PROCESS SAFETY MANAGEMENT EHS COMMUNICATOR Issue 3 2 Process Safety Management EHS Communicator April 2015 PROCESS SAFETY MANAGEMENT IN THIS ISSUE December 2014 PSM Focus Group PSM Focus Group This issue represents the 3rd Edition of the Process Safety Management – EHS Communicator. The intent of this internal publication is to provide updates, guidance, information and reference material to the University community impacted by the Process Safety Management (PSM) initiative. Please feel free to share the document and forward any comments/questions to the EHS Dept. Note – electronic version available through EHS Webpage (www.ehs.psu.edu/) . PSM Focus Group Members To properly develop a workable and sustainable Process Safety Management (PSM) program within the University, input was required from various departments and work groups. Factors to be considered from these diverse operations included work processes, safety culture and existing safety programs. To effectively consider these factors, a Focus Group was formed with representatives from different groups that would be impacted by the PSM program. This group included Intercollegiate Athletics, Office of Physical Plant, College of Agricultural Sciences, Berkey Creamery, Materials Research Institute, Biological Research and EHS. Members were selected based on their responsibilities within the University, professional experience and knowledge that Overview of the PSM Focus Group membership and objectives would significantly contribute to program development. Original and add on members included: - Mark Bodenschatz; ICA Shawn DeRosa; ICA Don Fronk; OPP-EHS Harry Gebhardt; OPP-Engr. John Henneman; Bio Research James Hosgood; OPP-H2O Services Mark Linsenbigler; EHS Robert Lumley-Sapanski; FSB Facility Phillip Melnick; OPP-B&G Ron Nagle; OPP-Area Services Tom Palchak; Berkey Creamery David Sarge; MRI Brad Smith; College of Ag Sciences Chris Whittemore; ICA – Pegula Charles Williams; EHS The primary objectives of the PSM Focus Group included 1) develop the written program elements outlining the scope and requirements of the University’s PSM program, and 2) outline an implementation schedule. The group’s first meeting was in April 2014 and as of February 2015, they have achieved their objectives. The group will continue to monitor implementation progress and hold additional sessions as required. Page 1 Incident Reporting Brief overview of the Incident Reporting and the critical role it plays within the PSM Program Page 2 PROCESS SAFETY MANAGEMENT EHS COMMUNICATOR | Issue 3 MAINTENANCE & EQUIPMENT Incident Reporting The University recognizes that unforeseen circumstances may arise that can lead to an unexpected event. This unexpected event or outcome is treated as an Incident and must be reported and investigated. It is the philosophy within the PSM program that any incident can be traced to a failure within the management system, and as such the Incident Investigation element of the PSM program is an important component of the continuous improvement initiative. What is a PSM Incident? A PSM Incident is defined as: Safe Work Permit Non-Routine maintenance work, like Pump repair requires use of the Safe Work Permit. Critical Equipment Not all critical PSM equipment is located in Mechanical Rooms. “an unplanned event or series of events and circumstances which did result or could reasonably have resulted in a catastrophic release of a highly hazardous chemical / biological agent from its primary containment structure, failure of a piece of equipment as originally designed, or deviation from an established procedure.” As you will note, this is a very broad definition and typically captures events that, historically have not been submitted through the standard incident reporting and investigation procedures. Several events treated as PSM incidents have included power interruptions causing a piece of equipment to shut-down completely or fail to restart as anticipated. Other examples include activation of a High Level Alarm, failure in communication through ALC, and deviation from an established Standard Operating Procedure. PSM – BY THE NUMBERS 100 Percent of PSM Program Elements with developed and approved written procedures. 56 Total Number of Incident Reports recorded within the PSM program since program launch. FOR MORE INFORMATION Contact: Charles Williams, Process Safety Program Manager, EHS Dept. for more information on Penn State’s PSM Program 865-6391 cmw33@psu.edu 2 At this point, you may be asking yourself – why is it important to report these types of events? That is a Great Question! Continue reading to learn more. The primary purpose of reporting and investigating Process Safety Incidents is to formally evaluate the immediate and root cause(s) that led to the event. Once the underlying causes of the incident are identified, appropriate corrective actions can be developed to improve the management system and minimize the likelihood of similar occurrences. Although all PSM incidents shall be investigated, not all incidents need to be investigated to the same depth. In addition, the University utilizes an approach to concentrate on those incidents with the most serious or potentially serious effects. Therefore, the investigation should be suitable and sufficient in relation to the potential severity and frequency of the incident. The following items outline the key issues associated with reporting and investigating PSM incidents: ○ Report immediately when safe to do so and begin investigation within 48 hours. ○ Investigation shall include at least one person who is knowledgeable in the process involved in the incident ○ A report generated that contains - Date & time of the incident - Date & time investigation began - Description of the incident - Factors contributing to the event - Recommendations resulting from the investigation ○ Management system to promptly address & resolve recommendations ○ Mechanism to review investigation results with affected personnel Please note, that PSM incident investigations are solely focused on identifying the facts associated with actions leading up to, during and post event. It will not look to assign blame or fault with any individual or group actions associated with the event. Investigation Team All incidents will be investigated, regardless of severity; however the size of the investigation team can be dependent on the type of incident. Unless associated with an incidental release or Near Miss event, investigations should begin within 48 hours of the event. The investigation team may consist of the following participants: Safety Officer, Area Supervisors, Facility Operations, EHS, Emergency Management, Equipment Operators, Police Services, Engineering and other affected individuals depending on the type of event. The participants and size of the investigation team will be based on the severity of the event. Please contact the EHS department to learn more about incident reporting or the investigation techniques utilized to identify the immediate and root causes. CHEMICAL SAFETY BOARD Chemical Safety Board (CSB) – The CSB recently released a video associated with a 2010 anhydrous ammonia release from a refrigeration facility in Al. The video reviews the lessons learned from the Investigation. To view the CSB video use the following link: https://www.youtube.com/profile?user=USCSB