Equipment Commissioning Checklist
Equipment Commissioning ChecklistForm Number/Rev #
EHS-00017-F1 R17
Equipment Commissioning ChecklistEHS-00017-F1 R17
Applicant: Date of Commissioning:
Name of Organization: //
Tool Owner:
Tool IdentificationEquipment Description
Tool ID Code:
Tool Name:
Supplier:
Model:
Equipment Status
FORMCHECKBOX
New - anticipated arrival date - / /
FORMCHECKBOX
Relocated (equipment must be decontaminated) - FORMCHECKBOX from other location
FORMCHECKBOX from within CNSE Facilities
FORMCHECKBOX
Change to Existing Installation (only complete sections that apply)
Description of Change(s):
Responsible PartiesCode (R)Full NameInitialsPhone #
Installation Coordinator
IC
Tool Owner
TO
Tool Engineer/
Equipment EngineerTE/EE
CNSEEnvironmental,
Health & SafetyEHS
CNSE Facilities Tool Hook-up Manager-
This checklist is for use in approving the completed installation of tools using Hazardous Production Materials (HPM) and equipment for commissioning to be used in the CNSE Facilities. The checklist is divided into two (2) parts. Part 1 covers the electrical, mechanical, non-HPM chemicals and facilities release. Part 2 covers the release of all Hazardous Production Materials and Physical Hazards for tool/equipment operation. This checklist must be completed prior to releasing the tool/equipment to the tool owner for process transition and operational use.
Part 1 Equipment Commissioning ChecklistElectrical & Mechanical Activation, Non-HPM Chemicals and Facilities ReleaseIn some cases electrical energy must be supplied to execute portions of the Part 1 Checklist. Necessary electrical power circuits may be released from LOTO, following approval from CNSE Facilities EHS, in order to check proper operation of these subsystems. The circuits must then be returned to a LOTO state until Part 1 is approved.
When the Part 1 Checklist is fully and successfully completed, all electrical power, vacuum, non-HPM chemical and water facilities may be activated. All other systems associated with the tool/equipment (i.e. physical, HPM chemical, radiation, or other hazards) must remain completely locked out until installation is complete and the Part 2 Checklist is approved.
FORMCHECKBOX NAA. Electrical Matrix
List all sources of electricity to the tool/equipment (IC)
Name of Panel / FeederVoltage (V)PhaseCurrent (A)Breaker Size
(A)Lockable
Disconnect?
List VoltageTested & Verified?
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX NAB. Electrical Safety RequirementsICTE/EE EHS
1. Has ground continuity been verified? (Ground/bond straps installed & verified where applicable)X
FORMCHECKBOX
X
FORMCHECKBOX
2. Has the facility power network from the distribution or branch panel to the tool main disconnect been verified for correct connections and labeling?X
FORMCHECKBOX
X
FORMCHECKBOX
3. Are there lockable main power disconnects readily accessible, properly labeled, and capable of disconnecting all electrical power sources to the machine?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Is electrical wiring/ equipment protected from probable liquid leak sources?X
FORMCHECKBOX
X
FORMCHECKBOX
5. Is a Ground Fault Circuit Interrupt (GFCI) system installed & operating per design, where applicable? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
6. If installed in hazardous classified locations or exposed to flammable vapors, are all electrical components rated for hazardous locations in accordance with ICC Electrical Code class, group & division per design?X
FORMCHECKBOX
X
FORMCHECKBOX
7. Is the tool connected to an Uninterruptible Power Supply (UPS unit & tool labeled accordingly)? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
8. Are all support systems (i.e. vacuum pumps, chillers, etc.) fed from the tool or sub-panel properly connected and labeled?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
9. Are the following items labeled correctly and clearly? (labeling requirements in parentheses)
a. Main power disconnect (On/Off, tool ID(s) that it supplies, voltage, phase, current, supply circuit #, location / ID of supply sub-panel)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
b. Supply electrical sub-panel (tool identification that it supplies)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
c. All tool disconnects (On/Off, tool ID(s) that it supplies, voltage, phase, current, supply circuit #, location / ID of supply sub-panel, type of power (e.g. Normal, UPS)).X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
d. Convenience outlets (circuit breaker #, panel #). FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
