InterDesign Safety Validation

• Conducted on

  Date

• Prepared by

  Select

Document Revision

Identification of Machine

• Make / Model / Identification evidence of machine

• Photo

  Media

• Use

Guarding

• Is there current mechanical guarding in place on machinery?

  Yes

  No

• Is guarding ZERO ACCESS i.e. sufficient to prevent access to the moving parts?

  Yes

  No

• Describe what additional controls are in place, if any?

• Are the gaps adequate to prevent accidental access to dangerous moving parts?

  Yes

  No

• Describe what additional controls are in place, if any?

• Are there any unguarded nip points?

  Yes

  No

• Describe what additional controls are in place, if any?

• Is there a Lock Out/Tag Out system in place prior to the removal of guarding?

  Yes

  No

  N/A

• Are all electrical fixtures covered?

  Yes

  No

  N/A

• Is there a need for integrated guarding (eg two handed operation due to exposed dangerous components while in use)?

  Yes

  No

• Describe what complementary safety controls are in place?

• Is there suitable access for servicing eg removable section to service, maintenance, removable panels to allow access to adjust bolts etc?

  Yes

  No

  N/A

• Are guards secured eg mounting bolts tightened, grills secured?

  Yes

  No

  N/A

• Are safety isolation lock out devices (LOTO) fitted and tested as operational?

  Yes

  No

  N/A

Findings

• Were any deficiencies found?

  Yes

  No

  N/A

• What are the deficiencies?

  Yes

  No

  N/A

Recommendations

• undefined

Auditee

• Add signature

  Sign

SRPCS Validtaion

• What type of controls are used on this machinery?

  Select Fixed Guarding Interlocked Guarding Type 4 Safety Light Barriers (Res > 50mm) Type 4 Safety Light Curtains (Res <50mm) Safety Laser Scanner (Cat3,PLd) Type 2 Safety Light Curtains (Res <50mm) Type 2 Safety Light Barriers (Res > 50mm) RFID Guard Switches Magnetic Safety Switches Two Hand Control type IIIC (upto Cat 4,PLe) Hold To Run (Enable Switches) Slow Speed Safety Jog Control Safety Mats or Edges Solenoid Locking Safety Switches Key Exchange Mechanical Latches Safety Relays Safety Configurable Relays (LVL acc. AS4024.1503:2014 Safety PLC (AS62061 SIL3 compliant) STO enabled Drive Emergency Stop Safety Contactors Safety Interlocks Lanyard Emergency Stop Safe Speed Detection Standstill Monitoring (Back EMF, or Proximity Devices) Safe Camera System

  • Fixed Guarding
  • Interlocked Guarding
  • Type 4 Safety Light Barriers (Res > 50mm)
  • Type 4 Safety Light Curtains (Res <50mm)
  • Safety Laser Scanner (Cat3,PLd)
  • Type 2 Safety Light Curtains (Res <50mm)
  • Type 2 Safety Light Barriers (Res > 50mm)
  • RFID Guard Switches
  • Magnetic Safety Switches
  • Two Hand Control type IIIC (upto Cat 4,PLe)
  • Hold To Run (Enable Switches)
  • Slow Speed Safety Jog Control
  • Safety Mats or Edges
  • Solenoid Locking Safety Switches
  • Key Exchange Mechanical Latches
  • Safety Relays
  • Safety Configurable Relays (LVL acc. AS4024.1503:2014
  • Safety PLC (AS62061 SIL3 compliant)
  • STO enabled Drive
  • Emergency Stop
  • Safety Contactors
  • Safety Interlocks
  • Lanyard Emergency Stop
  • Safe Speed Detection
  • Standstill Monitoring (Back EMF, or Proximity Devices)
  • Safe Camera System

• Have all reasonable measures been taken to place the Safety Devices far enough away from the hazards to ensure machine comes to a stop before reaching the hazard? See standards such as AS4024:2801 for guidance

  Yes

  No

  N/A

• Please detail your assumptions and how what you have done is equal to or better than the current state of knowledge - i.e. AS4024:2801

Validation Testing - Fault Analysis of SRPCS Devices Used

• Emergency Stops & Lanyard Switches

  Select Cross Short Test between input Channels (Cat 3 & 4) Input Channel Lost Signal (removal of one channel) 24vDC intrusion Earth Fault or 0v test where applicable

  • Cross Short Test between input Channels (Cat 3 & 4)
  • Input Channel Lost Signal (removal of one channel)
  • 24vDC intrusion
  • Earth Fault or 0v test where applicable

• Validation Test Results

  Pass

  Fail

• Details of failure and remedial action required.

• Complementary Safety Measures Used?

  Select Two Hand Controls Enable Switches - Hold To Run Safe Speed Monitoring Standstill Monitoring Foot Switches None Used

  • Two Hand Controls
  • Enable Switches - Hold To Run
  • Safe Speed Monitoring
  • Standstill Monitoring
  • Foot Switches
  • None Used

• Validation Testing Results

  Pass

  Fail

• Person Completing Report

  Select