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Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 1 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)
Preparer: Owner: Approver:
EHS Team Member EHS Team Member EHS Manager

Document Revision Change Table


Revision Revision Description Revised By Revision
Number Date
01 Changed Header and Footer VB 06/08
Added Requirements of Attachment A for all Engineering AHR 11/08
02
Projects (Attachment A – Rev 1)
Revised Grounding Check Electrical Portion of Attachment A AHR 4/09
03
(Attachment A – Rev 2)
Revised header of Attachment A to remove BASF FINA MD 08/15
04 Petrochemicals and Sabina Petrochemicals and replaced with
BASF TOTAL Petrochemicals (Attachment A – Rev 3)
General Review/Alignment with MOC Procedure BLM 03/16
Added Attachment A-Section G-Question 20 for consideration of
05
Boundary Isolation impacts as a result of 2012 Propylene
release accident/incident.

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Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 2 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

1. PURPOSE

To establish minimum requirements for conducting pre-startup safety reviews (PSSRs) of


new or modified facilities performed at mechanical completion prior to startup or the
introduction of regulated PSM/RMP chemicals.

2. DEFINITIONS

2.1. Pre-Startup Safety Review (PSSR)


A systematic review of new or modified facilities performed at mechanical
completion prior to startup or the introduction of regulated PSM/RMP chemicals.
PSSRs must be performed for all new facilities/stationary sources and for modified
facilities/stationary sources when the modification is significant enough to require
a change in the process safety information. This review ensures that:
• Construction and equipment is in accordance with design specifications;
• Safety, operating, maintenance, and emergency procedures are in place and
are adequate;
• For new facilities/stationary sources (see definition above), a process hazard
analysis (which meets PSM/RMP regulatory expectations for regulated facilities)
has been performed and recommendations have been resolved or implemented
before startup; and modified stationary sources meet the requirements contained
in management of change; and,
• Training of each employee involved in operating a process has been
completed.

2.2. Process Safety Information (PSI)


Includes the following types of information:
 Information pertaining to the hazards of the highly hazardous chemicals used
in the process.
 Information pertaining to the technology of the process.
 Information pertaining to the equipment in the process.

2.3. MOC Change Coordinator


The individual assigned to a particular change, responsible for coordinating all
aspects of the change. The Change Coordinator ensures that each component of
the MOC and PSSR is adequately addressed, maintains appropriate
documentation, obtains necessary approvals and training sign-offs prior to the
change, and tracks all related action items to completion. The Change Coordinator
is also responsible for ensuring that the startup date and time are accurate and
that affected employees are notified upon actual startup (and termination if

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The current version can be viewed in the Electronic Document Management System
Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 3 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

2. DEFINITIONS cont’d

2.4. MOC Change Coordinator cont’d

temporary) of the change. Change Coordinators must be knowledgeable in the


requirements of this procedure as well as the Port Arthur MOC Procedure. For
Capital Projects, the Change Coordinator may be a Manufacturing Representative
or TES Project Manager. For Capital Projects, the ultimate responsibility to
ensure the MOC and PSSR is completed falls to the Project Manager. For Capital
Projects, see the corporate procedure, Corporate Procedure BC032.013 Ecology
& Safety Project Reviews, for additional guidance.

2.5. Risk Levels


This is the risk level given after conducting the Risk Level Assessment method in
the MOC Change Manager Database found in Tab 3 of the MOC and filled out by
the MOC Coordinator. In lieu of the Risk Level Assessment checklist, the Mode of
Failure Assessment can but utilized to assign Risk Level or during the Step
Review Process. Risk Levels are as follows:
 Level 1/No or Low Risk
 Level 2/Medium Risk
 Level 3/High Risk
 Level 4/High or Critical Process Risk
Reference Table 1 of Port Arthur MOC Procedure (PA-020-0029) for further
guidance regarding Risk Levels.

3. SCOPE

This procedure applies to new or modified facilities performed at mechanical completion


prior to startup or the introduction of regulated PSM/RMP chemicals.

4. PROCEDURE

4.1. PSSR Initiation (Change Manager Tab 6)


Determining if a PSSR is Required
A PSSR is required for all new facilities including equipment) and modified
facilities when the modification is significant enough to require a change in the
process safety information.

4.2. The PSSR can be categorized by the risk level assessment found in Tab 3 of the
MOC Change Manager database as determined either by the Risk Level
Assessment tool or Mode of Failure Analysis. Risk levels are defined in Section
2.4.