e. Are tool status indictors (i.e. light trees) labeled appropriately? X
FORMCHECKBOX
X
FORMCHECKBOX
10. Are all unused openings in electrical panels or enclosures properly closed?
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NA Cord & Plug
FORMCHECKBOX NAC. Lockout/Tagout and Hazardous Energy ControlICTE/EEEHS
1. Have Lockout / Tagout (LOTO) procedures been developed specific to this equipment and submitted to EHS?X
FORMCHECKBOX
X
FORMCHECKBOX
2. Are means provided for isolation (LOTO) of all hazardous energy sources (mechanical, pneumatic, hydraulic, and chemical, radiation, etc.) & are all isolation points identified and documented?X
FORMCHECKBOX
X
FORMCHECKBOX
3. Prior to Part 1 sign-off, are all hazardous energies completely locked and tagged out?X
FORMCHECKBOX
4. Has the activation of any Part 1 (non-HPM) utility (e.g. electrical) been verified to ensure that installation personnel will NOT be exposed to hazardous conditions during remaining installation activities? If not, please describe. FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
Notes and Comments:
D. Access and Clearance RequirementsICTE/EEEHS
1. Is the minimum work space clearance in front of electrical equipment that is likely to require examination, adjustment, servicing, or maintenance while energized compliant with NEC. (36" for < 150 V or 42-48" for 150-600 V, depending on NEC conditions).X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Is the width of the working space in front of electrical equipment the width of the equipment or 30 inches, whichever is greater (NEC)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Is there a minimum of 80" clear headroom in electrical workspace per NEC?
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Is there a 36" horizontal servicing clearance for HPM workstations (per NYSFC 1805.2.2.3)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Do all exterior doors and access panels warn of the hazards located behind them?X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAE. LasersN/ATE/EEEHS
List Type & Quantity: Class 1 Class 1M Class 2 Class 2M Class 3R Class 3B Class 4 X
FORMCHECKBOX
X
FORMCHECKBOX
1. Is a label visibly present on the outside of the tool, certifying compliance with FDA -CDRH requirements (21 CFR 1010.2)? X
FORMCHECKBOX
2. Is equipment containing lasers labeled per ANSI Z136.1 & per 21 CFR 1010 & 21 CFR 1040.10?X
FORMCHECKBOX
3. Are all laser interlocks functional and is the Activation Warning System operational as required?X
FORMCHECKBOX
X
FORMCHECKBOX
4. Is there a protective housing around the laser?X
FORMCHECKBOX
X
FORMCHECKBOX
5. Are all removable service access panels either interlocked or require a tool for removal?X
FORMCHECKBOX
X
FORMCHECKBOX
6. Do all viewing portals attenuate to class 1 or less?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
7. Is there open beam exposure potential to class 3B or 4 Lasers? If so, complete the form: EHS-00048-F1, Requirements for a Class 3B or 4 Laser.X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
8. Have all Lasers been added to the CNSE Facilities Laser Inventory (EHS-00016-F5) and reviewed by the CNSE Radiation Safety Officer?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAF. Radiation RequirementsN/ATE/EEEHS
1. If hazardous UV light sources are present, are the sources enclosed, interlocked and properly labeled?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Are sources of strong magnetic fields (>5 gauss) properly labeled with pacemaker hazard, field strength and hazard distance?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Have all RF & microwave sources been identified and properly labeled?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Have all sources of non-ionizing radiation been reviewed by CNSE Radiation Safety Officer?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. If X-ray sources are present, are the sources enclosed, interlocked and properly labeled?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
6. Is the power supply to all radiation sources (ionizing and non-ionizing) locked / tagged out and is all shielding in place? (NOTE: Radiation sources will not be energized prior to Part 2 sign-off.X
FORMCHECKBOX
7. Have all sources of ionizing radiation been reviewed by CNSE EHS and the CNSE Radiation Safety Officer?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
8. Have all sources of ionizing radiation been added to the CNSE EHS Radiation Device Inventory (EHS-00016-F2)? X
FORMCHECKBOX
X
FORMCHECKBOX
9. Are all sources of ionizing radiation registered with the NY State Department of Health?X
FORMCHECKBOX
X
FORMCHECKBOX
Radiation Sources (TE)
Check all that applyFrequency and/or WavelengthMaximum PowerProperly Labeled?
