Title Page

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Final Safety Buy Off for Machinery and Equipment

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Information Section

  • Program


Station #

  • Start date and time of BUY - OFF review


  • Signature and Date is required by the individual conducting

Machine Guarding

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

  • 2. Are all pinch points eliminated or guarded?

  • 3. Type of guarding used? 3e. Scanner guard?

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

  • 5. Do interlocks shut down cell?

  • 6. Check palm button to restart

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

  • LOTO?


  • 2. Anti-tie down / Anti-repeat?

  • 3. Do the palm buttons have guards?

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

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

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

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

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

  • Robotics

  • 1. Does each Robot have an independent controller with an

  • E-Stop?

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

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

  • 5. Guarding types: 5e. Light Curtain?

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

Control of Hazardous Energy

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

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

Out points?

  • 7. Does the fence have gates with interlocks?

  • 8. Has the control of hazardous light been accomplished? effective? (Can he or she see weld flash?)

  • 9. Has the machine been reviewed for sound emission? 10 Are decibel readings acceptable?

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

  • 15. Are Lock Out hasps attached to gate?

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


  • 1. Was a design Ergonomic risk assessment completed?

  • 2. Was there a build Ergonomic assessment completed?

  • 3. Are working heights acceptable? 3b. What is the furthest reach?

  • 4. Is operator position to tooling acceptable?

  • 5. Is operator position to materials acceptable?

  • 6. Is the operator lifting above 50 lbs?

  • 7. Is there a lift assist in place?

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

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

  • 12. Are Ergo mats in place?

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

  • 14. Are tool balancers needed for tools?

  • 15. Is lighting of work station adequate?

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

Physical Hazards

  • 1. Have risk assessments been completed?

  • 4. The Exits are identified?

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


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

  • 4. Exposed wires, broken conduit,?

  • 5. Are there any covers missing?

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

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

  • 8. Are there any 110 v plugs at the cell? 9 Are high voltage signs used?

  • 10. is there a set of schematics available?

Color Codes

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

  • 2. Are all Guards in caution yellow?

  • 3. Are all moving parts in warning orange?

  • 5. Are start buttons green?

  • 6. Are containers, tankage properly labeled with content with

  • GHS labels and volume?

Exposure Issues

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

  • 2. Are any gases given off or produced?

  • 3. Is any dust produced?

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

  • 7. Will an IH air study be required?

Exposure Control Methods

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

  • 2. Are Engineering dwgs available?

Fire Prevention and Protection

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

  • 3. Are all fire protection equipment accessible? 4h. Other substances not listed

Cranes & Hoists & Lift Assists

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

  • 2. Pendants labeled, tagged?

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


  • Sign Off' s

  • Notes and Comments

  • Enter Date and Time

  • Process Owner

  • Enter Date and Time

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