Appendix C
SAFETY NOTE

A Berkeley Lab Safety Note is generally used to document engineering calculations or tests of specific equipment or activities where there is a safety concern. The following guidelines have been prepared to assist in writing Safety Notes for pressure vessels and pressure systems.

In preparing a Safety Note, consider the following:

  • Description
  • Hazards
  • Calculations
  • Tests and/or Certifications
  • Labeling
  • Associated Procedures
  • References
  • Signature Authority
  • Distribution (see Safety Note Template title page)
  • SAFETY NOTE TEMPLATE

    (Sample Title Page Format)

    (Appropriate Department Title) Safety Note

    Title

    Safety Note Serial Number: _____________

                                Date: _____________

     

    Prepared by: _______________________________________________________
                                                                   Responsible Designer

    Reviewed by: _______________________________________________________
                                                    Project Mechanical Engineer, Physicist, etc.

    Approved by: _______________________________________________________
                                                    Engineering Division Director or Designee

    Standard Distribution:

    Author

    EH&S Field Support Department

    Project Mechanical Engineer, Physicist, etc.

    Engineering Division Director

    Responsible User

    Appropriate Safety File

     

    A. DESCRIPTION

    B. HAZARDS

    C. CALCULATIONS

    D. PRESSURE TESTING

    All pressure testing requires a procedure. Use this section to write the test procedure. Specify: barricade requirements, test sequence, test pressure, test fluid, test temperature, hold time, and acceptance leak rate. Record actual test procedure and results.

    Is a retest procedure required? Is it different from the original procedure? Should the frequency of inspection or retest be specified?

    E. LABELING

    Attach a copy of the completed LBNL Pressure Tested label here.

    F. ASSOCIATED PROCEDURES

    List all procedures to be read and understood by all personnel operating the equipment.

    G. REFERENCES

    List the references you have cited in your Safety Note.

    H. SIGNATURE AUTHORITY AND DISTRIBUTION

    The signature authority and standard distribution are shown on the sample title page. Distribute the Safety Note to others having safety responsibility for this equipment, such as Building Managers, Division Safety Coordinators, and Area Operations Management.

    _____________________

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