Control of Major Accident Hazards Regulations 2015 (Comah)
Control of Major Accident Hazards Regulations 2015 (Comah)
Control of Major Accident Hazards Regulations 2015 (Comah)
iv Foreword
1 1 Introduction to Safety Report Assessment
1 1.1 Background
1 1.2 The duties and actions of the COMAH competent authority (CA)
2 1.3 Limitations of assessment
2 1.4 The CA’s expectations of COMAH operators and their safety reports
3 1.5 The safety report assessment cycle process
4 1.6 Terminology
4 1.7 Pre-receipt activities
5 1.8 safety report submission receipt
6 1.9 Assessment planning
6 1.10 Assessing the safety report
7 1.11 Assessment conclusions meeting
8 2 Pre-Receipt Activities
8 2.1 Resource planning
11 2.2 Pre-receipt meeting
22 3 Receipt
22 3.1 Receipt of safety report
23 3.2 Completeness Check
24 3.3 Early predictive screening
25 3.4 Resubmission
26 3.5 Failure to submit report or notify details of 5-year review/revision
27 4 Assessment Plan
27 4.1 Assessment planning meeting
28 4.2 Assessment plan elements
30 4.3 Assessment scope
31 4.4 Assessment proportionality
33 4.5 Assessment agenda
34 5 Assessing the Safety Report
34 5.1 Following the assessment plan
35 5.2 Issues which may arise during assessment
39 6 Assessment Conclusions Meeting
39 6.1 Assessment outcome meeting
39 6.2 Concluding the assessment
42 6.3 Revision Plan
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42 6.4 Sharing the safety report assessment records
43 7 Assessment Follow-up
43 7.1 Responsibilities
44 7.2 Resolving disagreements
45 8 How to Use the Criteria
45 8.1 Assessment criteria scope
45 8.2 Meeting the criteria
46 8.3 Previous assessment
46 8.4 Demonstration
47 9 Descriptive Criteria
51 Appendix 9.1: Descriptive Assessment Criteria and Guidance
59 Appendix 9.2: Changes to Descriptive Assessment Criteria and Guidance in SRAM 2015
63 10 Predictive Criteria
68 Appendix 10.1: Predictive Assessment Criteria and Guidance
73 11 MAPP-SMS Criteria
77 Appendix 11.1: MAPP and SMS Assessment Criteria and Guidance
85 Appendix 11.2: Changes to MAPP and SMS Assessment Criteria & Guidance
93 12A Mechanical Engineering Criteria
98 Appendix 12A: Mechanical Engineering Assessment Criteria and Guidance
116 12B Electrical Control & Instrumentation Criteria
120 Appendix 12B: Electrical, Control & Instrumentation Assessment Criteria and Guidance
131 12C Process Safety Criteria
134 Appendix 12C: Process Safety Assessment Criteria and Guidance
144 12D Human Factors Criteria
150 Appendix 12D: Human Factors Assessment Criteria and Guidance
164 13 Environmental Criteria
168 Appendix 13.1: Environmental Assessment Criteria and Guidance
184 Appendix 13.2: Environmental Inspections Guidance
196 14 Emergency Response Criteria
201 Appendix 14.1: ‘Emergency Response - Assessment Criteria and Guidance’
207 Appendix 14.2: ‘Emergency Response - Changes to Assessment Criteria and Guidance’
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THE SAFETY REPORT ASSESSMENT MANUAL (SRAM) – 2015
FOREWORD
ABOUT THIS GUIDANCE
This is the COMAH Competent Authority’s (CA)1 internally-targeted guidance on the
assessment of COMAH safety reports. It describes the framework within which the CA
undertakes the assessment of safety reports and the processes its staff should follow in
assessing safety reports submitted to them by operators of upper-tier COMAH
establishments, pursuant to regulations 9 and 10 of the Control of Major Accident Hazards
Regulations 2015 (COMAH).
The Safety Report Assessment Manual is not guidance to COMAH Operators on how to
write safety reports.
Following this guidance enables the CA to achieve consistency in its delivery of safety report
assessment, and internal review and audit functions should refer to it when evaluating the
CA’s performance in assessing safety reports.
The assessment processes apply in broadly the same way to all assessment work but the
amount of effort and resource required will depend upon the type of safety report to be
submitted and the relative risk posed by the establishment.
1
The competent authority for an establishment is HSE, or the Office for Nuclear Regulation (ONR) for nuclear
establishments, together with the appropriate agency. In England the competent authority is HSE or ONR and
the Environment Agency (EA); in Scotland it is HSE or ONR and the Scottish Environment Protection Agency
(SEPA); and in Wales it is HSE or ONR and Natural Resources Body for Wales (NRW).
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1. INTRODUCTION TO SAFETY REPORT ASSESSMENT
1.1 BACKGROUND
The COMAH Competent Authority uses a structured assessment approach to examine the content
of COMAH safety reports. The three key elements of this approach are described in detail below:
1 The COMAH Competent Authority (CA) has a duty to examine COMAH safety reports
and this is an integrated part of its wider intervention strategy for upper-tier COMAH
establishments.
3 The CA must decide if the content of the safety report indicates a potential serious
deficiency in the measures taken by the operator for the prevention and mitigation
of major accidents;
In such circumstances the CA would visit the establishment to verify if the actual
arrangements on site are seriously deficient and if necessary prohibit the bringing
into operation, or continued operation, of the establishment, or any part of it, in
accordance with regulation 23 of COMAH.
