Template

MOC Safety Review Checklist

by Margaret Selai, from the Community

10+

This Management of Change (MOC) safety review checklist helps teams evaluate proposed modifications before implementation. It guides reviewers through environmental permits, ventilation compliance, hazardous chemical inventories, temperature and pressure changes, detection needs, plant alarms, PPE requirements, external event vulnerabilities, power and services adequacy, site security, eyewash and shower availability, fire suppression capacity, and warehouse racking limits. Include approvals, note whether the change is temporary or permanent, and capture comments and signatures.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Management of Change MOC Assessment
This Management of Change assessment template helps teams evaluate the impact of proposed changes across engineering, operations, quality, personnel, contractors, and compliance. Use it to review hazards such as high energy sources, flammable or hazardous materials, environmental risks, and PPE needs. Capture training and procedure updates, emergency response considerations, change scope, and whether the change is temporary or permanent, with comments and approvals.
by Advantis Engineering, from the Community
Downloads: 0
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Template
Management of Change (MOC) Procedure Template
This Management of Change (MOC) procedure template helps teams evaluate and control risks introduced by organizational, engineering, or process changes. It guides reviews across engineering design, operations and control software, quality impacts, personnel and training, contractor scope, regulatory and standards compliance, and organizational structure. EHS checks include environmental permits, emissions and waste, JSAs, PPE requirements, and fatality risk considerations. The form captures change details, affected areas, timing, risk questions, and required actions, supporting safe, compliant, and well-documented implementation for either temporary or permanent changes.
by Jacob Calvin, from the Community
Downloads: 80+
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Template
MOC - Safety Review Checklist
This MOC safety review checklist can be used to review minor changes in the organization and ensure that changes implemented in the workplace are safe.
by SafetyCulture
Downloads: 300+
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Template
Management of Change MOC Procedure Template
This Management of Change (MOC) procedure template helps safety and operations teams assess and control risks introduced by organizational, engineering, or process changes. It guides reviews across engineering impacts, maintenance methods, safety devices, pressures and temperatures, hazardous materials, storage tanks, and high‑energy sources. The checklist also covers effects on software and hardware, emergency response, product and maintenance quality, personnel responsibilities and training, contractor scope, regulatory and standards updates, documentation and training changes, and organizational structure. It evaluates HSE risks to suppliers, clients, users, and the community, environmental impacts such as emissions and effluents, PPE requirements, and implications for approvals and certifications. Use it to document whether changes are temporary or permanent, capture comments, and record sign‑off for compliance and audit readiness.
by Tammy Bertelsen, from the Community
Downloads: 10+
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MOC Safety Review Checklist

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Management of Change MOC Assessment

Management of Change (MOC) Procedure Template