OSHA Instruction CPL 2-2.45A CH-1 September 13, 1994 Directorate of Compliance Programs
Subject: 29 CFR 1910.119, Process Safety Management of Highly Hazardous Chemicals--Compliance Guidelines and Enforcement Procedures
A. Purpose. This instruction transmits page changes to OSHA Instruction CPL2-2.45A, which established uniform policies, procedures, standard clarifications, and compliance guidance for enforcement of the standard for Process Safety Management of Highly Hazardous Chemicals, 29 CFR 1910.119 ("PSM standard"), and amendments to the standard for Explosives and Blasting Agents, 29 CFR 1910.109.
B. Scope. This instruction applies OSHA-wide.
C. Action.
1. Replace existing pages with the appropriate replacement pages, as follows:
Existing Pages Replacement Pages
5 through 20 5 through 20 A-1 through A-61 A-1 through A-61 B-1 through B-8 B-1 through B-33 D-1 through D-3 D-1 through D-4 E-1 through E-2 E-1 through E-2 G-1 through G-2 G-1 through G-2
2. File a copy of this transmittal sheet with OSHA Instruction CPL 2-2.45A as a record of this change.
D. Federal Program Change. This instruction describes a Federal program change which affects State programs. Each Regional Administrator shall:
1. Ensure that a copy of this change is promptly forwarded to each State designee, using a format consistent with the Plan Change Two-Way Memorandum in Appendix P of OSHA Instruction STP 2.22A, CH-3.
2. Explain the technical content of this change to the State designees as requested.
3. Ensure that State designees are asked to acknowledge receipt of this Federal program change in writing to the Regional Administrator as soon as the State's intention is known, but not later than 70 calendar days after the date of issuance (10 days for mailing and 60 days for response). This acknowledgment must include the State's intention to amend the policies and procedures adopted in response to OSHA Instruction CPL 2-2.45A, in accordance with OSHA's revised policies and procedures described in this change instruction, or a description of the State's alternative policy and/or procedure which is "at least as effective" as the Federal policy and/or procedure.
4. Ensure that the State designees submit a plan supplement, in accordance with OSHA Instruction STP 2.22A, CH-2, as appropriate, following the established schedule that is agreed upon by the State and the Regional Administrator to submit non-Field Operations Manual/Technical Manual Federal Program Changes.
a. If the State intends to follow the revised inspection procedures described in this instruction, the State must submit either a revised version of this instruction, adapted as appropriate to reference State law, regulations and administrative structure, or a cover sheet describing how references in this instruction correspond to the State's structure. The State's acknowledgment letter may fulfill the plan supplement requirement if the appropriate documentation is provided.
b. If the State adopts an alternative to Federal enforcement inspection procedures, the State's plan supplement must identify and provide a rationale for all substantial differences from Federal procedures in order for OSHA to judge whether a different State procedure is as effective as the comparable procedure.
5. After Regional review of the State plan supplement and resolution of any comments thereon, forward the State submission to the National Office in accordance with established procedures. The Regional Administrator shall provide a judgment on the relative effectiveness of each substantial difference in the State plan change and an overall assessment thereon with a recommendation for approval or disapproval by the Assistant Secretary.
6. Review policies, instructions, and guidelines issued by the States to determine that this change has been communicated to State program personnel.
E. Discussion. These page changes contain additions and corrections to the PSM compliance directive. Appendices A and B also reflect clarifications and interpretations agreed to in a settlement dated April 5, 1993, between OSHA and the United Steelworkers of America, the Oil, Chemical and Atomic Workers International Union, and the Building and Construction Trades Department of the AFL-CIO. The settlement agreement clarifications reflect modifications jointly and cooperatively agreed to by the above parties and by the Chemical Manufacturers Association, the American Petroleum Institute, the Dow Chemical Company, and the National Petroleum Refiners Association. Individual text changes are denoted by a line in the left margin, except in Appendix B, in which revisions were so extensive as to require complete reprinting. The following significant changes should be noted:
1. Pages 6-20. References to explosives manufacture have been added, as well as technical clarifications regarding the inspection scheduling process.
2. Appendix A. Clarified audit guidelines and questions have been added on compliance requirements relative to contractors. (Because of a minor typographical change, the entire appendix has been reprinted.)
3. Appendix B. Numerous additional clarifications and interpretations of the standard have been added.
4. Appendix D. References regarding explosives manufacture and training resources have been added.
Joseph A. Dear Assistant Secretary
DISTRIBUTION: National, Regional, and Area Offices All Compliance Officers State Designees NIOSH Regional Program Directors 7(c)(1) Consultation Project Managers OSHA Training Institute
an assessment of the employer's Hazard Communication program.
b. If the establishment is found to be covered by the standard:
(1) It shall be further determined if the establishment is included in the universe of affected establishments from which PQV inspections may be scheduled. (See J. of this instruction.)
(2) The employer shall be provided:
(a) Copies of the OSHA publications "Process Safety Management," OSHA Publication 3132, which also contains the full text of 1910.119; and "Process Safety Management--Guidelines for Compliance;" and
(b) A letter notifying the employer that the subject establishment is covered by the PSM standard and may be inspected under the standard. The letter shall also emphasize the employer's obligation to comply with the standard. An example of such a letter is provided as Appendix F of this instruction.
c. The Area Director shall ensure proper coding of the OSHA-1 (as described at Q. and Appendix H of this instruction) to identify the establishment as either known to be covered by the PSM standard or known not to be covered by the standard.
3. Unprogrammed PSM-related Inspections. In all unprogrammed inspection activity relating to the PSM standard, a determination shall be made as to whether the establishment is covered by 29 CFR 1910.119.
a. If a formal complaint or referral relating to the PSM standard is received regarding any workplace classified in one of the SIC codes listed at Appendix C of this instruction, the complaint or referral item(s) shall be investigated and:
(1) All programs required by the PSM standard shall be screened for obvious violations; and
(2) A CSHO referral for a PQV inspection shall be considered if major deficiencies are indicated. This determination shall be documented in the case file.
b. Investigations of formal, PSM-related complaints and referrals in establishments in all other SIC codes shall normally be limited to the complaint item(s) only, unless violations related to the complaint or referral items are found.
4. Responses to Accidents and Catastrophes. Responses to accidents and catastrophes involving PSM shall follow the guidelines contained in Chapter VIII of the FOM and--where appropriate--in OSHA Instruction CPL 2.94, "OSHA Response to Significant Events of Potentially Catastrophic Consequence," in addition to the guidelines of this instruction. If the workplace is classified in one of the SIC codes listed at Appendix C of this instruction, a PQV inspection shall be considered; the reasons for the determination shall be documented in the case file.
5. All Other Inspections. Normally, there shall be no PSM-related activity on any inspection other than those described at H.1. through H.4., above.
I. Inspection Resources. Appropriate levels of staff training and preparation are essential for compliance activities relating to the PSM standard. In particular, it is anticipated that PQV inspections will be highly resource-intensive; they will therefore require careful planning and coordination. The recommendations included as Appendix G of this instruction may be used as a guide for such planning.
1. PQV Team Leaders ("Level One"). Only trained compliance safety and health officers (CSHOs) with experience in the chemical industry (and/or the explosives industry, as appropriate) shall be assigned to lead a PQV inspection under this standard.
a. As a minimum, this training must include the OSHA Training Institute's Course 330, "Safety and Health in the Chemical Processing Industries," and Course 340, "Hazard Analysis in the Chemical Processing Industries." A section of Course 340 will deal with explosives manufacture.
NOTE: (1) Due to a significant change in course content, completion of Course 330 prior to Fiscal Year 1991 does not meet this requirement for PQV team leaders.
(2) All CSHOs who will serve as PQV team leaders should have additional advanced training such as that offered by the National Institute of Standards and Technology and the U.S. Bureau of Mines.
b. Team leaders must have prior experience in the chemical industry. This experience should include experience obtained from accident/explosion investigations in chemical or petrochemical plants, through previous chemical inspections involving process safety management evaluation, or through previous chemical industry employment.
c. For PQV inspections of explosives manufacturers, team leaders shall have had experience in the explosives industry.
2. PQV Team Members ("Level Two"). CSHOs may be assigned as PQV team members, or to conduct unprogrammed inspections in workplaces in the targeted SIC codes listed in Appendix C of this instruction, if they have 2 years of OSHA inspection experience or the equivalent and have completed Course 330, "Safety and Health in the Chemical Processing Industries" (including offerings of this course prior to Fiscal Year 1991) and Course 340, "Hazard Analysis in the Chemical Processing Industries."
3. CSHOs With Less Training. Complaint and other unprogrammed inspections pertaining to some sections of the standard may be conducted by CSHOs who do not have the training and experience described at I.1. or I.2., above, but who are experienced in evaluating other programmatic standards such as hazard communication and lockout/tagout and in evaluating respirator programs.
a. The following sections of 29 CFR 1910.119 may be appropriately evaluated by such CSHOs:
* (c) Employee participation.
* (g) Training.
* (h) Contractors.
* (k) Hot work permits.
* (m) Incident investigation.
* (n) Emergency planning and response.
b. Such CSHOs shall make full utilization of Technical Support resources at the Regional Office and National Office levels in arriving at decisions regarding compliance or noncompliance.
c. Nevertheless, to the extent possible, Area Directors shall attempt to utilize CSHOs with experience and training in the chemical industry to perform such unprogrammed inspections.
4. State Plan States. Each State shall have one or more CSHOs trained to meet the requirements for PQV team leaders and an appropriate number of qualified team members. OSHA will provide technical assistance, as needed, through the Regional Office, Health Response Team, and the Office of Construction and Engineering.
J. PQV Inspection Scheduling. Due to the resource-intensive nature of inspections for compliance with the PSM standard, the Agency will be able to perform only a limited number of PQV inspections (as described at K. and L. of this instruction) each year. A special targeting and scheduling system is therefore necessary to maximize the effective use of inspection resources.
1. Targeting. OSHA wishes to make the most effective use of its limited resources, and therefore will use the factors listed below in determining the SIC codes to be inspected. OSHA will select the SICs that have experienced the greatest number of accidents/incidents as determined from these three sources:
a. Published insurance industry reports of major accidents/incidents.
b. IMIS data, including the OSHA-170 Investigation Summary File.
c. EPA Accident Release Information Program (ARIP) data.
2. Current Targeted SICs. A list of targeted SIC codes based on current data, as described at J.1., is included as Appendix C of this instruction. This Appendix may be updated periodically.