4 The CA will use Pre-Receipt Activities to reach agreement with operators upon the
requirements for safety report submissions.
5 The CA must communicate the conclusions of its examination of the safety report to
the COMAH Operator within a reasonable period of time.
The CA publishes its guidance on how long a safety report assessment should take to
enable conclusions to be communicated to the COMAH Operator.
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1.3 LIMITATIONS OF ASSESSMENT
1 The assessment of a safety report does not ensure that the necessary measures have
been taken to manage major accident hazards at an establishment.
Actual on site conditions can only be verified through inspection.
2 The content of a safety report should be taken at face value and presumed to be
accurate unless there is clear evidence to the contrary (e.g. conflicting statements in
the report or local knowledge of the assessment team).
3 The depth of assessment should be proportionate to the level of risk and the extent
to which the information contained in the safety report is new to the CA.
4 The purpose of assessment is not to achieve a perfect safety report. Where a report
is found to be deficient in some way the assessment team will judge its importance
to the overall control of major accident hazards and, within the CA’s wider
enforcement strategy, determine if any further action is required to remedy the
deficiency.
2 Operators send safety reports to the CA which satisfy the relevant requirements of
Regulations 8, 9 and 10 and Schedules 2 and 3; in doing so they fully take into
account the Pre-Receipt Agreement reached between themselves and the CA.
3 Operators sending a safety report to the CA which has been reviewed and revised
under Regulation 10(1) of COMAH, have clearly highlighted the changes in that
report and provided a narrative account of the review undertaken and changes that
have been made to the safety report;
4 Where changes are planned at an establishment that indicate the need for an
operator to prepare a modification report, they inform the CA at the earliest
opportunity and send the modification report to the CA in advance of the
modification coming into effect.
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1.5 A SUMMARY OF THE SAFETY REPORT ASSESSMENT CYCLE PROCESSES
The work to examine a safety report is undertaken by staff from the CA who are trained in and
competent to work through the safety report assessment cycle which consists of five stages, as
summarised in Figure 1 below:
CONCLUSIONS
ASSESSMENT
PRE-RECEIPT
PLANNING
RECEIPT
Each stage must be completed before moving on to the next one, though the amount of work
required by the CA and the timescales within which it should be completed will depend upon the
nature of the COMAH establishment and the type of safety report which is to be submitted.
Pre receipt
meeting
CIM
Conclusions
Assessment
and actions
AM
AM
The Pre-Receipt stage is managed by the COMAH Intervention Manager and the
assessment process from ‘Receipt’ through to ‘Conclusions’ managed by the
Assessment Manager – both roles are usually undertaken by the same person.
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1.6. TERMINOLOGY
The Safety Report Assessment Manual is not guidance to COMAH Operators on how
to write safety reports.
The key points of each stage of the assessment cycle are as follows:
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For 5 yearly reviews of safety reports:
The Pre-Receipt Meeting should happen 1 year in advance of the planned submission of
the report to the CA by the operator;
The COMAH Intervention Manager considers and shares information held by the CA which
may be relevant to the safety report review to be undertaken by the operator;
The COMAH Intervention Manager should clearly communicate to the COMAH operator,
the benefits of them providing the CA with a narrative summary of the review undertaken
and changes made to their safety report;
The operator should clearly highlight new and revised content.
The operator should be advised that the pre-receipt agreement does not remove the duty
on them to provide information within the revised safety report that satisfies regulations 8,
9 and 10 together with Schedules 2 and 3. A standard paragraph should be included in the
pre-receipt agreement letter
For “New” and “Other” Establishments (as defined) and Modifications to Existing
Establishment reports:
A Pre-Receipt Meeting or a preliminary meeting to advise the operator of the pre-receipt
process should happen within 4 weeks of the operator’s original enquiry;
Relevant discipline specialists where appropriate should attend Pre-Receipt Meetings for
New and Other Establishments and do so as required for Modifications to existing safety
reports;
Pre-Receipt should be led by the assigned COMAH Intervention Manager but assessors
attending for the CA need not be those who may later carry out the assessment or future
inspection work.
For rolling submissions, the Pre-Receipt Agreement may be incrementally updated.
Effect on COMAH Intervention Planning
On the basis of the Pre-Receipt Agreement the COMAH Intervention Manager bids for the
required assessment resource i.e. those for whom there should be new or revised content
to assess;
The resourcing priorities for safety report work are reflected in the CA’s operational
guidance for intervention planning which is updated and issued annually.
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Completeness Check
Existing establishment safety reports – this is done by the Assessment Manager only;
New / Other Establishment Reports – led by Assessment Manager with other discipline
specialist assessor input for rolling submissions, where necessary;
Confirm presence of basic elements of safety report and extent to which new / revised
content reflects the Pre-Receipt Agreement;
Confirm that a narrative summary of the review and revisions have been included;
Confirm that revisions and new content have been highlighted.
Safety report content for assessment is sampled using the CA agreed assessment
criteria and should be taken at face value (see comments in 1.3 also).
Assessment is of new and revised content in the safety report.
The CA will assess a safety report where it contains new and revised content;
The required discipline specialist assessment team resource will be based upon the scope
of changes described within the Pre-Receipt Agreement.
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Use of Other Relevant Sources of Information
Assessors must be transparent about their use of any other relevant sources of
information, these could be for example, the current Technical Assessment Record or
where appropriate the last Technical Demonstrations Record. Use of other relevant
sources should be declared and recorded , within the relevant criterion section(s) of the
assessment record.
