psm program review checklist - georgia tech osha 21d...

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Occupational Safety & Health Program Page 1 of 14 September 2011 www.oshainfo.gatech.edu PSM Program Review Checklist Use this checklist to help determine employer compliance with the Process Safety Management Standard issued by the Occupational Safety and Health Administration. Please note that the checklist does not include all of the standard’s requirements and does not reflect all OSHA letters of interpretation or compliance directives in particular situations. There are 3 elements to a review of a PSM program: 1. Documentation review examination of the documentation of the programs required by the standard. 2. Field Inspection & Verification examination of the physical covered process; its equipment, piping, instrumentation, procedures, and operation. 3. Interviews discussions with employees and contractors to determine if the implemented program matches the program outlined in the documentation. In order to gather the information needed to audit a PSM program the following questions need to be asked for each PSM program element Who What When Where Why How Who Who is responsible for developing and implementing each of the program elements? What What are the requirements and contents of each program element? When When are the required actions for each element completed and when were they required to be completed? Where Where have actions been implemented or changed? Why Why have the implementation decisions and priorities been made as recorded in the documentation? How How is the program implemented and how is the program’s effectiveness evaluated and improved? An essential part of verifying program implementation is to audit the flow of information and activities among the elements. When information in one element is changed or when action takes place in one element that affects other elements, an auditor/reviewer should examine a sample of the related elements to see if the appropriate changes and followup actions have taken place. The following example demonstrates the interrelationship among the elements: During a routine inspection of equipment (Mechanical Integrity), the maintenance worker discovers a valve that no longer meets the applicable code and must be changed. Because the type of valve is no longer made, a different type of valve must be selected and installed (Management of Change). The type of valve selected may mandate different steps for the operators (Operating Procedures) who will require training and verification in the new procedures (Training). The rationale for selecting the type of valve must be made available for review by employees and their representatives (Employee Participation). When the new valve is installed by the supplier (Contractors), a qualified and safe contractor must be selected to perform the work (Contractor Management). The work will involve shutting down part of the process (Pre-startup Safety Review) as well as brazing some of the lines (Safe Work Practices - Hot Work Permit). The employer must review the response plan (Emergency Planning) to ensure that procedures are adequate for the installation hazards. Although Management of Change provisions cover interim changes, after the new valve is in place the Process Safety Information will have to be updated before the (Process Hazard Analysis) is updated or revalidated, to account for potential hazards associated with the new equipment. Also, inspection and maintenance procedures and training will need to be updated (Mechanical Integrity). In summary, 12 PSM elements can be affected by changing one valve. A reviewer/inspector/auditor/compliance officer would check a representative number of these 11 elements to confirm that the required follow-up activities have been implemented for the new valve.

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Page 1: PSM Program Review Checklist - Georgia Tech OSHA 21d ...oshainfo.gatech.edu/psm-compliance/psm-checklist.pdf · PSM Program Review Checklist ... Field Inspection & Verification –

Occupational Safety & Health Program

Page 1 of 14

September 2011 www.oshainfo.gatech.edu

PSM Program Review Checklist

Use this checklist to help determine employer compliance with the Process Safety Management Standard issued by the

Occupational Safety and Health Administration. Please note that the checklist does not include all of the standard’s

requirements and does not reflect all OSHA letters of interpretation or compliance directives in particular

situations.

There are 3 elements to a review of a PSM program:

1. Documentation review – examination of the documentation of the programs required by the standard.

2. Field Inspection & Verification – examination of the physical covered process; its equipment, piping,

instrumentation, procedures, and operation.

3. Interviews – discussions with employees and contractors to determine if the implemented program matches the

program outlined in the documentation.

In order to gather the information needed to audit a PSM program the following questions need to be asked for each PSM

program element

Who What When Where Why How

Who – Who is responsible for developing and implementing each of the program elements?

What – What are the requirements and contents of each program element?

