A-110
Authorization to Work Procedure
Original Document
Scanned document (image-only PDF)
Extracted Text
Searchable text extracted from PDF
IGNLABS Change Control Request Form
Form: C-403-F1 CCRNo. CC-22-0477 Revision: 8
CCR No CC-24-0518 Rev 0 Due Date 12/04/24
Customer Notification Required: L] Yes M] No Date of Notification: N/A (attach evidence)
SECTION 3 — Approvals [Reviewed/Approved (Y) Yes or (N) No-Initials/Date. If No, provide explanation
ag First Routing Second Routing
ih sciiioied Prue Y/N Initials Date Y/N Initials Date
EHS&S, Rebecca Ste, wart Y pis? ii/o7] ayY WAF
Production Matt Keib rd naa\ (1/09/14 /
QA Paula Christensen y VOC. 22a) op
‘ op) —| i= al
A
SECTION 4 — Change Control Implementation (DC)
Document Effective
Date orl\s{ 23 By \j BS Date orlia{ 2-4
| SECTION 5 — Change Control Closure (DC)
af‘All requirements included in the change control verified as complete
and closed my N (4 vate OWA 25
Comments
oe
[SOP
Standard Operating Procedure SOP Revision
lon Number 2
o~ Labs uthorization to Wor
| Effective P
a DCC business Procedure Date age
m\istZ 5 Page 1 of3
Li. by/ Date Reviewed by/ Date Approved by/ Date
Y. leore hae 7 ufo7 /Zi Ml Ad 1/09/24 Hc. iz|zaey
2s G —
Title: EHS&S Director Title: COO Title: QA Director
1.0 Purpose
The purpose of this procedure is to ensure that all safety measures have been taken to protect
employees from injury or illness caused by changes to the work area. Because changes to the
workplace can create new hazards, we will not expose our employees to these potential hazards
until a thorough inspection can be made. “Nothing we do is so important that it cannot be done
safely—every time.”
2.0 Scope
This procedure applies to all changes to a work area including, but not limited to, modifications
or installation of new equipment, changes in the work area, or changes in policies or
procedures. “Managers and Directors bear a particular responsibility to provide clear
leadership on health and safety issues.”
3.0 Responsibility
3.1 It is the responsibility of the Sr. Facility and Maintenance Manager to inform the
EHS&S department of changes in the work area that could affect employee safety. The
Sr. Facility and Maintenance Manager is also responsible for completing the
Authorization to Work form when needed.
3.2 ‘It is the responsibility of the Sr. Facility and Maintenance Manager to inform the
EHS&S department of changes or modifications to equipment and the installation of
new equipment that could affect employee safety. The Sr. Facility and Maintenance
Manager is also responsible for completing the Authorization to Work form when
needed.
aus It is the responsibility of the COO to inform the EHS&S department of changes in
[SOP
Standard Operating Procedure SOPNo | Rev
Authorization to Work Procedure A-110 2 | Page 2 of3
production policies and/or procedures that could affect employee safety and health.
The COO is also responsible for completing the Authorization to Work form when
needed.
3.4 It is the responsibility of the EHS&S department to make an inspection of the changes,
modifications, and/or installations of new equipment before employees are allowed to
enter the work area. When the EHS&S department determines that the work area is
safe for employees to enter, the EHS&S department will sign the Authorization to Work
form.
4.0 Definitions
4.1 Mechanical Hazard — a hazard created as a result of either powered or manual use of
tools, equipment, or machinery (e.g. contact, entrapment, and/or entanglement with
unguarded moving parts on a machine)
4.2 Environmental Hazard — a hazard that can harm an employee without necessarily
touching them, including noise or working at heights (e.g. exposed wires or a
wet/slippery surface that may result in a trip or fall hazard)
4.3. Chemical Hazard — the introduction of a new or different chemical into the work area
where employees have not been trained in the potential hazards associate with the
chemical
4.4 Policy or Procedural Changes — changes to a standard operating procedure or working
policy to which the affected employees have not been properly trained.
5.0 References
5.1 OSHA Act 1970 Part 5(a)(1): Each employer shall furnish to each of his employees
employment and a place of employment which are free from recognized hazards that
are causing or are likely to cause death or serious physical harm to his employees.
= A-110-F1, Form, Authorization to Work Form
[SOP
Standard Operating Procedure SOP No Rev
A-110 Page 3 of 3
Authorization to Work Procedure
5.3 C-502, SOP, Record Storage, Retention, and Destruction
5.4 DCC Code of Conduct
6.0 Procedure
6.1 The Sr. Facility and Maintenance, Facility Manager and/or Maintenance Manager will
inform the EHS&S department of proposed changes before work begins.
6.2 Upon completion of the changes, Form A-110-F1 will be completed by the change
owner and submitted to the EHS&S department for approval.
6.3 The EHS&S department will be informed of changes to policies or procedures that
affect employee safety. These changes will be reviewed by the EHS&S before being
implemented.
6.4 The EHS&S department will inspect the changes to the work area, equipment, and/or
machinery before employees are permitted to enter.
6.4.1 If the new equipment or procedure inspection reveals issues that require
corrective actions, the inspection form will be returned to the initiator. Upon
completion of the required corrective action, the EHS&S department will re-
inspect the changes. If no safety issues are uncovered, the EHS&S department
will approve Form A-110-F1 Authorization to Work Form.
7.0 The EHS&S department will maintain all completed Authorization to Work forms following
SOP C-502 Record Storage, Retention, and Destruction.
8.0 Revision History
| Rev | Date | Description of Changes | CCR # | By |
|-----|----------|------------------------|-------|----|
| 0 | 04/28/21 | New procedure. N/A B. Almand l 02/21/22 Updated/added responsibilities and titles. Changed logo. CC-22-0082 B.Almand | - | - |
| 5 | 09/18/24 | ee SOP responsibilities, duties, titles, logo and company CC- | 24-0518 | R. Stewart |