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2. PRE-RECEIPT ACTIVITIES
In respect to their COMAH duty to examine all safety reports submitted by COMAH operators, the
CA undertakes the following Pre-Receipt Activities:
Resource Planning –safety report submission plans and COMAH Intervention Plans
Pre-Receipt Meetings – work undertaken to ensure that information is shared between
the CA and the COMAH operator to provide optimal conditions for the report to meet the
minimum requirements of COMAH for content and purposes.
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2.1.3. Safety Report Activity and COMAH Intervention Plans
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Where the existing COMAH Intervention Manager will not carry out the pre-receipt
work, the decision should be communicated to the COMAH operator concerned at
the earliest opportunity.
[The SR Administrator should be informed so that the relevant COIN records can be
updated and the correct details are sent in the ‘Receipt of a Safety Report’ letter to
the Operator who submitted the safety report.]
4 Specialist and Environment Resource for Pre-Receipt and Assessment
HSE Discipline Specialist Team Leaders and EA/NRW/SEPA Team Leaders
Where the COMAH Intervention Plan indicates a resource request for their
technical discipline in relation to a safety report submission, the relevant Team
Leaders should identify the assessors to fill the required roles for the identified
assessment and pre-receipt work. They should confirm these names to the
relevant HSE Regulatory Team Leader, for inclusion in the Safety Report
Assessment Plan.
In accordance with timetable set out in Intervention planning guidance
5 Confirm Assessment Team
HSE Regulatory Team Leaders
Provide the COMAH Intervention Manager with confirmation of the name of the
Assessment Manager and composition of Assessment Team.
As soon as resourcing has been agreed
6 Resourcing Unplanned Work
HSE Regulatory and Specialist Team Leaders, and EA/NRW/SEPA Team Leaders
Unplanned work – this refers to unexpected in-year changes
In accordance with COMAH Intervention Planning operational guidance, allocate
the necessary CA resources where previously unplanned safety report activity is
added to an updated COMAH Intervention Plan – typically this would be in
response to an in-year submission of a ‘modification report’ or a new entrant to
COMAH requiring the initial pre-receipt work.
This means flexibility in resourcing the work, the outcome of which could be an
Assessment Manager other than the appointed COMAH Intervention Manager and
/ or technical assessors involved in pre-receipt who do not then undertake the later
assessment or inspection work.
Ongoing throughout the work-year
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2.2 Pre-Receipt Meeting
2.2.1 Purpose
The Pre-Receipt Meeting is a key stage in the development of any safety report and it is important
to both the CA and the COMAH operator. The objective is to ensure that information is shared
between both parties in order to provide optimal conditions for the report to meet the minimum
requirements of COMAH for content and purposes; this should mean that there are no significant
gaps in the information presented and that the report is able to be progressed without issue to the
The pre-receipt stage contains a one-off meeting but the overall process should involve
ongoing dialogue, as necessary, between the COMAH operator and the COMAH
Intervention Manager until the safety report is sent to the Competent Authority.
assessment stage.
Existing Establishments
Five Yearly Review Safety Report 1 year before the report submission date.
Modification Safety Report
New Establishments
within 4 weeks of operator’s original enquiry
Pre-Construction; or
(or a preliminary meeting see 1.6)
Pre-Modification Safety Report
Other Establishments
‘First’ Safety Report
1a Documentation Review
COMAH Intervention Manager
The COMAH Intervention Manager reviews relevant documentation relating to the
current safety report, which would typically include the current:
Technical Assessment Records;
Technical Demonstration Records; [where relevant]
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Further information formally requested and submitted during the last safety
report assessment;
Conclusions records, including revision plans;
Updated safety report documentation - sent by the operator in respect of
current assessment conclusions;
A copy of the current COMAH Notification for the establishment;
A copy of intervention actions that are relevant to the operator’s safety report
review;
Where issues exist regarding the assessment outcomes of previous criterion
assessment then refer to section 8.2;
Where a previous technical assessment record for a particular discipline has
not been completed then advice should be sought from a relevant discipline
specialist Team Leader as to whether the assessment should be completed e.g.
for human factors.
In advance of the pre-receipt meeting, Discipline specialist assessors should
bring deficiencies in the previous assessment to the attention of the COMAH
Intervention Manager.
The review of these documents forms part of the preparations for engagement
with the establishment. Where appropriate, the COMAH Intervention Manager
should forward the current predictive assessment to the Predictive discipline
specialist assessor and the current environmental assessments to the appropriate
authorised person from EA/NRW/SEPA. The COMAH Intervention Manager should
consult as necessary with their counterpart in EA/NRW/SEPA and relevant
discipline Specialists in order to develop a thorough understanding of the material
that should be in scope of the operator’s safety report review.
At least 5-6 weeks in advance of the meeting
On COIN, use the relevant site ‘Pre-Receipt Activities’ case created by the Safety
Report Administrator to capture all pre-receipt work. The Notes field should be
used to make a brief record of the pre-receipt activities as they occur.
In the Notes field make a clear record of the documentation reviewed. Although, it
is not necessary to attach copies of the actual documentation referenced
This is particularly important where the pre-receipt work is undertaken by staff
who do not go on to do the assessment or inspection work for the establishment.
At least 4 weeks in advance of the meeting
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2 Sharing Information with the Operator
COMAH Intervention Manager
Following the documentation review, the COMAH Intervention Manager should
share the information the CA believes to be in scope of the operator’s review of
the establishment’s safety report.
no later than 4 weeks in advance of the Pre-Receipt Meeting.