When – When are the required actions for each element completed and when were they required to be

completed?

Where – Where have actions been implemented or changed?

Why – Why have the implementation decisions and priorities been made as recorded in the documentation?

How – How is the program implemented and how is the program’s effectiveness evaluated and improved?

An essential part of verifying program implementation is to audit the flow of information and activities among the

elements. When information in one element is changed or when action takes place in one element that affects other

elements, an auditor/reviewer should examine a sample of the related elements to see if the appropriate changes and

followup actions have taken place.

The following example demonstrates the interrelationship among the elements:

During a routine inspection of equipment (Mechanical Integrity), the maintenance worker discovers a valve that no

longer meets the applicable code and must be changed. Because the type of valve is no longer made, a different type of

valve must be selected and installed (Management of Change). The type of valve selected may mandate different steps

for the operators (Operating Procedures) who will require training and verification in the new procedures (Training).

The rationale for selecting the type of valve must be made available for review by employees and their representatives

(Employee Participation).

When the new valve is installed by the supplier (Contractors), a qualified and safe contractor must be selected to perform

the work (Contractor Management). The work will involve shutting down part of the process (Pre-startup Safety

Review) as well as brazing some of the lines (Safe Work Practices - Hot Work Permit). The employer must review the

response plan (Emergency Planning) to ensure that procedures are adequate for the installation hazards. Although

Management of Change provisions cover interim changes, after the new valve is in place the Process Safety

Information will have to be updated before the (Process Hazard Analysis) is updated or revalidated, to account for

potential hazards associated with the new equipment. Also, inspection and maintenance procedures and training will need

to be updated (Mechanical Integrity).

In summary, 12 PSM elements can be affected by changing one valve. A reviewer/inspector/auditor/compliance officer

would check a representative number of these 11 elements to confirm that the required follow-up activities have been

implemented for the new valve.

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PSM Program Review Checklist

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Application of PSM Standard to Facility - 1910.119(a)

Does the workplace have any of the following:

A process which involves a chemical at or above the specified threshold quantities listed in Appendix A of

the PSM Standard (attached to checklist); or

A process which involves a flammable liquid or gas [as defined in 1910.1200(c)] on site in one location, in a

quantity of 10,000 pounds (4535.9 kg) or more.

Exemptions:

A threshold quantity of flammable liquids if it is stored in atmospheric tanks or transferred without the

benefit of chilling or refrigeration

Hydrocarbon fuels used solely for workplace consumption as a fuel (e.g., propane used for comfort

heating or gasoline for vehicle refueling.) These fuels cannot be part of a process containing other

highly hazardous chemicals covered by the PSM standard.

Retail facilities.

Oil or gas well drilling or servicing operations.

Normally unoccupied remote facilities.

Note: for determining coverage by the PSM standard, the quantity of flammable liquids stored in

atmospheric tanks may be excluded from the quantity in the covered process pursuant to the “Meer”

Decision.

Important interpretation: June 11, 2007 – OSHA defines “on-site in one location” for PSM to mean that the

standard applies when a threshold quantity of highly hazardous chemical (HHC) exists within an area under

the control of an employer or group of affiliated employers. It also applies to any group of vessels that are

interconnected, or in separate vessels that are close enough in proximity that the HHC could be involved in a

potential catastrophic release.

** IF THE WORKPLACE HAS ANY OF THESE OPERATIONS OR PROCESSES, IT MUST COMPLY

WITH THE PSM STANDARD. **

Examples of industries that may have highly hazardous chemicals and processes covered by the PSM standard:

Industrial production of organics and inorganic

materials

Paints

Pharmaceuticals

Adhesives

Sealants and Fibers

Petrochemical facilities

Paper Mills

Food Processing with Anhydrous Ammonia over

the TQ

Conversion Example

Gallons to lbs conversion = gallons x 8.33 x specific gravity of the liquid = lbs of liquid

Example: Weight of 10,000 gallons of gasoline = 10,000 x 8.33 x 0.739 = 61,559 lbs

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PSM Program Review Checklist

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YES NO Employee Participation – 1910.119(c)(1)

Has the employer developed a written plan of action for implementation of employee

participation?

