Title Page

  • Conducted on

  • Prepared by

Machine Components

1. Equipment List

  • PLC controller

  • PLC Controller picture

  • Switch Cell NAT


  • HMI


  • I/O in Cabinet


  • I/O on Machine


  • I/O on Tool


  • Printer Cell


  • Remote Controller


  • Switch Embedded


  • Guard locking and access control


  • Ethernet switches, connectors, and cables

  • Valves

  • Identification Rules Ethernet Device and cables
    - Device ID family+ Number
    - IP address
    - Ethernet cable: example CLX1/HMI1.1

  • If not record what is there and take pictures

  • ID rules for Network Devices and Cables picture

  • Laser Etcher

  • Programming Port and Outlet

Machine Sign out Checklist

Machine Acceptance Checklist

  • 1. Is this a new technology or process that requires special evaluation?

  • 2. Has the supplier provided the receiving Plant ME and Plant HSE Engineer with a document confirming that the equipment being shipped?

  • 3. The design Review documentation available showing conformance to the FCM specs and EHSR &Ergonomics requirements?

  • 4. Easy access to tooling, adjustments, or gages AND easy replacement of valves, cylinders, toiling, etc?

  • 5. Fixtures labeled with Capacity Rating AND designed to avoid personnel falling off?

  • 6. Colors<br>

  • 7. Components list and spare parts

  • Documentation list

  • 3rd party SISTEMA report

  • As-Built Electrical and MECHANICAL drawings

  • Complete Sequence of Operation

  • Printed and Electronic copies of all software programs

  • Operator AND Maintenance Manuals

  • Connection diagrams for all components

  • Completed Risk Assessment

  • Completed Failure Modes and Effects Analysis

  • FCM provided asset number

  • The safety related control systems FAIL SAFE. All the push buttons are outside the danger zone


General HSE Requirements

  • Cycle control have button located separate from electrical cabinets

  • Trap door are required space increasing distance between equipment

  • Total width of manufacturing equipment is equal or less than 120% of part width

  • When practical based on size, weight, and movement requirements is manufacturing equipment mounted on wheels?

  • Levels 1 and 2 maintanence can be performed by operators without moving the manufacturing equipment? (FCM TPM)

  • The equipment designed at different Takt times?

  • Auto eject present

  • The completed part is taken out of the machine at the same location at which it was put in?

  • Designed to stop if produces bad parts? (POKE Yoke validated)

  • The cycle start button can be reallocated on the machine under satisfactory safety conditions (light guard to pass MR #4

  • Single part every cycle

  • The machine can be started up instantly AND the 1st piece OK check can be done within one cycle time?

Quality and Reliability

  • The machine can’t pass bad parts. Poka Yoke to address all S/R, KCC (critical characteristics of the produce), and KPC as defined in the previously completed Designed Failure Modes Effects Analysis (DFMEA) and Process Failure Modes Effects Analysis (PFMEA)

  • Poka Yoke confirmed?

  • A 20h dry run has been completed at the supplier?

  • A sample run has been performed at the supplier facility including a full tool change over in less than 10 min or deviation

  • Safety controller?


Design Specs

  • RA Software Integrated Architecture Builder (IAB)

  • HMI instructions

  • - Network IP addresses list

  • - Device Part Numbers

  • - how to use HMI

  • - how to use machine

  • - faults explanation and possible solutions

  • Electrical Cabinet picture

  • SISTEMA software Design

Collected data

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PLC code

  • Data Log

  • Give them data log template excel file

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.