3 Decide who Should Attend the Meeting
COMAH Intervention Manager, Predictive discipline specialist assessor and
EA/NRW/SEPA Authorised Person
The COMAH Intervention Manager* leads the meeting and they may be
accompanied by a Predictive Assessor and an authorised person from
EA/NRW/SEPA. The respective discipline specialist assessors should proactively
indicate that they also need to attend after taking into account local site
knowledge, complexity of the establishment, anticipated changes to the safety
report and CA operational priorities.
The CA expects the COMAH operator to provide competent personnel for the
meeting and it is good practice to include any representatives from consultants if
they are being used for the review and revision process.
[*CIM usually leads but refer to 2.1.3(3) for examples where this may not happen.]
Before the agenda is agreed
4 Agree Meeting Agenda
COMAH Intervention Manager
The COMAH Intervention Manager and the operator should agree the agenda for
the Pre-Receipt Meeting. For an example agenda please refer to SRAM 01 – PRE-
RECEIPT - PRM Agenda - 5 yearly review.
no later than 4 weeks in advance of the Pre-Receipt Meeting
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c) the requirements for a narrative report on the changes made;
d) the submission date;
e) the required number of copies and format e.g. disc versus hard copies of the
report needed for the assessment work.
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To do this the COMAH Intervention Manager will need to amend the COMAH
Intervention Plan and provide information to the Regulatory Team Leader to allow the
team ‘five year safety report submission plan’ to be updated.
The CA must begin discussions with a New / Other Establishment at the earliest
opportunity. It is vital that the CA and operator both understand the establishment’s
basis for entering upper tier COMAH and the resultant duties on both parties.
New Establishments:
Where a new upper-tier establishment was not previously a lower tier COMAH
establishment, the initial interaction between the CA and the operator should be guided
by the framework for new entrants into COMAH (Understanding COMAH - Arrangements
for supporting businesses moving into COMAH).
This engagement should establish a reasonable mutual understanding of the operational
timetable for the establishment to meet its duties under COMAH, the nature of the new
entrant’s activities in scope of COMAH and the duties with which they must comply. One
of which is the preparation and submission of a COMAH safety report but very closely
related to that duty is the need to submit a notification under COMAH and to have
obtained Hazardous Substances Consent, where relevant to do so. Both of these can
impact upon the submission timetable for the safety report.
Where the new upper-tier establishment was previously a lower tier establishment, the
approach should be similar to that for new entrants to COMAH, with the focus being on
the outcomes from the initial interaction between the CA and the operator. Again the CA
should establish a reasonable mutual understanding of the operational timetable for the
establishment to meet its duties under COMAH, the nature of the new upper-tier
establishment’s activities in scope of COMAH and any additional duties with which they
must comply.
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Other Establishments
The Other Establishment may have previously been a lower tier establishment or a non-
COMAH site of operation. The approach to the pre-receipt activity with the establishment
is the same as for the New Establishments described above, although the Other
establishment has two years to prepare and submit a safety report.
The key point to note is that the entry into COMAH of the Other Establishment is not an
event that will have been planned for by the operator and this may have an impact upon
their preparedness for the transition.
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This is particularly important where the pre-receipt work is undertaken by staff
who do not go on to do the assessment or inspection work for the establishment.
At least 1 week in advance of the meeting
4 Agree Meeting Agenda
COMAH Intervention Manager
The COMAH Intervention Manager and the operator should agree the agenda for
the Pre-Receipt Meeting. For an example agenda please refer to either of:
SRAM 03 - PRE-RECEIPT – PRM Agenda - New Establishment Pre-Construction
and Pre-Operation
SRAM 04 – PRE-RECEIPT – PRM Agenda - New Establishment Pre-Modification
Safety Report
no later than 2 weeks in advance of the Pre-Receipt Meeting
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3 Recording the Pre-Receipt Meeting work on COIN
COMAH Intervention Manager
Record all work on the ‘Pre-Receipt Activities’ Case.
The meeting should be recorded on COIN as a brief contact report typed into the
Notes field (stating who attended, where and for what purpose).
Attach the Pre-Receipt Agreement and covering letter to the Case with a note to
confirm when and how they were sent to the operator.
within 2 weeks of sending the covering letter and Pre-Receipt Agreement
4 Determining Assessment Team Composition
COMAH Intervention Manager
On the basis of the Pre-Receipt Agreement, the COMAH Intervention Manager
must determine the composition of the discipline specialist assessment team
required to examine the planned safety report submission.
Having done so, the COMAH Intervention Manager will need to amend any relevant
COMAH Intervention Plan and provide information to the Regulatory Team Leader to allow
the team ‘five year safety report submission plan’ to be updated.
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will be resourced to undertake the pre-receipt work with the operator. HSE
Regulatory Team Leader should confirm the arrangements with the appointed
COMAH Intervention Manager.
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2.2.9 Existing Establishment Modification Safety Report
The Pre-Receipt Meeting and Outcomes
Having done so, the COMAH Intervention Manager will need to amend any relevant
COMAH Intervention Plan and provide information to the Regulatory Team Leader to allow
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the team ‘five year safety report submission plan’ to be updated.
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3. RECEIPT
The basic elements are to receive the safety report, do a high level check that the content is as
expected, and where necessary develop a basic understanding of the risk analysis presented in the
report. These steps are described below as: Receipt, Completeness Check and Early Predictive
Screening. This section also describes the steps to take if a report is not sent to the CA.
For five yearly review safety reports, it is important to note that the CA has no powers
within the COMAH regulations to agree a late submission date other than through the
use of an enforcement notice.
