92 Rockwell Automation Publication 1756-RM093J-EN-P - April 2018
Appendix D Checklists for GuardLogix Safety Applications
Checklist for Safety Outputs
For programming or startup, an individual requirement checklist must be filled in
for every single SIL output channel in a system. This is the only way to make sure
that the requirements are fully and clearly implemented. This checklist can also
be used as documentation on the connection of external wiring to the application
program.
Output Checklist for GuardLogix System
Company
Site
Safety Function Definition
SIL Output Channels
Number Output Module Requirements
Fulfilled
Comment
Yes No
1 Have you followed installation instructions and precautions to conform to applicable safety standards?
2 Have you performed functional verification tests on the modules?
3 Have you uploaded and compared the configuration of each module to the configuration sent by configuration
tool?
4 Have you verified that test outputs are not used as safety outputs?
5 Are modules wired in compliance with PLe/Cat. 4 according to ISO 13849-1?
(1)
6 Have you verified that the electrical specifications of the output and the actuator are compatible?
(1) For information on wiring your CIP Safety I/O module, refer to the product documentation for your specific module.