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Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 4 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

4. PROCEDURE cont’d

4.3. Assembling the PSSR Team Members


Right before Startup, the Change Coordinator (or Project Manager for Capital
Projects) is responsible for organizing and conducting a PSSR with the
appropriate team members. A PSSR team may consist of representatives from
the following departments:
 EHS Team Member
 Project Engineer/Manager
 Operations/Process Engineer
 Process Technician
 Manufacturing Representative
 Maintenance Representative
 Unit Operator
 I&E Engineer

During the hazard review, the PSSR team scope should be identified. For
minor modifications (Level 1 (low or no risk)), a minimum of two people can
perform the PSSR. I n a l l c a s e s , t he PSSR team members must be
documented in Tab 6.

Please note that the PSSR Team Members list in Change Manager
incorrectly references long form use. This section should be used to
record team members for Short Form PSSRs as well.

4.4. Which PSSR Form to Use


Risk Level 1 – Short form PSSR is required
Risk Level 2 – Short form PSSR is required, Long Form Optional.
Risk Level 3 – Long Form PSSRs are required.
Risk Level 4 – Long Form PSSRs are required.

In addition, the PSSR Long Form is required for all Capital Projects. For
Capital Projects, see the corporate procedure, Corporate Procedure
BC032.013 Ecology & Safety Project Reviews, for additional guidance.

“Short form” refers to the PSSR checklist that is built into tab 4 of the
Change Manager module. “Long form” refers to the Site PSSR Long Form
checklist (Attachment A). When the “Long form” is used, it must be attached to
the MOC in Tab 6 or file location referenced. The PSSR “Long Form” should be
modified (items added) to address the scope of the change as appropriate.

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Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 5 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

4. PROCEDURE cont’d

4.5. Preparing for the PSSR


An initial review of the PSSR documentation should occur early on in the
process/project (hazard review team or capital project review team can do this)
so action items can be appropriately assigned in the Action Tracker system
with sufficient time for completion prior to the date of the PSSR and field
walkthrough (when required).

 DETERMINING IF A WALKTHROUGH IS REQUIRED

Schedule the field verification walkthrough. Walkthroughs are required for


every MOC that results in observable changes. Changes that do not result in
physical modifications to the unit (ie. Interlock additions, DCS programming
changes, SABL program modifications, etc) do not require a walkthrough. For
example, piping modifications and observable DCS changes will require a field
walkthrough.

4.6. Responsibilities of the PSSR Team


The PSSR team should review the status of any action items/open issues from
the MOC, Step 3, PHA, or EHS reviews with the team. In addition, the status of
existing PSSR action items should be reviewed.

4.6.1. The team should perform a walkthrough (if applicable) of the


implemented change. During this walkthrough, any deficiencies or “open
items” should be noted. These deficiencies should be assigned action
items in Tab 4. It is not preferred to use the walkthrough “punch list” on
Tab 6, as action items can’t be assigned here.

4.6.2. The PSSR Team shall consist of the following:

A. For Level 1 & 2 (Low & Medium) changes, the team will consist of a
minimum of two qualified personel approved by the Responsible
Manager or delegate.

B. For Level 3 & 4 (High & Critical) changes, the team will be made up of
a minimum of four representatives consisting of operations (both
exempt and non-exempt), subject matter expert(s) (exempt or non-
exempt), and safety. Other applicable departments including but not
limited to engineering, instrument, electrical, mechanical, and
operations management and/or process technician may be designated
by the area Responsible Manager.

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The current version can be viewed in the Electronic Document Management System
Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 6 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

4. PROCEDURE cont’d

4.6. Responsibilities of the PSSR Team cont’d

4.6.2. The PSSR team should consist of the following: cont’d

C. For all capital engineering projects, the team will be made up of the
required team for the Level 3 & 4 change plus the project manager and
will follow the PSSR Long Form regardless of risk level.

4.6.3. The PSSR team should verify that all items marked as “Pre- Startup”
items, including those under “Items to complete prior to startup” on Tab
4 and the informing/training of employees as designated/documented in
Tab 5, has been completed or appropriately addressed. Additionally, the
team should verify that the technical basis for the proposed change has
been accurately documented on Tab 1, the impact of the change on
safety and health and the reviewers have been documented in Tab 3,
( i f a p p l i c a b l e ) the modifications to operating procedures and P&ID
redlines have been completed, and that the necessary time period for the
change has been documented (if temporary). Further, the team shall
verify the following:
 Construction and equipment is in accordance with
design specifications;
 Safety, operating, maintenance, and emergency procedures
are in place and are adequate;
 For new facilities/stationary sources, a process hazard
analysis (which meets PSM/RMP regulatory expectations for
regulated facilities) has been performed and
recommendations have been resolved or implemented before
startup; and modified stationary sources meet the
requirements contained in management of change; and,
 Training of each employee involved in operating a process
has been completed.