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3.2 Completeness Check
3.2.1 Purpose
To confirm that the safety report contains the basic elements of Schedules 2 and 3 of COMAH
2015 and to determine the extent to which the new / revised content of the report reflects the
Pre-Receipt Agreement.
For submissions from Other Establishments or 5-yearly revised safety reports from Existing
Establishments, which have been fully rewritten, the safety report assessment start date may be
postponed by up to 5 months from the date of receipt. In these circumstances, where the delay
will be of more than 1 month, the Assessment Manager should still carry out the completeness
check before entering the period of postponement. This is to avoid a long wait in dealing with any
significant errors or omissions that might necessitate returning the report to the operator.
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This reflects the fact that some omissions may be of greater significance than others depending
upon the particular establishment. If the report is not fit for purpose it will be returned to the
operator for revision and resubmission.
For Five Yearly Review and Revision Safety Reports
The absence of a narrative account on the revisions made is not sufficient reason to send the
safety report back to the operator but it will make it more likely that the assessment takes longer
to complete.
Where changes are not highlighted, the Assessment Manager should contact the operator to see if
a mistake has been made and allow them 1-2 weeks to remedy the situation through a suitable
resubmission – note the receipt date would then be reset. When an operator is not prepared to
send copies of the safety report with highlighted changes the report should be assessed in full as if
it were a fully rewritten submission. This may require the assessment team to be augmented by
the inclusion of assessment disciplines that were not previously resourced on the basis of the pre-
receipt agreement.
Inform the SR Administrator that the safety report is moving to the assessment stage and they will
send SRAM 09 RECEIPT - Key Information in Safety Report Letter – to Operator to the operator
and SRAM 10 RECEIPT - Key Information in Safety Report Letter – to EPA to the relevant
Emergency Planning Authority to let them know that the safety report has moved into
assessment.
It is not an assessment of the safety report and the emphasis is on completing an EPS within a
short timescale
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undertaken before the report is sent to other members of the Assessment Team. The decision
should be guided as follows:
For a ‘New / Other’ Establishment safety report an EPS would normally be undertaken;
Where a review of an Existing Establishment’s safety report has been submitted, it is
normally unnecessary to carry out an EPS unless the safety report has been extensively
rewritten and is essentially comprised of wholly new content e.g. where new
environmental MATTE demonstration information has been provided the environmental
assessor would typically undertake an EPS.
When an Early Predictive Screening is to be carried out it should be finalised within the
completeness check timeframe.
3.3.3. Early Predictive Screening Record
All Early Predictive Screening should use SRAM 08 – RECEIPT - Early Predictive Screening Record
and where undertaken, the completed record should be forwarded to the Assessment Manager in
advance of the draft Assessment Plan being finalised.
3.4 Resubmission
After carrying out the completeness check the Assessment Manager in conjunction with the
Assessment Team, may consider the safety report does not contain the basic elements of a safety
report. If this is the case then a decision should be taken on whether the operator should be
required to revise and resubmit the report.
2 Assessment Manager
Write to the operator, using SRAM 11 – RECEIPT – Key information Not in Safety
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Report Letter, giving the deadline for the revision and resubmission of the safety
report detailing and highlighting revisions to be made to correct missing key
information or shortcomings in the risk analysis.
Where an Improvement Notice is being served it should be sent with the letter.
3 Assessment Manager
Inform employees or their representatives that revision and resubmission has been
required resulting in the assessment process being postponed, therefore the
assessment conclusions will be delayed as a result.
In all cases, inform other members of the assessment team of the delay and the expected date of
submission.
Ensure that any instance of an overdue safety report is recorded in accordance with Performance
Framework expectations and as an adverse dutyholder factor when using the Enforcement
Management Model.
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4. ASSESSMENT PLANNING
Purpose
There must be an Assessment Plan for each safety report submission, which confirms the
parameters within which the assessment should be carried out. The Assessment Manager owns
and drafts the Assessment Plan with appropriate input from the Assessment Team via an
Assessment Planning Meeting. The final plan is approved by the Team Leader of the Assessment
Manager. The detail of the plan should appropriately reflect the type of safety report under
examination and be proportionate to the establishment concerned, whilst covering the following
key points:
Summary Details of the Safety Report
Relevant background information for the assessment
Which content is in scope of assessment and by whom
The resource allocated through the COMAH Intervention Plan
Key dates and actions for the Assessment Team
The Pre-Receipt agreement is a key source of information when drafting an assessment plan.
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4.1.4. The Meeting
The Assessment Manager chairs the Assessment Planning meeting, with the objectives of:
signing off the target agenda and ensuring a coordinated approach by the assessors with
clarity on timings and resources to be used;
agreeing upon how proportionality applies at the establishment in terms of depth and
scope of assessment; and
highlighting the approach to dealing with further information requests, potential serious
deficiencies and actual significant omissions in SR content.
4.2 Elements of the Assessment Plan
4.2.1 Type of Safety Report Assessment
The extent of assessment for a given safety report is as follows:
4.2.2 Deadlines for the Conclusion of Assessment by the CA (from date of receipt).
The Assessment Manager should base the Assessment Plan around the following deadlines for the
completion of assessment conclusions.
