Templates
Process safety management plan template

Process safety management plan template

Get an editable template to build your process safety management plan from the ground up. It covers key areas like hazard analysis and emergency response with clearly organized sections.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
Process safety management plan template

Get an editable template to build your process safety management plan from the ground up. It covers key areas like hazard analysis and emergency response with clearly organized sections.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

A process safety management plan template helps you implement OSHA’s 14 required process safety management (PSM) elements for handling highly hazardous chemicals. This template guides you through essential components like process hazard analysis, mechanical integrity procedures, and emergency response planning—all critical for preventing catastrophic chemical releases.

When your facility needs to develop a comprehensive PSM program from scratch, this template provides the structure to ensure no regulatory requirements are missed. According to OSHA data, facilities with properly implemented PSM programs experience 70% fewer safety incidents involving hazardous chemicals, making this template an invaluable resource for your compliance efforts.

Related categories

Preview of the template
Entity
Page 1
Process Description
Describe the chemical process or operation
Identify the hazardous materials and quantities involved
Outline the operating parameters and limits
Process Hazard Analysis
Identify potential hazards and risks associated with the process
Evaluate the consequences of process deviations or failures
Conduct a hazard and operability (HAZOP) study
Operating Procedures
Develop clear and detailed operating procedures
Ensure procedures address safety critical steps
Implement a management of change process
Training and Competency
Provide comprehensive training for all personnel
Assess and document employee competency levels
Maintain training records and refresh as needed
Mechanical Integrity
Establish a preventive maintenance program
Implement inspection and testing procedures
Document equipment design, installation, and maintenance
Emergency Planning and Response
Develop emergency response plans and procedures
Ensure access to appropriate emergency equipment
Conduct regular emergency drills and exercises
Incident Investigation and Corrective Action
Establish a system for reporting and investigating incidents
Identify root causes and implement corrective actions
Share learnings and best practices across the organization
Compliance and Documentation
Ensure compliance with all relevant regulations and standards
Maintain comprehensive records and documentation
Conduct regular audits and reviews of the process safety program

Frequently asked questions

What are the 14 elements that must be in a process safety management plan?

Your PSM plan must include employee participation, process safety information, hazard analysis, operating procedures, training, contractors, pre-startup safety review, mechanical integrity, hot work permits, management of change, incident investigation, emergency planning, compliance audits, and trade secrets protection. Each element requires specific documentation and implementation procedures.

How often should I update my process safety management plan?

Update your PSM plan whenever you make changes to chemicals, technology, equipment, or procedures in your facility. Additionally, OSHA requires formal compliance audits at least every three years. Regular reviews after incidents, near-misses, or when you discover new hazards help maintain an effective safety management system.

How detailed should the process hazard analysis section be in my PSM plan?

Your process hazard analysis must identify, evaluate, and control hazards involving highly hazardous chemicals. Include methodology used (HAZOP, What-If, etc.), team composition, findings, recommendations, resolution timeline, and verification procedures. The analysis should be thorough enough to identify all potential failure points.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.