3. Scheduling. PQV inspections shall be scheduled as follows:
a. Using the list of SICs determined as described at J.1. above, the Office of Statistics shall annually create an initial list including all known establishments within each of the identified SICs for each Region. This list shall be organized by establishment, by establishment size, by corporate identity (as determined through a commercially available source), and by State.
b. The Directorate of Compliance Programs shall forward the initial lists to the appropriate Regions. A Region may add to its initial list establishments that are known to be in the identified SICs and to have more than 10 employees.
c. Within 30 days of receipt of the initial list, each Region shall select five candidates for a PQV inspection and shall forward the resulting list, together with documentation supporting the selections, to the Directorate of Compliance Programs. The Regions shall base their selection on such factors as:
(1) Number of employees at the facility.
(2) Age of the facility.
(3) Known toxicity of chemicals used in the facility' s processes.
(4) Frequency of media reports of releases or other incidents at the facility.
(5) Local EPA information.
(6) Past OSHA history of the facility, including complaints received and/or followup inspections due.
(7) Information from local/municipal fire departments.
NOTE: The Regions need not make a determination on each of these factors for each establishment on their initial list; however, their selections for candidates shall be thoroughly documented.
d. Beginning with Fiscal Year 1994, Regional Administrators shall provide to each State designee a copy of the establishment list within their State. Each State shall nominate one establishment for a PQV inspection or provide an explanation of why a PQV inspection should not be scheduled in their State. Regional Administrators shall include these candidates with their regional submission (i.e., in addition to the five candidates submitted by each Region) to the Directorate of Compliance Programs, together with their assessment and recommendation as to whether the State's candidate should be included in the national selection and as to the State's degree of readiness to conduct the inspection independently.
e. Within 60 days of the receipt of the candidate lists from the Regions, the Directorate of Compliance Programs shall notify each Region of the final list of establishments from which PQV inspections are to be scheduled.
(1) The selections for the Regional lists shall be made by the Directorate of Compliance Programs in coordination with the Office of Field Programs. The selections shall be based on:
(a) Emphasis on a corporate approach, to give inspection priority to the maximum number of different corporations, rather than targeting multiple inspections in the same corporation; and
(b) Regional resources and inspection goals; and
(c) Overall Agency resources.
(2) Inspection goals (actual numbers) are to be set in the annual Field Operations Program Plan between Regions and the Office of Field Programs.
(3) The number of establishments selected may vary from Region to Region, because OSHA plans to focus more PQV inspections in Regions with higher concentrations of high-hazard industries affected by the standard.
(4) The selections from the States' list shall be coordinated with the Office of State Programs. Regional Administrators shall include full discussion and coordination with the affected States.
4. Deletion Criteria. An establishment shall be deleted from the list if it:
a. Has received a substantially complete systems safety inspection or PQV inspection within the current or the preceding 5 calendar years; or
b. Is included in a corporate settlement agreement requiring appropriate management systems for process safety; or
c. Is a VPP participant; or
d. Is a corporate office/headquarters and is not engaged in actual production or physical research operations; or
e. Has been identified in the wrong SIC code or is out of business; or
f. Is not covered because of exclusions in the PSM standard; or
g. Has been the subject of a PSM-related inspection (complaint or referral) in the preceding year during which PSM programs were screened and a referral for a PQV inspection was not made.
NOTE: Determination for deletion shall be made initially, to the extent possible, at the National Office level when the list is prepared; and/or subsequently, as necessary, at the Regional Office level based on local knowledge (e.g., recent inspections, Area Office screening, State Manufacturers' Guide).
5. Local Emphasis Programs. Some Regions may have relatively few establishments in the targeted SIC codes listed in Appendix C. Regional Administrators therefore may propose a Local Emphasis Program to direct Regional PSM inspections resources to industry types that may not be covered by the targeted SIC codes. Such Local Emphasis Programs shall be submitted to the Directorate of Compliance Programs for approval in accordance with the FOM, Chapter II.
K. Scope of PQV Inspection. Comprehensive inspections under the PSM standard shall evaluate the procedures used by the employer and the process-related contract employers to manage the hazards associated with processes using highly hazardous chemicals. Normally, these inspections will embody a three-fold approach, which for reference is termed Program-Quality-Verification (PQV).
1. First, the employer's and the contract employers' Program for complying with each of the listed elements of the PSM standard shall be evaluated in accordance with the PSM Audit Guidelines contained in Appendix A of this instruction. (See also M. of this instruction.)
2. Second, the Quality of the employer's and the contract employers' procedures shall be compared to acceptable industry practices as described in the standard to determine compliance.
3. Third, Verification of the employer's and the contract employers' effective implementation of the program can be made through review of written programs and records of activity, interviews with employees at different levels, and observation of site conditions. The team leader shall select one or more processes as described at L.7. of this instruction to perform the verification portion of the inspection.
L. PQV Inspection Procedures. The procedures given in the FOM, Chapter III, shall be followed except as modified in the following sections:
1. Opening Conference. Where appropriate, the facility safety and health director, Process Safety Manager, or other person capable of explaining the company's Process Safety Management Program shall be included in the opening conference.
a. During the opening conference, CSHOs shall familiarize themselves with the establishment's emergency response procedures and emergency alarms.
b. CSHOs shall also request that the management representative(s) provide them with a reasonably detailed overview of the chemical (and, where applicable, explosives) process and/or manufacturing operations at the facility, including block flow and/or process flow diagrams indicating chemicals and processes involved.
2. PSM Overview. Prior to beginning the walkaround inspection, the CSHOs shall request an explanation of the company's Process Safety Management Program including, at a minimum:
a. How the elements of the standard are implemented;
b. Personnel designated as responsible for implementation of the various elements of the standard; and
c. A description of company records used to verify compliance with the standard.
3. Initial Walkaround. After this familiarization, the inspection may begin with a brief walkaround inspection of those portions of the facility within the scope of the standard. Additional walkaround activity may be necessary after selection of the process unit(s). The purpose of the initial walkaround is to:
a. Give CSHOs a basic overview of the facility operations;
b. Allow CSHOs to observe potential hazards such as pipework in risk of impact, corroded or leaking equipment, unit or control room siting, and location of relief devices; and
c. Solicit input from the employee representative concerning potential PSM program deficiencies.
4. Personal Protective Equipment (PPE). In addition to normal inspection protective equipment, CSHOs conducting these inspections shall be provided with flame retardant coveralls for protection from flash fires and with NIOSH-approved emergency escape respirators for use during any emergency conditions. PPE shall be appropriate to the environment at the workplace. Special equipment will be necessary in environments containing explosive materials.
a. CSHOs shall wear flame-retardant coveralls in all areas of the plant where there is potential for flash fires and as may be required by company policy.
NOTE: Clothing made of hazardous synthetic fabrics should not be worn underneath flame-retardant coveralls.
b. CSHOs shall carry emergency escape respirators, when necessary, during the walkaround portion(s) of the inspection. CSHOs conducting these inspections shall have received proper training in the use of emergency escape respirators.
c. CSHOs shall be provided with appropriate alert monitors approved for the environment where they will be used (e.g., HCN, Cl2) where such devices are necessary.
d. CSHOs shall ensure that any still cameras and/or video cameras are intrinsically safe for use in the process areas being inspected.
NOTE: CSHOs may use video cameras equipped with a telephoto lens from outside classified areas and/or still cameras without batteries.
5. Documentation to be Requested--General and Process Related. At the conclusion of the opening conference, the CSHO shall request access to or copies of the documents listed at L.5.a. through L.5.m. below. Initially, to expedite the inspection process, only access to documents should be requested. During the inspection, as potential violations of the standard are observed, copies of the written documentation described below shall be requested to substantiate citations.
a. OSHA 200 Logs for the past 3 years for both the employer and all process-related contractor employer(s).
b. Employer's written plan of action regarding the implementation of employee participation.
c. Written process safety information for the unit(s) selected (see L.7.), if available, such as flow diagrams, piping and instrumentation diagrams (P&ID's), and process narrative descriptions.
NOTE: The employer is required to compile process safety information on a schedule consistent with the employer's schedule for conducting the process hazard analyses (PHA).
d. Documented priority order and rationale for conducting process hazard analyses; copies of any process hazard analyses performed after May 25, 1987; team members; actions to promptly address findings; written schedules for actions to be completed; documentation of resolution of findings; documentation verifying communication to appropriate personnel; and 5-year revalidation of original PHA required by standard.
e. Written operating procedures for safely conducting activities in each selected unit; annual certification that operating procedures are current and accurate; written procedures describing safe work practices for potentially hazardous operations, including (but not limited to) lockout/tagout, confined space entry, lifting equipment over process lines, capping over ended valves, opening process equipment or piping, excavation, and control over entrance into a facility of maintenance, laboratory, or other support personnel.
f. Training records for initial and refresher training for all employees in the selected unit(s) whose duties involve operating a process; methods for determining the content of the training; methods for determining frequency of refresher training; certification of required knowledge, skills, and abilities to safely perform job for employees already involved in operating a process on May 26, 1992, who have not received initial training; and training material.
g. Pre-startup safety review for new facilities and for modified facilities when the modification is significant enough to require a change in the process safety information; documentation of employee training.
h. Written procedures and schedules to maintain the ongoing integrity of process equipment; the relevant portions of applicable manufacturers' instructions, codes, and standards; and inspection and tests performed on process equipment in the unit(s) selected.
i. Hot work permit program and active permits issued for the unit(s) selected.
j. Written procedures to manage change to process chemicals, technology, equipment and procedures; and changes to facilities that affect a covered process.
k. Incident investigation reports for the unit(s) selected, resolutions and corrective actions.
l. Written emergency action plan including procedures for handling small releases and evidence of compliance with 1910.120(a), (p), and (q), where applicable.
m. The two most recent compliance audit reports, appropriate responses to each of the findings, and verifications that deficiencies have been corrected.
6. Documentation to be Requested--Contractor-Related. The following information relating to contractor compliance shall be requested:
a. Documentation from Employer:
(1) Information relating to contract employers' safety performance and programs;
(2) Methods of informing contract employers of known potential hazards related to contractor's work and the process and applicable provisions of the emergency action plan;
(3) Safe work practices to control the entrance, presence and exit of contract employers and contract employees in covered process areas;
(4) Evaluation of contractor employer performance in fulfilling responsibilities required by the standard;
(5) Contract employee injury and illness logs related to work in process areas; and
(6) A list of unique hazards presented by contractors' work or hazards found in the workplace that have been reported to the employer.
b. Documentation from Contract Employer:
(1) Records showing employees receive training in and understand safe work practices related to the process on or near which they will be working to perform their jobs safely;
(2) Known potential fire, explosion or toxic release hazards related to job, and applicable provisions of emergency action plan; and
(3) A list of unique hazards presented by contractors' work or hazards found in the workplace that have been reported to the employer.
NOTE: The documentation described at L.5. and L.6.a. may also be required of the contract employer, depending on the scope of the contract employer's activities.
