Safety Management System Rel02

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    Major Hazard Facilities

    Safety Management Systems

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    Overview

    The seminar has been developed to provide:

    • onte!t with MHF "eg#lations

    • $n overview of what is re%#ired

    • $n #nderstanding of the SMS and why it is important

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    • $F$& ' $s far as (reasonably) practicable

    • *mployer ' *mployer who has management control of the facility• *" or *"& ' *mergency response or *mergency response plan

    • Facility ' any b#ilding or str#ct#re at which Sched#le + materials arepresent or li,ely to be present for any p#rpose

    • H$-./ ' Hazard identification

    • HS" ' Health and safety representative

    • 0O ' 0oss of containment

    • 0O&$ 1 0ayers of protection analysis

    • M$ ' Major accident

    • MHF ' Major hazard facility

    • MO 1 Management of change

    • OHS ' Occ#pational health 2 safety• S" ' Safety report

    • SMS ' Safety management system

    Some $bbreviations 2 Terms

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    Topics covered in This &resentation

    • .ntrod#ction• "eg#lations

    • 3hat is a safety management system4

    • SMS models and standards

    • 5ey elements of the SMS

    • The importance of SMS

    • 3hat sho#ld the SMS do4

    • Meas#rement of performance

    • *!amples of SMS performance standards

    • *mergency planning

    • SMS testing

    • .tems to note

    • ritical s#ccess factors

    • So#rces of additional information

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    "eg#lations

    Occupational Health and Safety (Safety Standards) Regulations 1994

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    3hat is a Safety Management System4

    • $n SMS is a comprehensive and integrated system thatens#res that all wor, at the facility is cond#cted safely

    • .t sho#ld be f#lly doc#mented6 accessible and comprehensible 

    to those that need to #se it

    • .t recognises the potential for errors and establishes rob#stdefences (control meas#res) which are f#lly implemented6 to

    ens#re that errors do not res#lt in accidents or near misses

    • .t is comprises a set of wor, practices and proced#res for

    monitoring and improving the safety and health of all aspects

    of the operation

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    5ey Terms 7sed in /escribing the SMS

    Comprehensive

    • /escribes the way that all safety iss#es incl#ding controlmeas#res are managed

    • lear lin, between controls management and the SMS

    Integrated 

    • The str#ct#re is logical6 systematic

    • 0ogically ties in to other management systems

    • orporate systems do not contradict onsite systems

    Comprehensile

    • $bbreviations and terms #sed mean something to employees

    • onsideration of lang#age iss#es

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    5ey Terms 7sed in /escribing the SMS

    Implemented

    • &roced#res are approved and in circ#lation

    • *vidence is available 1 completed forms and8or chec,lists

    • *mployees are trained and ,nowledgeable

    !ccessile

    • *mployees are aware of how to obtain the most #p to date orrelevant proced#res

    • *mployees can obtain the SMS information needed to s#pportcontrol meas#res

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    SMS Models 2 Standards

    • So#nd management systems are all similar in f#ndamentalterms

    • ompliance with the MHF "eg#lations does not re%#ire anypartic#lar standard to be #sed6 nor will compliance with ane!isting management standard ens#re compliance with the SMSre%#irements of the MHF "eg#lations

    • There are a variety of ways in which the SMS can be str#ct#red9Most large organisations will have their own str#ct#re already

    • However6 adoption of a proven standard may assist an MHFemployer

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    *!amples of SMS

    OH"S #anagement Systems #odel $ !S 4%&1

    gg

    Safety PolicySafety Policy

    PlanningPlanning

    Implementation

    & Operation

    ImplementationChecking

    &CorrectivActio

    Measurement

    & Evaluation

    Continual

    Improvement

    Continual

    Improvement

    ManagementRevie

    ManagementReview

    Overall

    vision, goals

    and

    commitment

    to improve

    • Legal compliance• Obectives and targets• !mplementation plans

    • "eso#rces• Leaders$ip responsibilit%• &raining and competenc%• 'ons#ltation and comm#nication• (oc#mentation• )a*ard identi+ication, ris assessment

    and controls• -mergenc% response

    • .onitoring and

    meas#rement• !ncident investigation• "ecords management• /#dits

    #itable, ade#ate,

    e++ective '$anges needed Opport#nities to

    improve

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    ISO 14&&1 'nvironmental #anagement Systems 

