Text For Citation: 01 Item/Group: 004 Hazard: CHEMNEP

29 CFR 1910.119(e)(3)(vi): The process hazard analysis did not address human factors: (a)Resin Process Area, 7k and 10k units, on or prior to 8/6/10: The process hazard analysis did not address human factors, including, but not limited to: -Operator failure to follow the established shift change procedure and communicate safety-critical information to the incoming shift. -Communication issues between control room operators and third person on resin room floor; no radios or other effective means of communication was utilized. -Excessive or redundant control panel alarms, resulting in operator failure to notice or respond to a critical alarm. -Operator inattentiveness and/or judgement errors created by fatigue issues associated with 12 hour work shift(s). -Operator failure to abort actions to control an escalating emergency situation (i.e. runaway reaction) and instead evacuate the plant. -Operator failure to follow specific, safety critical procedural steps outlined in 7k and 10k reactor operations manuals. Pursuant to 29 CFR 1903.19(c), the employer must provide certification and documentation to OSHA that this violation has been abated within 10 calendar days of the "Date by which Violation Must be Abated".