Table C-2 Optional PSM Wksht (for PSM Eval Wksht)

Occupational Safety and Health Onsite Consultation Agreements (29 CFR Part 1908)

Table C-2 Optional PSM Wksht (for PSM Eval Wksht)

OMB: 1218-0110

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1218-0110

Expiration: 4-30-28



Table C-2: Relief System Design and Design Basis Used at the Establishment (Optional)

Spot check location

Relief valve description

(29 CFR 1910.119(d)(3) (i)(D))

Is relief system design and design basis complete?

(29 CFR 1910.119 (d)(3)(i)(D))

RAGAGEP/design codes and standards used?

(29 CFR 1910.119(d)(3)(ii)&(iii))

Additional findings (e.g., equipment in deficient condition is used; 29 CFR 1910.119(j)(5))














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