7. Selection of Process(es). The team leader shall select one or more processes within which to evaluate compliance with the standard. This selection shall be based on the factors listed below, and shall be documented in the case file:
a. Factors observed during the walkthrough;.
b. Incident reports and other history;
c. Company priorities for or completed process hazard analyses (PHA);
d. Age of the process unit;
e. Nature and quantity of chemicals involved;
f. Employee representative input;
g. Current hot work, equipment replacement, or other maintenance activities; and
h. Number of employees present.
M. Compliance Guidelines for Specific Provisions of 29 CFR 1910.119. Guidelines for assessing compliance with the provisions of the PSM standard are provided in Appendix A of this instruction.
1. CSHOs shall use the guidance contained in Appendix A during all enforcement activities related to the PSM standard.
2. Clarifications and interpretations are provided in Appendix B of this instruction. Appendix B (or a subsequent revision) shall normally be the first point of reference in interpreting 29 CFR 1910.119.
NOTE: Appendix B will be updated on an ongoing basis through page changes to this instruction, as more interpretations are developed. CSHOs must therefore take care to ensure that their reference copies are up-to-date.
N. Citations. Citations for violations of the PSM standard shall be issued in accordance with the FOM, Chapters IV and V, with the following additional directions:
1. Classification. The requirements of the PSM standard are intended to eliminate or mitigate the consequences of releases of highly hazardous chemicals. The provisions of the standard present closely interrelated requirements, emphasizing the application of management controls when addressing the risks associated with handling or working near hazardous chemicals.
a. Any violation of the PSM standard, therefore, is a condition which could result in death or serious physical harm to employees.
b. Accordingly, violations of the PSM standard shall normally not be classified as "other-than-serious."
2. Use of Appendix A. Appendix A, PSM Audit Guidelines, is constructed as a series of questions relating to each of the pertinent provisions of the standard.
a. The questions are designed to elicit a determination of "Yes" or "No" by the CSHO as to whether compliance with the provision has been met.
b. A determination of "No" for any provision indicates noncompliance; thus, any "No" shall normally result in a citation for a violation of that provision.
c. The CSHO shall thoroughly document each such determination in the case file.
O. Non-Mandatory Appendices to this Instruction. This instruction contains two non-mandatory appendices that are designed to provide additional compliance assistance.
1. Appendix E is still being developed and is designated as "Reserved."
2. Appendix G, Recommended Guidelines for PQV Inspection Preparation, is intended as an aid to Regional and Area Offices in planning resources for PQV and other PSM related inspections.
P. Evaluation. Each Region shall develop a preliminary evaluation of the effectiveness of this program and submit it to the Directorate of Compliance Programs no later than September 30, 1995. The report shall include, at a minimum, the following items:
1. The utility of the PSM audit guidelines used in Appendix A.
2. An assessment of the accuracy of targeting information.
3. An estimate of total resources (CSHO, supervisory, administrative and legal) that were required to conduct each inspection.
Q. Recording in IMIS. Information about PSM-related inspections shall be recorded in IMIS following current instructions given in the IMIS manual. Refer to Appendix H of this instruction for additional guidance.
Joseph A. Dear Assistant Secretary
DISTRIBUTION: National, Regional, and Area Offices All Compliance Officers State Designees NIOSH Regional Program Directors 7(c)(1) Consultation Project Managers OSHA Training Institute
APPENDIX A
PSI AUDIT GUIDELINES
Purpose.
This appendix contains audit guidelines intended to assist the CSHO in investigating an employer's compliance with the PSM standard. It shall be used in conjunction with Appendix B, Clarifications and Interpretations of the PSM Standard, as the primary source of compliance guidance on 29 CFR 1910.119.
Structure.
The guidelines present a Program Summary, Quality Criteria References, and a Verification checklist for each of the PSM elements.
1. Guidelines for paragraphs c, g, h, k, m, and n are designed so that CSHOs who may not be specifically trained in chemical process plants or in the PSM standard can make a preliminary review of the required elements.
2. Guidelines for elements d, e, f, i, j, l, o, and p are oriented toward more detailed investigations.
Use of the Verification Checklist.
The verification of each program element is divided into three parts: Records Review, On-Site Conditions and Interviews.
1. The Records Review section describes the documentation of the programs as required by the PSM standard. During a preliminary inspection, the CSHO shall review the documentation for the entire PSM program to ascertain that all of the elements are developed.
2. Sections labeled On-Site Conditions and Interviews guide the CSHO in confirming that the programs are implemented. This confirmation involves observing conditions and procedures, and interviewing the operators, maintenance personnel, engineering support staff, contractors and contractor employees, as appropriate, to determine whether the implemented program matches the program outlined by the documentation.
NOTE: Several questions in the "Interviews" sections refer to interviewing engineers. The PSM standard does not require an employer to employ engineers, and these questions should not be construed as imposing a new requirement that an employer do so. All questions in this appendix that refer to interviews of engineers shall be understood to mean "engineers, if any, or other qualified persons capable of providing the information requested."
3. The CSHO shall initially perform a representative number of observations and interviews for elements c, g, h, k, m, and n. A more detailed investigation will cover all 14 elements. During these detailed assessments, the CSHO shall review components from a representative number of processes, if multiple processes exist. To confirm implementation, the CSHO shall compare the conditions and the interview results with both the minimum requirements of the PSM standard and the program outlined by the employer's documents.
Audit Guideline Documentation.
As noted at P.2. of the body of this instruction, the Audit Guidelines are constructed as a series of questions relating to each of the pertinent provisions of the standard.
1. The questions are designed to elicit a determination of "Yes" or "No" by the CSHO as to whether compliance with the provision has been met. This shall be indicated in the column labeled Met Y/N. A "Y" or "Yes" in this column indicates the subsection meets requirements. An "N" or "No" indicates the employer does not meet the standard and an "NA" signifies that the subsection does not apply.
2. A determination of "No" for any provision indicates noncompliance; thus, any "No" shall normally result in a citation for a violation of that provision.
3. The CSHO shall thoroughly document each such determination in the case file.
The Field Note Reference(s) space is used to cross-reference the PSM subsection with the CSHO's field notes. Field notes need not be rewritten when using these guidelines. The CSHO may record field note page numbers, videotape frame identification, photograph identification, and other documentation that refers to the requirements of the standard's elements.
Basic Audit Information.
In order to gather the information needed to audit the program, the CSHO shall answer the following questions for each element:
Who? What? When? Where? Why? and How?
1. Who are the officials responsible for developing and implementing each of the program elements?
2. What are the requirements and the contents of each program element?
3. When are the required actions for each element completed and when are they required to be completed?
4. Where have actions been implemented or changed?
5. Why have the implementation decisions and priorities been made as recorded in the PSM documentation?
6. How is the program implemented and how is the program's effectiveness evaluated and improved (monitoring performance, followup and closure of outstanding items, etc.)?
Interrelationship of Elements.
An essential part of verifying program implementation is to audit the flow of information and activities among the elements. When information in one element is changed or when action takes place in one element that affects other elements, the CSHO shall review a sample of the related elements to see if the appropriate changes and followup actions have taken place.
The following example demonstrates the interrelationship among the elements:
During a routine inspection of equipment (Mechanical Integrity), the maintenance worker discovers a valve that no longer meets the applicable code and must be changed. Because the type of valve is no longer made, a different type of valve must be selected and installed (Management of Change). The type of valve selected may mandate different steps for the operators (Operating Procedures) who will require training and verification in the new procedures (Training). The rationale for selecting the type of valve must be made available for review by employees and their representatives (Employee Participation).
When the new valve is installed by the supplier (Contractors), it will involve shutting down part of the process (Pre-startup Safety Review) as well as brazing some of the lines (Hot Work Permit). The employer must review the response plan (Emergency Planning) to ensure that procedures are adequate for the installation hazards.
Although Management of Change provisions cover interim changes, after the new valve is in place the Process Safety Information will have to be updated before the Process Hazard Analysis is updated or revalidated, to account for potential hazards associated with the new equipment. Also, inspection and maintenance procedures and training will need to be updated (Mechanical Integrity).
In summary, 11 PSM elements can be affected by changing one valve. A CSHO would check a representative number of these 11 elements to confirm that the required followup activities have been implemented for the new valve.
Three key elements shall be routinely reviewed to verify that changes have been implemented. They are:
* Operating Procedures;
* Process Hazard Analysis; and
* Training.
These elements shall be crosschecked to see if they show that the changes have been followed through to completion.
1910.119(c): EMPLOYEE PARTICIPATION
I. PROGRAM SUMMARY
The intent of this paragraph is to require employers to involve employees at an elemental level of the PSM program. Minimum requirements for an Employee Participation Program for PMS must include a written plan of action for implementing employee consultation on the development of process hazard analyses and other elements of process hazard management contained within 1910.119. The employer must also provide ready access to all the information required to be developed under the standard.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(c): Employee Participation
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Does a written program exist regarding employee participation? [Criteria Reference .119(c)(1)]
2. Does the written program include consultation with employees and their representatives on the conduct and development of process hazard analyses and on the development of other elements in the PSM standard? [Criteria Reference .119(c)(2)]
3. Does the written program provide employees (including contractor employees) and their representatives access to process hazard analyses and all other information developed as required by the PSM standard? [Criteria Reference .119(c)(3)]
B. On-site Conditions
Not applicable.
C. Interviews
1. Based on interviews with a representative number of employees and their representatives, have they been consulted on the conduct and development of the process hazard analyses? [Criteria Reference .119(c)(2)]
2. Based on interviews with a representative number of employees and their representatives, have they been consulted on the development of other elements of the Process Safety Management program? [Criteria Reference .119(c)(2)]
3. Based on interviews with a representative number of employees (including contractor employees) and their representatives, have they been informed of their rights of access and provided access to process hazard analyses and to all other information required to be developed by the PSM standard? [Criteria Reference .119(c)(3)]
(Ask about unreasonable delays in access to information and whether time is given during the working hours to access information required by the PSM standard.)
1910.119(d): PROCESS SAFETY INFORMATION
I. PROGRAM SUMMARY
The intent of this paragraph is to provide complete and accurate information concerning the process which is essential for an effective process safety management program and for conducting process hazard analyses. Therefore in accordance with the schedule set forth in paragraph (e)(1) the employer is required to compile written process safety information on process chemicals, process technology, and process equipment before conducting any process hazard analysis.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(d): Process Safety Information B. 1910.119(e)(1): Process Hazard Analysis C. 1910.1200: Hazard Communication
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Has written process safety information been compiled before conducting any process hazard analysis (PHA)? [Criteria Reference .119(d)]
2. Is information included pertaining to the hazards of the highly hazardous chemicals used or produced by the process, and does the information include at least: [Criteria Reference .119(d)(1): .1200(g)]
* toxicity information * PEL's * physical data * reactivity data * corrosivity data * thermal and chemical stability data * hazardous effects of inadvertent mixing of different materials that could foreseeably occur?
