PSM Investigation Compliance Checklist Incident Investigation Guideline PSM Investigation Compliance Checklist

(See Chapter 14)

Investigator Name: Event Assessed: Date of Assessment: Requirement Statement The Investigation Itself:
1) You must investigate each incident in a covered process that did or could reasonably have resulted in a catastrophic release of: a highly hazardous chemical per OSHA PSM or, a regulated substance per EPA RMP.

Compliance? Yes No

2) The investigation should start as soon as is reasonably possible, but MUST start within 48 hours following the incident. (This requires documentation of date and time at which the investigation began.) 3) The investigation team is to be comprised of: at least one person knowledgeable in the process involved, a contract employee if the incident involved work of the contractor, any other person with appropriate knowledge and experience that is required to thoroughly investigate and analyze the incident.

The Report and Findings:

1. A report is required at the conclusion of the investigation and the report must include: 2. date of the incident date the investigation began a description of the incident the factors that contributed to the incident recommendations resulting from the investigation

Yes

No

The report must be reviewed with all affected personnel whose jobs are relevant to the investigation findings, including contract employees where applicable. A system must be in place and utilized to promptly address the incident report findings and recommendations. The investigation report must be retained for five years.

3.

4.

2003 AIChE - CCPS