RF / Microwave FORMCHECKBOX
Yes FORMCHECKBOX No FORMCHECKBOX
Ultraviolet FORMCHECKBOX
Yes FORMCHECKBOX No FORMCHECKBOX
Infrared FORMCHECKBOX
Yes FORMCHECKBOX No FORMCHECKBOX
X-Ray FORMCHECKBOX
Yes FORMCHECKBOX No FORMCHECKBOX
FORMCHECKBOX NAG. List All Utilities (Non-HPM Gas &/or Liquid, Chiller, Process Vacuum, CDA, Water, Facility Lines, or Natural Gas Lines, etc.) Needed For Part 1 Sign-off
Utility NeededLabeled?Leak Checked?Comments:
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Yes FORMCHECKBOX No
ICTE/EEEHS
1. Are all non-HPM gas &/or liquid, chiller, PVAC, CDA, water, facility lines or natural gas lines, etc. clearly labeled (contents & direction of flow) at every change of direction, before & after every structural penetration, and at regular intervals according to CNSE Facilities guidelines?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Have all non-HPM gas &/or liquid, chiller, PVAC, CDA, water, facility lines or natural gas lines, etc., supplying non-HPM materials, been pressure/leak checked and documented (if applicable)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAH. Onboard Non-Process Chemical Inventory
To be filled out by Tool Engineer. List all chemicals such as refrigerants, coolants, additives, pump lubricants, etc. used in the tool or its peripherals.
Chemicals Used & Concentration
(full chemical name)Manual
Fill?
Yes / NoLoop / Tank (check box)MSDS Submitted (mm/dd/yyyy)Received Approval from EHS?
Yes / No
Closed LoopTankVolume (gal)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
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FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX NAI. GuardingICTE/EEEHS
1. Are all electrical, thermal, and mechanical hazards (i.e. pinch-points, moving parts, etc.) properly guarded and labeled? X
FORMCHECKBOX
X
FORMCHECKBOX
2. Are all robotics envelopes adequately defined and guarded? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAJ. Personal Protective EquipmentICTE/EEEHS
1. Is the proper PPE available for all operations & maintenance tasks associated with this equipment? Please list: X
FORMCHECKBOX
X
FORMCHECKBOX
2. Is proper PPE storage available? X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAK. Tool IdentificationICTE/EEEHS
1. Is the proper tool identification with primary and secondary tool owners listed and posted?X
FORMCHECKBOX
X
FORMCHECKBOX
2. Has the tool matrix been updated and submitted to CNSE EHS? X
FORMCHECKBOX
X
FORMCHECKBOX
3. If the tool installation alters the layout of the cleanroom space, has a new evacuation map been submitted to CNSE Facilities EHS? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAL. Seismic RestraintsICTE/EEEHS
1. Seismic bracing and anchoring designed utilizing the following data:
1) Seismic Use Group: II; 2) Seismic Design Category: D; 3) Spectral Response Coefficients: a. Sds = 43.85 (%g); b. Sdl = 21.14 (%g); 4) Site Class: E; 5) Basic Seismic Force Resisting System: Dual System Special Reinforced Moment Frame With Special Reinforce Concrete Shear Walls; 6) Design Base Shear: V = 2560 KIPS; Analysis Procedure: Equivalent Lateral Force Procedure.
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAM. HPM Delivery System (Liquids and Gases)ICTE/EEEHS
1. How many output delivery lines/sticks exit from supply unit and/or components? (write in number)X
FORMCHECKBOX
X
FORMCHECKBOX
2. Have Chemical/Gas Services applied process control locks to each of the output lines/sticks? (write in number of locks applied)X
FORMCHECKBOX
X
FORMCHECKBOX
3. Have Tool Installation applied process control locks to each of the output lines/sticks? (write in number of locks applied)X
FORMCHECKBOX
X
FORMCHECKBOX
4. Have EHS applied process control locks to each of the output lines/sticks? (write in number of locks applied)X
FORMCHECKBOX
FORMCHECKBOX NAN. TGMS Controls & MatrixICTE/EEEHS
1. Have TGMS/AAC interlock signals been provided by the tool engineer to the TGMS contractor?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Has the approved TGMS matrix been submitted and been signed by all of the appropriate parties?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Is a copy of the approved signed TGMS matrix included in this greenbook?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
Part 1 Punch ListList all deficiencies that do not affect the safety of the installation. A Punch List item may not compromise safety.
Punch List items must be completed prior to Part 2 sign-off.
