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

29 CFR 1910.119(l)(1): The employer shall establish and implement written procedures to manage changes (except for "replacements in kind") to process chemicals, technology, equipment, and procedures; and, changes to facilities that affect a covered process. b. On or about April 23, 2024, and at times prior, on the CR1 Reactor in Building 2, changes were made to the emergency alarm system where the manual alarms were put in bypass mode, changing how to address an emergency fire/explosion in the facility. The employer did not establish and implement a written procedure to manage this change in the emergency alarm system. When the explosion occurred on April 23, 2024, an employee attempted to activate the manual alarm in the CR1 control room, but there was no response, and the employee was unsure of what actions to take to respond accordingly. As a result, employees working on and within the vicinity of the CR1 covered process were exposed to fire, explosion, and contact hazards.