Safety Incidents OSHA Severe Injury Reports · 2015–2025
5,189,992Inspections Most recent open 2026-07-18 Last loaded 2026-07-22

OSHA Inspection: TESORO REFINING & MARKETING CO

Referral inspection · Safety discipline

On , OSHA opened a referral safety inspection of TESORO REFINING & MARKETING CO in 474 W 900 NORTH, SALT LAKE CITY, UT 84103 (NAICS 324110). OSHA activity number 312412166.

What this inspection record means

OSHA opens inspections for many reasons — routine scheduling under a national or local emphasis program, an employee complaint or referral, or a follow-up after a reported injury. Opening or conducting an inspection is not itself an allegation or a finding that this employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.

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Site address
474 W 900 NORTH
City
SALT LAKE CITY
State
UT
ZIP
84103
Inspection type
Referral (C)
Scope
Partial (B)
Discipline
Safety
Advance notice
No
Union status
Y
Opened
Closing conference
Case closed
Last modified
Data loaded
NAICS code
324110
SIC code (legacy)
2911
Employees
250
Ownership type
A
Industry flags
Manufacturing safety.

8 citations on file for this inspection.

1910.119 D03 ID

Deleted Serious Gravity 10 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Mar 30, 2010
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(d)(3)(i)(D)
Information pertaining to the equipment in the process shall include
relief system design and
design basis;
(a)  At the time of the inspection, Thursday, October 22, 2009 through
Monday, February 22,
2010, of Tesoro Refining and Marketing Co. 474 W. 900 N. Salt Lake City,
UT, Compliance
Officers reviewed written process safety information (psi) for the crude
unit pressure relieving
system.  The psi did not include the design information for operating
pressures of steam
powering P-112, which is a piece of equipment used in the system.
Tesoro's written response
to a data request dated February 22, 2010 states "Tesoro has not
established maximum or
minimum operating pressures for the steam system..".  Serious injury or
death could occur due
to not using proper design or design basis for relief systems.
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

1910.119 G01 I

Serious Gravity 10 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Apr 9, 2011
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(d)(3)(ii)
The employer shall document that equipment complies with recognized and
generally
accepted good engineering practices.
(a)  At the time of the inspection, Thursday, October 22, 2009 through
Monday, February
22, 2010, of Tesoro Refining and Marketing Co. 474 W. 900 N. Salt Lake
City, UT,
Compliance Officers reviewed sections of a relief valve and flare system
study which were
relevant to the refinery's crude unit.  The study, completed by CEntry
(contractor) stated that
Tesoro's South Flare Knockout drum had a reserve liquid hold-up capacity
large enough for
a release time of 5 to 6 minutes.  This is not in compliance with RAGAGEP
API 521.  API
521 is the RAGAGEP with which Tesoro documents their equipment complies.
ANSI/API
Standard 521, January 2007, Section 7.3.2.1.2 states "The volume occupied
by the liquid
should be based on a release that lasts 20 min. to 30 min." Serious injury
or death can occur
by using improper equipment in pressure relieving systems.
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

1910.119 F01 IA

Deleted Serious Gravity 10 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Mar 2, 2010
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(f)(1)(i)(A)
The employer shall develop and implement written operating procedures that
provide clear
instructions for safely conducting activities involved in each covered
process consistent with the
process safety information and shall address initial startup in the steps
for each operating phase:
(a) At the time of inspection, 10/22/09 to 2/22/09, of Tesoro Refinery and
Marketing Co., 474
W 900 N, Salt Lake City, Compliance Officers reviewed Standard Operating
Procedures for the
refinery's crude unit operations.  The Crude unit hot startup procedure
dated 8/27/2008 did not
include steps for the Board Operator to ensure vessels were at normal
operating levels, the Off
Test line was not being used for other purposes, the Knock Out drum was at
low level, and the
pump to the Knock Out durm was operating properly prior to commencing the
Crude Unit Hot
Startup procedure. Serious injury could occur when from overpressuration
of the unit if proper
levels were not maintained during the unit's startup.ed
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

1910.119 F03

Serious Gravity 10 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Mar 2, 2010
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(f)(3)
The operating procedures shall be reviewed as often as necessary to assure
that they reflect
current operating practice, including changes that result from changes in
process chemicals,
technology, and equipment, and changes to facilities. The employer shall
certify annually that
these operating procedures are current and accurate.
(a) At the time of inspection, 10/22/09 to 2/22/10, at Tesoro Refinery and
Marketing Co., 474
W 900 N, Salt Lake City, Compliance Officers reviewed the Crude Unit Hot
Startup Procedure
dated 8/27/09.  The Procedure did not reflect the current operating
practices performed by the
Board Operators.  The written procedure required that the pressure control
valve, PCV 010124,
should be set in automatic mode before the start of the crude oil pumps at
the tank farm and that
the employer shall certify at least annually that these operating
procedures are current and
accurate.  During the interviews, Board Operators and their supervisor
stated that the Board
Operators would set the PCV valve in manual mode to open the valve in
order to adjust the flow
rate and pressure before resetting the valve back to automatic mode.  This
practice was used at
least three times during the night shift of 10/21/09. Serious injury or
death can occur if
procedures and current operating practice are not the same.
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