IssueResponsibilityCompletion Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Notes and Comments
Part 1 Interim Sign-offsN/ASignaturePrint NameDate
1a) EHS: Electrical Power: Debug FORMCHECKBOX
1b) EHS: Non-HPMs FORMCHECKBOX
2a) System Owner: Process Vacuum FORMCHECKBOX
2b) System Owner: Compressed Dry Air FORMCHECKBOX
3a) System Owner: Ultra Pure Water FORMCHECKBOX
3b) System Owner: Process Cooling Water FORMCHECKBOX
4a) System Owner: Bulk Gases/Non-HPMs FORMCHECKBOX
5a) System Owner: Bldg. Electrical Power FORMCHECKBOX
Part 2 Equipment Commissioning ChecklistRelease of all Hazardous Production Materials & Physical Hazards for Engineering Use
A. GeneralN/ATE/EEEHS
1. Has the ERT Coordinator been informed of the equipment installation and become familiar with its emergency shutdown procedures? X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Final Approval / Sign Off of the Part 2 Inspection by EHS is contingent upon the completion of the following two steps:
a. Procedures concerning new or unusual hazardous processes or materials have been documented and training provided to an ERT Leader or Alternate Leader on all four shifts
b. An ERT Leader or Alternate Leader from each shift must acknowledge (through their signature below) that they have been provided with a physical tour of the newly installed equipment. This tour must include an overview of emergency features (EMOs, Gas Detector Locations, Interlocks, Smoke Detection, Fire Suppression Systems)
Day 1 ERT Leader:
Day 2 ERT Leader:
Night 1 ERT Leader:
Night 2 ERT Leader:
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Are there any additional hazards, equipment or conditions that the ERT need to be trained on?
a. If applicable has a SOP been developed to cover this training?
b. If yes has such training taken place for each shift?D1 FORMCHECKBOX Yes FORMCHECKBOX No N1 FORMCHECKBOX Yes FORMCHECKBOX No D2 FORMCHECKBOX Yes FORMCHECKBOX No N2 FORMCHECKBOX Yes FORMCHECKBOX NoX
FORMCHECKBOX
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX
4. Are there confined space hazards associated with the tool's operation or maintenance? Has a process been developed for entering such a confined space? X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Has the S2 noise survey verified that the equipment operates at 15 psig, are they ASME rated and provided with over-pressure protection?X
FORMCHECKBOX
X
FORMCHECKBOX
b. If non-rated, are containers equipped with pressure relief devices set to a maximum of 15 psig?X
FORMCHECKBOX
X
FORMCHECKBOX
c. Vented to the system exhaust?X
FORMCHECKBOX
X
FORMCHECKBOX
d. Equipped with functional liquid level detection and overfill protection?X
FORMCHECKBOX
X
FORMCHECKBOX
e. Bonding / grounding & provided with an inert pressurizing agent (for flammable chemical containers)?X
FORMCHECKBOX
X
FORMCHECKBOX
7. Are all access areas to pressurized lines shielded / interlocked to prevent potential exposure to chemistries?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
8. Are safety showers / eye wash stations located within 10 seconds travel or 50 feet of chemical use or closer depending on the degree of hazard associated with the chemical(s) used? (ANSI Z358.1-1990) FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAG. Bulk Chemical Delivery Systems RequirementsICTE/EEEHS
1. Are all chemical supply lines and containment piping clearly labeled (contents & direction of flow) at every change of direction, before & after every structural penetration, and at regular intervals according to CNSE Facilities labeling guidelines?X
FORMCHECKBOX
X
FORMCHECKBOX
2. Are all appropriate locations (tools, all support equipment, and chemical enclosures) labeled with point-of-use chemical labels and / or HAZCOM labels?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Are all bulk chemical delivery lines and containment piping attached to the correct point of use and terminated at the tool? (no fittings within the double contained piping)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Are all valves and fittings for HPM liquid delivery systems contained within a ventilated enclosure? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Is liquid leak detection properly installed in all chemical valve boxes?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
a. Have all leak detection systems been tested and verified to be operational and documented as such?X
FORMCHECKBOX
6. Have all HPM delivery lines been verified to have secondary containment? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
7. Have all HPM delivery lines been leak tested or pressure tested, documented, reviewed and accepted? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
8. Have all chemical valve boxes been leak tested, documented, reviewed and accepted?X
FORMCHECKBOX
9. Does the chemical valve box supply to the tool close upon EMO activation from the tool?X
FORMCHECKBOX
10. Are all emergency HPM shutoff valves clearly visible and indicated by means of a sign? (NYSFC 2703.2.2.1.4) FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
11. Are all flammable and combustible materials sealed from electrical equipment or ignition sources?X
FORMCHECKBOX
X
FORMCHECKBOX
12. For new bulk chemical installations, has the following information been submitted to the EHS department to calculate HPM allowances for each control area?
