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COIN Company
Assessment Manager
COIN Site
Team/unit
Operator name
Establishment
address
Date of report
RECORD OF INITIAL READ OF SAFETY REPORT (COMAH SRAM Manual, Section 4, Task 3.2)
Please note all rows are expandable
INITIAL READ OF SAFETY REPORT: Conclusions, Comments & any Further Actions Required:
Key information Available?
SIGNED:
DATE:
Follow Up Notes
Operator name
Establishment
address
Date of report
Safety
Report
Ref.
2(4)(a)
2(4)(b)
2(4)(c)
2(4)(d)
(1) Management System and Organisation of Establishment (MAPP & SMS information)
MAPP in writing. To include operators overall aims &
principles of action with respect control of major accident
hazards
SMS to include part of general management system which
includes organisational structure, responsibilities, practices,
procedures, processes and resources for determining &
implementing MAPP.
Organisation & Personnel (Roles & responsibilities, training,
involvement of employees & sub-contractors)
Identification & Evaluation of Major Hazards (Systematic
procedures for identifying major hazards arising from normal
& abnormal operation & assessment of their likelihood &
severity).
Operational Control (Procedures & instructions for safe
operation, including maintenance of plant, processes,
equipment & temporary stoppages)
Management of Change (Procedures for planning
modifications to, or design of new installations, processes or
storage facilities).
Y/N
Operator name
Establishment
address
Date of report
2(4)(e)
2(4)(f)
2(4)(g)
(b)
(c)
4/2(2)
(a)
4/2(3)
Operator name
Establishment
address
Date of report
(a)
(b)
(c)(i)
(c)(ii)
(c)(iii)
4/2(4)
(a)
(b)
(c)
4/2(5)
(5) Measures of protection & intervention to limit consequences of an accident (Emergency preparedness/response)
Operator name
Establishment
address
Date of report
(a)
(b)
(c)
(d)