FORMOSA PLASTICS CORPORATION, TEXAS iv HEALTH AND SAFETY MANUAL Page 1 of 9 LIST OF RECORDS Revision Number: 197
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1 HEALTH AND SAFETY MANUAL Page 1 of 9 Manual Name: Health and Safety FTESP001 Safety Training 1. All records generated by this procedure. FTESP002 Access Restriction 1. All records generated by this policy/procedure. Life of System (Facility) FTESP003 Incident Investigation 1. Incident Investigation Report 2. Witness Report(s) 3. TapRoot Incident Report 4. SNAP Chart Simple Incident (TapRoot Software Printout 5. Corrective Action(s) Report (Excel Document) 6. Incident Investigation Interview Notes 7. SNAP Chart Complex Incident (TapRoot Software Printout) 8. Corrective Actions(s) Prioritization Guide (Excel Document) 9. TapRoot Cause Tree (TapRoot Software Printout) 10. Risk Ranking Matrix 5 years
2 HEALTH AND SAFETY MANUAL Page 2 of 9 FTESP004 Hazard Communication Program 1. Completed Chemical Approval Form 3. Discontinued and outdated MSDS FTESP005 Confined Space Permit 1. Completed Confined Space Entry Log, Stubs, and Permits 3. Rail Hopper Car Daily Atmospheric Readings 4. Annual Confined Space Procedure Review Form 5. Confined Space Rescue Plan(s) FTESP006 Hot Work Permit 1. All Hot Work Permits (both copies of permit and stub) generated by FPC-TX Departments or Contractor Employer Life of the Facility 2 Months Life of Equipment FTESP007 Excavation Permit 1. Completed Permits, Stubs and Excavation Permit Request Forms. FTESP008 General Work Permit 1. All Permit Records FTESP009 Interlock Bypass Permit 1. Interlock Bypass Permit, Stubs and Permit Books 2. Instructions For Completing the Permit FTESP010 Line Break Permit 1. All Line Break Permits and Stubs 3. Line Break Checklist for Operations FTESP011 Hazardous Energy Control 1.* All Attachments and Training Certifications 5 years
3 HEALTH AND SAFETY MANUAL Page 3 of 9 FTESP012 Radiation Safety Program 1. Survey Records 2. Leak Test Records 3. Audit Records 4. Individual Cumulative Dose Records FTESP013 Health and Safety Audit 1. Health and Safety Audits Procedure 2. Health and Safety Observation Reports FTESP014 Vinyl Chloride Program 1. Training Records 2. Monitoring Records 3. Medical Records FTESP015 FTESP016 FTESP017 FTESP018 FTESP019 Respiratory Protection Program Hearing Conservation Procedure Personal Protective Equipment Bloodborne Pathogens Exposure Control Plan Prescription Safety Spectacles 1. Training Records 2.* Respirator Inspection Records 3. SCBA Monthly Inspection Form 4. Hydrostatic Test Records for SCBA 5. Medical Evaluation Records 6. Fit Test Records 1. Audiograms 2. Noise Monitoring Records Life of License Life of License 30 Years Until the next fit test or until respirator use is discontinued 1. Training Records 1. Medical Records 1. Spectacle Authorization Form 2. Spectacle Replacement Length of Employment plus 30 years None None FTESP020 Toxic Substance Control 1. Allegations and documentation associated with Act allegations. FTESP021 Smoking Policy NONE. ---
4 HEALTH AND SAFETY MANUAL Page 4 of 9 FTESP022 Safety Orientation and Plant Entrance FTESP023 Ethylene Oxide Program 1. Medical Records 2. Monitoring Records FTESP024 Access to Employee Medical Records FTESP025 Benzene Program 1. Medical Records 2. Monitoring Records 3. Training Records FTESP026 Weather Phases 1. Training Records 1. Contractor Safety Training Certification 2. Release and Indemnification Agreement for Contractors 3. General Safety Rules 4. Training Records generated by Contractor Employees 10 Years 3. Training Records 1. Exposure and Medical Records Duration of Employment Plus 30 Years 2. Weather Phase III, Essential and/or Emergency Job Tasks FTESP027 Emergency Equipment 1.* Monthly Fire Extinguisher Inspection Guide Inspection 2.* Fire Extinguisher Inspection Report 3.* Monthly Self Contained Breathing Apparatus Inspection Report 4.* Self Contained Breathing Apparatus Inspection Report 5.* Fire Extinguisher Hydrostatic Test Requirements / Record Retention FTESP028 DELETED 6/17/09 NONE. Training records should be retained according to the Master Training Plan or as specified in the TQM Manual. 6 Months After Last Entry After Last Entry After Last Entry After Last Entry After Last Entry ---
5 HEALTH AND SAFETY MANUAL Page 5 of 9 FTESP029 Motor Vehicle Safety 1.* Daily Motor Vehicle Inspection Checklist 2.* Daily Equipment Inspection Checklist 6 Months 6 Months FTESP030 Chemical Hygiene Plan 1. Training Records FTESP031 Exposure Task Evaluation Program 1. Completed ETE s 3. Monitoring Records Life of the process by the supervisor in the department/unit where the ETE s were performed. Length of Employment plus 30 years FTESP032 Bicycle 1.* Bicycle/Tricycle Daily Checklist FTESP033 Potable Water 1. All Microbiological Analyses, Inspection Results and Compliance Documentation. 2. Annual TCEQ/3 rd Party (chemical analyses) 10 Years FTESP034 Utility Station Connections 1. Inspection Records & Color Codings FTESP035 Pressure Relieving 1.* Pressure Relief Device Inspection List 1 Calendar Year Devices 2. Central Shop - All Test and Service Service Period Plus Records for the PRDs FTESP036 Cranes 1. Monthly and Annual Inspection 2. Records 3. Training Records FTESP037 Alarm Systems and Activation Procedures 1. Alarm System Decision Tree 2. Outdoor Sound System Monitoring 3. Shift ASM Log Sheet FTESP038 Safety Shower Facilities 1. Inspection Records
