Episode 48 explains the Operating Procedures element of OSHA’s Process Safety Management Standard (29 CFR 1910.119). Dr. Ayers focuses on why written procedures are essential for consistency, safety, and compliance — and why deviations from procedures are a major root cause of catastrophic incidents.
The core message: Operating procedures turn process safety information into safe, repeatable action. Without them, every shift becomes an experiment.
Operating procedures ensure that:
Workers operate processes safely and consistently
Hazards are controlled during all operating modes
Critical steps are not skipped or improvised
Operators understand limits, consequences, and required actions
The process stays within safe operating boundaries
Procedures are the playbook for safe operations.
Episode 48 highlights that procedures must address every operating mode, including:
Normal operations
Startup (one of the highest‑risk phases)
Shutdown (normal and emergency)
Temporary operations
Emergency operations
Upset conditions
Each mode has unique hazards and must be documented clearly.
Dr. Ayers outlines the essential components:
Procedures must specify:
Safe upper and lower limits
Consequences of deviating from limits
Corrective actions to take
Operators must know what normal looks like and what to do when it isn’t.
Procedures must include:
Detailed steps for each operating mode
Sequence of actions
Required verifications
Communication expectations
Vague or overly general procedures lead to inconsistent execution.
Procedures must address:
Chemical hazards
PPE requirements
Engineering controls
Administrative controls
Exposure prevention
Emergency actions
This connects operating procedures to the facility’s hazard information.
Operators must understand:
What safety systems exist
What they protect against
What to do if they activate
What conditions require shutdown
Safety systems are only effective if operators know how they work.
Episode 48 highlights common weaknesses:
Procedures not updated after changes (MOC failures)
Operators relying on “tribal knowledge” instead of written steps
Procedures too vague or too complex
Procedures not accessible in the field
Operators not trained on updated procedures
Procedures written by engineers with no operator input
Emergency procedures missing or incomplete
These failures often show up as root causes in incident investigations.
Operating procedures are tightly linked to:
Process Safety Information (PSI) — procedures must reflect accurate PSI
Training — operators must be trained on current procedures
MOC — changes require procedure updates
Mechanical Integrity — procedures must reflect equipment capabilities
PHA — hazards identified in PHAs must be addressed in procedures
Procedures are the operational expression of the entire PSM system.
Safety leaders must:
Ensure procedures are accurate, current, and accessible
Require operators to follow procedures — no shortcuts
Involve operators in procedure development and updates
Ensure procedures are updated through the MOC process
Provide training whenever procedures change
Audit procedure use in the field
Treat deviations as learning opportunities, not blame
The episode’s core message: Strong procedures create strong operations. Weak procedures create risk.