NOTE: MSDS's meeting the requirements of 29 CFR 1910.1200(g) may be used to the extent they contain the information required.
3. Is information included concerning the technology of the process, and does it include at least: [Criteria Reference .119(d)(2)]
* a block flow diagram or simplified process flow diagram? * process chemistry? * maximum intended inventory? * safe upper and lower limits? * an evaluation of the consequences of deviations?
(Where the original technical information no longer exists, it may be developed in conjunction with the PHA.)
4. Is information included pertaining to equipment in the process, and does it include at least: [Criteria Reference .119(d)(3)(i)]
* materials of construction? * piping and instrument diagrams (P&iD's)? * electrical classification? * relief system design and design basis? * ventilation system design? * design codes and standards employed? * material and energy balances for processes built after May 26, 1992? * safety systems (e.g. interlocks, detection or suppressions systems)?
5. Has the employer documented that equipment complies with recognized, generally accepted good engineering practices? [Criteria Reference .119(d)(3)(ii)]
(Review the documentation for evidence that compliance with the appropriate consensus standards has been researched.)
6. Has the employer determined and documented that existing equipment designed and constructed in accordance with codes, standards, or practices no longer in general use are designed, maintained, inspected, tested, and operating in a safe manner? [Criteria Reference .119(d)(3)(iii)]
(Documentation may be through methods such as: documenting successful prior operation procedures; documenting that the equipment is consistent with the appropriate editions of codes and standards; or performing an engineering analysis to determine that the equipment is appropriate for its intended use.)
B. On-site Conditions
1. Do observations of a representative sample of process chemicals and equipment indicate that the process information is complete? [Criteria Reference .119(d)]
(Information that does not correspond to the actual conditions demonstrates incomplete information. Check critical equipment and components to see if they have been properly identified.
2. Do observations of a representative sample of process components indicate that the process complies with recognized and generally accepted good engineering practice? [Criteria Reference .119(d)(3)(ii)]
(Review a representative number of safety devices such as pressure relief devices for proper sizing according to the maximum anticipated pressure.)
3. Do observations of a representative sample of the existing equipment designed and constructed according to codes, standards, or practices no longer in general use indicate that this equipment is inspected and is operated in a safe manner (as documented by the employer)? [Criteria Reference .119(d)(3)(iii)]
C. Interviews
Process Hazard Analysis (PHA) Team: 1. Based on interviews with a representative number of PHA team members, was the process safety information complete before the process hazard analysis was conducted? [Criteria Reference .119(d)]
Operators: 2. Based on interviews with a representative number of operators, is MSDS information readily available to the operators who work with hazardous materials? [Criteria Reference .1200]
Engineers (if any; or other qualified persons capable of providing the information requested; see Note, p. A-2): 3. Based on interviews with a representative number of engineers, has the employer documented that the process equipment complies with recognized and generally accepted good engineering practice? [Criteria Reference .119(d)(3)(ii)]
(Ask about the technical bases for design and selection of equipment, the materials of construction, electrical classifications, relief devices sizing versus maximum anticipated pressures, installation procedures to assure equipment meets design specifications, etc.)
For more information on Process Safety Information, see Appendix D, references 8. and 9.
1910.119(e): PROCESS HAZARD ANALYSIS
I. PROGRAM SUMMARY
The intent of this paragraph is to require the employer to develop a thorough, orderly, systematic approach for identifying, evaluating and controlling processes involving highly hazardous chemicals. Minimum requirements include: (1) Setting a priority order and conducting analyses according to the required schedule; (2) Using an appropriate methodology to determine and evaluate the process hazards; (3) Addressing process hazards, previous incidents with catastrophic potential, engineering and administrative controls applicable to the hazards, consequences of failure of controls, facility siting, human factors, and a qualitative evaluation of possible safety and health effects of failure of controls on employees; (4) Performing PHA by a team with expertise in engineering and process operations, the process being evaluated, and the PHA methodology used; (5) Establishing a system to promptly address findings and recommendations, assure recommendations are resolved and documented, document action taken, develop a written schedule for completing actions, and communicate actions to operating, maintenance and other employees who work in the process or might be affected by actions; (6) Updating and revalidating PHA's at least every 5 years; and (7) Retaining PHA's and updates for the life of the process.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(e): Process Hazard Analysis
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Has the employer determined and documented a priority order for conducting initial PHA's based on a rationale that includes at least these factors: [Criteria Reference .119(e)(1)]
* the extent of process hazards * number of potentially affected employees * age of process * operating history?
2. Are the initial PHA's for processes covered by the PSM standard being performed as soon as possible? [Criteria Reference .119(e)(1)]
3. Does the priority schedule for PHA's assure that all initial PHA's will be performed by 5/26/97 and that: [Criteria Reference .119(e)(1)]
* No less than 25% of the PHA's shall be completed by 5/26/94? * No less than 50% of the PHA's shall be completed by 5/26/95? * No less than 75% of the PHA's shall be completed by 5/26/96?
(PHA's completed after May 26, 1987 which meet the requirements of this paragraph are acceptable as initial PHA's; they must be updated and revalidated at least every 5 years.)
4. Does the hazard evaluation use one or more of the following PHA methodologies: [Criteria Reference .119(e)(2)]
* What-if? * Checklist? * What-if/Checklist? * Hazard & Operability Study (HAZOP)? * Failure Mode and Effects Analysis (FMEA)? * Fault Tree Analysis (FTA)? * Other appropriate methodology?
(See Appendix B for a discussion of appropriate methodologies).
5. Does the PHA address the following: [Criteria Reference .119(e)(3)]
* The hazards of the process? * Previous incidents with likely potential for catastrophic consequences? * Consequences of failure of engineering and administrative controls?
(For example, potential injury, maximum release of hazardous materials, property damage, etc.)
5. (Continued) Does the PHA address the following: [Criteria Reference .119(e)(3)]
* Engineering and administrative controls applicable to the hazards and their interrelationships?
(Such controls may include appropriate application of detection methodologies to provide early warning of releases; inventory reduction; substitution of less hazardous materials; protective systems such as deluges, monitors, foams; increased separation distances; modification of the process temperature or pressure; redundancy in instrumentation; etc.)
* Facility siting?
(Review calculations, charts, and other documents that verify facility siting has been considered. For example, safe distances for locating control rooms may be based on studies of the individual characteristics of equipment involved such as: types of construction of the room, types and quantities of materials, types of reactions and processes, operating pressures and temperatures, presence of ignition sources, fire protection facilities, capabilities to respond to explosions, drainage facilities, location of fresh air intakes, etc.)
* Human factors?
(Such factors may include a review of operator/process and operator/equipment interface, the number of tasks operators must perform and the frequency, the evaluation of extended or unusual work schedules, the clarity and simplicity of control displays, automatic instrumentation versus manual procedures, operator feedback, clarity of signs and codes, etc.)
* A qualitative evaluation of a range of possible safety and health effects of failure of controls on employees in the workplace?
6. Are the process hazard analyses performed by teams with expertise in engineering and process operations, including at least one employee with experience and knowledge specific to the process being evaluated and one member knowledgeable in the specific PHA methodology used? [Criteria Reference .119(e)(4)]
7. Has a system been established to promptly address the team's findings and recommendations? [Criteria Reference .119(e)(5)]
Review a representative sample of the documentation. Has the system been able to:
* Assure that the recommendations are resolved and documented in a timely manner?
* Document actions to be taken?
* Complete actions as soon as possible?
* Develop a written schedule of when actions are to be completed?
* Communicate the actions to operating, maintenance and other employees whose work assignments are in the process and who may be affected by the recommendations or actions?
8. Are the PHA's updated and revalidated at least every five years by a qualified team meeting the requirements in paragraph (e)(4), to assure that the process hazard analysis is consistent with the current process? [Criteria Reference .119(e)(6)]
9. Are all initial PHA's, updates or revalidations, and documented resolutions of recommendations kept for the life of the process? [Criteria Reference .119(e)(7)]
B. On-site Conditions
1. Do observations of a representative sample of process-related equipment indicate that obvious hazards have been identified, evaluated, and controlled? [Criteria Reference .119(e)(1)]
(For example, hydrocarbon or toxic gas monitors and alarms are present; electrical classifications are consistent with flammability hazards; destruct systems such as flares are in place and operating; control room siting is adequate or provisions have been made for blast resistant construction, pressurization, alarms, etc.; pressure relief valves and rupture disks are properly designed and discharge to a safe area; pipework is protected from impact; etc.)
2. Do observations of a representative sample of process-related equipment indicate that PHA recommendations have been promptly resolved? [Criteria Reference .119(e)(5)]
C. Interviews
PHA Team Member: 1. Based on interviews with a representative number of the PHA team members, are the PHA methodologies used appropriate for the complexity of the process? [Criteria Reference .119(e)(1)]
2. Based on interviews with a representative number of the PHA team members, is the priority order for conducting PHA's based on the extent of the process, the number of potentially affected employees, the age of the process, and the operating history of the process? [Criteria Reference .119(e)(1)]
3. Based on interviews with a representive number of the PHA team members, have the following been addressed: [Criteria Reference .119(e)(3)]
* The hazards of the process? * Previous incidents with likely potential for catastrophic consequences? * Engineering and administrative controls applicable to the hazards? * Consequences of control failures? * Facility siting? * Human factors? (Ask about shift rotations, extended schedules, and other possible sources of error.) * A qualitative evaluation of a range of possible safety and health effects of failure of controls on employees in the workplace?
4. Based on interviews with a representative number of the PHA team members, do the members have the appropriate expertise in engineering, process operations, and the process methodology used? Does one member of the team have experience and knowledge in the specific process? [Criteria Reference .119(e)(4)]
5. Based on interviews with a representative number of the PHA team members, does the system established by the employer address the team's findings and recommendations promptly? [Criteria Reference .119(e)(5)]
Operators and maintenance: 6. Based on interviews with a representative number of operator and maintenance employees, have the PHA's addressed the recognized hazards of the process and previous incidents which had a likely potential for catastrophic consequences? [Criteria Reference .119(e)(3)]
7. Based on interviews with operator, maintenance, and other employees who may be affected by PHA recommendations, have actions taken to resolve PHA (5) findings been communicated to these employees? [Criteria Reference .119(e)(5)]
For more information on PHA, see Appendix D, references: 8.; 9.; 10.; 11.; 12.; 13.; 14.; 15.; 16.; 17.; 25.; 26.; 27, Part I, Section UG-125; 31.; 32.; and 33.