YES NO Employee Participation – 1910.119(c)(2)

Has the employer consulted with employees and their representatives on the conduct and

development of process hazard analyses and on the development of all other elements of the

PSM standard?

YES NO Employee Participation – 1910.119(c)(3)

Do employees and their representatives have access to process hazard analyses and all other

information required by the PSM standard?

YES NO Hazard Information Collection – 1910.119(d)(1)

Has the employer collected information pertaining to the hazards of the process?

Toxicity

PELs

Physical data

Reactivity

Corrosivity

Thermal & chemical stability

Hazards of mixing chemicals

MSDSs

YES NO Technology of the Process Information Collection – 1910.119(d)(2)(i)(A)

Does the employer have block diagrams or simplified process flow diagrams for each

covered process?

YES NO Technology of the Process Information Collection – 1910.119(d)(2)(i)(B-D)

Does the employer have information on the technology of the covered process for the

following:

Process chemistry – 1910.119(d)(2)(i)(B).

Maximum intended inventory – 1910.119(d)(2)(i)(C).

Safe upper and lower limits for: temperature, pressures, flows, levels, compositions

or other pertinent metrics for the process – 1910.119(d)(2)(i)(D).

YES NO Technology of the Process Information Collection – 1910.119(d)(2)(i)(E)

Has the employer performed and documented an evaluation of the consequences of

deviations in the covered process, including those affecting the health and safety of

employees?

YES NO Equipment of the Process Information Collection – 1910.119(d)(3)(i)(A-H) Does the employer have information on the equipment of the covered process for the

following:

Materials of construction – 1910.119(d)(3)(i)(A).

Piping and instrument diagrams (P&IDs) – 1910.119(d)(3)(i)(B).

Electrical classification – 1910.119(d)(3)(i)(C).

Relief system design and design basis – 1910.119(d)(3)(i)(D).

Ventilation system design – 1910.119(d)(3)(i)(E).

Design codes or standards used – 1910.119(d)(3)(i)(F).

Material and energy balances for processes – 1910.119(d)(3)(i)(G).

Safety systems – 1910.119(d)(3)(i)(H).

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YES NO Equipment of the Process Information Collection – 1910.119(d)(3)(i)(A-H)

Has the PSM documentation including all elements above been field verified and compared

to the actual equipment and components in the covered process?

YES NO Process Hazard Analysis – 1910.119(e)(1) Has the employer performed an initial process hazard analysis on the covered processes?

YES NO Process Hazard Analysis – 1910.119(e)(2)(i-vii) Has the employer used one or more of the following methodologies to perform the process

hazard analysis (PHA)?

What if – 1910.119(e)(2)(i).

Checklist – 1910.119(e)(2)(ii).

What if/Checklist – 1910.119(e)(2)(iii).

Hazard and Operability Study (HAZOP) – 1910.119(e)(2)(iv).

Failure mode and effects analysis (FEMA) – 1910.119(e)(2)(v).

Fault tree analysis – 1910.119(e)(2)(vi).

An appropriate equivalent methodology – 1910.119(e)(2)(vii).

YES NO Process Hazard Analysis – 1910.119(e)(3)(i-vii) Does the PHA(s) address the following?

Hazards of the process – 1910.119(e)(3)(i).

Equipment in the process – 1910.119(e)(3)(i).

Identification of previous incidents – 1910.119(e)(3)(ii).

Engineering and administrative controls – 1910.119(e)(3)(iii).

Consequences of failure for engineering or administrative controls; including

consequences of deviation and steps required to correct or avoid deviation –

1910.119(e)(3)(iv).

Facility siting – 1910.119(e)(3)(v).

