OSHA has cited a food facility after a worker required medical treatment due to an anhydrous ammonia leak in the packaging house. OSHA found issues with the Emergency Action Plan and Employee Alarm System, RAGAGEP compliance with IIAR standards, PSM Initial and Refresher Training, HAZCOM Training, PSM Incident Investigation Procedures, Lack of an Emergency Response Plan for responding to NH3 releases, lack of medical surveillance for responders, respirator medical evaluations, fit-testing issues, SCBA inspections, contractor safety evaluations, and lack of eyewash/safety shower.