1910.119 J05

Deleted Serious Gravity 10 1 instance 2 exposed
Issued
Feb 25, 2010
Abate by
Mar 10, 2010
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(j)(5)
The employer shall correct deficiencies in equipment that were outside
acceptable limits (as
defined by process information in 29 CFR 1910.119(d)) before further use
or in a safe and
timely manner when necessary means are taken to assure safe operation:
(a) At the time of inspection, 10/22/09 to 2/22/10, at Tesoro Refinery and
Marketing Co., 474
W 900 N, Salt Lake City, the employer did not correct the deficiency of
the calibration test done
on Knockout Drum's, V-107, critical high level alarm, LAH 040363.
Compliance Officer's
review of the quarterly calibration tests done in 2009 were noted to be
from 37 percent to 53
percent and were marked as 'OK' by the inspectors. During the interviews
with employees and
supervisors, the critical high level alarm was set to signal when the
liquid level in the knockout
drum reached 62.7 percent. On the night of 10/21/09, the supervisor
observed from the outside
level gauge that the drum was full but the board was indicating that the
drum was about 49
percent full.  On 10/22/09, a quarterly calibration inspection was done on
the critical high level
alarm on the knockdown drum and the inspector recorded that the critical
high level alarm was
reading about 53 percent full. The inspector wrote in his report as 'OK'
indicating that the level
alarm was functioning properly. No further work was done on the level
alarm system to correct
the deficiency to ensure the correct level in the drum was being reported
to the Board Operator.
Serious injury or death may occur if proper levels in vessels are not
known by employees.
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

1910.119 L01

Deleted Serious Gravity 10 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Mar 30, 2010
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(l)(1)
The employer shall establish and implement written procedures to manage
changes (except
for "replacements in kind") to process chemicals, technology, equipment,
and procedures;
and, changes to facilities that affect a covered process.
(a)  At the time of the inspection, Thursday, October 22, 2009 through
Monday, February
22, 2010, of Tesoro Refining and Marketing Co. 474 W. 900 N. Salt Lake
City, UT,
Compliance Officers reviewed a written response to a UOSH data request
dated February 22,
2010.  The response stated that MOC (Management of Change) was not
conducted on the
changes made to the steam header pressure to Pump 112 (P-112) in the Crude
unit. During
interviews, employees stated the changes were made to lower the Pump's
steam header
pressure from 120 psig to approximately 85 psig. Tesoro's written incident
investigation
report confirms this.  By not implementing written procedures to manage
changes, critical
considerations may not be addressed.  This can lead to serious injury or
death to employees.
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

1910.119 D03 IB

Other-than-serious Gravity 01 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Apr 9, 2011
Penalty
Current $1,750
29 CFR 1910.119 (d)(3)(i)[B]
Information pertaining to the equipment in the process shall include
Piping
and instrument
diagrams (P&ID's):
(a) At the time of the inspection, Thursday, October 22, 2009 through
Monday, February 22,
2010, of Tesoro Refining and Marketing Co. 474 W. 900 N. Salt Lake City,
UT,
Compliance Officers reviewed the process safety information (psi)
pertaining to the
equipment in the process.  The psi did not include an up to date and
accurate piping and
instrument diagram (P&ID).  Review of the P&ID D-N2C-34-031 did not
include the change
in steam pressure of 170 psig feeding Pump 112B (P-112) to approximately
85 psig.  During
interviews, employees stated the change in steam pressure for the KO drum
pump, P-112,
was done about a year prior to a south flare stack fire on the night of
10/21/09. By not
maintaining accurate and up to date P&ID's, employees were deprived of
critical process
safety information related to their work area.  Serious injury could occur
due to being
provided with incorrect information.
Recent events (2)
  • — F (O) $1750.00
  • — Z (S)

1910.119 M05

Deleted Serious Gravity 10 1 instance 4 exposed
Issued
Feb 25, 2010
Abate by
Mar 30, 2010
Penalty
Initial $3,500 · Current $3,500
29 CFR 1910.119(m)(5)
The employer shall establish a system to promptly address and resolve the
incident report
findings and recommendations. Resolutions and corrective actions shall be
documented.
(a) At the time of the inspection, Thursday, October 22, 2009 through
Monday, February 22,
2010, of Tesoro Refining and Marketing Co. 474 W. 900 N. Salt Lake City,
UT,
Compliance Officers reviewed a written report of an incident which
occurred June 13th,
2006 at the Refinery's crude unit.  Resolutions and corrective actions
were not documented
as part of the incident investigation.  Serious injury or death could
occur due to not
addressing findings from incident reports.
Recent events (2)
  • — F (S) $3500.00
  • — Z (S) $3500.00

View Tesoro Refining & Marketing CO's full OSHA safety record →

This record is reproduced from the U.S. Department of Labor Open Data API (OSHA inspection dataset). The original IMIS detail view is available at OSHA's Establishment Search for activity number 312412166.

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