Human factors – 1910.119(e)(3)(vi).

A qualitative evaluation of safety and health effects of failure on employees in the

workplace – 1910.119(e)(3)(vii).

YES NO Process Hazard Analysis – 1910.119(e)(4) Was the PHA(s) performed by a team that had the following?

Expertise in engineering and process operations.

At least one employee with experience and knowledge specific to the covered

process.

With one member of the team knowledgeable in the specific evaluation

methodology used to perform the PHA.

YES NO Process Hazard Analysis – 1910.119(e)(5) Does the employer have a system to promptly address PHA findings and recommendations?

Does the system address findings and recommendations in a timely manner?

Are the resolutions documented?

Document actions taken?

Is there a written schedule for completion of recommended actions?

Has the actions taken or scheduled for resolution of recommendations been

communicated to employees, contractors or other persons possible impacted by the

recommendations or actions?

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YES NO Process Hazard Analysis – 1910.119(e)(6) Have PHAs been updated and revalidated at least every five years?

YES NO Process Hazard Analysis – 1910.119(e)(7) Has the employer retained all documentation for PHAs, updates, revalidations,

recommendations, and resolutions of recommendations?

YES NO Operating Procedures – 1910.119(f)(1)

Has the employer developed and implemented written safe operating procedures for each

covered process; addressing the steps for each operating phase, the operational limits, safety

and health considerations, and safety systems and their function?

Steps for each operating phase:

Initial startup – 1910.119(f)(1)(i)(A).

Normal operations – 1910.119(f)(1)(i)(B).

Temporary operations – 1910.119(f)(1)(i)(C).

Emergency shutdown including the conditions under which emergency shutdown is

required, and assignment of responsibility to qualified operators to ensure timely and

safe shutdown – 1910.119(f)(1)(i)(D).

Emergency operations – 1910.119(f)(1)(i)(E).

Normal shutdown – 1910.119(f)(1)(i)(F).

Startup after turnaround or emergency shutdown – 1910.119(f)(1)(i)(G).

Operating limits:

Consequences of deviation – 1910.119(f)(1)(ii)(A).

Steps required to avoid or correct deviation – 1910.119(f)(1)(ii)(B).

Safety and health considerations:

Properties and hazards of chemicals present in the covered process –

1910.119(f)(1)(iii)(A).

Precautions required to prevent exposure; including engineering and administrative

controls, and PPE – 1910.119(f)(1)(iii)(B).

Control measure to be taken if physical or airborne exposure occurs –

1910.119(f)(1)(iii)(C).

Quality control of raw materials and control of hazardous chemical inventory –

1910.119(f)(1)(iii)(D).

Any special or unique hazards (like forklifts hitting ammonia refrigeration pipes) –

1910.119(f)(1)(iii)(E).

Safety systems and their proper operation – 1910.119(f)(1)(iv).

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YES NO Employee Training – 1910.119(g)(1) Has the employer trained each employee involved in operating a covered process before the

employee is involved in operating the process?

PSM training programs MUST be developed for:

Affected employees – Those not directly involved in the process operation but with

jobs at the facility with a covered process.

Authorized employees – Those directly involved in the process operation.

Contractors who may perform work on a covered process.

Vendors/Visitors who may visit the facility and may potentially be exposed to the

covered process – Primarily in emergency evacuation procedures and PPE

requirements (if necessary).

Training subjects should include at least the following:

Lock-out/Tag-out

Hot work

Line & equipment opening

Confined space entry (if applicable)

Emergency response

Operating procedures

Management of Change

Other Training Subjects May be Required for Authorized Employees and Contractors

YES NO Employee Training – 1910.119(g)(2)

Has refresher training been provided for employees involved in operating a covered process

at least every three years or as needed?

YES NO Employee Training – 1910.119(g)(3)

Has the employer documented all training, ascertaining that employees have received and

understood the training? Documentation should include the following:

Identity of employee.