1910.119(f): OPERATING PROCEDURES
I. PROGRAM SUMMARY
The intent of this paragraph is to provide clear instruction for conducting activities involved in covered processes that are consistent with the process safety information. The operating procedures must address steps for each operating phase, operating limits, safety and health considerations, and safety systems and their functions.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(f) D. 1910.1000 B. 1910.120 E. 1910.1200 C. 1910.147
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Do written operating procedures exist for each covered process? Do the procedures provide clear instructions for conducting activities safely? [Criteria Reference .119(f)(1)]
2. Do the operating instructions address, as a minimum, step for each operating phase, including: [Criteria Reference .119(f)(1)(i)] * Initial start-up? * Normal operations? * Temporary operations? * Emergency shutdowns? * Conditions requiring emergency shutdown? * Assignment of shutdown responsibility to qualified operators? * Emergency operations? * Normal shutdown? * Start-ups following a turnaround or emergency shutdown?
3. Do the operating procedures include operating limits that outline consequences of process deviation and steps required to correct or avoid deviations? [Criteria Reference .119(f)(1)(ii)]
4. Have safety and health considerations been included in the operating procedures? Do they include at a minimum: [Criteria Reference .119(f)(1)(iii)]
* Properties of, and hazards presented by, chemicals used in the process?
* Precautions necessary to prevent exposure, including engineering controls, administrative controls, and personal protective equipment?
* Control measures to be taken if physical contact or airborne exposure occurs?
* Quality control for raw materials and control of hazardous chemical inventory levels?
* Any special or unique hazards?
5. Are safety systems and their functions included in the operating procedures? [Criteria Reference .119(f)(1)(iv)]
6. Are the operating instructions consistent with the process safety information? [Criteria Reference .119(f)(1)]
7. Are operating procedures readily accessible to employees who work in or maintain a process? [Criteria Reference .119(f)(2)]
8. Are operating procedures reviewed as often as necessary to assure that they reflect current operating practice? Are they certified annually by the employer that they are current and accurate? Do they reflect current operating practices that have resulted from changes in: [Criteria Reference .119(f)(3)] * Process chemicals? * Technology? * Equipment? * Facilities?
9. Have safe work practices been developed and implemented for employees and contractors to control hazards during operations such as: [Criteria Reference .119(f)(4)] * Lockout/tagout? * Confined space entry? * Opening process equipment or piping? * Control over entrance into a facility by maintenance, contractor, laboratory or other support personnel?
B. On-site Conditions
1. Does observation of a representative sample of processes indicate that the written operating procedures are being implemented? [Criteria Reference .119(f)(1)]
2. Does observation of a representative sample of processes indicate that the written operating procedures are readily accessible to employees who work or maintain a process? [Criteria Reference .119(f)(2)]
3. Does observation of a representative sample of processes indicate that operating procedures reflect current practice, including changes that result from process chemicals, technology, equipment, and facilities? [Criteria Reference .119(f)(3)]
(Observe to see if actual procedures match the written operating procedures.)
4. Does observation of representative operations indicate that safe work practices have been implemented for company and contractor employees? Do such work practices include, where appropriate: [Criteria Reference .119(f)(4)] * Lockout/tagout? * Confined space entry? * Opening process equipment or piping? * Control over entrance into a facility by maintenance, contractor, laboratory, and other support personnel?
C. Interviews
1. Based on interviews with a representative number of operators, are the written operating procedures implemented for each covered process? [Criteria Reference .119(f)(1)]
2. Based on interviews with a representative number of operators, do operating procedures provide clear instructions for safely conducting activities? [Criteria Reference .119(f)(1)]
(Specifically ask for conditions requiring emergency shutdown, the operating limits of a particular process or item of equipment, what might occur if a deviation from those limits should take place, steps to avoid the deviation, and precautions necessary to prevent exposure to hazardous chemicals.)
3. Based on interviews with a representative number of employees who work in or maintain a process, are the operating procedures readily accessible? [Criteria Reference .119(f)(2)]
4. Based on interviews with a representative number of operators and maintenance employees, do the operating procedures reflect current operating practice? [Criteria Reference .119(f)(3)]
1910.119(g): TRAINING
I. PROGRAM SUMMARY
The intent of this paragraph helps employees and contractor employees understand the nature and causes of problems arising from process operations, and increases employee awareness with respect to the hazards particular to a process. An effective training program significantly reduces the number and severity of incidents arising from process operations, and can be instrumental in preventing small problems from leading to a catastrophic release. Minimum requirements for an effective training program include: Initial Training, Refresher Training, and Documentation.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(g): Training B. 1910.119(f)(1): Operating procedures
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. For employees and contractor employees involved in operating a process do initial and refresher training records exist? Do the records contain the identity of the employee, the date of the training, and the means used to verify that the employee understood the training? [Criteria Reference .119(g)(1)(i)]
2. Has each employee and contractor employee been trained before being involved in a newly assigned process (except employees involved in operating a process prior to 5/26/92)? [Criteria Reference .119(g)(1)(i)]
3. If initial training has not been given to employees and contractor employees involved in operating a process prior to 5/26/92, is there written certification that they have the required knowledge, skills and abilities to safely carry out the duties and responsibilities specified in the operating procedures? [Criteria Reference .119(g)(1)(ii)]
(Review the documents to make sure the certification has not been invalidated by a change in duties.)
4. Has each employee and contractor employee involved in operating a process been trained in an overview of the process and the operating procedures including: [Criteria Reference .119(g)(1)(i)] * Steps for each operating phase? Initial startup, normal operations, temporary operations, emergency shutdown, emergency operations, normal shutdown, and startup following a turnaround or emergency shutdown * Operating limits? Consequences of deviations and steps required to avoid deviations * Safety and health considerations? Properties and hazards of chemicals used and precautions for preventing exposure * Safety systems and their functions?
5. Has the employer consulted with employees and contractor employees involved in operating the process to determine the appropriate frequency for refresher training? Is the frequency at least once every 3 years? [Criteria Reference .119(g)(2)]
B. On-site Conditions
Verification is not required. [Criteria Reference .119(g)(1) or (2)]
C. Interviews
1. Based on interviews with a representative number of employees, has their training emphasized specific safety and health hazards, emergency operations including shutdown, and safe work practices applicable to their tasks? [Criteria Reference .119(g)(1)(i)]
2. Based on interviews with employees named as having provided consultation, has the employer consulted with employees involved in operating the process to determine the appropriate frequency of refresher training? [Criteria Reference .119(g)(2)]
1910.119 (h) CONTRACTORS
I. PROGRAMS SUMMARY
The intent of this paragraph is to require employers who use contractors to perform work in and around processes that involve highly hazardous chemicals to establish a screening process so that they hire and use contractors who accomplish the desired job tasks without compromising the safety and health of employees at a facility. The contractor must assure that contract employees are trained on performing the job safely, of the hazards related to the job, and applicable provisions of the emergency action plan.
NOTE: The term contractor includes subcontractor.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(h) B. 1910.119(f)(4) C. 1910.119(n) D. 29 CFR 1926 Subpart C (for contractors engaged in construction work) E. 1910.119 Appendix C, 57 Fed. Reg. 6413/3 F. 1910.119 Appendix D, Sources 7, 9, and 10
NOTE: Other provisions of 1910.119, such as (g) and (j), may also apply in appropriate circumstances.
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review - Employer's Program [Criteria Reference .119(h)(1)]
1. Does the program include all contractor activities that have the potential for affecting process safety, including--but not limited to--contractors performing maintenance or repair, turnaround, major renovation or specialty work on or adjacent to covered processes?
(Contractors performing incidental services which do not influence process safety such as janitorial work, food and drink services, laundry, delivery, and other supply services need not be included However, contractors performing construction, demolition, equipment installation, and other work that may affect the safety of a covered process should be included.)
2. Is the information regarding the contractor's safety performance and programs obtained and evaluated for selection of contractors? [Criteria Reference .119(h)(2)(i), .119 Appndxs C & D]
3. Are the contract employers informed, prior to the initiation of the contractors' work at the site, of the known potential fire, explosion, or toxic release hazards related to the contractors' work and the processes? [Criteria Reference .119(h)(2)(ii)]
4. Are contract employers informed, prior to the initiation of the contractors' work at the site, of the applicable provisions of the emergency action plan required by .119(n)? [Criteria Reference .119(h)(2)(iii)]
5. Have safe work practices to control the entrance, presence and exit of contract employers and contract employees in covered process areas been developed and implemented? [Criteria Reference .119(h)(2)(iv); .119(f)(4)]
6. Are contract employers periodically evaluated for their performance in fulfilling their obligations to: [Criteria Reference .119(h)(2)(v)]
* Assure their employees are trained in safe work practices needed to perform the job? * Assure their employees are instructed in the known potential fire, explosion, or toxic release hazards related to the job and the applicable provisions of the emergency action plan? * Document the required training and the means to verify their employees have understood the training? * Assure their employees follow the facility safety rules and work practices? * Advise the employer of unique hazards presented by the contractor's work?
7. Has the host employer ensured, through periodic evaluations, that the training provided to contractor employees by the contractor employer is equivalent to the training required for direct hire employees? [Criteria Reference .119(h)(2)(v)]
8. If the employer has identified deficiencies in the performance of contract employers, what action has the employer taken to correct the deficiencies? [Criteria Reference .119(h)(2)(v)]
9. Does the employer maintain a contract employee injury and illness log related to the contractor's work in process areas? [Criteria Reference .119(h)(2)(vi)]
Records Review - Contractor's Programs
10. Are all contractor employees trained in the work practices necessary to perform their jobs safely? [Criteria Reference .119(h)(3)(i)]
11. Is each contract employee instructed in the known potential fire, explosion, or toxic release hazards related to his/her job and the processes and applicable provisions of the emergency action plan? [Criteria Reference .119(h)(3)(ii)]
12. Is there documentation that each contract employee has received and understands the required training? [Criteria Reference .119(h)(3)(iii)]
13. Do the contract employee training records contain the following: [Criteria Reference .119(h)(3)(iii)] * The identity of the employee? * The date of the training? * The means used to verify that the training was understood?
14. Are there means to assure that contract employees follow the safety rules of the facility, including safe work practices required in .119(f)(4)? [Criteria Reference .119(h)(3)(iv); .119(f)(4)]
(Review evidence of enforcement by the contractor.)
15. Is the employer advised of any unique hazards presented by the contract employer's work or any hazards found by the contract employer's work? [Criteria Reference .119(h)(3)(v)]
B. On-site Conditions
1. Based on a representative sample of observations of contractor employees, has the employer's program to control their entrance, presence, and exit been implemented? [Criteria Reference .119(h)(2)(iv)]
2. Based on a representative sample of observations of contractor employees, do they follow the safety rules of the facility? [Criteria Reference .119(h)(3)(iv)]
(These rules include the employer's safe work practices such as lockout/tagout, confined space entry, and opening process equipment or piping; they may also include other rules such as excavation procedures or use of PPE.)
