Title Page
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Site conducted
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Conducted on
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Prepared by
Instruction
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Please sign to acknowledge you have read and understood the instruction listed above.
Part 1 - New, Altered and Relocated Equipment Acceptance Checklist
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Plant Location
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Date of this Assessment
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Is this a new piece of equipment?
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If Relocated, From Where? Date it was Relocated?
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Equipment Description
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Manufacturer
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Model #
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Serial #
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Date of installation
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The person completing this checklist, Name, and title.
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Person('s) assisting with this checklist, Name, and title.
Element: Machine Controls
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Do all stop buttons operate properly?
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The machine can not be placed into operation until all stop buttons are functioning.
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Do all emergency stops (buttons, pull cords, light barriers, etc) operated properly?
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The machine can not be placed into operation until all emergency stop controls are functioning.
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Do all run, jog, reset, or other machine controls work properly?
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The machine can not be placed into operation until all machine controls are functioning.
Element: Machine Safe Guards
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Are all guards in place?
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The machine can not be placed into operation until all guarding is in place.
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Are all nip/pinch point guarded?
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The machine can not be placed into operation until all nip/pinch points are guarded.
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Are all chains, sprockets within operators reach guarded?
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The machine can not be placed into operation until all sprockets within reach are guarded.
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Are all rotating shaft ends that protrude > half their diameter guarded with a non-rotation cap or sleeve?
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Are all guards regardless of the construction method, rigid enough to prevent it from contacting moving parts?
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Are guards of appropriate construction to protect against, sparks, flying debris, in-running nip points?
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Are fan blades exposed?
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Exposed blades need to be guarded.
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Are the machine adjustments that need to be performed while running, outside of the guards?
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Can the adjustment controls be relocated to be in a safe area?
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Controls need to be relocated.
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Special provisions will need to be given by the safety and site leadership to operate the machine.
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Are existing guards free from damage or defects?
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Guards will need to be fixed or replaced.
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Are all guards securely attached to the machine or equipment?
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All guards will need to be attached securely.
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Are all interlocks operating properly?
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All interlocks will need to be operational prior to the machine going into operation.
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Are all guards that are not permanently affixed to the machine or equipment interlocked into the drive circuitry?
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Guards will need to be interlocked into the drive circuitry prior to the machine going into operation.
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Are interlocked guards connected to the machine or equipment in a way that requires the operator to restart the machine or equipment from a control panel once the guard that stopped operation has been reset?
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The interlock circuit will need to be connected in a way that does not allow the machine to restart automatically.
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Are guard materials compatible with the operating environment?
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The guards will need to be compatible with the environment.
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Are all emergency stops, such as pull cords and pushbuttons color-coded red and/or labeled?
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The emergency stops will need to be labeled or color-coded red.
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Are emergency stops located where they are reachable from a potential hazard point they are intended to protect?
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An emergency stop will need to be placed in the appropriate area.
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Are emergency stops connected to the machine or equipment in a way that requires a reset and or restart from a control panel?
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The emergency stop will need to be connected in such a way that that will not allow the machine to restart automatically.
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Is there a visual or audible alert prior to the machine or equipment start?
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Are guard edges and access openings free of sharp edges or protrusions that can injure an operator or prevent the operator from easily exiting from the area?
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Are guards manufactured in such a manner so they will stay open by themselves?
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If light barriers/curtains are added post-manufacture do they meet current ANSI/OSHA standards for placement and function?
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Do all safety limit switches function as designed?
Element - Accessibility for Maintenance and Operation
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Is there adequate accessibility for routine maintenance and inspection?
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Is a hoist required for routine maintenance and operation?
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Is the hoist adequately rated for the intended function?
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Has the hoist been independently inspected and approved prior to operation?
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Are lifting lugs, hooks, or eyes needed for removal of any components?
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Are lifting lugs, hooks, or eyes available at point of use?
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Are any permanent ladders or platforms required for maintenance or operation?
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Do the ladders or platforms meet OSHA requirements?
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Are valves and pipes clearly marked for content and flow?
Element - Lockout/Tagout
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Are written lockout/tagout procedures completed for this machine or equipment?
