Text For Citation: 01 Item/Group: 010 Hazard: REFINERY

29 CFR 1910.119(l)(1): The employer did not establish and implement written procedures to manage changes to process chemicals, technology, equipment, and procedures; and, changes to facilities that affect a covered process: At the facility, the employer's MOC Program failed to establish and implement adequate written procedures to include the following: a) A definition of MOC roles and responsibilities for facility personnel including senior management, management of change reviewers, lead operators, and field operators levels of authorization required. b) Follow-up procedures and facility policy to update P&IDs and SOPs. c) Follow-up procedures and policy for tracking open MOC's d) Did not specify MOC training requirements for personnel initiating and implementing process changes and methods of communicating changes to operators, maintenance technicians, engineers and managers prior to operating the unit. e) Did not specify guidelines for special situations such as bypasses of safety or electrical equipment, operating outside of safe operating limits. Employees were exposed to release of volatile organic compounds (VOC)s to atmosphere that have resulted in explosion and fire leading to death and injury to persons in or near the facility. 29 CFR 1903.19(d)(1) requires certification and documentation that the abatement of the above violation is completed.