C. Interviews
1. Based on interviews with contractor employers, did the host employer obtain and evaluate information regarding the contractor's safety performance and programs for selection of contractors? [Criteria Reference .119(h)(2)(i); .119 Appndxs C & D]
2. Based on interviews with contractor employers, have they been informed of the known fire, explosion, or toxic release hazards related to their work and the processes in which they are involved prior to the initiation of their work at the site? [Criteria Reference .119(h)(2)(ii)]
3. Based on interviews with contractor employers, have they been informed of the applicable provisions of the employer's emergency action plan prior to the initiation of their work at the site? [Criteria Reference .119(h)(2)(iii)]
4. Based on interviews with contractor employers and employees, have work practices to control their entrance, presence, and exit of covered process areas been implemented? [Criteria Reference .119(h)(2)(iv)]
5. Based on interviews with the contractor employer, has the employer periodically evaluated the contractor's performance in fulfilling the obligations required in .119(h)(3) to: [Criteria Reference .119(h)(2)(v)] * Assure their employees are trained in safe work practices needed to perform the job? * Assure their employees are instructed in the known potential fire, explosion, or toxic release hazards related to the job and the applicable provisions of the emergency action plan? * Document the required training and the means to verify their employees have understood the training? * Assure their employees follow the facility safety rules and work practices? * Advise the employer of unique hazards presented by the contractor's work?
6. Based on interviews with the contractors employer, has the host employer ensured, through periodic evaluations, that the training provided to contractor employees by the contractor employer is equivalent to the training required for direct hire employees? [Criteria Reference .119(h)(2)(v)]
7. Based on interviews with the contractor employer, if the employer has identified deficiencies in the performance of contract employers, what action has the employer taken to correct the deficiencies? [Criteria .119(h)(2)(v)]
8. Based on interviews with a representative number of contractor employees, has the contractor employer trained them in the work practices necessary to perform their jobs? [Criteria Reference .119(h)(3)(i)]
9. Based on interviews with a representative number of contractor employees, are they being instructed in the known potential fire, explosion, or toxic release hazards related to their work and the processes in which they are involved? [Criteria Reference .119(h)(3)(ii)]
10. Based on the interview with a representive number of contractor employees, have they been instructed in the applicable provisions of the emergency action plan? [Criteria Reference .119(h)(3)(ii)]
(Ask them to explain the plan and evacuation procedures.)
11. Based on interviews with a representative number of contractors employees, has the contract employer assured that they follow the safety rules of the facility? [Criteria Reference .119(h)(3)(iv)]
(Ask how safe work practices, entry restrictions for the facility, and use of required PPE are enforced.)
For additional information on Contractors, see Appendix D, reference 16.
1910.119(i): PRE-STARTUP SAFETY REVIEW
I. PROGRAM SUMMARY
The intent of this paragraph is to make sure that, for new facilities an for modified facilities when the modification necessitates a change to process safety information, certain important considerations are addressed before any highly hazardous chemicals are introduced into the process. Minimum requirements include that the pre-startup safety review confirm the following: construction and equipment is in accordance with design specifications; safety, operating, maintenance, and emergency procedures are in place and adequate; for new facilities, a PHA has been performed and recommendations resolved or implemented; modified facilities meet the requirements of paragraph (1), management of change; and training of each employee involved in the process has been completed.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(i): Pre-startup Safety Review B. 1910.119(l): Management of Change
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Has a pre-startup safety review been performed for all new facilities and for modified facilities when the modification is significant enough to require a change in process safety information? [Criteria Reference .119(i)(1)]
2. Do pre-startup safety reviews confirm that prior to the introduction of highly hazardous chemicals to a process: [Criteria Reference .119(i)(2)]
* Construction and equipment is in accordance with design Specifications?
* Safety, operating, maintenance, and emergency procedures are in place and adequate?
2. (Continued) Do pre-startup safety reviews confirm that prior to the introduction of highly hazardous chemicals to a process: [Criteria Reference .119(i)(2)]
* For new facilities, a PHA has been performed and recommendations resolved or implemented before startup?
* Modified facilities meet requirements of paragraph (1)?
* Training of each employee involved in operating the process has been completed?
On-site Conditions
1. Do observations of new or modified facilities indicate that prior to the introduction of highly hazardous chemicals: * Construction and equipment is in accordance with design specifications? * Safety, operating, maintenance, and emergency procedures are in place and adequate?
C. Interviews (See NOTE, p. A-2.]
1. Based on interviews with a representative sample of operators, maintenance employees, and engineers, can it be confirmed that the construction and equipment are in accordance with design specifications prior to introducing highly hazardous chemicals to a process? [Criteria Reference .119(i)2(i)]
2. Based on interviews with a representative sample of operators, maintenance employees, and engineers, are safety, operating, maintenance, and emergency procedures in place prior to introduction of highly hazardous chemicals into a process? Are these procedures adequate? [Criteria Reference .119(i)2(ii)]
3. Based on interviews with a representative sample of operators, maintenance employees, and engineers, is a PHA performed and are recommendations resolved prior to a startup that introduces highly hazardous chemicals into a new process? [Criteria Reference .119(i)2(iii)]
4. Based on interviews with a representative sample of operators, maintenance employees, and engineers, do modified facilities meet requirements of paragraph (1), Management of Change prior to introducing a highly hazardous chemical? [Criteria Reference .119(i)2(iii)]
5. Based on interviews with a representative sample of operators, is training completed for each employee involved in operating the process prior to the introduction of a highly hazardous chemical? [Criteria Reference .119(i)2(iv)]
1910.119(j): MECHANICAL INTEGRITY
I. PROGRAM SUMMARY
The intent of this paragraph is to assure that equipment used to process store, or handle highly hazardous chemicals is designed, constructed; installed, and maintained to minimize the risk of releases of such chemicals. This requires that a mechanical integrity program be in place to assure the continued integrity of process equipment. The elements of a mechanical integrity program include the identification and categorization of equipment and instrumentation, development of written maintenance procedures, training for process maintenance activities, inspection and testing, correction of deficiencies in equipment that are outside acceptable limits defined by the process safety information, and development of a quality assurance program.
II. QUALITY CRITERIA REFERENCES
A. .119(j): Mechanical integrity
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Does the written mechanical integrity program include? [Criteria Reference .119(j)(1)] * Pressure vessels and storage tanks * Piping systems and components such as valves * Relief and vent systems and devices * Emergency shutdown systems * Controls (including monitoring devices and sensors, alarms and interlocks) * Pumps
2. Are there written procedures to maintain the on-going integrity of process equipment? Does the documentation indicate the procedures have been implemented? [Criteria Reference .119(j)(2)]
3. Has training been provided to each employee contractor employee involved in maintaining the on-going integrity of process equipment in the following: [Criteria Reference .119(j)(3)] * An overview of the process and its hazards? * Procedures applicable to the employee's job tasks to assure that the employee can perform the job tasks in a safe manner?
(Review certification documents for employees doing non-destructive tests, welding on pressure vessels, etc., where these certifications are required.)
4. Are inspections and tests performed on each item of process equipment included in the program? [Criteria Reference .119(j)(4)(i)]
5. Do inspection and testing procedures follow good engineering practices? [Criteria Reference .119(j)(4)(ii)]
6. Are inspection and test frequencies consistent with the manufacturer's recommendation and good engineering practice? Are inspections and tests performed more frequently if determined necessary by operating experience? [Criteria Reference .119 (j)(4)(iii)]
7. Is there documentation of each inspection and test that has been performed including all of the following: [Criteria Reference .119(j)(4)(iv)] * Date of the inspection or test? * Name of person performing the procedure? * Serial number or other identifier of equipment on which procedure was performed? * Description of inspection or test performed? * Results of inspection or test?
8. Are deficiencies in equipment that are outside limits (as defined in process safety information) corrected before further use or in a safe and timely manner when necessary means are taken to assure safe operation? [Criteria Reference .119(j)(5)]
9. In the construction of new plants and equipment, does the employer assure that equipment as it is fabricated is suitable for the process for which it will be used? [Criteria Reference .119(j)(6)(i)]
10. Have appropriate checks and inspections been made to assure equipment is installed properly and consistent with design specifications and manufacturer's instructions? [Criteria Reference .119(j)(6)(ii)]
(Include contractor supplied equipment.)
11. Does the employer assure that maintenance materials, spare parts, and equipment are suitable for the process application for which they are used? [Criteria Reference .119(j)(6)(iii)]
(Include contractor supplied equipment.)
B. On-site Conditions
1. Do observations of a representative sample of process equipment indicate deficiencies outside acceptable limits? [Criteria Reference .119(j)(5)]
(Compare process safety information criteria with the conditions of the equipment found in the process.)
2. If new plants or equipment are being constructed, do observations indicate that the equipment as it is fabricated is suitable for the process application? [Criteria Reference .119(j)(6)(i)]
3. Do observations of a representative sample of maintenance materials, spare parts, and equipment indicate that they are suitable for the process application for which they will be used? [Criteria Reference .119(j)(6)(iii)]
C. Interviews
Engineers (if any; or other qualified persons capable of providing the information requested; see NOTE, p. A-2): 1. Based on interviews with a representative number of engineers, have procedures to maintain the on-going integrity of the process equipment been implemented for: [Criteria Reference .119(j)(2)] * Pressure vessels and storage tanks? * Piping systems and components such as valves? * Relief and vent systems and devices? * Emergency shutdown systems? * Controls (including monitoring devices and sensors, alarms and interlocks)? * Pumps?
(Ask about the possibility of safety critical equipment being inadvertently rendered inoperative. For example, a relief device might be isolated by closing an upstream valve.)
2. Based on interviews with a representative number of engineers, do the inspection and testing procedures follow recognized and generally accepted good engineering practice? Has prior operating experience indicated a need for a more frequent test and inspection schedule than has been implemented? [Criteria Reference .119(j)(4)]
3. Based on interviews with a representative number of engineers, are equipment deficiencies corrected before use when they are outside the acceptable limits? If not, are the deficiencies corrected in a timely manner and are necessary means taken to assure safe operation? [Criteria Reference .119(j)(5)]
4. Based on interviews with a representative number of engineers, has the employer assured that, for new plants and equipment, the equipment as it is fabricated is suitable for the process application? Are appropriate checks and inspections made to assure equipment is installed properly and consistent with design specifications and manufacturer's instructions? Are maintenance materials, spare parts, and equipment suitable for the process application for which they will be used? [Criteria Reference .119(j)(6)]
(Ask about contractor supplied items.)