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Pre-Construction Safety Report 3 Months*
Pre-Operation Safety Report 3 Months*
Pre-Modification Safety Report 6 Months
[* complexity can result in longer timetable]
Other Establishment 6 months
‘First’ Safety Report (1 month completeness + 6 months assessment,
but start of the assessment phase may be
postponed for up to 6 months from receipt)
Timescales for assessment of rolling submission Pre-Construction Safety Reports will be influenced
by the operator’s planned programme for the submission and cannot be subjected to a specific
time frame for assessment; however, the CA should not delay its examination of such reports.
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4.2.5 Start Date for Assessment
The CA should start the assessment process without delay when it receives a safety report from an
operator of a New Establishment.
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Exceptions to this approach are:
For Pre-Construction Safety Report all parts should normally be assessed and sampling is
to be on an exceptional basis;
Where the CA has evidence that contradicts the content of the safety report;
Where a new requirement of the COMAH 2015 regulations has not been accounted for in
the report prepared under the COMAH 1999 (as amended) regulations.
a) The scale (inventory, vessel sizes, etc.) and nature of the hazards (hazardous properties,
toxicity, flammability, hazard to the environment, etc.);
b) The location of the establishment in relation to external populations, environmentally
sensitive receptors and other risk influencing factors such as flood zones;
c) The density and types (vulnerability) of external populations (dwellings, hospitals, schools,
etc.) and types of environmentally sensitive receptors;
d) The number of people on the establishment;
e) The variation of residual individual risk with distance;
f) Escalation potential (e.g. domino effects in relation to neighbouring establishments); and,
g) The criticality of applied measures to achieving the claimed level of residual risk.
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4.4.3 Breadth of assessment
The nature and spread of the hazards present at an establishment determines the breadth of
assessment. The assessment needs to consider a representative sample of the types of hazards
found. It will therefore need to have covered different plants, units, activities and containments
sufficient to reflect the varying nature of the hazards present, and the different nature of the
measures taken to control them. The assessment team should agree on the sample to be selected
and record their decision on the Assessment Plan.
4.4.4 Depth of assessment
The depth of assessment depends on the risk and one approach is to use the consequence extent
and severity information relating to a scenario to make judgements about the required depth of
assessment.
In considering the extent of a potential major accident the team will be looking at how big an
accident might be and take into account matters such as: thermal radiation dose; toxicity; dose;
quantity of hazardous material; and the range over which the effects extend for both people and
the environment, both internally and externally to the establishment. In considering the severity
of an accident the team will be looking at how severe the consequences of the accident might be.
This might be expressed in terms of numbers of fatalities or serious injuries, or harm to the
environment, etc. Such matters depend on the surrounding population and environment.
Establishments can be considered to fall on a scale between two extremes ranging from
unmanned sites with no surrounding population which are not in an environmentally sensitive
location to manned sites in the middle of a dense population and in a very sensitive environmental
location.
Low risk establishments:
For example, a simple establishment remote from population and sensitive environments with a
single dangerous substance presenting a limited range of hazards that may only require
description of the extent and severity of the worst case incidents plus a simple qualitative risk
assessment to demonstrate that the necessary prevention and mitigation measures are in place;
Medium risk establishments:
For example, a simple establishment in a sensitive location and presenting risks which may be
tolerable to people and the environment, for which a more detailed description of the extent and
severity of the worst case accidents is required, together with analysis to demonstrate that the
associated risks are as low as is reasonable practicable (ALARP);
High risk establishments:
For example a complex site with many processes and several hazardous materials in the vicinity of
centres of population and/or sensitive environments for which a much more detailed assessment
with quantification of the likelihood of the full range of hazardous releases and their
consequences, and possibly of the associated risks is needed;
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It follows that the safety reports for higher risk establishments should, in principle, be assessed to
a greater depth than those for establishments presenting lower risk .
At the assessment planning meeting the assessment team should agree the level of risk presented
by the establishment (High/Medium/Low) in order to agree on a proportionate approach for the
assessment. CA site prioritisation scores can be used as a guide which may show a higher priority
for safety or the environment, meaning potential differences in the depth of assessment in these
areas. The team should discuss what this means for the report in terms of breadth and depth of
assessment, informed by any early observations made by the predictive and environmental
assessors where appropriate.
Full Assessment means that all safety report content is in scope to be selected for examination
against all relevant assessment criteria;
Revisions Assessment means only highlighted changes are assessed against relevant assessment
criteria.
Existing Establishment safety reports
For the assessment of revisions only in five yearly reviewed safety reports, the CA has a clear
expectation that the previous version of the establishment’s safety report has been fully assessed
and this will have followed a suitably targeted approach to breadth and depth of assessment. If
this is not the case for a particular assessment discipline e.g. no previous discipline assessment has
been completed, then it should be brought to the attention of the COMAH Intervention Manager
during the preparation for the pre-receipt meeting.
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5. ASSESSING THE SAFETY REPORT
Purpose
To instruct staff on how to organise, communicate, operate and record in line with the assessment
plan.
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Use of Other Relevant Sources of Information
Assessors must be transparent about their use of any other relevant sources of information, for
example the assessor may refer to a recent inspection report, the current Technical Assessment
Record or where appropriate the Technical Demonstrations Record. There may be other sources
of relevant information that could be referred to in the assessment but there is no need for the
assessor to actively seek out alternative information. Where these sources have been used these
should be recorded in the relevant criterion assessment text.
1 Assessment Team
Where the assessment of safety report content reveals a potential serious
deficiency in conditions on site, the Assessment Manager should be informed
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without delay.
The Assessment Manager should discuss the issue with the Assessment Team
members and their Team Leader.
2 Assessment Manager
Contact the operator to check if the safety report content is actually correct. If the
wrong information has been included and the right information can be provided
promptly (i.e. within days) then ask for it to be sent as a matter of urgency.
