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Page 1 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
This Health & Hygiene/ELB OSHA Process Safety Management Standard 29 CFR 1910.119 checklist is
provided to assist employers in complying with the standard. All the standard details are not covered by this
checklist. Refer to the complete standard for detailed compliance information.
Organization: Facility: Location:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
APPLICATION
Retail (a)(2)(i)
Oil or gas well drilling on servicing (a)(2)(ii)
Normally unoccupied remote facilities (a)(2)(iii)
EMPLOYEE PARTICIPATION
Page 2 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
PROCESS SAFETY INFORMATION
toxicity, (d)(1)(i)
permissible exposure limits,(d)(1)(ii)
physical data, (d)(1)(iii)
reactivity, (d)(1)(iv)
thermal and chemical stability, and (d)(1)(v)
hazardous effects of inadvertent mixing of (d)(1)(vi)
different materials
Page 3 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
12 Are there documents showing that the equipment (d)(3)(ii)
complies with recognized and generally accepted
good engineering practices?
what-if, (e)(2)(i)
checklist, (e)(2)(ii)
what-if checklist, (e)(2)(iii)
hazard and operability study (HAZOP), (e)(2)(iv)
failure mode and effects analysis (FMEA), (e)(2)(v)
fault tree analysis (FTA), or (e)(2)(vi)
an appropriate equivalent methodology? (e)(2)(vii)
Page 4 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
17 Does the PHA address: (e)(3)
OPERATING PROCEDURES
Page 5 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
the steps for each operating phase (f)(1)(i)
Page 6 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
29 Have safe work practices been developed and (f)(4)
implemented to provide control of hazards during
operations such as lockout/tagout, confined space
entry, opening process equipment or piping, and
control over entry into the facility by maintenance,
contractors, laboratory, or other support personnel.
TRAINING
Page 7 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
CONTRACTORS
Page 8 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
47 Contract employers have prepared a training record (h)(3)(iii)
with the identity of the employee, date of training,
and the means used to verify the training was
understood?
Page 9 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
MECHANICAL INTEGRITY
Page 10 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
57 Are equipment deficiencies corrected that are outside (j)(5)
acceptable limits as defined in (d) before further use
or in a safe and timely manner when necessary means
are taken to assure a safe operation?
59 Hot work permits are issued for hot work operations (k)(1)
conducted on or near covered processes?
MANAGEMENT OF CHANGE
process chemicals,
technology,
equipment,
procedures, and
facility changes affecting a covered process?
Page 11 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
63 Written management of change procedures assure the (l)(2)
following are addressed prior to any change:
INCIDENT INVESTIGATION
Page 12 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
COMPLIANCE AUDITS
Page 13 of 13
OSHA PROCESS SAFETY MANAGEMENT
STANDARD CHECKLIST 29 CFR 1910.119
A U.S. HealthWorks Company
Date:
REFERENCE CHECK
NO. ITEM 29 CFR 1910.119 YES NO
78 The two (2) most recent compliance audit reports are (o)(5)
retained?
TRADE SECRETS