Maintenance: 5. Based on interviews with a representative number of maintenance employees (and, where applicable, contractor maintenance employees), have the written procedures for maintaining the on-going integrity of process equipment been implemented? [Criteria Reference .119(j)(2)]
6. Based on interviews with a representative number of employees and contractor employees involved in maintaining the on-going integrity of the process, have they been trained to assure they can perform their tasks in a safe manner? Did the training include an overview of the process, its hazards, and procedures applicable to the job? [Criteria Reference .119(j)(3)]
(Determine if certification, specialized training, or unique qualifications are required.)
7. Based on interviews with a representative number of maintenance employees, do test and inspection procedures follow recognized and generally accepted good engineering practices? Is the frequency of inspections and tests consistent with applicable manufacturer's recommendations and good engineering practices? Are more frequent inspections and tests necessary due as indicated by prior operating experience? [Criteria Reference .119(j)(4)]
8. Based on interviews with a representative number of maintenance employees, are equipment deficiencies that are outside acceptable limits corrected before further use? If not, are corrections made in a timely manner and are necessary means taken to assure operation? [Criteria Reference .119(j)(5)]
9. Based on interviews with a representative number of maintenance employees, are maintenance materials, spare parts and equipment suitable for the process application for which they are intended? [Criteria Reference .119(j)(6)]
(Ask about availability and use of substitutes.)
For additional information on Mechanical Integrity, see Appendix D, reference: 9.; 18.; 19.; 20.; 21.; 22.; 23.; 27.; 28.; 29.; and 34.
1910.119(k): HOT WORK PERMIT
I. PROGRAM SUMMARY
The intent of this paragraph is to require employers to control, in a consistent manner, nonroutine work conducted in process areas. Specifically, this subparagraph is concerned with the permitting of hot work operations associated with welding and cutting in process areas.
Minimum requirements include: that the employer issue a hot work permit for hot work operations conducted on or near a covered process and that hot work permits shall document compliance with the fire prevention and protection requirements of 29 CFR 1910.252(a).
II. QUALITY CRITERIA REFERENCES
A. 1910.119(k): Hot Work Permit B. 1910.252(a): Fire Prevention and Protection
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Have hot work permits been issued for all hot work operations conducted on or near a process covered by this standard? [Criteria Reference .119(k)(1)]
2. Do the hot work permits indicate the date(s) authorized for hot work performed? [Criteria Reference .119(k)(2)]
3. Do the hot work permits describe the object on which the hot work is to be performed? [Criteria Reference .119(k)(2)]
4. Have the hot work permits been kept on file until the hot work operations were complete? [Criteria Reference .119(k)(2)]
5. Have the hot work permits identified openings, cracks and holes where sparks may drop to combustible materials below? [Criteria Reference .252(a)(2)(i)]
6. Have the hot work permits described the fire extinguisher required to handle any emergencies? [Criteria Reference .252(a)(2)(ii)]
7. Have the hot work permits assigned fire watchers whenever welding is performed in locations where other than a minor fire might develop? [Criteria Reference .252(a)(2)(iii)]
8. Are the hot work permits being authorized, preferably in writing, by the "individual" responsible for all welding and cutting operations? Is authorization preceded by site & inspection and designation of appropriate precautions? [Criteria Reference .252(a)(2)(iv) & .252(a)(2)(xiii)(A)]
9. Have the hot work permits described precautions associated with combustible materials on floors or floors, walls, partitions, ceilings or roofs of combustible construction? [Criteria Reference .252(a)(2)(v) & .252(a)(2)(ix]
10. Has hot work permitting been successful in prohibiting welding in unauthorized areas, in sprinklered buildings while such protection is impaired, in the presence of explosive atmospheres, and in storage areas for large quantities of readily ignitable materials? [Criteria Reference .252(a)(2)(vi)]
11. Have the hot work permits required relocation of combustibles where practicable and covering with flameproofed covers where not practicable? [Criteria Reference .252(a)(2)(vii)]
12. Have hot work permits identified for shutdown any ducts or conveyors systems that may convey sparks to distant combustibles? [Criteria Reference .252(a)(2)(viii)]
13. Have hot work permits required precautions whenever welding on components (e.g., steel members, pipes, etc,) that could transmit heat by radiation or conduction to unobserved combustibles? [Criteria Reference .252(a)(2)(x) & .252(a)(2)(xii)]
14. Have hot work permits identified hazards associated with welding on walls, partitions, ceilings or roofs with combustible coverings or welding on walls or panels of sandwich-type construction? [Criteria Reference .252(a)(2)(xi)]
15. Has management established areas and procedures for safe welding and cutting based on fire potential? [Criteria Reference .252(a)(2)(xiii)]
16. Has management designated the "individual" responsible for authorizing cutting and welding operations in process areas? [Criteria Reference .252(a)(2)(xiii)(B)]
17. Has management ensured that welders, cutters and supervisors are trained in the safe operation of their equipment? [Criteria Reference .252(a)(2)(xiii)(C)]
18. Has management advised outside contractors working on their site about all hot work permitting programs? [Criteria Reference .252(a)(2)(xiii)(D)]
19. Has the Supervisor determined if combustibles are being protected from ignition prior to welding by moving them, shielding them, or scheduling welding around their production? [Criteria Reference .252(a)(2)(xiv)(A)(B) & (C)]
20. Has the Supervisor, prior to welding, secured authorization from the responsible "individual" designated by management? [Criteria Reference .252(a)(2)(xiv)(D]
B. On-Site Conditions
1. Conduct checks of current welding and cutting operations to ensure compliance with the requirements of 1910.119(k) and 1910.252(a). The twenty items listed above in "Records Review" may serve as an audit checklist. A management representative, the "individual" responsible for welding operations and the supervisor should all be invited to participate in this on-site check. [Criteria Reference .119(k) & .252(a)]
C. Interviews - Employees and Contractors
1. Based on interviews with a representative number of maintenance and contractor employees, has the Supervisor visited welding work operations to verify that: [Criteria Reference .252(a)(2)(xiv)(E),(F) & (G)]
* Welders have approval for safe go ahead prior to welding? * Fire protection and extinguishing equipment is properly located at the work site? * Fire watches are functional, where required?
2. Based on interviews with a representative number of maintenance and contractor employees, have hot work permits been issued for all hot work operations conducted on or near a process covered by this standard? [Criteria Reference .119(k)(1)]
3. Based on interviews with a representative number of maintenance and contractor employees, have the hot work permits been kept on file until the hot work operations were complete? [Criteria Reference .119(k)(2)]
4. Based on interviews with a representative number of maintenance and contractor employees, have the hot work permits identified openings, cracks and holes where sparks may drop to combustible materials below? [Criteria Reference .252(a)(2)(i)]
5. Based on interviews with a representative number of maintenance and contractor employees, have the hot work permits assigned fire watchers whenever welding is performed in locations where other than a minor fire might develop? [Criteria Reference .252(a)(2)(iii)]
6. Based on interviews with a representative number of maintenance and contractor employees, are the hot work permits being authorized, preferably in writing, by the "individual" responsible for all welding and cutting operations? Is authorization preceded by site inspection and designation of appropriate precautions? [Criteria Reference .252(a)(2)(iv) & .252(a)(2)(xiii)(A)]
7. Based on interviews with a representative number of maintenance and contractor employees, have the hot work permits described precautions associated with combustible materials on floors or floors, walls, partitions, ceilings or roofs of combustible construction? [Criteria Reference .252(a)(2)(v) & .252(a)(2)(ix)]
8. Based on interviews with a representative number of maintenance and contractor employees, has hot work permitting been successful in prohibiting welding in: [Criteria Reference .252(a)(2)(vi)] * Unauthorized areas? * Sprinklered buildings while such protection is impaired? * The presence of explosive atmospheres? * Storage areas for large quantities of readily ignitable materials?
9. Based on interviews with a representative number of maintenance and contractor employees, have the hot work permits required relocation of combustibles where practicable and covering with flameproofed covers where not practicable? [Criteria Reference .252(a)(2)(vii)]
10. Based on interviews with a representative number of maintenance and contractor employees, have hot work permits identified for shutdown any ducts or conveyors systems that may convey sparks to distant combustibles? [Criteria Reference .252(a)(2)(viii)]
11. Based on interviews with a representative number of maintenance and contractor employees, have hot work permits required precautions whenever welding on components (e.g., steel members, pipes, etc.) that could transmit heat by radiation or conduction to unobserved combustibles? [Criteria Reference .252(a)(2)(x) & .252(a)(2)(xii)]
12. Based on interviews with a representative number of maintenance and contractor employees, have hot work permits identified hazards associated with welding on walls, partitions, ceilings or roofs with combustible coverings or welding on walls or panels of sandwich-type construction? [Criteria Reference .252(a)(2)(xi)]
13. Based on interviews with a representative number of maintenance and contractor employees, has management established areas and procedures for safe welding and cutting based on fire potential? [Criteria Reference .252(a)(2)(xiii)]
14. Based on interviews with a representative number of maintenance and contractor employees, has management designated the "individual" responsible for authorizing cutting and welding operations in process areas? [Criteria Reference .252(a)(2)(xiii)(B)]
15. Based on interviews with a representative number of maintenance and contractor employees, has management ensured that welders, cutters and supervisors are trained in the safe operation of their equipment? [Criteria Reference .252(a)(2)(xiii)(C)]
16. Based on interviews with contractors and contractor employees, has management advised outside contractors working on the site about all hot work permitting programs? [Criteria Reference .252(a)(2)(xiii)(D)]
17. Based on interviews with a representative number of maintenance and contractor employees, has the supervisor determined if combustibles are being protected from ignition prior to welding by moving them, shielding them, or scheduling welding around their production? [Criteria Reference .252(a)(2)(xiv)(A)(B) & (C)]
1910.119(l): MANAGEMENT OF CHANGE
I. PROGRAM SUMMARY
The intent of this paragraph is to require management of all modifications to equipment, procedures, raw materials and processing conditions other than "replacement in kind" by identifying and reviewing them prior to implementation of the change. Minimum requirements for management of change include: establishing written procedures to manage change; addressing the technical basis, impact on safety and health, modification to operating procedures, necessary time period, and authorizations required; informing and training employees affected; and updating process safety information and operating procedures or practices.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(l): Management of Change
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Are there written procedures for managing changes (except for "replacements in kind") to process chemicals, technology, equipment, and procedures and changes to facilities that affect a covered process? [Criteria Reference .119(l)(1)]
(Review procedures that address responsibilities, steps for assessing risks and approving changes, requirements for reviewing designs for temporary and permanent changes, steps needed to verify that modifications have been made as designed, variance procedures, time limit authorizations for temporary changes, and steps required to return the process to status quo after temporary changes.)
