Text For Citation: 03 Item/Group: 009B Hazard: REFINERY

29 CFR 1910.119(e)(3)(ii) The process hazard analysis shall address: The identification of any previous incident which had a likely potential for catastrophic consequences in the workplace; A. The employer did not ensure that process hazard analysis (PHA) identified previous incidents which had a likely potential for catastrophic consequence. This violation was identified during inspections of the facility from November 2009 to March 2010, Silver Eagle Refining Inc., 2355 South 1100 West, Woods Cross, UT, 84087. During review of the #1 Crude Unit 2005 PHA, no written documentation provided demonstrated all previous incidents were identified and/or reviewed during the process hazard analysis. Compliance Officers compared incident reports, provided as MDDW 1-UOSH-18 and MDDW 1-UOSH 18.10, to what was reviewed during the PHA. The employer provided unrestricted access to the complete original copy of the #1 Crude Unit PHA. Information including, but not limited to, an incident on 12/24/05 was not demonstrated as being identified and discussed in the PHA. This incident involved a furnace box fire which had potential for catastrophic consequences. By not reviewing all previous incidents which had a likely potential for catastrophic consequence, the employer did not fully evaluate all hazards present in the operating unit. Such oversight can expose employees to serious injury or death in the event of an incident. This may be a system-wide occurrence that requires evaluation of all previous incidents which had a likely potential for catastrophic consequences. B. The employer did not ensure that process hazard analysis (PHA) identified previous incidents which had a likely potential for catastrophic consequence. This violation was identified during inspections of the facility from November 2009 to March 2010, Silver Eagle Refining Inc., 2355 South 1100 West, Woods Cross, UT, 84087. During review of the #2 Crude Unit PHA, dated 5/11/05, no written documentation provided demonstrated all previous incidents were identified and/or reviewed during the process hazard analysis. Compliance Officers compared incident reports, provided as MDDW 1-UOSH-18 and MDDW 1-UOSH 18.10, to what was reviewed during the PHA. The employer provided unrestricted access to the complete original copy of the #2 Crude Unit PHA. Information including, but not limited to, an incident on 12/6/06 was not demonstrated as being identified and discussed in the PHA. This incident involved a process upset which required the shutdown of multiple units with the potential for catastrophic consequences. By not reviewing all previous incidents which had a likely potential for catastrophic consequence, the employer did not fully evaluate all hazards present in the operating unit. Such oversight can expose employees to serious injury or death in the event of an incident. This may be a system-wide occurrence that requires evaluation of all previous incidents which had a likely potential for catastrophic consequences. C. The employer did not ensure that process hazard analysis (PHA) identified previous incidents which had a likely potential for catastrophic consequence. This violation was identified during inspections of the facility from November 2009 to March 2010, Silver Eagle Refining Inc., 2355 South 1100 West, Woods Cross, UT, 84087. During review of the 2009 MDDW PHA, dated 6/3/09 to 8/5/09, no written documentation provided demonstrated all previous incidents were identified and/or reviewed during the process hazard analysis. Compliance Officers compared incident reports, provided as MDDW 1UOSH-18 and MDDW 1-UOSH 18.10, to what was reviewed during the PHA. The employer provided unrestricted access to the complete original copy of the 2009 MDDW PHA. Information including, but not limited to, incidents on 3/29/04, 1/23/05, 3/30/05, 12/6/06, 5/7/07 were not demonstrated as being identified and discussed in the PHA. These incidents involved fires which had potential for catastrophic consequences. By not reviewing all previous incidents which had a likely potential for catastrophic consequence, the employer did not fully evaluate all hazards present in the operating unit. Such oversight can expose employees to serious injury or death in the event of an incident. This may be a system-wide occurrence that requires evaluation of all previous incidents which had a likely potential for catastrophic consequences. D. The employer did not ensure that process hazard analysis (PHA) identified previous incidents which had a likely potential for catastrophic consequence. This violation was identified during inspections of the facility from November 2009 to March 2010, Silver Eagle Refining Inc., 2355 South 1100 West, Woods Cross, UT, 84087. During review of the Naphtha HDS PHA, dated 6/18/08, no written documentation provided demonstrated all previous incidents were identified and/or reviewed during the process hazard analysis. Compliance Officers compared incident reports, provided as MDDW 1-UOSH-18 and MDDW 1-UOSH 18.10, to what was reviewed during the PHA. The employer provided unrestricted access to the complete original copy of the Naphtha HDS PHA. Information including, but not limited to, incidents on 11/25/05 and 3/31/05 were not demonstrated as being identified and discussed in the PHA. These incidents involved situations such as fires and line breaks which had potential for catastrophic consequences. By not reviewing all previous incidents which had a likely potential for catastrophic consequence, the employer did not fully evaluate all hazards present in the operating unit. Such oversight can expose employees to serious injury or death in the event of an incident. This may be a system-wide occurrence that requires evaluation of all previous incidents which had a likely potential for catastrophic consequences.