Text For Citation: 01 Item/Group: 001 Hazard:

29 CFR 1910.119(f)(1): The employer did not develop and implement written operating procedures that provided clear instructions for safely conducting activities involved in each covered process consistent with the process safety information addressing at least the elements listed in 1910.119(f)(1)(i)(A)-1910.119(f)(1)(iv): CP-4 Engine Room: On or about October 20, 2020, the employer failed to develop and implement clear instructions for safely conducting activities involved in each covered process consistent with the process safety information. The High Stage Compressor C6 (K12828) SOP, Revision #7, was deficient in that the instructions were inaccurate. In particular, the following were examined: a) deleted b) The SOP procedural steps 8 identify the need to verify that the manual valves are open, however these valves do not exist. The SOP procedural steps instruct employees to verify valve conditions, to open, close, or shut valves. Because of this reason, valves must be clearly marked and matched with each other between the SOP, the P&ID, and the physical layout to avoid confusion. Employees and contractors must immediately know what valves to open and close. Employees engaged in operating, inspecting, testing, and maintaining activities at the covered process equipment in the CP-4 engine rooms were exposed to catastrophic release of ammonia which results in asphyxiation, explosion and flash fire leading to death and injury to persons in and near the facility. 29 CFR 1903.19(d)(1) requires certification and documentation that the abatement of the above violation is complete.