At the same time arrange a visit to the establishment as soon as possible, to verify
the statements which indicated the potential serious deficiency. Assessment team
members should be involved as necessary.
3 Assessment Manager
If there is an actual serious deficiency or significant omission this should be dealt
with under Regulation 23 of the COMAH Regulations.
If the information in the safety report is incorrect, this should be remedied at the
earliest opportunity by the operator and a note made on the conclusions record.
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Manager in line with the timetable set out in the Assessment Plan.
Assessment Manager
Arrange, as necessary, a meeting of the assessment team to finalise the details of
the request for further information though…
1b Assessment Team
Consider holding a meeting with the operator as soon as possible, if it would be
more efficient for assessors to explain their information requests in this way.
Assessment Manager
Following the meeting, write to the operator to confirm the nature of any further
information obtained at the meeting, together with details of any additional
further information still required and the date by which it should be provided.
[SRAM 13 – Further Information Required Letter may be adapted for this purpose]
1c Assessment Manager
Where further information is required and a site meeting is not considered
appropriate, write to the operator using SRAM 13 – Further Information Required
Letter, with details of the required information and the date by which it should be
provided (which should be within 4 weeks).
When making a request for further information, assessors should ensure that:
a) The issue under consideration is clearly explained, preferably with an
outline of how the report fails to address the issue. Reference to the
relevant assessment criteria to which the deficiency relates and to the
relevant COMAH regulation(s) and/or schedule(s) should be made.
b) There is a clear link to how the further information relates to meeting the
required demonstrations, with reference to the regulations.
c) The nature of the required information that is expected in order to resolve
the issue(s) is indicated.
Make it clear to the operator that if the information is not received by the deadline
the assessment will continue to the conclusion stage without it.
1d Assessment Manager
Where further information has been requested, allow 4 weeks for receipt but
check on progress with the operator in advance of the deadline.
Where the information requested is not received within 4 weeks, speak to the
operator to ascertain whether it is likely to be provided within the next few days.
If the information is not forthcoming, notify the assessment team and instruct
them to proceed towards conclusion of the assessment without it.
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1e Assessment Manager
Where an operator has sent further information it must be allocated the same
reference number as the safety report under assessment.
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6. Assessment Conclusions
Purpose
The process of assessment is to establish that the relevant requirements of the regulations have
been appropriately addressed and, as far as can be reasonably determined from a prima facie
assessment of the report, that the operator has taken the necessary measures to prevent major
accidents and limit the consequences to human health and the environment.
Assessment is not a check or approval by the CA of the operator's plant and process design and
the conclusions of the assessment cannot be regarded as a statement that the CA has determined
that an establishment is 'safe'. The duty to ensure that an establishment is designed, constructed
and managed safely remains with the operator.
The safety report assessment may be concluded with issues arising from the assessment
remaining unresolved at the time of conclusion. Assessors should note that the assessment
process is only a part of the CA’s approach to COMAH regulation.
Where relevant, the assessment conclusions reached by the assessment team should clearly
describe why a particular demonstration has not been made and refer to the relevant assessment
criteria and to the specific COMAH Regulation or Schedule.
The steps to be followed for the Assessment Conclusions mainly centre on the meeting to discuss
and agree the conclusions. They are as follows:
Step Responsibility/Action
1 Assessment Manager
In advance of the meeting, draft and circulate to the Assessment Team a
collated version of the Assessment Record tables in relation to any request for
further information, Proposed Interventions and Proposed Revision Plan
Items. This will allow discussion of the priorities which arise from the
assessment.
Chair the meeting unless the Assessment Manager’s Team Leader is doing so.
Complete an outline of SRAM 23 – ASSESSMENT – Assessment Conclusions
Record.
2 Assessment Team
Attend the assessment conclusions meeting – attendance face to face, or via
video conference is permitted.
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3 Team Leader of Assessment Manager
Where necessary, chair the Assessment Conclusions Meeting (optional).
Sign off the conclusions record.
Signing off confirms management agreement that the conclusions have been
derived in accordance with the Safety Report Assessment Manual procedures,
are consistent with the technical assessment records and that any action
proposed is in accordance with the CA's enforcement principles i.e. targeting,
transparency, consistency and proportionality.
4 Assessment Team
Present conclusions for discussion.
In the case of a Pre-Construction Safety Report, agree issues for consideration
during assessment of the pre-operation part of the safety report.
In the case of a Pre-Operation Safety Report, agree conclusions on the
combined PCSR/POSR safety report.
Agree the common elements of the conclusions letter to the operator.
Propose topics for inclusion in the COMAH Intervention Plan.
Discuss cross-team issues with other team members, as appropriate.
Follow the disagreements resolution procedure (see section 7.2) if necessary.
6 Assessment Manager
If serious deficiencies in establishment internal conditions are signposted at
the conclusions stage, e.g. as a result of accumulated evidence from more than
one assessor, arrange a visit to the establishment as soon as possible to make
enquiries with a view to prohibition under Regulation 23 of the COMAH
Regulations.
7 Assessment Team
Where significant shortfalls remain in the demonstrations, justifying follow-up
in the intervention plan, a revision plan for improving the report may be
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proposed in which case timescales for the provision of further information
should be agreed.
