MOP

Is Equipment Being Affected?

Determine the Technical position needed to perform this work

Determine the Management / Leadership Position staff required to perform this work

Determine Additional Support Positions

Provide an overview of the work to be performed, estimate of time to complete, and summarize expected impacts while performing the work as well as expected outcomes of completing work.

Detail of Impacted Facility Systems

List Specific valves, circuit breakers, panel numbers, etc.

Identify all documents required to support successful completion of this work.
Example: OEM manual, site safety plan, Emergency generator shutdown procedure, communication informing key stakeholder of work to be performed, hot work permits, etc.

Refer to Site Specific Facility Operations Manual (FOM) Maintenance Management Plan (MMP) Risk section for Level of Risk definitions.
Assessing Risk
Use the Risk Assessment Code (RAC) matrix below to assess the risk of each hazard. To use this matrix:
• Find the “severity” or the worst-case outcome of a mishap from the hazard along the left side of the matrix. The possible consequences are:
Class I – Catastrophic. A condition that may cause death or permanently disabling injury or facility destruction.
Class II – Critical. A condition that may cause severe injury or occupational illness, or major property damage to facilities, systems or equipment.
Class III – Moderate. A condition that may cause minor injury or occupational illness, or minor property damage to facilities, systems or equipment.
Class IV – Negligible. A condition that could cause the need for minor first-aid treatment, but would not adversely affect personal safety or health; damage to facilities, systems or equipment more than normal wear and tear level.
• Find the “likelihood” for mishap to occur across the top of the matrix. The possible likelihood estimates are:
Likelihood A. Likely to occur.
Likelihood B. Probably will occur.
Likelihood C. May occur.
Likelihood D. Unlikely to occur.
Likelihood E. Improbable.
• Find the RAC in the box where the “consequence” and “likelihood” cross.
SEVERITY CLASS (I-IV) LIKELIHOOD ESTIMATE (A-E)
A B C D E
I 1 1 2 3 4
II 1 2 3 4 5
III 2 3 4 5 6
IV 3 4 5 6 7

For new procedures, establish mitigation procedures to bring the RAC into a green level (RAC Code 4-7) to the extent possible. RAC codes of 1, 2 and 3 must be reviewed and approved as described below prior to finalizing the Operating Procedure.

If the RAC is… Then the risk is . . .

1 SLAC Director is authorized to accept the risk with adequate justification in rare cases
where critical tests must be done and the risk cannot be reduced.
2 ESH Division Director or Chief Safety Officer is authorized to accept the risk with adequate justification.
3 ESH Program Manager or equivalent management is authorized to accept the risk with adequate justification.
4–7 Acceptable with controls – Facility Manager and EHS Coordinator is authorized to accept the risk with adequate justification.

Identify each risk and contingency plan.

Specific to the risk noted above, what is the plan to deal with the risk should it come to be realized during the course of the work?

List the very specific steps that will be taken to complete this work. This should include every action taken from arrival on site to leaving the site and post notification to key stakeholders.
A Dry Run of the procedure should be conducted with those that will be performing the work to ensure nothing is missed.

Notes: 1. Verify that Change Management approval has been received prior to performing
work.
2. Log Time for Major Steps
3. Notification of impact to timeline

Dry Run Performed (Physical Walkthrough)
Note: Vendor needs to be involved in walkthrough with FM TECH REP)

Management Representative Approval

Technical Representative Approval

Day of work instructions and Notes/Findings: