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Process Safety Management Checklist

Before completing any process changes, use this process safety management checklist to track all your tasks. The checklist includes two separate lists:

1. PSM checklist: A list of all the types of PSM that you will need to do before you can move forward with the process implementation (training, notifications, etc.)

2. Change checklist: A list of all the changes that you will need to make to things like emergency plans, manuals, MOC processes, and more

After filling out this form, you should have a better understanding of what you need to do and in what order. The simple format means that you can add an area for additional PSM planning, brainstorming, and note taking as well.

Found this resource helpful? Check out some of our other recordkeeping templates:

• Control Document Checklist
• Management of Change Form
• Management of Change Request Form
• PSSR Checklist