8 Assessment Manager
Draft the conclusions letter using SRAM 24 – ASSESSMENT – Assessment
Conclusions Letter, and share with the assessment team
For multi-establishment operators, send a copy of the draft conclusions letter
to the Lead Unit/Co-coordinating inspector(s), including those of the Agency
where appropriate. Do this sufficiently early to allow input of relevant central
knowledge of the company to the final version of the conclusions letter.
Draw up the revision plan where appropriate, based on discussions at the
meeting
9 Assessment Team
Finalise assessment records and send them to the Assessment Manager in
order for them to be forwarded to the operator.
10 Assessment Manager
Finalise the Assessment Team Conclusions Record using SRAM 23 –
ASSESSMENT – Assessment Conclusions Record. If an issue was subject to
disagreements resolution then record details, including the person it was
referred to and the outcome (see Section 7.2).
Record inspection issues agreed.
Copy the conclusions letter to the Lead Unit/Co-coordinating Inspector where
relevant.
11 Assessment Manager
Send the following items:
Conclusions letter
Part 1 of the conclusions meeting record
Safety report revision plan (where necessary), and
Finalised assessment records
to the operator by the due date in the assessment plan (but not before any
disagreements have been resolved, in accordance with section 7.2), copying to
employees or their representatives.
Where appropriate, the revision plan should accompany the letter.
Record the details of when and to whom information was sent on the COIN
service order.
12 Assessment Manager
Where necessary, arrange a meeting with the operator to discuss the
conclusions of the assessment including the provision of a revision plan.
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6.3 Revision Plan
Where the assessment has found that there are significant omissions of information for Schedules
2 and 3 but not requiring a resubmission, the CA may provide the operator with a revision plan to
address the failings. Examples are provided in each of the assessment criteria and guidance packs.
A failure to identify a possible major accident scenario should not by itself be sufficient to warrant
return of the safety report, as measures may exist that provide a level of protection that is not
‘seriously deficient’. The matter could legitimately be raised in a revision plan.
Revision plans should address significant omissions of information and would usually be expected
to have a finite life of no more than 2 years. However, it is acceptable for remaining omissions and
improvements to be included in the next five yearly safety report revision.
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7. ASSESSMENT FOLLOW UP
Purpose
To provide relevant staff with instruction on the steps necessary to following the conclusion of the
safety report assessment.
7.1 Responsibilities
Assessment Follow Up
1 Assessment Manager
Ensure the SR Assessment Service Order contains as a minimum, the following
documentation:
a. Final Assessment Plan;
b. Technical Assessment Records from all disciplines that assessed the report;
c. Copies of all correspondence generated during the assessment;
d. Assessment Conclusions Record;
e. Conclusions Letter to the operator;
f. Revision Plan (where one has been produced).
2 Assessment Manager
Request the SR Administrator deals with any redundant safety report copies in
accordance with the operator’s instructions.
3 Assessment Manager
Respond to any queries and correspondence from the operator in respect of the
assessment conclusions and where necessary, seek advice from the appropriate
assessment team member.
4 Assessment Manager
In the case of a Pre-Construction Safety Report, carry forward outstanding issues to
assessment of the Pre-Operation Safety Report.
5 Assessment Manager
Where a revision plan has been issued, monitor the operator’s progress in
complying with it.
Where revisions are sent in response to a revision plan, assess them in the same
way as any other safety report content.
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7.2 Resolving Disagreements
This process to be followed for disagreements that arise between the Assessment Team and
Assessment Manager which cannot be resolved within the team
Step
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8. HOW TO USE THE CRITERIA
Purpose
This section provides guidance on principles and the approach to using the assessment criteria.
The assessment criteria are contained in sections 9 to 14 of this manual and are used by assessors
to examine safety reports submitted under the COMAH regulations, and to reach conclusions on
the extent to which reports meet their purposes under the regulations. Assessment criteria
provide a framework to achieve a consistent and proportionate consideration of matters that may
be examined during assessment. Assessors are not obligated to address every criterion, nor to the
same depth of detail. The criteria reflect the broad nature of the types of establishment which are
covered by COMAH and the range of hazards to be encountered.
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In which case it is reasonable for the relevant content to be in scope of assessment.
For assessment of revised safety report information where assessment records have alternatives
to ‘met’ or ‘not met’ e.g. ‘partially met,’ ‘half met,’ ‘mostly met,’etc. then assessors should
comment on the matters identified by the previous assessor recording whether the criterion has
been ‘met’ or not. Proportionality should have been discussed at the Assessment Planning
meeting to guide all assessors.
8.4 Demonstration
Regulation 8 of COMAH Regulations 2015 requires operators to prepare safety reports for the
purposes of making a series of demonstrations. In this context to demonstrate means to ‘show’ or
‘justify’ by the information given which should be taken at face value. It does NOT mean ‘pursue
by extensive in-depth scrutiny’ or ‘exhaustive examination to prove beyond reasonable doubt’
whether the relevant criteria have been met and the demonstrations achieved.
Schedule 3 of the regulations then specifies the type of information to be included in the safety
report. Where this information is satisfactorily provided, the relevant demonstrations under
Regulation 8 would usually have been made. The extent of the information expected to be present
will depend on the type of safety report required by Regulation 9 and 10.
An operator is required by the COMAH regulations to ensure that the data and information
contained within the safety report adequately reflects the conditions in the establishment.
Verification of this can only be achieved by conducting inspections at the establishment which can
then feed back into the safety report assessment, allowing more ‘in-depth scrutiny’ to be
undertaken at inspection rather than assessment. Where evidence is found that undermines the
safety report content this should form part of the contrary evidence referred to in the criterion
assessment (see section 1.3 also).
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