4.6.4. The PSSR Team shall assign the startup date and time on Tab 6. This
must be done before the MOC/PSSR can be sent to the final approvers.
If this date and time changes after final approval is given, it is the
responsibility of the Change Coordinator to update the date and time
as appropriate. Additionally, the Change Coordinator should verbally or
electronically notify all those trained/informed of the change of the
official date and startup change.

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The current version can be viewed in the Electronic Document Management System
Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 7 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

4. PROCEDURE cont’d

4.6. Responsibilities of the PSSR Team cont’d

4.6.5. Once all open items designated as “pre-startup” items are complete, the
MOC is routed to the Unit Final Approver for approval to startup. This is
the final assurance that all “before startup” items planned have been
implemented, and that all process safety information, all operating
procedures, all training, and any other regulatory compliance
documentation has been properly updated or triggered to be updated.

4.7. PSSR Action Item Tracking

Incorrect or Incomplete Items


If, during the PSSR process, incorrect or incomplete items are found by the PSSR
team, they may be divided into two groups:
 Items that must be completed or corrected before the process can
safely startup.
 Items that may be completed after the process starts up.
The completion dates for both pre and post startup cases must be
included in Action Tracker.

4.8. Startup
Upon completion of all pre-startup action items, the MOC form is forwarded to the
Responsible Manager of the area for approval to implement and startup the
change.

4.9. After Startup


The Project Manager or MOC Change Coordinator as appropriate, shall ensure
that the “after startup” action items are completed by the target date.

4.10. PSSR Closeout

4.10.1. The PSSR will be closed when all before and after start-up items are
completed.

4.10.2. The location of any associated supporting documentation applicable to the


items in the PSSR checklist shall be noted on the PSSR checklist or
attached to the completed PSSR. Action Items will be managed in Action
Tracker. PSSR Documentation should be maintained with the associated
MOC (Short Form in Change Manager) or Long Form PSSR attached to
the MOC. If the PSSR Long form is not an attachment, the location should
be referenced in the MOC (e.g. Capital Project Job book files).

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The current version can be viewed in the Electronic Document Management System
Title: Pre-Startup Safety Reviews

Individual Unit Function: Health and Safety


Procedure No.: PA-020-0028 Page: 8 of 18

Port Arthur, TX. Reviewed: 03/2016 Effective: 03/04/16 Supersedes: 08/11/15


(Rev.05) (Rev.04)

4. PROCEDURE cont’d

4.10. PSSR Closeout cont’d

4.10.3. The completed PSSR checklist shall be maintained with the matching
MOC for a minimum of five years or longer per BASF Record Retention
Requirements.

5. RESPONSIBILITIES

5.1. Port Arthur Management Team


Has primary responsibility for implementation of this procedure.

5.2. EHS Manager


Has primary responsibility for the initiation, re-issuance, administration, and/or
interpretation of this procedure.

5.3. Port Arthur Employees


Have primary responsibility for adherence to procedure including identifying
deficiencies in the procedure, and identifying, reporting and correcting activities
not in compliance with the procedure.

5.4. PSSR Team Members


Have primary responsibility for conducting a PSSR as required in accordance with
this procedure.

5.5. MOC Change Coordinator


The Change Coordinator, in conjunction with the Project Manager (for Capital
Projects) ensures that each component of the MOC and PSSR is adequately
addressed, maintains appropriate d ocumentation, obtains necessary approvals
and training sign-offs prior to the change, and tracks all related action items to
completion.

