employer shall investigate each incident which
resulted in, or could reasonably have resulted
in a catastrophic release of highly hazardous
chemical in the workplace.
incident investigation shall be initiated as
promptly as possible, but not later than 48
hours following the incident.
incident investigation team shall be established
and consist of at least one person knowledgeable
in the process involved, including a contract
employee if the incident involved work of the
contractor, and other persons with appropriate
knowledge and experience to thoroughly
investigate and analyze the incident.
report shall be prepared at the conclusion of
the investigation which includes at a minimum:
description of the incident;
factors that contributed to the incident;
recommendations resulting from the
employer shall establish a system to promptly
address and resolve the incident report findings
and recommendations. Resolutions and corrective
actions shall be documented.
report shall be reviewed with all affected
personnel whose job tasks are relevant to the
incident findings including contract employees
investigation reports shall be retained for five