Written by David Rodgers

Quality and Operations Perspective

Written by David Rodgers, Lean Six Sigma Black Belt and ASQ-certified quality leader. This guide applies quality and process-improvement methods to energy and utility operations from a quality and operations perspective. The author is not a licensed professional engineer, process safety specialist, or reliability engineer.

Last editorial review: September 24, 2026. Educational content only: not medical, legal, or regulatory advice. Follow your organization's policies and the requirements that apply to you, and have subject-matter experts review any change to a live process.

  • Lean Six Sigma Black Belt
  • ASQ CQE
  • ASQ CMQ/OE
  • Quality systems and process improvement

Process safety management is the set of practices that keep hazardous materials and energy where they belong. It matters most in refining, gas processing, chemicals, power, and other energy operations where a rare failure can have severe consequences.

This guide summarizes the elements in OSHA's PSM standard, then focuses on management of change: the review that catches a modification, bypass, or procedure change before it introduces a new hazard. A worked example shows how a routine instrument replacement could have shifted a safety trip. Whether specific regulations apply to your site is a question for your safety and compliance professionals.

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Before You Start

Educational content. This guide applies quality and reliability methods to energy operations. It is not engineering, legal, safety-compliance, or regulatory advice, and it does not replace your site's procedures, applicable regulations, or the judgment of qualified engineers and safety professionals.

Why Process Safety and Change Control Matter

Low-Frequency, High-Consequence Events

A fire, release, or explosion is rare but can be catastrophic. Process safety management targets the causes before they line up.

Changes Are a Common Root Cause

Many serious incidents follow a modification, a temporary bypass, or a procedure change that was not fully reviewed.

Leading Indicators Beat Lagging Ones

Counting incidents shows what already went wrong. Tracking overdue inspections and open changes shows what is about to.

Regulators and Insurers Expect It

Facilities handling highly hazardous chemicals face formal requirements. Even where none apply, the discipline reduces risk.

What Process Safety Management Is

Process safety management (PSM) is a framework for preventing catastrophic releases of hazardous materials and energy. In the United States, OSHA's Process Safety Management standard, 29 CFR 1910.119, applies to processes involving certain highly hazardous chemicals above threshold quantities, and the EPA's Risk Management Program has related requirements. Whether a rule applies to a given site depends on the chemicals, quantities, and jurisdiction, so confirm with your safety and compliance professionals.

The Center for Chemical Process Safety (CCPS) describes a broader approach called Risk Based Process Safety. The elements below are the ones in the OSHA standard.

ElementWhat it is for
Employee participationInvolve workers in hazard analysis and other elements
Process safety informationDocumented hazards, technology, and equipment information
Process hazard analysis (PHA)A systematic review of hazards, using methods such as HAZOP or What-If
Operating proceduresClear, current instructions for normal, abnormal, and emergency operation
TrainingInitial and refresher training for those who operate the process
ContractorsSafe work practices and qualification for outside workers
Pre-startup safety review (PSSR)Confirm new or changed facilities are ready before startup
Mechanical integrityInspection, testing, and maintenance of critical equipment
Hot work permitControl of ignition sources during welding and cutting
Management of change (MOC)Review and approval of changes before they are made
Incident investigationInvestigate incidents and near misses and act on the findings
Emergency planning and responsePrepared plans and drills
Compliance auditsPeriodic audits of the program
Trade secretsAccess to information needed for the other elements

Management of Change

Management of change is the discipline of reviewing any modification to equipment, procedures, materials, or operating conditions before it is implemented, so that a change intended to help does not introduce a new hazard. "Change" includes more than a big project: a different instrument range, a substitute gasket, a new setpoint, or a temporary jumper all count.

1. Request Describe the change and why 2. Technical basis Design basis and scope 3. Hazard review Assess safety impact 4. Approve Authorized sign-off 5. Implement Make the change 6. Update and train Documents and people 7. Pre-startup review Confirm ready to run 8. Close out Verify and record No step is skipped for a change to go live, including temporary and emergency changes
A change is not complete until documents are updated, people are trained, the pre-startup review is done, and the change is formally closed out.
Change typeTypical control
Permanent changeFull MOC review before implementation.
Temporary changeMOC with a defined end date, an owner, and a review before it can be extended.
Emergency changeFast approval path with a documented review completed promptly after the fact.
Replacement in kindUsually exempt from MOC, but the definition of "in kind" must be strict and written.

