Severity of Environmental Impact Rating Scale: Occurance of Failure Rating Scale Detection of Failure Rating Scale

5 (Severe): Risk of Severe Environmental Impact i.e. noncompliance with 5 (Severe): Failure has the possibility of occuring once per 5 (Severe): Failure is not likely to be detected and
government regulation, health and safety risks day or more often damage/escape will occur to the environment. Core Team:
4 (High): Risk of High degree of Environmental Impact i.e. could lead to violation; 4 (High): Failure might be detected but will be difficult to prevent
likelihood of heath and safety risk is low 4 (High); Once per week or more often damage to environment
3 (Moderate): Risk of moderate Environmental Impact i.e. unlikely to lead to a 3 (Moderate): Failure probably will be detected and if so,
violation; health and safety risk is low. 3 (Moderate): Once per month or more often damage to the environment could be prevented. Date (orig.) Date (Rev.)
2 (Minor): Risk of minor Environmental Impact i.e. unlikely potential of release to 2 (Minor): Failure will be detected and if so, damage to the
environment; minor risk to health and safety & risk to business objectives. 2 (Minor): Once per year or more often environment may be prevented.
1 (Remote): Risk of remote Environmental Impact i.e. remote risk to business 1 (Remote): Failure will certainly be detected and damage will be
objectives & environment; no risk to health and safety. 1 (Remote): Once in 10 years prevented.

0 (None): No discernible effect.

PLAN DO CHECK ACT

Responsible Person(s) for monitoring and

Traceability of monitoring & measuring to

Documented Operational Control (4.4.6)
Aspect: Equipment, Process or Source

Occurrence of Failure (scale of 1-10)

(Sig. Aspects do not all need an Obj &

Potential Cause(s) / Mechanism (s) of

Responsible Person(s) for action item

Severity Rating (sum of previous 8)

Detection of Failure (scale of 1-10)

of the use and/or discharge (4.3.1)

Significant Aspects are highlighted

Evaluation / Measurement Method

RPN: (Sev x Occ x Det); Selected
Operation Mode: Normal, Shutdown,

Key Characteristic to Monitor and

Legal and Other regulations: SPX,

Links to Legal & Other (4.3.2)

Energy / Cost: Operational Costs,

Plant Specific, Customer, Supplier,

Erosion, Contamination, treatment
Land / Waste: Disposal, Recycle,

Potential Failure Mode

calibration/verification

Action Item & number

Contractor, Government (4.3.2)
Water: Ground, State, Surface

Freq. of Evaluation

New RPN Rating

Chemical: Reaction, Toxicity

Measure (4.5.1)
Control Method

Objective and Target (4.3.3)

improvements

Target Date
Air: Emission, Odor, Noise

Natural Resource: Usage

records
Failure
Item

Tar)
Qty

Startup, Emergency

utilities
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0

FCD-0118
Revision 2 dated 4/22/05