2. Do the procedures assure that the technical basis for the proposed change is addressed prior to any change? [Criteria Reference .119(l)(2)(i)]
3. Do the procedures assure that the impact of the change on safety and health is addressed prior to any change? [Criteria Reference .119(l)(2)(ii)]
4. Do the procedures assure that modifications to operating procedures is addressed prior to any change? [Criteria Reference .119(l)(2)(iii)]
5. Do the procedures assure that the necessary time period for the change is addressed prior to any change? [Criteria Reference .119(l)(2)(iv)]
6. Do the procedures assure that the authorization requirements for the proposed change are addressed prior to any change? [Criteria Reference .119(l)(2)(v)]
7. Are employees involved in operating a process, and maintenance and contract employees whose job tasks will be affected by change informed of, and trained in, the change prior to start-up of process or affected part of process? [Criteria Reference .119(l)(3)]
8. Is the process safety information required by paragraph (d) updated if changed? [Criteria Reference .119(l)(4)]
9. Are the operating procedures or practices required by paragraph (f) updated if changed? [Criteria Reference .119(l)(5)]
B. On-site Conditions
1. Do observations of new or recently modified process chemicals, technology, equipment, or procedures (except "replacement in kind") indicate that the Management of Change procedures have been implemented? [Criteria Reference .119(l)(1)]
(Determine if records are available to support the procedures for new or revised processes found in the facility.)
C. Interviews
Operator, Maintenance, and Contractor Employees:
1. Based on interviews with operators, maintenance employees and contractor employees, are procedures implemented to manage changes to existing process chemicals, technology, equipment, facilities, and procedures? [Criteria Reference .119(l)(1)]
2. Based on interviews with operators, maintenance employees and contractor employees, is training in process changes provided to employees whose job tasks will be affected by the changes prior to start-up? [Criteria Reference .119(l)(3)]
For additional information on Management of Change, see Appendix D, reference 9., Chapter 7.
1910.119(m): INCIDENT INVESTIGATIONS
I. PROGRAM SUMMARY
The employer is required to investigate each incident which resulted in, or could reasonably have resulted in a catastrophic release of highly hazardous chemical in the workplace. An investigation shall be initiated no later than 48 hours following the incident. An investigation team shall be established and a report prepared which includes: 1) Date of incident 2) Date investigation began 3) Description of incident 4) Factors that contributed to the incident 5) Recommendations from the investigation. The employer is required to establish a system to promptly address the incident report findings and recommendations, documenting all resolutions and corrective actions. Incident reports shall be reviewed with all affected personnel whose job tasks are relevant to the investigation and retained for five years.
II. QUALITY CRITERIA REFERENCES
A. 1910.119(m): Incident Investigations
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Has each incident been investigated which resulted in, or could reasonably have resulted in a catastrophic release of highly hazardous chemicals in the workplace? [Criteria Reference .119(m)(1)]
2. Have incident investigations been initiated as promptly as possible, but not later than 48 hours following the incident? [Criteria Reference .119(m)(2)]
3. Have incident investigation teams been established? Do the teams contain at least one person knowledgeable in the process involved in the incident, and other members with appropriate knowledge and experience to thoroughly investigate and analyze the incident? Has a contractor employee been included in the team if the incident involved work of the contractor? [Criteria Reference .119(m)(3)]
4. Have incident investigation reports been prepared at the conclusion of the investigation which include at minimum: [Criteria Reference .119(m)(4)] * Date of the incident? * Date the inspection began? * A description of the incident? * The factors that contributed to the incident? * Any recommendations resulting from the investigation?
5. Has a system been established to promptly address and resolve the incident investigation report findings and recommendations? [Criteria Reference .119(m)(5)]
6. Have resolutions and corrective actions from the incident investigation reports been documented? [Criteria Reference .119(m)(5)]
7. Have incident investigation reports been reviewed with all affected personnel whose job tasks are relevant to the incident findings including contract employees, where applicable? [Criteria Reference .119(m)(6)]
8. Are incident investigation reports retained for five years? [Criteria Reference .119(m)(7)]
B. On-site Conditions
1. Do observations of a representative sample of process components involved in incident investigations indicate that recommendations have been resolved? [Criteria Reference .119(m)(5)]
(Compare the corrective actions outlined in the investigation documentation with the actual equipment, procedures, material use, etc.)
C. Interviews
1. Based on interviews with a representative number of operators, maintenance employees and contractor employees, have all incidents that resulted in or could reasonably have resulted in a catastrophic release of highly hazardous chemicals in the workplace, been investigated? [Criteria Reference .119(m)(1)]
2. Based on interviews with a representative number of the members of past investigation teams, do the teams contain at least one person knowledgeable in the process involved in the incident, and other persons with appropriate knowledge and experience to thoroughly investigate and analyze the incident? Was a contractor employee included in the team if the incident involved work of the contractor? [Criteria Reference .119(m)(3)]
3. Based on interviews with a representative number of employees whose job tasks are relevant to the past incident investigation findings, have the investigation reports been reviewed with the affected personnel? [Criteria Reference .119(m)(6)]
For additional information on Incident Investigations, see Appendix D, references 9. and 24.
1910.119 (n): EMERGENCY PLANNING AND RESPONSE
I. PROGRAM SUMMARY
The intent of this paragraph is to require the employer to address what actions employees are to take when there is an unwanted release of highly hazardous chemicals. The employer must establish and implement an emergency action plan in accordance with the provisions of 29 CFR 1910.38(a) and include procedure. for handling small releases. Certain provisions of the hazardous waste and emergency response standard, 29 CFR 1910.120(a), (p), and (q), may also apply.
[NOTE: 1910.120(a) addresses scope, application, and definitions for the entire standard. 1910.120(p) addresses treatment, storage, and disposal (TSD) facilities under the Resource Conservation and Recovery Act (RCRA). 1910.120(q) addresses requirements for facilities that are not RCRA TSD's, where there is the potential for an emergency incident involving hazardous substances. Cleanup operations--including corrective actions and post-emergency response cleanup--are covered by 1910.120(b) through (o). For further guidance, refer to the forthcoming directive on 29 CFR 1910.120.]
II. QUALITY CRITERIA REFERENCES
A. 1910.119(n) D. 1910.165 B. 1910.38(a) E. 1910.1200 C. 1910.120(a),(p),(q) F. 1910.36(b)
III. VERIFICATION OF PROGRAM ELEMENTS
A. Records Review
1. Has an emergency action plan been established and implemented for the entire plant in accordance with the requirements of 1910.38? Does the plan address the following: [Criteria Reference .119(n) or .38(a)(2)] * Escape procedures and routes? * Procedures for post-evacuation employee accounting? * Preferred means to report emergencies? * Duties and procedures of employees who: * Remain to operate critical equipment? * Perform rescue and medical duties? * The names for persons or locations to contact for more action plan information? * Employee alarm systems?
2. Is the plan written if the facility has more than ten employees? [Criteria Reference .38(a)(1)]
3. Is there sufficient number of persons designated and trained to assist in the safe and orderly emergency evacuation of employees? [Criteria Reference .38(a)(5)(i)]
4. Is the plan reviewed with each employee covered by the plan: initially when the plan is developed; and whenever the employees' responsibilities or designated action under the plan change; and whenever the plan is changed? [Criteria Reference .38(a)(5)(ii)]
5. Does the emergency action plan cover procedures for handling small releases? [Criteria Reference .119(n)]
6. Is an alarm system established and implemented which complies with 1910.165? Are the alarms: [Criteria Reference .165(b-e)]
* Distinctive for each purpose of the alarm?
* Capable of being perceived above ambient noise and light levels by all employees in the affected portions of the workplace?
* Distinctive and recognizable as a signal to evacuate the work area or perform actions designated under the plan?
* Maintained in operating condition?
* Tested appropriately and restored to normal operating condition as soon as possible after test? * Non-supervised systems tested not less than every two months? * Supervised systems tested at least annually?
* Serviced, maintained, and tested by appropriately trained persons?
* Unobstructed, conspicuous and readily accessible, if they are manual alarm systems?
7. Does the written emergency response plan meet the requirements of 1910.120(a), (p), and (q), if appropriate? [Criteria Reference .120(a); 120(p); 120(q)]
(See the NOTE at I., Program Summary. Clean-up operations required by a governmental body are addressed in .120(a); treatment, storage, and disposal (TSD) facilities under the Resource Conservation and Recovery Act are addressed in .120(p); and .120(q) addresses requirements for emergency response no matter where they occur, except that it does not cover employees engaged in operations at TSD facilities or hazardous waste sites.)
8. If employees are engaged in emergency response (except clean-up operations), does the plan address the following: [Criteria Reference .120(q)] * Coordination with outside parties? * Personnel roles, lines of authority, training, and communication? * Emergency recognition and prevention? * Safe distances and places of refuge? * Site security and control? * Evacuation routes and procedures? * Decontamination? * Emergency medical treatment and first aid? * Emergency alerting and response procedures? * Critique of response and followup? * PPE and emergency equipment?
B. On-site Conditions
1. Do observations of a representative sample of alarm systems indicate that they comply with the requirements in .165(b-e)? Are the alarms: [Criteria Reference .165(b-e)] * Distinctive for each purpose of the alarm? * Capable of being perceived above ambient noise and light levels by all employees in the affected portions of the workplace? * Distinctive and recognizable as a signal to evacuate the work area or perform actions designated under the plan? * Maintained in operating condition? * Tested appropriately and restored to normal operating condition as soon as possible after test? (Be present for an alarm test if possible or review video if available.) * Tested no greater than every two months? * Serviced, maintained, and tested by appropriately trained persons? * Unobstructed, conspicuous and readily accessible, if they are manual alarm systems?
2. Do observations of the evacuation routes indicate that they are not blocked, locked, or barricaded? [Criteria Reference .36(b)(4)]
3. Do observations of the evacuation routes indicate that there are readily visible signs for evacuation routes leading to safe locations? [Criteria Reference .36(b)(5)]
4. Do observations of a representative sample of the evacuation route signs during dark conditions indicate that they are adequately illuminated? [Criteria Reference .120(b)(6)]
C. Interviews
1. Based on interviews with employees who have been identified as likely to discover releases or assigned other emergency response duties, are they provided training? Is the training based on the duties they are expected to perform? [Criteria Reference .120(q)(6)]
2. Based on interviews with employees who are likely to discover hazardous substance releases, can they demonstrate competency in the provisions listed in the first responder awareness level: [Criteria Reference .120(q)(6)(i)] * Understanding what hazardous substances are, and the risks associated with them in an incident? * Understanding potential outcomes associated with an emergency when hazardous substances are pres