Worked Example: Replacing a Level Transmitter

A maintenance team plans to replace a failed level transmitter on a separator with a newer model that has a different measurement range. The change looks routine. The MOC review finds otherwise. The steps are illustrative.

MOC stepWhat the team found or did
RequestReplace transmitter LT-101 with a model measuring 0–100 inches instead of 0–80 inches.
Technical basisThe new range changes the scaling of the level reading and the alarm and trip setpoints stored in the control system.
Hazard reviewA high-level trip set at 72 inches on the old scale would trigger at a different real level unless re-scaled. Left as is, the vessel could overfill before the trip acts.
ApproveThe operations manager and process safety engineer approve, with conditions to re-scale and test.
ImplementInstall the transmitter, re-scale the control system, and set the trip to the same real level as before.
Update and trainUpdate the P&ID and setpoint list, brief operators on the new range, and revise the calibration procedure.
Pre-startup reviewA second person confirms the trip functions at the correct real level using a test, then signs off.
Close outThe MOC is closed with documents attached, and the record is checked at the next audit.

The change that looked like "replace in kind" would have shifted a safety trip. The MOC process caught it before startup.

Leading indicators to track

  • Open MOCs past their due date: for example, 3 of 24 opened this quarter (12.5%) are overdue.
  • Temporary changes past expiry: for example, 2 temporary bypasses remain in place after their end dates.
  • Overdue safety-critical inspections and tests: a count and percentage, reviewed monthly.
  • Action items from hazard analyses and incident investigations that remain open.

The Management of Change Register Template tracks these automatically, including days open and temporary changes past expiry.

Self-Assessment Questions

  • Do people know what counts as a change, and is "replacement in kind" defined in writing?
  • Are temporary changes given an end date and an owner?
  • Does every change get a hazard review by someone independent of the request?
  • Are drawings, procedures, and training updated before startup, not after?
  • Do we track leading indicators such as overdue MOCs and safety-critical inspections?

Common Mistakes

Treating Small Changes as Exempt

A small change to a setpoint, range, or material can defeat a protection. Keep the "in kind" definition narrow.

Temporary Changes That Become Permanent

Bypasses and jumpers left in place past their date quietly become the new design. Track expiry.

Closing Before Documents Are Updated

If drawings and procedures lag the plant, the next person works from wrong information.

Counting Only Injuries

Recordable injury rates say little about process safety. Track leading indicators and near misses as well.

Process Safety and Management of Change: Frequently Asked Questions

What is management of change (MOC)?

Management of change is a formal review and approval process applied to modifications of equipment, procedures, materials, or operating conditions before they are implemented. It checks the technical basis and safety impact, updates documents and training, confirms readiness before startup, and closes the change out, so a change does not introduce an unreviewed hazard.

Is OSHA's PSM standard the same as process safety in general?

OSHA's Process Safety Management standard, 29 CFR 1910.119, is a U.S. regulation with defined scope and 14 elements, and it applies to processes involving certain highly hazardous chemicals above threshold quantities. Process safety as a discipline is broader and applies to any operation where a loss of containment could cause serious harm, whether or not a specific rule applies.

What are leading indicators in process safety?

Leading indicators measure the health of the safeguards that prevent incidents, such as the percentage of overdue safety-critical inspections, open management-of-change items, temporary changes past expiry, and open hazard-analysis actions. They warn of rising risk before a release or injury occurs, unlike lagging indicators, which count incidents that already happened.

Sources and Further Reading

  • OSHA, Process Safety Management of Highly Hazardous Chemicals, 29 CFR 1910.119.
  • Center for Chemical Process Safety (CCPS), Guidelines for Risk Based Process Safety.
  • American Petroleum Institute, API RP 754, Process Safety Performance Indicators for the Refining and Petrochemical Industries.
  • Trevor Kletz, What Went Wrong? Case Histories of Process Plant Disasters and How They Could Have Been Avoided.