Chemical type/name: # of cylinders:
Size: pounds/container OR gallons/containerX
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
13. Have PLC communications systems been properly:
a. wired and connected to the tool.
b. programmed & verified to send correct signals to the correct valves per design?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAH. Gas Delivery Systems RequirementsICTE/EEEHS
1. Have all lines been traced to origin and verified?X
FORMCHECKBOX
2. Are double contained lines (coaxial tubing) in place as required? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
3. Have coaxial tubing been pressurized to 100 psig, with warning and alarm points set?X
FORMCHECKBOX
X
FORMCHECKBOX
4. Are all gas lines clearly labeled (contents & direction of flow) at every change in direction, before & after every structural penetration, and at regular intervals according to CNSE Facilities labeling guidelines?X
FORMCHECKBOX
X
FORMCHECKBOX
5. Are all gas-cabinets/VMBs properly labeled with "tool destination labels"?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
6. Are all enclosures (e.g. gas cabinets, VMBs, GIBs, tool chambers, tool gas boxes) properly labeled with approved HAZCOM labels?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
7. Are all leak points for HPMs exhausted and / or fitted with gas detection per the design? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
8. Have all gas delivery systems internal to the tool been leak checked and documented?X
FORMCHECKBOX
X
FORMCHECKBOX
9. Have all gas delivery systems external to the tool been leak checked and documented?X
FORMCHECKBOX
X
FORMCHECKBOX
10. Has leak detection checklist(s) been completed and submitted to EHS?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
11. Are all valves and fittings on HPM gas systems contained within a ventilated enclosure per design? FORMCHECKBOX N/AX
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
12. Are all gas cabinets vent lines located after the blast gate, on a lateral or at least five duct diameters downstream from a TGMS sensor?X
FORMCHECKBOX
X
FORMCHECKBOX
13. Have PLC communications systems been properly:
a. wired and connected to the tool.
b. programmed & verified to send correct signals to the correct valves per design?X
FORMCHECKBOX
X
FORMCHECKBOX
14. For new gas cabinet installation, has the following information been submitted to the EHS department to calculate HPM allowances for each control area?
Gas cylinder type: # of cylinders:
Size: pounds/cylinder OR cubic feet/cylinderX
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAI. Detection/Monitoring RequirementsICTE/EEEHS
1. Has continuous detection been installed at appropriate monitoring points per design? (NYSFC 1803.13.1)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Has each monitoring point been checked to verify that upon activation, an automatic, fail-safe source shutdown occurs and a visible / audible area alarm is initiated and has documentation of such been submitted to EHS? (i.e. TGMS Matrix sign-off)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Have all detector points been installed so that they are accessible and visible?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Are all detector points adequately labeled and easily read?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Are the gas detectors positioned before the blast gate?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
6. Has the gas cabinet vent line been placed at least 5 duct diameters upstream from the gas detectors?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
7. Have newly added detection points been added to TGMS site summary and posted at the TGMS touch screens?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
8. Is a map of the new detector locations available and posted at the AAC?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
9. Has a TGMS matrix pre-test been scheduled and performed?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
10. Is the completed and signed TGMS matrix pre-test attached?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
11. Is the completed and signed final TGMS matrix attached and has a copy been submitted to EHS?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NADetection/Monitoring Matrix (to be completed by IC and TE/EE)
GasDetection PointsSample Point LocationsWARNING
Set PointALARM
Set PointFunctional Test Date
FORMCHECKBOX NAJ. Drain Matrix
Drain System (TE)Material of Construction (TE)Leak Checked
(if required) (IC)Piping Labeled Properly
(IC)
FORMCHECKBOX NA K. Chemical Disposal Requirements ICTE/EEEHS
1. Is all drain piping clearly labeled (contents & direction of flow) at every change of direction, before & after every structural penetration and at regular intervals according to CNSE Facilities labeling guidelines?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Is all workstation drainage piping connected to a compatible system so as to avoid chemical reactions generating heat, gases, or dangerous by-products per design?X
FORMCHECKBOX
3. Are HPM drain lines double contained where required?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Are HPM drain lines leak checked and documented as such?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Has all drain waste and vent piping been tested for proper performance via operation of the process equipment?X