6 HEALTH AND SAFETY MANUAL Page 6 of 9 FTESP039 1,3 Butadiene Program 1. Training Records 2. Monitoring Records 3. Medical Records. FTESP040 Hot Tapping 1. Hot Tapping Checklist FTESP041 Standard Operating Procedures for Scaffolding 1. Training Records 2. Scaffold Erection/Dismantle Log 3. Scaffold Erection/Dismantle Form FTESP042 Accountability 1.* Unit Accountability Log 2. Outside Assembly Point Specification 3. Evacuation Map 30 Days N/A N/A FTESP043 Decontamination 1. Decontamination Form 12 Months FTESP044 FTESP045 FTESP046 & Operating Rules for an Industrial Truck Emergency Response Team Purged Enclosures And Analyzer Houses 1. Daily Equipment Inspection Form & Records 1. Emergency Response Team Membership by Department / Area 1. Audit Records N/A FTESP047 FTESP048 Multi-Tool Safety Guidelines Inspection, Testing & of Water- Based 1. PRISM Training Records 1. FPC, TX Annual Inspection, Testing and Form for Wet Pipe Sprinkler Systems 2. FPC, TX Annual Inspection, Testing and Form for Water Spray Fixed Systems After the Next Inspection, Test or After the Next Inspection, Test or
7 HEALTH AND SAFETY MANUAL Page 7 of 9 FTESP048 FTESP049 Continuation Inspection, Testing & of Water-Based Safety Barricading Procedure 3. FPC, TX Annual Inspection, Testing and Form for Fire Pumps 4. FPC, TX Annual Inspection, Testing and Form for Dry-Pipe Fire Sprinkler Systems 5. FPC, TX Annual Inspection, Testing and Form for Standpipe and Hose Systems 6. FPC, TX Quarterly Inspection and Testing Form for Wet Sprinkler Systems 7. FPC, TX Quarterly Inspection and Testing Form for Dry Pipe Sprinkler Systems 8. FPC, TX Monthly Inspection Form for Fire Protection Systems 9. FPC, TX Weekly Inspection Form for Fire Protection Systems 10. Original Records 1. Removable Railings / Flooring Request Form 2. Summary of Railing Regulations 3. Road Plate Tables and Charts After the Next Inspection, Test or After the Next Inspection, Test or After the Next Inspection, Test or After the Next Inspection, Test or After the Next Inspection, Test or After the Next Inspection, Test or After the Next Inspection, Test or Life of System None None FTESP050 Road Block 1. Road Block Requisition Form FTESP051 Naturally Occurring 1. NORM Storage Area Equipment Log. 12 Months Radiation Program FTESP052 Hydroblasting Guidelines 1. Employee Training Records 2. High Pressure Hose Hydrotesting Results 3. Inspection Records 1 year FTESP053 Personal Fall Protection 1. Training Records 2. Monthly Inspection Records (According to Paragraph of this procedure) Active Employment Plus 12 Months
8 HEALTH AND SAFETY MANUAL Page 8 of 9 FTESP054 Physical Examination Program 1. Medical Records FTESP055 Contractor Council Guidelines 1. Contractor Data Submission Form 2. Contractor Council Requisition Form FTESP056 Chromium VI Program 1. Training Records 2. Monitoring and Measuring Records 3. Medical Records FTESP057 Flame Resistant Clothing 1. Training Records FTESP058 Multi-Gas Monitors and Calibration FTESP059 Safe Use of Portable Electronic Device Procedure 2. Certification 1. Training Records 2. Other Records Generated by this Procedure 1. Training Records FTESP060 DELETED FROST NONE N/A FTESP061 FTESP062 Electrical Safety Use of Flexible Cords, Power Strips and UPS Inside Occupied Buildings Electrical De-Energizing and Re-Energizing SOP 1. Annual Inspection Form 1. De-Energization Checklist 2. Pre-Energization Checklist 3. Electrical Work Order Checklist FTESP063 Abrasive Blasting 1. Abrasive Blasting Containment Inspection Form
9 HEALTH AND SAFETY MANUAL Page 9 of 9 FTESP064 Safe Use of Side Grinder 1. All training records generated by this procedure. and Die Grinder for Cutting Note: 1. Type of Record is defined as general grouping of records, such as Sales contracts, customer complaints rather than individual details. 2. Record retention period should comply with the Federal/State statute requirements. * All listed records that are identified by an asterisk (*) may be modified by the using department. The modification must include all the required information specified within the form attached to the applicable procedure, but can contain additional information and inspection dates to meet the needs of the using department.
QChem Safety Documents Summary Table. Document Category OPERATIONAL EXCELLENCE
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