Date of training.

Means used to verify employee understanding of the training (test, interview, etc.)

YES NO Contractor Management – 1910.119(h)(2)(i)

When selecting a contractor, has the employer obtained and evaluated information regarding

the contractor’s safety and health performance and programs?

YES NO Contractor Management – 1910.119(h)(2)(ii)

Has the employer informed contract employer of the known potential fire, explosion or

toxic release hazards related to the contractor’s work and process?

YES NO Contractor Management – 1910.119(h)(2)(iii)

Has the employer explained to contractor employer the applicable provisions of the

emergency action plan?

YES NO Contractor Management – 1910.119(h)(2)(iv)

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Has the employer developed and implemented safe work practices to control the entrance,

presence and exiting of contractors in covered process areas?

YES NO Contractor Management – 1910.119(h)(2)(v)

Has the employer periodically evaluated the performance of all contractors in fulfilling their

obligations in regards to training and related documentation of for contractor employees?

YES NO Contractor Management – 1910.119(h)(2)(vi)

Has the employer maintained an illness and injury log (OSHA form 300) for work

performed by contract employees in the covered process area?

YES NO Contractor Management – 1910.119(h)(3)(i-iv)

Has the contractor employer done the following:

Trained each contractor employee is trained in the work practices necessary to safely

perform the job.

Instructed each contractor employee in the known potential fire, explosion or toxic

release hazards related to the job and process.

Document that each contractor employee has received and understood the training

required, and the documentation includes the identity of the employee, date of

training, and means used to verify the contract employee understood the training.

Ensure that contractor employees follow safety rules of the facility.

YES NO Contractor Management – 1910.119(h)(2)(v)

Has the contractor notified the employer of unique hazards presented by the contractor

employer’s work in the covered process area?

YES NO Pre-Startup Safety Review – 1910.119(i)

Did the employer perform a pre-startup review for all new facilities or modified facilities

that are modified enough to require change to the process safety information?

YES NO Mechanical Integrity of Process Equipment – 1910.119(j)(2)

Does the employer have written procedures to maintain the on-going integrity of the

following process equipment:

Pressure vessels and storage tanks.

Piping systems (including piping components such as valves.)

Relief and vent systems and devices.

Emergency shutdown systems.

Controls (including monitoring devices and sensors, alarms, and interlocks.)

Pumps.

YES NO Mechanical Integrity of Process Equipment – 1910.119(j)(3) Does the employer have documentation of training that each employee involved in the

maintaining of the on-going integrity of covered process equipment has been informed of

the hazards of the process and the procedures applicable to the employee’s job task and how

to perform the job task in a safe manner?

YES NO Mechanical Integrity of Process Equipment – 1910.119(j)(4)

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Does the employer have documentation that the employer has performed inspections and

tests on the covered process equipment following generally accepted engineering practices

or manufacturer’s recommendations on a frequency that is according to generally accepted

engineering practices, manufacturer’s recommendations or more frequently if determined by

prior experience? The documentation should include: date, name of person performing

inspection or test, description of inspection or test, and results of the inspection or test.

YES NO Mechanical Integrity of Process Equipment – 1910.119(j)(5) Has the employer corrected deficiencies in integrity before further use or in a safe and

timely manner when necessary means are taken to assure safe operation?

YES NO Mechanical Integrity of Process Equipment – 1910.119(j)(6) Quality assurance – Has the employer assured that fabricated equipment is suitable for the

process application (applicable codes), has been inspected and checked for proper

installation consistent with design specification and manufacturer’s recommendations, and

all maintenance materials and spare parts are also suitable for the process application?

YES NO Hot Work – 1910.119(k) Has the employer issued a hot work permit for hot work operations conducted on or near a

covered process?

YES NO Management of Change – 1910.119(l)(1-2) Does the employer have written procedures to manage change in the covered process(es)?

