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                              102       Serious Incident Prevention



                                                          TABLE 9-1
                                              Tools for Effectively Managing Change
                              Unplanned Changes
                                 Audits
                                 Inspections
                                 Equipment testing
                                 Instrument calibrations
                                 Procedure reviews
                                 Training
                                 Near-miss and hazardous-condition reporting system
                                 Documentation of acceptable operating conditions and parameters
                                 Establishment and communication of incident prevention objectives
                                 Management control systems including:
                                   performance measures for serious incident prevention work
                                   performance feedback
                                   recognition and accountability
                                   timely correction of identified problems
                              Planned Changes
                                 Establishment of process for advance review and authorization of changes
                                 Process hazard analysis
                                 Prestartup inspections
                                 Procedures updated for changes
                                 Training
                                 Safety permit systems
                                 Effective communications
                              NOTE: The above listing is intended only to provide examples, and it is recognized that many
                              other potentially effective tools are available.


                              References


                               1. M. Roark, “City Owes Wal-Mart $283,000 Refund,” Longview, Texas, Daily
                                  News, 21 July 2001, 1A.
                               2. J. S. Arendt, M. L. Casada, A. C. Remson, and D. A. Walker, A Manager’s
                                  Guide to Implementing and Improving Management of Change Systems
                                  (Chemical Manufacturers Association Inc., 1993).
                               3. “Medical Gas Supplier Restricted Further: Judge Issues Order After Deaths of
                                  10  Veterans Exposed to  Tainted Oxygen,”  Dallas Morning News, 16 Nov.
                                  1997; 28A.
                               4. D. G. Mahoney, ed.,  Large Property Damage Losses in the Hydrocarbon-
                                  Chemical Industries, A Thirty-Year Review, 14th ed. (Risk Control Consulting,
                                  a division of J&H Marsh & McLennan Inc., formerly M&M Protection
                                  Consultants: 1992), 8.
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