Text For Citation: 01 Item/Group: 014 Hazard: REFINERY

29 CFR 1910.119(e)(3)(vi): The process hazard analysis did not address human factors: At the Fluid Catalytic Cracking Unit (FCCU): The employer does not identify or evaluate the possibility of human error in its PHA due to confusion when equipment described in a written procedure is not labeled/marked with an identifier in the field. This condition was specifically identified for operators accessing equipment in instances described below as (a), (b) and (c), but is not limited to equipment in these procedures. The conditions were present on or about February 4, 2009, and at times prior to and thereafter, at the Sinclair Tulsa Refinery. a) For procedure 1210 - Transfer of Catalyst from F-2 Used Catalyst Drum into Trucks. b) For procedure 1302 - Loss of Feed. c) For procedure 1305 - 250# Steam Failure. Pursuant to 29 CFR 1903.19, within ten (10) calendar days of the date of this citation, the employer must submit documentation showing that it is in compliance with the standard including describing the steps that it is taking to ensure that the human factors hazard analysis is effectively applied for PHA conducted at the refinery.