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Guidelines for the Management of Change for Process Safety

by Center for Chemical Process Safety


Copyright © 2008 American Institute of Chemical Engineers, Inc.

APPENDIX C:
EXAMPLES OF MOC SYSTEM
PROCEDURE WORK FLOW CHARTS
AND MOC REVIEW DOCUMENTATION
FORMS

The following figures provide examples of MOC system procedure work flow
charts and MOC review documentation forms. These charts and forms should
be considered advisory; they should not be used directly without going
through the proper MOC system design and development activities discussed
in Chapters 3 and 4.

Figure C.l. Example of an MOC system procedure work flow chart.


Figure C.2. Example of a simple MOC review documentation form.
Figure C.3. Example of a moderate MOC review documentation form.
Figure C.4. Example of a complex MOC review documentation form
(including checklists).

123
Identify a need This task can be performed
for a change by anyone in the facility.

Prepare a This can be performed by


request-for- the originator or by one
change (RFC) designated person in each
form organization.

No Complete RFC
and return to
originator

No,RIK Proceed
Initial Review outside MOC
system

Complete RFC
and file to
allow auditing

Classification No
Review

Conduct Conduct review by an


multidisciplinary review individualto identify
to Identify potential potential hazards and
Hazard Review hazards and associated associated tasks.
tasks. Document the Document the controls
controls required for required for
implementation implementation

Figure C.l Example of an MOC System Procedure Work Flow Chart

125
126 GUIDELINES FOR MANAGEMENT OF CHANGE

Complete tasks
identified as
required before
implementation

No
Authorization
Review

Implement change
using controls
specified by site
procedures and
MOC review

Complete post·
Close ut
implementation
Review
tasks

Complete MOC
documentation
and file

Figure C.I Example of an MOC System Procedure Work Flow Chart (cont 'd)
APPENDIXC 127

Change description and rationale:

If the change is temporary, list the


pertinent dates. Dates valid:

Originator
This change has met the appropriate review requirements and has been
approved. Safety, health, and environmental concerns have been addressed,
procedures have been revised, the appropriate training and/or communication
activities have occurred, and all affected process safety information is being
updated.

RFC Authorizer

FIGURE C.2. Simple MOC Review Documentation Form


128 GUIDELINES FOR MANAGEMENT OF CHANGE

Uni.t or Area: RFC No.:

Description and reason for chango: Dole:

Ori nator

Cl TemporuvCban e Removal Dolo:


Envir onmentol, he olth, ond safe¥ reviews are complete and all concerns heve been tddresse d.

EH &S Review Te om Leader


Opuatins rnoirtenance, and omergoncyprocod..-eo have beenreviewod

Area Prooo<b'es Coordinator


AU affected personnel have beenirformed oflhe change. The app-q>riate troinrlghas hi< en place.

Are a Tr &ininl!; C oorclino\or


All affected proce"sofety informSion is oche dulod for rovi sion.

Uni\ Enl'inoer

Cl PSSR Re<pired PSSR No.:

This chonge has mel lhe '!'P<opriato review roquirenurto and hos been approved.

Ar &. Manager

FIGURE C.3. Moderate MOC Review Documentation Form


APPENDIXC 129

REQUEST FOR CHANGE FORM

Standard Change 0 RFC No. ------


Emergency Change 0 Date Requested-------
Temporary Change 0 Date Required-------

Unit ------------ System or Equipment -------------

Descripti on (include technical basis for change):

Originator

I. Tempm"'Y c, (!lap ror )>mNI>!rt ehu u). 1IW iclOnmlion moy ho providod intomporo:y proc.CU. ( tlochcopy)

Whyi< tiW de!ig> aloiA lo!mpuy e e?

Roq'd Rosponiht l_ar;et


(YIN) P..ty_ o... ca': et.· Intiili
Procw S>li>ty l•podljr moth:> d) y
cwP>ti<mal ; ofetv11rd"'tli.ll H'/lti!ne
E rtal&view '

III . !Jvc.dwss &vi!ed

Req'd Responsiblo T-1 Da


(YIN) P.uty Da Camplft" " hiliill
> tamp!) IUIO""'tn;meJli!"'Y I IU11!DHtt y
Nom w u perzon
.............
Eme,..n:v!Woonse
.. ldmlriistrmn
Olhor ....

,.. CompleteRevilod procodut>! i>ru.d;"')' obool.lo piDOOcbte!di>cudod.

FIGURE C.4. Complex MOC Review Documentation Form (including


checklists)
130 GUIDELINES FOR MANAGEMENT OF CHANGE

I. T

o....tio.. y
l>ldividuohcoc
Gto>.., to bo baind
il.tpoNib!.
f\rty
TOIPI
D•to c!:... b.iti.ili

M...........,.
U r
.-""
• C"""ltto • All speciliod pe >onooi Ia-. 10eevod...!,m,,hx>d tWDnc:- R.sp<m>i>ility fm ony<Jun&o to p.,_ttraq moto!Ws
(<;- -,le bloch);, .,, .,.j,cJ,.<lllod .

Kosp.,...iblo "I.:"_ PP
P..ty Co=1o·· O.to hlitiols
1'&11
l'ttc<>• --
;loctnc.J ;,.tom U>al,..n..tian
telier ;,.tomU>al,..IMtian
...-.Pwwt
u;
>oc:wriOIIIol Uponlw: Limit>
Otl.r

Follow-up!l.•poroibiljy ------------

PSSRR....-i>ility --------------
PSSRNo_ _

III. Autl.mzatian

FIGURE C.4. Complex MOC Review Documentation Form (including


checklists) (cont'd)
APPENDIXC 131

Plonl modifico.tion tracking no.: a Off-houro ro'l>iew


MOC initiotion d-.
Mo<ilication tiU ReqJired implememtion date

P ennonert IJ TemporOIYa Expires


Requesta: Date:
Unt: IJ FCCU a HF-Aiky 0 Cruda 0 Quality Control a H;>
D Reformer 0 Tenninol a M aintonanoe a ou.r
Ellima1od costs of mo<ificelion: P•lr, m otori al, equipment Labor Tolal
Descrion of chaDgt Does a sketch accomponytlisfam?a Yes a No

Purpose (techri.cal basis)

P ctential impact on safety, healtl\ and the emoronment (ioclu<ing the pwlic)

Reviews

D Approved
keMnager Dde IJ Dened

C omm.ents, cooditi. ons, or re!$0ns for denial

Hazardre'riewro<f.lired a Yeo a No Technique: a MOC 1J What-if 1J HAZOP D Oiher


---
Initials

a A pproved
ATEngi»UT Dde aoened

Comment., conditions, or reuons for denial

Design nopomibility ...Ogned to Detianreview red D Yes O No

FIGURE C.4. Complex MOC Review Documentation Form (including


checklists) (cont 'd)