FORMCHECKBOX
X
FORMCHECKBOX
6. Are appropriate waste receptacles/containers/units available in the work area and properly labeled?X
FORMCHECKBOX
X
FORMCHECKBOX
7. Are segregated satellite collection locations present and labeled as needed? (e.g. arsenic or lead waste)X
FORMCHECKBOX
X
FORMCHECKBOX
8. Is the workstation provided with an approved means of containing or directing spills to a drainage system per design (i.e. slope or other approved means of spill containment)? (NYSFC 1805.2.2.2)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAL. Post-Process Exhaust Treatment Systems (TE/EE Check all that apply)
FORMCHECKBOX
Passive Dilution / Reaction Chamber FORMCHECKBOX
Dynamic Neutralization Chamber (DNC)
FORMCHECKBOX
Thermal Decomposition Unit (TDU) FORMCHECKBOX
Wet Chemical Reactors
FORMCHECKBOX
Dry Chemical Reactors FORMCHECKBOX
Other:
Post-Process Exhaust Treatment SystemsICTE/EEEHS
1. Is the post-process exhaust treatment system operational, and are all interlocks functioning?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Does the process gas flow shut down in the event of exhaust treatment system failure?X
FORMCHECKBOX
X
FORMCHECKBOX
3. Upon activation of a trouble alarm, does the system place the tool into a safe condition and send an alert via the TGMS or BMS?X
FORMCHECKBOX
X
FORMCHECKBOX
4. Does the exhaust treatment system configuration allow access for inspection and cleaning?X
FORMCHECKBOX
5. Is a fire sprinkler (wax coated, plastic bag, quick response) installed downstream of the reaction chamber, at the transition to the main exhaust lateral per design? (Is water drainage adequate?)X
FORMCHECKBOX
X
FORMCHECKBOX
6. Is the post-process exhaust treatment system labeled with HAZCOM labels or similar identifying the process gas and corresponding by-products?X
FORMCHECKBOX
X
FORMCHECKBOX
7. Have post-process exhaust emission calculations been submitted and approved by EHS to ensure adequate exhaust treatment and posted on the treatment unit?X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAM. Fire Detection (TE/EE check all that apply)
FORMCHECKBOX
High sensitivity detection (Optical Air Sampling Smoke Detection, e.g. VESDA, HSSD)
Locations:
FORMCHECKBOX
Smoke Detection:
FORMCHECKBOX
UV / IR detection:
FORMCHECKBOX
Other:
FORMCHECKBOX NAN. Fire Protection RequirementsICTE/ EEEHS
1. Has annunciation been verified for all equipment-specific fire detection devices?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Has equipment-specific fire alarm annunciation been verified?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Are lab hoods that use flammable / combustible liquids serviced internally by a fire sprinkler head and added to the CNSE laboratory hood inventory?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. For Wet Stations (all wet chemical processes), are sprinklers installed on the bay ceiling in front and behind the tool, providing coverage to all areas of the tool?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Do all workstations of combustible construction have a sprinkler head installed in the exhaust duct / plenum within 2 feet of the point of the duct connection or the connection to the plenum? (NYSFC 1803.10.1.1)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
6. Are heat detectors/sprinklers installed in all combustible ducts & non-combustible ducts conveying vapors or gases in the flammable range (>10% LEL) that are 10" in diameter. (NYSFC 1803.10.1.1)X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
7. Has all fire suppression agent (i.e. sprinkler, CO2, etc.) delivery piping leading into enclosed equipment been pressure tested?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
8. Has it been verified that fire sprinkler flow patterns within enclosed equipment are unobstructed?X
FORMCHECKBOX
9. Are fire suppression/detection systems installed within enclosed equipment where necessary and have they been tested and verified functional, providing the required discharge density? X
FORMCHECKBOX
10. Are all sprinklers that service the area occupied by this equipment accessible for periodic inspections?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAO. Local Fire Suppression/Detection System DocumentationICTE/EEEHS
1. Has the System been certified & documentation submitted to EHS? X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Have the System Manuals been submitted to EHS? X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Has the Local Fire Suppression/Detection System Summary Sheet been updated? X
FORMCHECKBOX
FORMCHECKBOX NAP. Emergency Machine Off (EMO)ICTE/EEEHS
1. Does the EMO turn off all electrical power to the system including the UPS (except non-hazardous control voltage and power sources to safety related devices)?X
FORMCHECKBOX
2. Upon resetting of the EMO, does the equipment remain shutdown and require a manual re-start?X
FORMCHECKBOX
3. Are EMO buttons located within 10 feet of all operating & scheduled maintenance locations or where a physical barrier (wall, floor, panel, etc.) separates work locations from the EMO button?X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAQ. Interlocks
Note: This section applies to all interlocks internal to the equipment.N/ATE/EEEHS
1. Has an interlock matrix (indicating what is activated or shutdown when each interlock is activated) been provided for each of the following interlocks?