    Environmental

    Policy

    Management

    Review

    Planning

    Implementation

    & Operation

    Checking &Corrective Actions

    *!amples of SMS

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    5ey *lements of the SMS

    From the previo#se!amples6 there arecommon elements

    &olicy

    &lanning

    .mplementing

    $ssessing

    Management "eview

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    5ey *lements of the SMS

    &olicy

    &lanning

    .mplementing

    $ssessing

    Management "eview

    *ffective health andsafety policies set aclear direction for theorganisation to follow

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    5ey *lements of the SMS

    $n effective managementstr#ct#re and arrangementsare in place for deliveringthe policy9

    There is a planned andsystematic approach toimplementing the healthand safety policy

    &olicy

    &lanning

    .mplementing

    $ssessing

    Management "eview

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    5ey *lements of the SMS

    The policies andproced#res are p#t inplace to manage allaspects of the control

    meas#res that ens#re safeoperation of the facility

    &olicy

    &lanning

    .mplementing

    $ssessing

    Management "eview

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    5ey *lements of the SMS

    &erformance ismeas#red against

    agreed standards to

    reveal when and whereimprovement is needed9

    &olicy

    &lanning

    .mplementing

    $ssessing

    Management "eview

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    5ey *lements of the SMS

    The organisation learnsfrom all relevante!perience and appliesthe lessons9

    &olicy

    &lanning

    .mplementing

    $ssessing

    Management "eview

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    The .mportance of SMS

    • .n reviews of accidents6 a common thread thro#gho#t is theinade%#acy of management systems that might haveprevented the accident from occ#rring

    • *!amples of some iss#es identified are

    1 0ac, of hazard review and ris, assessment to predict andprevent incidents

    1 .ns#fficient investigation and follow #p after previo#s incidents

    1 .nade%#ate training of staff 

    1 Fail#re to implement effective mechanical integrity programs

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    The .mportance of SMS

    The following information provides broad details on some 7Sincidents and contrib#ting ca#ses

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    The .mportance of SMS

    Management System Categories Contriuting Causes

    0

    2

    4

    6

    8

    10

    12

    Management System

       C  a  u

      s  e

    rea,down of management system categories identified as

    contrib#ting ca#ses in incident investigations

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    The .mportance of SMS

    • liorough 19*4

    1 Management ofmodification fail#re

    1 .nade%#ate e!perience

    1 Overstretched reso#rces

    • +iper !lpha 19%%

    1 Fail#res in shift handover

    1 &ermit to wor,

    1 Training1 omm#nications

    1 $#diting

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    The .mportance of SMS

    • +asadena 19%9

    1 Maintenance

    1 &ermit to wor, errors

    1 Fail#re to follow'#p ona#dits

    • ,ongford 199%

    1 .nade%#ate ,nowledge ofhazards

    1 $bsent personnel

    1 &oor proced#res

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    The .mportance of SMS

    • orporate safety oversight6incl#ding the safe managementof sites obtained thro#ghmergers and ac%#isitions

    • orporate safety c#lt#re

    • orporate and site SMS• ;ear miss reporting and

    investigation programs

    • Mechanical integrity programs

    • Hazard analysis programs

    • hange management

    -+ !merica Refinery 'plosion .eas City/ 0 #arch 0&&2

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    The .mportance of SMS ' *!ercise

    -uncefield 'plosion/ 3/ 11 5ecemer 0&&2

    • .n the early ho#rs onS#nday a n#mber ofe!plosions occ#rred at#ncefield Oil Storage/epot6 Hemel Hempstead6Hertfordshire

    • $t least one of the initiale!plosions was of massiveproportions and there was alarge fire6 which eng#lfed ahigh proportion of the site

    • Over fort#nately therewere no fatalities

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    The .mportance of SMS ' *!ercise

    6hat control measures 

    • 3ere in place4

    • o#ld have been in place4

    • 3ere they effective4

    -uncefield 'plosion/ 3/ 11 5ecemer 0&&2

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    The .mportance of SMS ' *!ercise

