Sample PSM Audit Report Form - doe-hdbk-1101-20040109

DOE-HDBK-1101-2004

Exhibit 2.13

SAMPLE PSM AUDIT REPORT FORM

Explanation of Levels of Process Safety Management (PSM) Compliance Status (as shown

on the following form)

None:

Little or no information is available to determine compliance to the OSHA PSM

rule; a lack of information or inability to easily provide information would

constitute little proof of compliance.

Partial:

Significant information is available, but not enough to determine compliance with

the OSHA PSM rule; incompliance documentation (process descriptions, P&IDs,

written procedures, etc.) would constitute partial compliance. Lack of formal

methods (verbal only) of handling changes to process information would also

constitute partial compliance.

Complete:

The available information is sufficient to verify compliance to the OSHA PSM

rule. Personnel responsibilities are clearly established and the documentation is

complete and easily accessible.