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A written lockout/tagout procedure must be created and approved by the site leadership within10 days of this assessment.
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Are employees trained in the execution of lockout/tagout?
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Employees need to be trained in the execution of lockout/tagout prior to performing any task that requires energy isolation.
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Is zero energy attainable for electrical
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Is zero energy attainable for mechanical
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Is zero energy attainable for thermal
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Is zero energy attainable for gravity
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Is zero energy attainable for hydraulic
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Is zero energy attainable for pneumatic
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Is zero energy attainable for chemical
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Is zero energy attainable for stored energy
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Are alternative safe methods for energy control other than lockout/tagout used?
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Is the alternate safe method for energy control documented?
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A written document for alternative safe energy control must be created and approved by site safety/leadership and all affected employees trained prior to the method being used.
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Are energy isolation devices placed at, near, or in a central location that is accessible to employees?
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Are lockout points labeled or identified?
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Lockout points need to be labeled or identified with in 10 days of this assessment.
Element - Noise
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Has a sound level survey been conducted for the use of this machine?
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A sound level survey needs to be conducted.
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is hearing protection required to operate this machine or equipment?
Element - Fluids and Compressed Air
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Are pressure relief valves present?
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Do they have a manufactures test certificate?
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Independent testing of proper operation of the relief valve must be obtained or the valve must be replaced with one that has a test certificate.
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Does piping indicate content and flow direction?
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Are valves directed away from operating personnel?
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All valves need to be directed away from operating personnel.
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Do air/plumbing lines present a trip hazard?
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Air and plumbing lines need to be installed in a manner that does not present a trip hazard.
Element - Electrical
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Is there an adequate number of convenience receptacles available for support equipment?
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Additional convenience receptacles need to be installed.
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Are wires and cables neatly contained as not to create a trip hazard?
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All wires and cables need to be installed in a manner that does not present a trip hazard.
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Are all electrical wires and cables secured and away from sharp edges and rotating parts?
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All cables and wires need to be installed in a manner that does not place them by rotating parts or sharp edges.
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Are GFCI receptacles required for this area?
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Are the receptacles GFCI or is the circuit on a GFCI breaker?
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Receptacles or circuit will need to be changed to meet GFCI requirements prior to being used.
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Does this machine or equipment need to be classified as explosion-proof?
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Is this machine or equipment explosion-proof?
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This machine or equipment must not be powered up until it has been certified as explosion-proof.
Element - Walking & Working Surfaces
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Are handrails present on walkways?
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Is the top rail at 42", mid-rail at 21" and a 4" toeboard
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Are stairs present with more than 4 risers?
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Is the top handrail between 30" and 34" with the mid-rail between the top rail and stair tread?
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Minimum stair tread width is 22"
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Are fixed stairs at an angle between 30 and 50 degrees?
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Are stairs equipped non-skid surfaces?
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Surfaces must be equipped with a non-skid surface.
Element - Employee Training and Equipment Manuals
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Did all service and operating manuals accompany the machine or equipment?
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The site is responsible for obtaining a set of manuals.
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Has employee training been conducted and documented prior to the machine or equipment starting commercial production?
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Only employees that are trained or in training can operate the equipment. If the employee is in training they must be accompanied by a trained employee or demonstrator.
Element - Performance Acceptance
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Startup Process
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Safety
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Control System
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Are all print/finishing units operational
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Are all logistics functioning as designed
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Print to cut accuracy needs to meet machine specifications.
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Die station needs to meet manufacturers' specifications for function.
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Finished roll inter label cutting accuracy +/- 1.25mm if applicable.
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Finished roll profile, not dished.
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Print to print registration accuracy per machine specifications.
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Unwind/auto splicer functional at operating speed.
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Rewind functional at operating speed.
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Screen unit functioning if applicable.
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Hot stamp unit functioning if applicable.
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Inspection system functional at operating speeds.
Completion Page
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The equipment has been installed in accordance with the specifications outlined above. Since the equipment performance has been verified as satisfactory, site acceptance is complete.
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Name and Title of receiving plant Operations Manager
