[go: up one dir, main page]
Scribd
Upload
907 views4 pages

What-if/Checklist Hazards Analysis Report

This document contains a what-if/checklist hazards analysis report for an unspecified system. It includes a cover page with change request information, a page listing the system data being analyzed, and two pages containing a PHA worksheet to evaluate potential hazards, existing safeguards, and the residual risk level. The facilitator and attendees of the study are also listed.

Uploaded by

Arash Ilbagi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
907 views4 pages

What-if/Checklist Hazards Analysis Report

This document contains a what-if/checklist hazards analysis report for an unspecified system. It includes a cover page with change request information, a page listing the system data being analyzed, and two pages containing a PHA worksheet to evaluate potential hazards, existing safeguards, and the residual risk level. The facilitator and attendees of the study are also listed.

Uploaded by

Arash Ilbagi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

What-if/Checklist Hazards Analysis Report

Cover Page

Change Request # :
Description of Change :
Unit # :
Location :
Study Date :
P&ID #, Rev, Rev Date :
P&ID Title :
Facilitator :
Attendees :

Document1
Page 1 of 4
What-if/Checklist Hazards Analysis Report
System Data

System # Design Intent Equipment or Line # Drawing #

1
2

Document1
Page 2 of 4
What-if/Checklist Hazards Analysis Report
PHA Worksheet

System #___
EXISTING SYSTEMS
POTENTIAL ADDITIONAL RESIDUAL ACTION
NO WHAT-IF ..... ? & PROCEDURES S L R HSEP
CONSEQUENCES CONSIDERATIONS RISK COMPLETED
(SAFEGUARDS)
1

Document1
Page 3 of 4
System #___
RES
EXISTING SYSTEMS IDU
POTENTIAL ADDITIONAL ACTION
NO WHAT-IF ..... ? & PROCEDURES S L R HSEP AL
CONSEQUENCES CONSIDERATIONS COMPLETED
(SAFEGUARDS) RIS
K
1

Legend
S – Severity H – Health L – Likelyhood S – Safety R – Risk Ranking E – Environment P – Property Damage/Business Interuption

You might also like