6. RELATED DOCUMENTS

6.1. PA-020-0028_Attachment A_PSSR1-checklist

6.2. PA-020-0029 Management of Change Procedure

6.3. BC032.013 – Ecology and Safety Project Reviews Procedure

6.4. N-R-PRS 001 M Responsible Care-Process Safety

***IMPORTANT*** If printed, this is an uncontrolled copy of this document.


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PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

Description of New or Modified Facility:

Project Title/MOC#: Date:

Complete the PSSR Checklist after mechanical completion and prior to startup of facility.
Action Items should be entered in ACTION TRACKER database under appropriate section (Prior to or After Start-Up)

A. Pressure/Vacuum Consideration
Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Has protection been provided against overpressure and
vacuum and is the correct size and setting relief device been
installed?
2. Is relief device discharge piping adequately braced
against reaction forces and directed away from personnel?
3. Have weep holes or drains been provided in the discharge
piping of pressure relief devices?
4. Have block valves been installed in relief device piping? If
YES are they full port valves and are they locked open?
5. Have new safety valves and rupture discs been tagged
and entered into the routine maintenance program?
6. Have provisions for cleaning relief device piping been
provided?
7. Have pressure relief device calculations been properly
documented and incorporated into the master relief device
records?
8. Have pressure relief devices been captured on safety
valve lock list?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 9 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

B. Temperature/Reaction Considerations
Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Have personnel been adequately protected from contact
with hot surfaces?
2. Has potential for instrument failure (including computer
shutdown) and loss of utilities been adequately
addressed?
3. Has potential for leaks into or out of the process been
adequately addressed?
4. Has potential for improper valve set-up or operating error
been adequately addressed?

C. Valve, Piping, and Vessel Considerations


Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Have cross-tied lines (pump headers, utility lines, etc.)
been avoided where contamination, pressure, or
temperature problems are likely?
2. Has a line by line review been conducted to assure that
valves, piping, and vessels are installed as specified?
3. Are vents and drains located such that they do not
create a personnel hazard?
4. Are sample points installed and properly configured for
safe sampling?
5. Can valves and equipment be safely accessed for
operation and maintenance? Do adequate provisions
exist for cleanup and can all valves can be locked,
blinded or disconnected?
6. Are hoses and fittings the proper type and have bleed-
offs been provided at hose connection points? Have
hoses been fitted with current inspection tags? Were
brittle pipe failure issues addressed?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 10 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

7. Has adequate back-flow prevention been provided and


installed properly?
8. Has appropriate testing been completed to ensure
integrity of new or revised piping systems and is the
piping system adequately supported or braced?
9. Are process sight glasses, flow indicators, gauges, etc.
properly armored?
10. Have lines and vessels been clearly labeled, including
flow arrows and hazard identification symbols?
11. Has material of construction been verified to assure
correct material was received and installed as per
specifications? Were brittle pipe failure issues
addressed?
12. Has the testing fluid been properly flushed from the
piping or vessel and all test blanks and blinds been
removed?
13. Have drawings been revised to show “as installed”
condition?
14. Have equipment and piping been registered in the
inspection program with new inspection due dates
included? Has baseline Mechanical Integrity Inspection
been performed and documented?
15. Have valve, piping, and equipment been pressure
checked?
16. Have stress relieving requirements been met?
17. Has Risk Based Inspection evaluation and grouping
been performed as required by N-G-MC-105?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 11 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

D. Rotating and Mechanical Equipment Considerations

Item Y N N/A PS AS Action Needed Resp. Target


Person Date
1. Have adequate equipment guards been installed and
adequate provisions exist for clean-up, isolation, and
lock-out of equipment to perform maintenance?
2. Have deadhead pressure and seal leakage been
considered for pumps?
3. Has the rotation of equipment been checked to assure it
is correct and the lubricants and seal fluids been
properly charged?
4. Is equipment adequately labeled?
5. Are capacities of lifting equipment, floors, and hoists
clearly displayed and visible to the operator?
6. Are mechanical interlocks operating properly?
7. Has stress on machinery due to piping or nozzle loading
been addressed?
8. Has the Reliability Group been notified n order to
establish baseline vibration data or to add equipment to
oil analysis monitoring?
9. Have flex hoses or hoists been installed that must be
added to proper inspection programs?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 12 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

E. Control Systems Considerations


Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Are instruments and alarms provided where necessary
and unnecessary alarms avoided?
2. Has the fail safe function of valves been properly
installed and tested and the actuator air supplies been
valved in?
3. Has the potential for interaction with existing controls
been reviewed?
4. Has the operation of interlocks, alarms, and control
loops been verified? Have Z-devices been locked and
tested?
5. Can automatic valves be properly isolated and cleaned
for servicing or removal?
6. Have provisions been made for routine maintenance?
7. Have instrument loop drawings, cause and effects
documents, and specification sheets been updated?
8. Have Z-devices been included on the lock list for
review?
9. Have analyzers been included in the PM program?
10. Have SIL calculations been performed on “Z” devices as
required by PA-P-EI-100?
11. Have new Gas Chromatographs or other process
stream analyzers been installed in the process that will
require scheduled calibration or inspection?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 13 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

