Text For Citation: 01 Item/Group: 013 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: This violation occurred on or about August 2007 in the Hydrocracker Unit (HCU), where the employer failed to initiate an MOC to determine the impact of the change, still ongoing, introduced to Pulse bottle/dampener of the Deareated Condensate Pump (Condensation Injection Pumps). The employer allowed the introduction of water from a water hose to be directed onto the Pulse Dampener of Deareated Condensate Pumps (G-2409, G-2410) in an attempt to lower the temperature of the water going to the Pump in use. The employer did not ensure that an MOC procedure was completed prior to the change to determine how that the change would impact the safety and health of employees. This condition could result in potential equipment failure and chemical release potentially leading to burns. Pursuant to 29 CFR 1903.19(d), within 10 days of the calendar date of this citation, the employer shall submit documentation that Management of Change procedures were conducted to analyze any potential safety and health impacts of the change and if appropriate, documentation that includes the technical basis for the change, impact of change on safety and health, modifications to operating procedures, necessary time period for the change and, the authorization requirements for the change. The employer shall also provide documentation that employees and contractors are informed of, and trained in, any changes prior to start-up of the process or affected part of the process. The employer shall provide documentation that describes any changes including any updates to the process safety information (PSI), and updated operating procedures or practices.