    -uncefield 'plosion/ 3/ 11 5ecemer 0&&2

    Control #easure 'ffectiveness7

    0evel meter 2 alarm Failed before alarm

    .ndependent H0$ 2 Trip Flow contin#ed

    $#to tan, ga#ge system /id not prevent overflow   &  r  e  v

      e  n   t   i  v  e

    Operator s#rveillance /id not prevent overflow

    .gnition so#rce control ?apo#r clo#d went off site

    Fire water system mp ho#se destroyed

       M   i   t   i  g  a   t   i  v  e

    :#nding &enetrations 8 joints failed

    Common theme – failure to manage the control measures

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    The .mportance of SMS ' *!ercise

    • 3hat SMS elements were needed to ens#re that the controlmeas#res wor,ed when re%#ired4

    -uncefield 'plosion/ 3/ 11 5ecemer 0&&2

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    The .mportance of SMS ' *!ercise

    -uncefield 'plosion/ 3/ 11 5ecemer 0&&2

    Control #easure Supporting S#S

    0evel meter 2 alarm Testing and inspection

    .ndependent H0$ 2 Trip ritical safety f#nction testing

    $#to tan, ga#ging system &reventative maintenance program   &  r  e  v

      e  n  t   i  v  e

    Operator s#rveillance Operating proced#res and training

    .gnition so#rce control /esign standards6 p#rchasing specs

    Fire water system /esign standards

       M   i  t   i  g  a  t   i  v  e

    #nding Maintenance and integrity inspection

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    The .mportance of SMS 1 $#stralian *!perience

    • Feedbac, from reg#lator site visits to $#stralian MHFs6together with e!amination of incident data has revealed thefollowing iss#es are li,ely to be the wea,est lin,s within anSMS

    1 Management of @rd parties

    1 Maintenance proced#res and systems

    1 Hazard identification and analysis

    1 *ngineering design and review

    1 Operating proced#res

    1 Management of change

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    The .mportance of SMS 1 $#stralian *!perience

    Other issues to note8• There are always f#ndamental failings in the AsystemB 

    • omplacency and safety vers#s prod#ction conflicts

    • /eficiencies in practice with adherence to application of theSMS rather than system standards

    • Fail#re to accept and prepare for emergencies

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    3hat Sho#ld the SMS /o4

    • The SMS is the tool with which the *mployer meets the overall goalof the "eg#lations

    • The SMS sho#ld cover the following

    1 /efine safety roles and responsibilities

    1 *ns#re ade%#ate s,ills6 information6 tools and decision'ma,ing arepresent in day to day and abnormal operations

    1 Maintain awareness of hazards and ris,s

    1 &lan6 implement6 meas#re and eval#ate M$ controls and the SMS

    1 /evelop performance re%#irements

    1 Set targets for improvement of safety at the facility

    1 Manage change

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    3hat Sho#ld the SMS /o4

    • Manage and maintain ,nowledge• .nstigate H$-./ and ris, assessments

    • Manage ade%#ate h#man reso#rces

    • &rovide performance information to all levels oforganisation

    • "eview and improve the SMS itself 

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    3hat Sho#ld the SMS /o4

    • Manage safe operation at the facility6 incl#ding M$s6specifically foc#sing on:

    1 &revention

    1 "ed#ction

    1 Mitigation

    • .t is not j#st doc#mentation ' it is the act#al implementationof processes6 proced#res and practices at the facility

    • .ncl#de and reflect the safety c#lt#re at the wor,place

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    3hat Sho#ld the SMS /o4

    • Some companies6 in partic#lar employers of m#ltiple sites6 mayapply corporate standards for an SMS

    • These may prescribe the entire SMS6 or only common high'levelcomponents s#ch as the overall policies and proced#res

    • .n other cases corporate SMS re%#irements may be very limited6and the site will then need to develop its own systems

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    3hat Sho#ld the SMS /o4

    • Many corporate systems specify that local reg#lations overridecorporate re%#irements if they are more stringent

    • Other companies may employ integrated managementsystems for the b#siness as a whole

