduit,?

  Yes

  No

  N/A

• 5. Are there any covers missing?

  Yes

  No

  N/A

• 6. Are there any use of extension cords or surge protectors?

  Yes

  No

  N/A

• 7. Are all switches on exterior of panels clearly marked?

  Yes

  No

  N/A

• 8. Are there any 110 v plugs at the cell?

  Yes

  No

  N/A

• 9 Are high voltage signs used?

  Yes

  No

  N/A

• 10. is there a set of schematics available?

  Yes

  No

  N/A

Color Codes

• 1. Is all piping labeled according to ANSI and Magna standard?

  Yes

  No

  N/A

• 2. Are all Guards in caution yellow?

  Yes

  No

  N/A

• 3. Are all moving parts in warning orange?

  Yes

  No

  N/A

• 4. Are Emergency stops in red buttons or knobs with a yellow background and clearly marked?<br>

  Yes

  No

  N/A

• 5. Are start buttons green?

  Yes

  No

  N/A

• 6. Are containers, tankage properly labeled with content with GHS labels and volume?

  Yes

  No

  N/A

Exposure Issues

• 1. Are any vapors give off product or produced?

  Yes

  No

  N/A

• 2. Are any gases given off or produced?

  Yes

  No

  N/A

• 3. Is any dust produced?

  Yes

  No

  N/A

• 4. IS there any mist given off or produced?

  Yes

  No

  N/A

• 5. Have the Chemicals used in the process gone through approval process?

  Yes

  No

  N/A

• 6. Are SDS's available for all process, maintenance, and general use chemicals?<br>

  Yes

  No

  N/A

• 7. Will an IH air study be required?

  Yes

  No

  N/A

Exposure Control Methods

• 1. Are local exhaust hoods used in the process?

  Yes

  No

  N/A

• 2. Are Engineering dwgs available?

  Yes

  No

  N/A

• 3. Does the building have adequate ventilation and / or exhaust?

  Yes

  No

  N/A

Fire Prevention and Protection

• 1. All fire protection required is in place, extinguishers, sprinklers, flammable storage cabinets, etc.?

  Yes

  No

  N/A

• 2. Are all fire protection equipment ID' s in RED?

  Yes

  No

  N/A

• 3. Are all fire protection equipment accessible?

  Yes

  No

  N/A

• 4. Are any hazardous substances used in this station or nearby?<br>

  Yes

  No

  N/A

• 4a. Corrosive?

  Yes

  No

  N/A

• 4b. Acids?

  Yes

  No

  N/A

• 4c. Flammable Liquids (solvents)?

  Yes

  No

  N/A

• 4d. Flammable gases?

  Yes

  No

  N/A

• 4e. Combustibles liquids?

  Yes

  No

  N/A

• 4f. Combustible gases?

  Yes

  No

  N/A

• 4g. Oxidizer?

  Yes

  No

  N/A

• 4h. Other substances not listed?

  Yes

  No

  N/A

Cranes & Hoists & Lift Assists

• 1. Load rated system, system capacity, posted ratings?

  Yes

  No

  N/A

• 2. Pendants labeled, tagged?

  Yes

  No

  N/A

• 3. E-stop buttons labeled and visible? movement?

  Yes

  No

  N/A

• 4 Are there warning devises that alert by standers of movement?<br>

  Yes

  No

  N/A

Acoustics

• 1. Engineering controls for hearing protection have been evaluated, i.e. use of muffler, acoustical enclosure, vibration mounts, proper lubrication, sound absorbing material?

  Yes

  No

  N/A

Sign Off's

• Notes and Comments

• This process has passed this initial inspection with associated notes and action items sent to appropriate team members.

• Name of Auditor

• Enter Date and Time

  Date

• Process Owner

• Enter Date and Time

  Date