Procedures should cover the following:

Technical basis for proposed change.

Impact of change on safety and health.

Modification to operating procedures.

Necessary time period for the change.

Authorization requirements for the proposed change.

YES NO Management of Change – 1910.119(l)(3) Have affected employees and contractors been informed and trained on change in the

covered process prior to start-up of the process or affected portion of the process?

YES NO Management of Change – 1910.119(l)(4-5) Has the employer updated the following procedures, practices and/or documentation

affected by the change in the process?

Process information.

Operation procedures or practices.

Inspection and testing procedures.

PHAs.

Flow charts, P&IDs, equipment #s, mechanical integrity certificates, etc.

YES NO Incident Investigation – 1910.119(m)(1) Has the employer investigated each incident, which resulted in, or could reasonably have

resulted in, a catastrophic release of highly hazardous chemical in the workplace?

YES NO Incident Investigation – 1910.119(m)(2)

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Has an incident investigation been initiated as promptly as possible, but not later than 48

hours following the incident?

YES NO Incident Investigation – 1910.119(m)(3) Did the investigation team(s) consist of at least one person knowledgeable in the process

involved, including a contract employee if the incident involved work of the contractor, and

other persons with appropriate knowledge and experience?

YES NO Incident Investigation – 1910.119(m)(4) Did the investigation team issue a report at the conclusion of the investigation which

included at a minimum the following:

Date of incident.

Date investigation begun.

A description of the incident.

The factors that contributed to the incident.

Any recommendations resulting from the investigation.

YES NO Incident Investigation – 1910.119(m)(5) Has the employer established a system to promptly address and resolve incident findings

and recommendations, with documentation of resolutions and corrective actions?

YES NO Incident Investigation – 1910.119(m)(6) Has the employer reviewed all incident reports with affected personnel whose job tasks are

relevant to the incident findings, including contract employees?

YES NO Incident Investigation – 1910.119(m)(7) Has the employer retained all incident reports for at least 5 years?

YES NO Emergency Planning and Response – 1910.119(n)

Has the employer developed and implemented an emergency plan for the entire plant in

accordance with the provisions of 29 CFR 1910.38?

YES NO Compliance Audit – 1910.119(o)(1-3) Has the employer performed an audit of the PSM program to certify they have evaluated

compliance with the provisions of the PSM standard at least every 3 years conducted by at

least one person knowledgeable in the process, and a report issued?

YES NO Compliance Audit – 1910.119(o)(4) Has the employer promptly determined and documented appropriate response to each of the

findings?

YES NO Compliance Audit – 1910.119(o)(5) Has the employer retained the two most recent compliance audit reports?

YES NO Trade Secrets – 1910.119(p)

Has the employer made all information necessary to comply with the PSM standard

available to those persons responsible for compiling the process safety information?

YES NO Trade Secrets – 1910.119(p)

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Have employee and their designated representatives had access to trade secret(s)

information contained within process hazard analysis and other documents required to be

developed by this standard?

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Appendix A – 1910.119 List of Highly Hazardous Chemicals, Toxics and Reactives

