Document Revision

    Revision
  • Date of Revision

  • Who revised the document

  • Details of Revision

Contacts

  • Site Contacts

  • Details of Contact
  • Name

  • Title

  • Phone Number

  • E-Mail

Identification of Machine

  • Make / Model / Identification evidence of machine

  • Photo

  • Use

Guarding

  • Are Light Curtains, Laser Scanners or ESPE of any type being used as machine guarding?

  • Is there current mechanical guarding in place on machinery?

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

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

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

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

  • Are there any unguarded nip points?

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

  • Is a specialist tool required to remove existing guarding?

  • Is the tool stored away from machinery?

  • Is there a permit system in place prior to the removal of guarding?

  • Are all electrical fixtures covered?

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

  • Describe what complementary safety controls are in place?

  • Are AS6157 compliant walkways,platforms and guard rails used to prevent access to dangerous parts?

  • Details of possible improvements according to AS6157.

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

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

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

Findings

Additional Information and comments

Recommendations

Auditee

  • Add signature

Validation of Safety Related Parts of Control System (SRPCS)

SRPCS Validtaion

  • What type of controls are used on this machinery?

  • 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

  • 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

  • Validation Test Results

  • Details of failure and remedial action required.

  • Interlocks (RFID, Magnetic, Mechanical and Solenoid Locking)

  • Validation Test Results

  • Details of failure and remedial action required.

  • Light Curtains, Grids, Scanners, Cameras and Single beam Switches

  • Validation Test Results

  • Details of failure and remedial action required.

  • Is Muting of Light Curtains Used?

  • Muting of Light Curtains, Grids & Scanners

  • Validation Test Results

  • Details of failure and remedial action required.

  • RESET Circuit Testing and Testing of Safety Contactor Feedback

  • Validation Testing Results

  • Details of Failure and remedial action proposed.

  • Validation of Safety Software - Configurable Relays and Safety PLCs - refer to AS4024.1503:2014 & AS62061:2005

  • Safety Relay Types Used

  • Validation Test Results

  • Validation Test Results

  • Details of failure and remedial action required.

  • Complementary Safety Measures Used?

  • Validation Testing Results

  • Details of Solutions and Testing i.e EN574 for Two Hand Controls.

Additional Information

  • Additional Information - any specific solutions not considered by this validation

  • Person Completing Report

  • Select date

  • Add signature

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