Text For Citation: 01 Item/Group: 006 Hazard:

29 CFR 1910.119(e)(5): The employer did not establish a system to promptly address the team's findings and recommendations; assure that the recommendations were resolved in a timely manner and that the resolution was documented; document what actions were to be taken; complete actions as soon as possible; develop a written schedule of when these actions were to be completed; communicate the actions to operating, maintenance and other employees whose work assignments were in the process and who may have been affected by the recommendations or actions: Employees engaged in operating, inspecting, testing, and maintaining activities at the covered process equipment on the roof top of the Main Plant and the engine rooms were exposed to catastrophic release of ammonia which results in asphyxiation, explosion and flash fire leading to death and injury to persons in and near the facility in that the findings and recommendations identified in the Process Hazard Analysis have not been implemented or resolved as below: a) 1996 initial PHA study only contains 29 pages of What-If Work-Sheet - Team's findings and recommendations notes plus the action register forms were not available; the employer did not retain part of the required document for the life of the process. b) 1999 PHA What-If Tracking Sheet - Several instances of team's findings and recommendations were not resolved in a timely manner. Status section stated In process. Some items have written notes but there was no indication of what the current status is, whether it is completed, done or not. c) 2005 PHA What-If Tracking Sheet - PHA05-7.11. Status stated 80% completed as of 11/1/05. d) 2007 PHA Action Register. Status stated either Capital request in progress or In progress. e) 2012 CP-2/CP-4 5-Year Update - PHA Action Register - E/IM-007. Status stated 5/19/16, In-process. 29 CFR 1903.19(d)(1) requires certification and documentation that the abatement of the above violation is complete.