CHEMICAL NAME CAS* TQ**

Acetaldehyde 75-07-0 2500

Acrolein (2-Popenal) 107-02-8 150

Acrylyl Chlorde 814-68-6 250

Allyl Chlorid 107-05-1 1000

Allylamine 107-11-9 1000

Alkylaluminum Varies 5000

Ammonia, Anhydrous 7664-41-7 10000

Ammonia solutions (greater than 44% ammonia by weight) 7664-41-7 15000

Ammonium Perchlorate 7790-98-9 7500

Ammonium Permanganate 7787-36-2 7500

Arsine (also called Arsenic Hydride) 7784-42-1 100

Bis(Chloromethyl) Ether 542-88-1 100

Boron Trichloride 10294-34-5 2500

Boron Trifluoride 7637-07-2 250

Bromine 7726-95-6 1500

Bromine Chloride 13863-41-7 1500

Bromine Pentafluoride 7789-30-2 2500

Bromine Trifluoride 7787-71-5 15000

3-Bromopropyne (also called Propargyl Bromide) 106-96-7 100

Butyl Hydroperoxide (Tertiary) 75-91-2 5000

Butyl Perbenzoate (Tertiary) 614-45-9 7500

Carbonyl Chloride (see Phosgene) 75-44-5 100

Carbonyl Fluoride 353-50-4 2500

Cellulose Nitrate (concentrationgreater than 12.6% nitrogen) 9004-70-0 2500

Chlorine 7782-50-5 1500

Chlorine Dioxide 10049-04-4 1000

Chlorine Pentrafluoride 13637-63-3 1000

Chlorine Trifluoride 7790-91-2 1000

Chlorodiethylaluminum (also called Diethylaluminum

Chloride)

96-10-6 5000

1-Chloro-2,4-Dinitrobenzene 97-00-7 5000

Chloromethyl Methyl Ether 107-30-2 500

Chloropicrin 76-06-2 500

Chloropicrin and Methyl Bromide mixture None 1500

Chloropicrin and Methyl Chloride mixture None 1500

Cumene Hydroperoxide 80-15-9 5000

Cyanogen 460-19-5 2500

Cyanogen Chloride 506-77-4 500

Cyanuric Fluoride 675-14-9 100

Diacetyl Peroxide (concentration greater than 70%) 110-22-5 5000

Diazomethane 334-88-3 500

Dibenzoyl Peroxide 94-36-0 7500

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CHEMICAL NAME CAS* TQ**

Diborane 19287-45-7 100

Dibutyl Peroxide (Tertiary) 110-05-4 5000

Dichloro Acetylene 7572-29-4 250

Dichlorosilane 4109-96-0 2500

Diethylzinc 557-20-0 10000

Diisopropyl Peroxydicarbonate 105-64-6 7500

Dilauroyl Peroxide 105-74-8 7500

Dimethyldichlorosilane 75-78-5 1000

Dimethylhydrazine, 1,1- 57-14-7 1000

Dimethylamine, Anhydrous 124-40-3 2500

2,4-Dinitroaniline 97-02-9 5000

Ethyl Methyl Ketone Peroxide (also Methyl Ethyl Ketone

Peroxide; concentration greater than 60%)

