Record of initial read - Report and assessor identification COIN Company Assessment Manager COIN Site Team/unit Operator name Establishment address Date of report COIN Service Order RECORD OF INITIAL READ OF SAFETY REPORT (COMAH SRAM Manual, Section 4, Task 3.2) Please note – all rows are expandable INITIAL READ OF SAFETY REPORT: Conclusions, Comments & any Further Actions Required: Key information Available? Further Action(s) Required: SIGNED: DATE: Other Initial Read Considerations Confirm COMAH on-site emergency plan prepared [COMAH Reg 9(1)] Confirm operator consulted: employees, the Agency, emergency services and the health authority [Reg COMAH Reg 9(3)] & the Local Authority re preparation Version 1.0 April 2006 Outcome and Comments Follow Up Notes 1 Record of initial read - Report and assessor identification COIN Company Assessment Manager COIN Site Team/unit Operator name Establishment address Date of report COIN Service Order of onsite plan [COMAH Reg 9(4)] Early Predictive Assessment Report Initial Read feedback from EA Assessor Main Headings from COMAH Schedule 2 & Schedule 4, Part 2 Safety Report Ref. Key Information Provided in Safety Report? Schedule Refs and Miminum Information Requirements 4(1) 2(2) 2(3) 2(4)(a) 2(4)(b) 2(4)(c) Comment / Further information/action required? (1) Management System and Organisation of Establishment (MAPP & SMS information) MAPP in writing. To include operator’s overall aims & principles of action with respect control of major accident hazards SMS to include part of general management system which includes organisational structure, responsibilities, practices, procedures, processes and resources for determining & implementing MAPP. Organisation & Personnel (Roles & responsibilities, training, involvement of employees & sub-contractors) Identification & Evaluation of Major Hazards (Systematic procedures for identifying major hazards arising from normal & abnormal operation & assessment of their likelihood & severity). Operational Control (Procedures & instructions for safe operation, including maintenance of plant, processes, equipment & temporary stoppages) Version 1.0 April 2006 2 Y/N Operator name Establishment address Date of report 2(4)(d) 2(4)(e) 2(4)(f) 2(4)(g) (b) (c) COIN Service Order Management of Change (Procedures for planning modifications to, or design of new installations, processes or storage facilities). Planning for Emergencies (Procedures to identify foreseeable emergencies by systematic analysis & to prepare, test & review emergency plans to respond to such emergencies) Monitoring Performance (Procedures for ongoing assessment of compliance with objectives in MAPP & SMS & mechanisms for investigation & taking corrective action in case of non- compliance. To cover operator’s system for reporting major accidents or near misses, particularly those involving failure of protective measures, & their investigation & FU on basis of lessons learnt). Audit & Review (Procedures for periodic systematic assessment of compliance with objectives set by MAPP & effectiveness & suitability of SMS; documented review of performance of policy & SMS & its updating by senior management). 4/2(2) (a) Record of initial read - Report and assessor identification COIN Company Assessment Manager COIN Site Team/unit (2) Presentation of environment of establishment Description of site & its environment (including geographical location, meterological, geographical, hydrographic conditions &, if necessary, history) Identification of installations & other activities of establishment which could present major accident hazard. Description of areas where major accident may occur. 4/2(3) (3) Description of Installation Version 1.0 April 2006 3 Record of initial read - Report and assessor identification COIN Company Assessment Manager COIN Site Team/unit Operator name Establishment address Date of report (a) (b) (c)(i) (c)(ii) (c)(iii) COIN Service Order Description of main activities & products of parts of establishment from safety point of view, sources of major accident risks & conditions under which such a major accident could happen, together with description of proposed preventive measures. Description of processes, in particular operating methods. Description of dangerous substances, including inventory of dangerous substances (identification of dangerous substances, chemical name, Chemicals Abstract Service substance number, name under IUPAC). Quantity of dangerous substance present. Physical, chemical, toxicological characteristics of dangerous substance & indication of hazards for people & environment. Physical & chemical behaviour of dangerous substance under normal conditions of use or under foreseeable accidental conditions. 4/2(4) (4) Identification & accidental risks analysis & prevention methods (a) Detailed description of possible major accident scenarios & their probability or the conditions under which they occur, including summary of events which would play role in triggering each of these scenarios, the causes being internal or external to installation. (b) Assessment of the extent & severity of the consequences of identified major accidents. Description of technical parameters & equipment used for the safety of installations. (c) 4/2(5) (5) Measures of protection & intervention to limit consequences of an accident (Emergency preparedness/response) Version 1.0 April 2006 4 Operator name Establishment address Date of report (a) (b) (c) (d) Record of initial read - Report and assessor identification COIN Company Assessment Manager COIN Site Team/unit COIN Service Order Description of equipment installed in the plant to limit the consequences of major accidents. Organisation of alert & intervention. Description of mobilisable resources, internal & external. Summary of elements described in sub-paragraphs (a), (b) & (c) necessary for drawing up on-site emergency plan. Version 1.0 April 2006 5