F. Electrical System Considerations


Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Have the correct electrical classification rules been
observed?
2. Have start/stop switches and electrical switchgear been
properly labeled and can electrical equipment be
isolated safely by lock-out provisions for repair work?
3. Have conduit fitting covers been installed, conduit seals
poured, and electrical equipment been adequately
protected from weather and corrosion?
4. Have electrical protective relays and safety devices been
checked for proper calibration?
5. Have electrical guards been installed and indicator lights
operating properly?
6. Has ground installation been verified against
construction drawings and tested per plant standard?
7. Are ground wires available for tank trucks, rail cars, and
drums (as required)?
8. Has electrical heat tracing been properly installed and
labeled?
9. Is critical spare equipment fed from a separate power
source?
10. Have electrical drawings been revised to reflect “as
installed” condition?
11. Where needed are guards provided to prevent
accidental tripping of switches?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 14 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

G. Safety/Environmental Protection
Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Have inert blankets, purges, sprinklers, and fire proofing
been installed where specified?
2. Has the installation created the need for relocating or
adding fire extinguishers, fire monitors, safety showers,
eye baths, or air packs?
3. Is the lighting adequate?
4. Have tripping hazards or head knockers been avoided?
5. Do walkways and ladders provide safe access at all
levels and are walking or working surfaces level,
properly secured, and do they provide proper traction?
Are safety gates properly installed?
6. Does equipment layout provide safe access for
operation and maintenance?
7. Have elevated work requirements been met?
8. Is the work area adequately ventilated where needed?
9. Are adequate provisions made for drum and cylinder
handling?
10. Has the HAZCOM program been updated to reflect
changes in chemicals? Are MSDS’s available?
11. Do signs adequately identify work area hazards and
provide proper instruction?
12. Are exit and egress routes clearly identified?
13. Have any new noise areas been created or existing
areas been made worse?
14. Has the system been reviewed to assure minimal
personnel exposure to toxic chemicals during operation
and maintenance?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 15 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

15. Can hazardous materials from spills or maintenance


preparation be safely handled? Have adequate
provisions been made for disposal of all wastes? Have
waste lines been routed to appropriate sewers?
16. Will run-off water be adequately contained if it becomes
contaminated? Have all containment issues been
adequately addressed?
17. Have all environmental permits been obtained?
18. VOC Equipment List update needed (Inform LDAR)?
19. If expansion joints are being installed, have they been
added to the inspection program required by PA-P-MC-
103?
20. Have any site boundary isolation points been created or
modified? If so, update Master Boundary Isolation
documentation.

H. Other Considerations
Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1. Have all Management of Change items been completed
as required by the MOC Form?
2. Does the facility comply with all applicable engineering
standards and design specifications?
3. Were any safety problems created during construction
package?
4. Have operating procedures been written and operating
parameters established and has operator training been
conducted?
5. Have the safety and emergency procedures been
updated?
6. Has the potential impact of the change on unchanged
facilities been adequately addressed?
7. Has spare critical equipment been provided and set up in
the warehouse inventory?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 16 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

8. Have maintenance procedures been updated?


9. Have all equipment files been updated?
10. Have instrument/analyzer procedures been updated?
11. Have specialty items been documented and included in
the PM program?
12. Does any new equipment installed make existing spare
parts obsolete from the storeroom or other staged
areas?
13. Has Equipment Registration along with creation of
Functional Location, spare parts, and preventive
maintenance been completed as required by PA-P-ME-
101?

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 17 of 18
Effective: 03/04/16 Approved By: EHS Manager
PA-020-0028 Attachment A
BASF TOTAL Petrochemicals LLC

Pre-Startup Safety Review (PSSR) Checklist


ATTACHMENT A (PA-020-0028) – Revision 4

I. Additional Considerations
Resp. Target
Item Y N N/A PS AS Action Needed Person Date
1.

2.

3.

4.

The Pre-Startup Safety Review is complete and this facility/modification is ready for startup upon completion of
all “PS” type deficiencies.

Inspection /PSSR Team: We agree that all PSSR questions and inspections were performed to the best of our ability.

MOC Coordinator:______________________________________________ Date of Review:_________________________

Print Name Signature Expertise (Eng., Maint, Ops, etc.) Date

Y = Yes, N = No, N/A = Not Applicable, PS = Prior to Start Up, AS = After Start Up Page 18 of 18
Effective: 03/04/16 Approved By: EHS Manager

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