Text For Citation: 01 Item/Group: 006 Hazard:

29 CFR 1910.119(m)(5): The employer shall establish a system to promptly address and resolve the incident report findings and recommendations. Resolutions and corrective actions shall be documented. On or about 08/27/2015, the employer did not establish a system to resolve the incident report findings and recommendations when: a) An incident investigation for a release of approximately 5.5 gallons of formalin which occurred on or about 05/16/2013 determined the release was due to a leaking flange. The incident investigation system did not address corrective actions, such as but not limited to mechanical integrity inspections to minimize or eliminate additional releases from leaking flanges or similar equipment. b) An incident investigation for a release of approximately 20 gallons of formalin which occurred on or about 06/25/2014 determined the release was due to the pin used to secure the line's cam-lock fitting was not engaged. The incident investigation system did not address corrective actions, such as but not limited to operating procedures reviews or updates or mechanical integrity quality assurance to minimize or eliminate additional misuses of the equipment.