a. Exhaust flow (e.g. photohelic)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
b. Temperature / Fire Detection (e.g. over temp., UV Sensor)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
c. Mechanical (e.g. pinch points)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
d. Robotics and/or Automation (e.g. light curtains, IR Sensors)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
e. Pneumatic / Hydraulic?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
f. Electrical (e.g. High Voltage, door panels)?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
g. Other? X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Have all interlocks been tested and verified to be operational as indicated on the interlock matrix and has such documentation been submitted to EHS?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
3. Have any changes been made to the tool or operating system that may have affected the functioning of any interlocks?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
a. If so, have all interlocks been re-tested after every such change & verified to be operational?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. In case of alarm, does the local gas detection system have interlocks tostop the gas flow into a gas cabinet?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
5. Are other interlocks connections from the tool or process chamber/modules available for connection to an area alarm control panel? If yes, are these interlocks connected to the area alarm control panel?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAR. Radiation RequirementsN/ATE/EEEHS
1. Have all sources of non-ionizing radiation been surveyed by CNSE Radiation Safety Officer?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
2. Have all sources of ionizing radiation been surveyed by CNSE Radiation Safety Officer?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
FORMCHECKBOX NAS. HPM Delivery System (Liquids and Gases)
Process Control Isolation Lock RemovalICTE/EEEHS
1. What output delivery lines/sticks are requested to be turned on? (fill in line information)X
FORMCHECKBOX
X
FORMCHECKBOX
2. How many remaining output delivery lines/sticks will remain locked out for process control? (fill in number and type)X
FORMCHECKBOX
X
FORMCHECKBOX
3. Identify number and line/stick label for each Tool Installation lock to be removed?X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
4. Identify number and line/stick label for each Chemical/Gas Services process control lock to be removed?
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
X
FORMCHECKBOX
Notes and Comments
Part 2 Interim Sign-offs
This section serves two functions:1) Allows EHS to provide partial approvals in phases as the tool is prepared for use.
2) Provides System Owners the opportunity to review and approve the parts of the project that they will own.
Phase N/ASignaturePrint NameDate
1a) EHS: Electrical Power: Laser FORMCHECKBOX
1b) EHS: Electrical Power: Radiation FORMCHECKBOX
1c) EHS: HPMs FORMCHECKBOX
1d) EHS: TGMS FORMCHECKBOX
2a) System Owner: House Exhaust FORMCHECKBOX
3a) System Owner: House Drain: AWD FORMCHECKBOX
3b) System Owner: House Drain: HFD FORMCHECKBOX
3c) System Owner: House Drain: Solvent FORMCHECKBOX
3d) System Owner: House Drain: Slurry FORMCHECKBOX
4a) System Owner: Hydrogen FORMCHECKBOX
5a) Gas and/ or Liquid Delivery and/ or Waste Collection Systems By Air Liquide FORMCHECKBOX
Part 2 PunchlistList all deficiencies that do not affect the safety of the installation. A Punchlist item may not compromise safety.
Punchlist items as well as Deficient items must be completed prior to Part 2 approval.
IssueResponsibilityCompletion Date
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
Equipment Commissioning Part 2 Approval SignaturesI verify that all Part 1 and Part 2 checklist items (deficient or otherwise) are complete & I approve this equipment for Part 2 sign-off.
TitleSignaturePrint NameDate
Installation Coordinator (IC)
Tool Owner (TO)
Tool Engineer / Equipment Engineer (TE/EE)
CNSE Environmental Health & Safety (EHS)
CNSE Facilities Tool Hook-up Manager
CNSE Code Compliance Manager
CNSE Facilities Director
CNSE ERT Coordinator
Printed copies are considered uncontrolled. Verify revision prior to use.DCN0778CNSE Confidential When Completed
Page 1 of 16Printed copies are considered uncontrolled. Verify revision prior to use.DCN0778
CNSE Confidential When Completed
Page 16 of 16