1338-23-4 5000

Ethyl Nitrite 109-95-5 5000

Ethylamine 75-04-7 7500

Ethylene Fluorohydrin 371-62-0 100

Ethylene Oxide 75-21-8 5000

Ethyleneimine 151-56-4 1000

Fluorine 7782-41-4 1000

Formaldehyde (Formalin) 50-00-0 1000

Furan 110-00-9 500

Hexafluoroacetone 684-16-2 5000

Hydrochloric Acid, Anhydrous 7647-01-0 5000

Hydrofluoric Acid, Anhydrous 7664-39-3 1000

Hydrogen Bromide 10035-10-6 5000

Hydrogen Chloride 7647-01-0 5000

Hydrogen Cyanide, Anhydrous 74-90-8 1000

Hydrogen Fluoride 7664-39-3 1000

Hydrogen Peroxide (52% by weight or greater) 7722-84-1 7500

Hydrogen Selenide 7783-07-5 150

Hydrogen Sulfide 7783-06-4 1500

Hydroxylamine 7803-49-8 2500

Iron, Pentacarbonyl 13463-40-6 250

Isopropylamine 75-31-0 5000

Ketene 463-51-4 100

Methacrylaldehyde 78-85-3 1000

Methacryloyl Chloride 920-46-7 150

Methacryloyloxyethyl Isocyanate 30674-80-7 100

Methyl Acrylonitrile 126-98-7 250

Methylamine, Anhydrous 74-89-5 1000

Methyl Bromide 74-83-9 2500

Methyl Chloride 74-87-3 15000

Methyl Chloroformate 79-22-1 500

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CHEMICAL NAME CAS* TQ**

Methyl Ethyl Ketone Peroxide (concentration greater than 60%) 1338-23-4 5000

Methyl Fluoroacetate 453-18-9 100

Methyl Fluorosulfate 421-20-5 100

Methyl Hydrazine 60-34-4 100

Methyl Iodide 74-88-4 7500

Methyl Isocyanate 624-83-9 250

Methyl Mercaptan 74-93-1 5000

Methyl Vinyl Ketone 79-84-4 100

Methyltrichlorosilane 75-79-6 500

Nickel Carbonly (Nickel Tetracarbonyl) 13463-39-3 150

Nitric Acid (94.5% by weight or greater) 7697-37-2 500

Nitric Oxide 10102-43-9 250

Nitroaniline (para Nitroaniline) 100-01-6 5000

Nitromethane 75-52-5 2500

Nitrogen Dioxide 10102-44-0 250

Nitrogen Oxides (NO; NO(2); N2O4; N2O3) 10102-44-0 250

Nitrogen Tetroxide (also called Nitrogen Peroxide) 10544-72-6 250

Nitrogen Trifluoride 7783-54-2 5000

Nitrogen Trioxide 10544-73-7 250

Oleum (65% to 80% by weight; also called Fuming Sulfuric

Acid)

8014-94-7 1000

Osmium Tetroxide 20816-12-0 100

Oxygen Difluoride (Fluorine Monoxide) 7783-41-7 100

Ozone 10028-15-6 100

Pentaborane 19624-22-7 100

Peracetic Acid (concentration greater 60% Acetic Acid; also

called Peroxyacetic Acid)

79-21-0 1000

Perchloric Acid (concentration greater than 60% by weight) 7601-90-3 5000

Perchloromethyl Mercaptan 594-42-3 150

Perchloryl Fluoride 7616-94-6 5000

Peroxyacetic Acid (concentration greater than 60% Acetic Acid;

also called Peracetic Acid)

79-21-0 1000

Phosgene (also called Carbonyl Chloride) 75-44-5 100

Phosphine (Hydrogen Phosphide) 7803-51-2 100

Phosphorus Oxychloride (also called Phosphoryl Chloride) 10025-87-3 1000

Phosphorus Trichloride 7719-12-2 1000

Phosphoryl Chloride (also called Phosphorus Oxychloride) 10025-87-3 1000

Propargyl Bromide 106-96-7 100

Propyl Nitrate 627-3-4 2500

Sarin 107-44-8 100

Selenium Hexafluoride 7783-79-1 1000

Stibine (Antimony Hydride) 7803-52-3 500

Sulfur Dioxide (liquid) 7446-09-5 1000

Sulfur Pentafluoride 5714-22-7 250

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PSM Program Review Checklist

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September 2011 www.oshainfo.gatech.edu

CHEMICAL NAME CAS* TQ**

Sulfur Tetrafluoride 7783-60-0 250

Sulfur Trioxide (also called Sulfuric Anhydride) 7446-11-9 1000

Sulfuric Anhydride (also called Sulfur Trioxide) 7446-11-9 1000

Tellurium Hexafluoride 7783-80-4 250

Tetrafluoroethylene 116-14-3 5000

Tetrafluorohydrazine 10036-47-2 5000

Tetramethyl Lead 75-74-1 1000

Thionyl Chloride 7719-09-7 250

Trichloro (chloromethyl) Silane 1558-25-4 100

Trichloro (dichlorophenyl) Silane 27137-85-5 2500

Trichlorosilane 10025-78-2 5000

Trifluorochloroethylene 79-38-9 10000

Trimethyoxysilane 2487-90-3 1500

Footnote* Chemical Abstract Service Number

Footnote** Threshold Quantity in Pounds (Amount necessary to be covered by this standard.)