SAFETY - EQUIPMENT REVIEW

• PROJECT NAME

• Project Leader

  Edwin Horna

  Scotty Garret

  Patrick Parker

• Date

  Date

• The department where system will be installed:

  Select Production Quality Pilot Plant

  • Production
  • Quality
  • Pilot Plant

• Manager of the Department

  Tonia Boutelle

  Robert Rabun

  Dan Hammonds

• MANUFACTURING LINE

  Select Line 1 Line 2 Common System

  • Line 1
  • Line 2
  • Common System

• Additional Observers

• Additional comments

• Prepared by:

Equipment #1

• Name

• Picture of the piece of equipment

  Media

• ASSES THE RISK - What is the risk level of this system?

  Low

  Medium

  High Risk

PROCESS

• Are there standard procedures for this job?. If not, what are the action plans? <br> (If not necessary, select N.A)

  Yes

  No

  N/A

ELECTRICAL ASSESMENT

• Has the electrical system been installed according to the electrical plan and drawings? <br><br>Have the electrical hazards been removed. If not describe the problem and take a picture

  Safe

  At Risk

  N/A

MECHANICAL ASSESMENT

• Has the mechanical system been installed according to the plan and layout? <br><br>Have the mechanical hazards been removed or controlled? If not, describe the problem and take a picture

  Safe

  At Risk

  N/A

Additional Equipment

• Is there additional pieces of equipment?

  YES

  NO

Equipment #2

• Name

• Picture of the piece of equipment

  Media

• ASSES THE RISK - What is the risk level of this system?

  Low

  Medium

  High Risk

PROCESS

• Are there standard procedures for this job?. If not, what are the action plans? <br> (If not necessary, select N.A)

  Yes

  No

  N/A

ELECTRICAL ASSESMENT

• Has the electrical system been installed according to the electrical plan and drawings? <br><br>Have the electrical hazards been removed. If not describe the problem and take a picture

  Safe

  At Risk

  N/A

MECHANICAL ASSESMENT

• Has the mechanical system been installed according to the plan and layout? <br><br>Have the mechanical hazards been removed or controlled? If not, describe the problem and take a picture

  Safe

  At Risk

  N/A

Additional Equipment

• Is there additional pieces of equipment?

  YES

  NO

Equipment #3

• Name

• Picture of the piece of equipment

  Media

• ASSES THE RISK - What is the risk level of this system?

  Low

  Medium

  High Risk

PROCESS

• Are there standard procedures for this job?. If not, what are the action plans? <br> (If not necessary, select N.A)

  Yes

  No

  N/A

ELECTRICAL ASSESMENT

• Has the electrical system been installed according to the electrical plan and drawings? <br><br>Have the electrical hazards been removed. If not describe the problem and take a picture

  Safe

  At Risk

  N/A

MECHANICAL ASSESMENT

• Has the mechanical system been installed according to the plan and layout? <br><br>Have the mechanical hazards been removed or controlled? If not, describe the problem and take a picture

  Safe

  At Risk

  N/A

• Select date

  Date

• Add signature

  Sign