Text For Citation: 01 Item/Group: 008 Hazard: REFINERY

29 CFR 1910.119(m)(1) The employer shall investigate each incident which resulted in, or could reasonably have resulted in a catastrophic release of highly hazardous chemical in the workplace. (A) The employer did not investigate each incident which resulted in, or could reasonably have resulted in a catastrophic release of highly hazardous chemical in the workplace. This violation was identified during inspections of the facility from May 2010 to September 2010, Big West Oil LLC., 333 West Center Street, North Salt Lake, UT, 84054. The Compliance Officer reviewed a random selection of incident reports and found that multiple incidents that reasonably could have resulted in a catastrophic release of highly hazardous chemicals in the workplace were not investigated. Examples of such, include, but are not limited to, an incident which occurred on 08/22/08 involving a hydrogen fire on valve XV-6649 in the Cycle X. By not investigating each incident, contributing factors may not be addressed and corrected. Lack of identifying and addressing contributing factors can expose employees to hazardous chemical exposures that may result in serious injury or death. This may be a system-wide occurrence that requires evaluation of all incident reports throughout the facility.