    • .t is entirely #p to the *mployer to choose how the SMS isstr#ct#red and developed

    • However6 in all cases the SMS must provide a managementfoc#s on the specific control meas#res re%#ired for safeoperation of the partic#lar facility

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    3hat Sho#ld the SMS /o4

    Accidents

         H

        a    z    a    r     d    s

         C    a    u    s    e    s

         C    o    n    s    e    q    u    e    n    c    e    s

    Local proced#res and practices design, maintenance operation

    Prevention

    Controls

    Mitigatio

    n

    Controls

    'orporate a+et% .anagement %stem

    MA Potential

    Level 1

    Level 2

    Level 3

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    3hat Sho#ld the SMS /o4

    • The SMS sho#ld not j#st be seen as satisfying MHFre%#irements

    • .t sho#ld be #sed as a performance management tool to assistin managing the entire operation6 incl#ding other performancebased reg#latory re%#irements

    • Most modern management system AstandardsB or CmodelsCfeat#re a set of generic elements6 forming a contin#alimprovement cycle

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    Meas#rement of &erformance

    • &erformance standards8indicators m#st be developed andimplemented as part of the SMS (e9g9 meas#re theeffectiveness of SMS) to s#pport the MHF safety objectives

    • The following principles apply in defining performancestandards: Ma,e them S#!R.

    • Specific

    • #eas#rable• !chievable

    • R ealistic

    • .argeted

    • The p#rpose of performance standards8indicators for the SMSis to enable the objective meas#rement of its target and

    (s#bse%#ently) effective maintenance and improvement ofperformance

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    Meas#rement of &erformance

    • Standards and systems need to be practical• Sho#ld not place an #nwor,able b#rden on employees

    • *ns#re open6 comprehensive and acc#rate reporting of errors orproblems

     Is an absence of evidence of problems really indicatinghigh performance? 

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    Meas#rement of &erformance

    • &erformance indicators need to be meaningf#l and contrib#te tothe overall eval#ation of the SMS effectiveness

    • .f a control is stated to be in place for prevention of an M$6then:

    1 .s it implemented4

    1 .s it effective4

    1 .s it a#dited4

    1 $re the res#lts #sed for improving the effectiveness of controlsmanagement4

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    Meas#rement of &erformance

    • &erformance indicators sho#ld be established covering (as aminim#m):

    1 How often a#dits are to be #nderta,en

    1 Scope of the a#dits

    1 $re the controls implemented4

    1 $re the controls f#nctional4

    1 D compliance6 partial compliance and non compliance

    • &erformance indicators sho#ld be s#fficiently detailed andtransparent to enable the effectiveness of the SMS to beapparent from the doc#mentation

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    Meas#rement of &erformance

    • The a#dits need to be eval#ated against criteria developed bythe MHF

    • They sho#ld incl#de steps to contin#ally improve the SMS6 sothere needs to be processes and meas#res designed toidentify and implement improvements to the system itself 

    • Three main types of a#dits

    1 First a#dit: Self a#dit1 Second party: a#dit of s#ppliers

    1 @rd party: e!ternal agencies e9g9 reg#lator6 certification bodies9

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    Meas#rement of &erformance

    • 0i,ewise6 E==D compliance is a desirable objective ' b#t realistically

    not practical• Setting a tiered acceptability criteria co#ld be an option

    Item Compliance +artialCompliance

    on:compliance

    $#dit fre%#encyfor controls met

    +=D E=D =D

    $#dit time frameachieved

    +=D E=D =D

    ontrolsimplemented

    E==D =D =D

    ontrolsf#nctional

    +D D =D

    'ample only8

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    *!amples of SMS &erformance .ndicators

    &ermit to wor,

    Management of change

    Operating proced#res

    $#diting

    ;#mber of accidents or near misses ca#sed by afail#re of this systemD permits a#dited compliant with proced#re

    ;#mber of accidents or near misses ca#sed by afail#re of this systemD of Mo forms completed in compliance withproced#resD temporary changes beyond their time limit

    D of new proced#res completedD of proced#res reviewed

    D a#dits completed to sched#le;#mber of non conformances closed o#t8month

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    .tems to ;ote ' *mergency &lanning

