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Management of Change

Information

Change Initiator

Discription of proposed change

Area of Change

Proposed Date and Time to implement Change?
Safety Review

If the modification affects any ventilation system, will modified ventilation system not comply with appropriate codes and standards?

Does the modification alter the normal permitted discharges to the air or water of the facility? If yes, are any changes needed to existing permits?

Does the modification require that the onsite inventory of hazardous chemicals be increased? If yes, are any additional safeguards or controls needed?

Does the modification require that hazardous chemicals be stored at higher temperatures or pressures than the current configuration?

Does the modification require that hazardous chemical detectors be added?

Are the indications and alarms in the existing plant inadequate for the modified plant?

Does the modification require additional personnel protection measures (e.g., PPE)?

Have the modifications created any additional vulnerabilities to external events which did not exist before (vehicle traffic, fire, water accumulation, high wind, etc.)?

Is electrical power and other services inadequate to meet the demands of the modified plant?

Are the existing site security procedures inadequate?

Are the existing eyewash/safety showers inadequate?

Has the change been reviewed and approved by appropriate facility management?

Other health and safety issues not yet addressed?

Is the existing fire suppression system inadequate for the change in chemical inventory?

Is the warehouse racking capacity inadequate?

Completion

Is the change Permanent or Temporary

Comments

Name and signature

MOC - Safety Review Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 20

This MOC safety review checklist can be used to review minor changes in the organization and ensure that changes implemented in the workplace are safe.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

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Management of Change

Information

Change Initiator

Discription of proposed change

Area of Change

Proposed Date and Time to implement Change?
Safety Review

If the modification affects any ventilation system, will modified ventilation system not comply with appropriate codes and standards?

Does the modification alter the normal permitted discharges to the air or water of the facility? If yes, are any changes needed to existing permits?

Does the modification require that the onsite inventory of hazardous chemicals be increased? If yes, are any additional safeguards or controls needed?

Does the modification require that hazardous chemicals be stored at higher temperatures or pressures than the current configuration?

Does the modification require that hazardous chemical detectors be added?

Are the indications and alarms in the existing plant inadequate for the modified plant?

Does the modification require additional personnel protection measures (e.g., PPE)?

Have the modifications created any additional vulnerabilities to external events which did not exist before (vehicle traffic, fire, water accumulation, high wind, etc.)?

Is electrical power and other services inadequate to meet the demands of the modified plant?

Are the existing site security procedures inadequate?

Are the existing eyewash/safety showers inadequate?

Has the change been reviewed and approved by appropriate facility management?

Other health and safety issues not yet addressed?

Is the existing fire suppression system inadequate for the change in chemical inventory?

Is the warehouse racking capacity inadequate?

Completion

Is the change Permanent or Temporary

Comments

Name and signature