Document No.

: PSRM / SP / 07
Rev. No. : 0
Pre-Startup Safety Issue No. : 01
PSRM: Pre-Startup Safety Reviews Effective Date : Dec. 2004
Procedure Review Checklist Page No. : 15 of 21
ECPL Manufacturing Division Last update : Dec. 2004

SECTION-6 PRE-STARTUP SAFETY REVIEW

FORM / CHECKLIST
Facility Date
Project No. Area / Building

6.1 Process Safety Information

1. Physical and hazardous properties of all materials documented
2. Process design basis documented
3. Design basis for equipment and safety devices documented (above communicated to
proprietor and filed to be readily available to operating personnel)
4. Equipment fabricated and installed according to specification
5. Maintenance procedures and preventive maintenance program are adequate to ensure
mechanical integrity throughout life of the process including the spares
6. Quality Assurance Steps & Measures taken
7. Operating procedures, safe practices, safety procedures and emergency procedures are
adequate
8. Training programs are in place for operators and mechanics
9. Management of Change procedures to be used for all changes
10. Process hazards analysis/process hazards review completed and recommended actions
completed
11. Emergency plan based on consequence analysis (people trained)

6.2 Pre-start-up Safety Team Members Names

Interface Name Interface Name
Operations Safety
Maintenance Project
Inspection Process
Instrument Electrical
Team Leader

6.3 Brief Process Information

Process Materials
Process Material Hazards
Design intent of facility
Operating Temperature
Operating Pressure
Electrical Classification
Note: PSI section has to be filled before the field audit.
 Document No. : PSRM / SP / 07
Rev. No. : 0
Pre-Startup Safety Issue No. : 01
PSRM: Pre-Startup Safety Reviews Effective Date : Dec. 2004
Procedure Review Checklist Page No. : 23 of 21
ECPL Manufacturing Division Last update : Dec. 2004

Title

6.5 Before Startup Deficiencies / Points

Project No. Date

Deficiencies to be Corrected Before Startup Responsibility Completed

1. Before Startup Recommendations have been completed

Area Unit Manager Date
2. Startup of Equipment Authorized by
Area Unit Manager Date

6.6 After Startup Deficiencies / Points

Deficiencies Correction Not Required Responsibility Completed
Before Startup

6.7 Inspected & Approved by Team Members and Leader

Interface Signatures Interface Signatures
Operations Safety
Maintenance Project
Inspection Process
Instrument Electrical
Team Leader

Project close out approved by Project Engineering Manager Date