    • The MHF m#st prepare an emergency plan addressing the on'site8off'site conse%#ences

    • M#st cons#lt with employees and emergency services

    • &lan sho#ld consider

    1 $ccident type (e9g9 major8minor6 environmental6 personal safety6on'site6 off'site6 property damage)

    1 ommand hierarchy and contact information

    1 *%#ipment re%#ired

    1 ontingency plans

    • &lan sho#ld be tested6 reviewed6 #pdated

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    .tems to ;ote ' Management of hange

    • Management of change needs to be considered very caref#llywithin the safety report

    • $n iss#e often disc#ssed is:

    1 3hen is a change really a change4

    1 3hen is a change not a change4

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    .tems to ;ote ' 3hen is a change really a change4

    • $ny change to an MHF needs to be eval#ated in the conte!t ofthe safety report

    • *!amples of this incl#de b#t are not limited to:

    1 Organisational change

    1 $ddition of a new #nit

    1 los#re of a #nit

    1 $ny modification to a potential M$

    • 5esired Outcome8 /emonstrate that at least the same level ofris, or lower is achieved after the change and that all theprocesses within the safety report are followed and transparent

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    .tems to ;ote ' 3hen is a change not a change4

    • $ny change to an MHF that involves swapping li,e for li,e isnot considered to be a change

    • This ass#mes the e%#ipment or systems being changed are fitfor p#rpose

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    .tems to ;ote ' .ncident .nvestigations

    • .ncidents that occ#r or co#ld have occ#rred at an MHF are aval#able so#rce of information

    • $s with good practice6 all incidents at a facility sho#ld bereviewed for lessons learned and their findings implementedfor prevention in the f#t#re

    • For an MHF6 investigation of M$s is of partic#lar importance as

    it will provide insight into the mechanism of occ#rrence

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    SMS ' ritical S#ccess Factors

    • $de%#ate reso#rces for both development and improvement• &ersonnel are aware of their responsibility and acco#ntability

    • &ersonnel are trained8competent

    • onsistent with the #nderstanding of ris, gained from the ris,assessment

    • There sho#ld be s#fficient foc#s on M$s6 from planningthro#gh to operations

    • The *mployer m#st doc#ment the basis for the facilityGs SMS6and the SMS itself 

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    SMS 1 ritical S#ccess Factors

    • $de%#ate reso#rces for both development and improvement

    • "esponsibilities 2 acco#ntabilities defined

    • $de%#ate ed#cation and training is provided for employees

    • overs the whole facility as defined in the safety report

    • *mployees ,now how to access it and #nderstand it

    • &erformance indicators 2 standards for the control meas#res andthe SMS as a whole are defined

    • &lanning6 implementation and monitoring processes are providedfor control meas#res and the system as a whole and fail#res areaddressed

    • &rocesses are provided for review and revision of controlmeas#res and the SMS

    More information is available in Booklet 3 on the SMS

    Comprehensive and Integrated

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    "eview and "evision

    • The SMS needs to be reviewed on a reg#lar basis to ens#re itis fit for p#rpose for management of an MHF

    • Over a period of time the lessons learned together with res#ltsof performance reviews sho#ld enable improvements to bedoc#mented

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    So#rces of $dditional .nformation

    • Safety Management6 Hazardo#s .nd#stry &lanning $dvisory&aper ;o9 +6 #idelines for the /evelopment of SafetyManagement Systems6 /epartment of 7rban $ffairs and&lanning6 E++

    • $S8;-S

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    • $S8;- .SO +==E:J===6 K#ality Management Systems• $S8;- .SO E

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    • 75 Health and Safety *!ec#tive HS6 S#ccessf#l Health andSafety Management

    • 7S /epartment of 0abo#r9 OSH$ Standard F" J+ E+E=9EE+6&rocess Safety Management

    • $.h*6 &S6 #idelines for .mplementing &rocess SafetyManagement Systems

    • Management System Fail#res .dentified in .ncidents.nvestigated by the 79S9 hemical Safety and Hazard.nvestigation oard6 $ngela S lair &* hemical .ncident.nvestigator6 &rocess Safety &rogress6 /ecember J==

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    K#estions4