Incident Investigation

Developing, sustaining, and enhancing the organization's incident investigation competency is one of four elements in the RBPS pillar of learning from experience. The characteristics of an effective incident program and how organizations might begin to enhance their own incident investigation process, can be found in this Introduction to Incident Investigation.

More information regarding incident investigation, check out CCPS' Guidelines on learning from experience.

Tutorial on Auto-Refrigeration and Brittle Fracture Analysis (Part 2)

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 3:30pm-4:15pm
The tutorial is aimed at entry level to seasoned veteran engineers that desire to have a better understanding of this multidiscipline process safety...

Tutorial on Auto-Refrigeration and Brittle Fracture Analysis (Part 1)

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 2:30pm-3:15pm
The tutorial is aimed at entry level to seasoned veteran engineers that desire to have a better understanding of this multidiscipline process safety...

Relief Systems Design: Simplifying Assumptions Gone Wrong

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 11:15am-11:45am
The process of evaluating an entire facility’s relief and flare systems design can be extremely time consuming and costly. In most cases, simplifying...

Impact of DDT on FPSO Explosion Risk Assessment

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 10:45am-11:15am
In recent explosion accidents on onshore petrochemical facilities, it has been concluded that a deflagration-to-detonation-transition (DDT) took...

Becoming a Great Process Safety Leader

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 10:15am-10:45am
Leaders play a critical role in catastrophic event prevention through their effect on culture. At least one cultural factor was a root cause...

Walk the Line

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 9:00am-9:30am
Walk the Line Jerry Forest Global Process Safety Manager Celanese 225 E. John Carpenter Freeway Suite 1200 Dallas, TX 75234 (214) 417-1920 Jerry...

Vinyl Chloride Monomer Explosion

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 9:00am-9:30am
2007 LPS best paper

Hurricane Ike Recovery - Electrical & Instrument Systems

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 8:30am-9:00am
On September 13, 2008 Hurricane Ike struck the Texas-Louisiana Coast causing severe damage to local chemical plant facilities and communities. This...

Engaging Senior Management In Process Safety: A Case History

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 8:30am-9:00am
Traditional PowerPoint style presentations are good for transferring information but were not found to be an effective medium for engaging senior...

Are Unconfined Hydrogen Vapor Cloud Explosions Credible?

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 2, 2014 - 8:00am-8:30am
A question is frequently raised by owner/operators of chemical processing and refinery sites as to whether unconfined hydrogen vapor cloud explosions...

Are We Really Learning from Major Accidents in Drilling Operations?

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 2:30pm-3:00pm
Are we really learning from major accidents in Drilling operations? Claudio Castañeda - Well Integrity Leader EQUION Energia Ltd Recently, we past...

Unknown Aspects of Metal Dust Explosions

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 1:30pm-2:00pm
Dust explosions hazards have been addressed in a number of standards and guidelines aiming at supporting industry to work safely (including NFPA 61,...

"All in" Means "All the Time"

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 11:15am-11:45am
Process safety must be the responsibility of all technical and operations personnel. As such, this responsibility is not limited to attendance at PHA...

Technology Qualification - Two Subsea Applications

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 11:15am-11:45am
A project that deploys new technologies needs to be confident that the technology can be implemented successfully and will perform reliably as...

Systematic Analysis and Learning from Process Safety Incidents

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 10:45am-11:15am
Numerous incidents have occurred in the process industries and caused hundreds of fatalities and injuries. The US Chemical Safety Board (CSB) has...

Improving Plant Safety - an Operator Centric View on Process Safety

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 10:15am-10:45am
Improving Plant Safety - An Operator Centric View on Process Safety Dr.-Ing. Gregor Fernholz, Global Business Development Manager OTS, Invensys,...

The Role Of Sequential Automation In Improving Process Safety

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 8:30am-9:00am
The ISA106 Committee has released the first technical report for this standard dealing with Sequential Automation for Continuous Process Operations (...

Real-Time Risk Assessment and Decision Support

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 8:00am-8:30am
Managers and operators of major hazard facilities make complex decisions in hazardous situations as a part of their daily work activity. These...

Chemical Explosion Isolation For Small Contained Vessels

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 1, 2014 - 8:00am-8:30am
Particle size reduction equipment are used in many branches of the process industries, such as food, chemical, pharmaceutical and energy. According...

Popcorn Polymer Fouling in Light Ends Units

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, March 31, 2014 - 4:00pm-4:15pm
Popcorn polymer fouling is thought to be exclusive to Butadiene plants, but in fact, there are dozens of isolated cases of popcorn polymer fouling...

Simplified Methods Of Using Probit Analysis In Consequence Modeling

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, March 31, 2014 - 1:30pm-2:00pm
The probit function provides a link between probability of expected response and the total exposure of a population to a specific event. In the case...

CSB Investigation of Chevron Richmond Refinery Fire

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, May 1, 2013 - 4:30pm-5:00pm
On August 6, 2012 a hydrocarbon fire occurred at approximately 6:30 p.m. in the crude unit of the Chevron Richmond Refinery in Richmond, California...

Effect of Flammable Cloud Treatment On Predicted Blast Loads

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, May 1, 2013 - 11:15am-11:45am
Effect of Flammable Cloud Treatment on Predicted Blast Loads J. Kelly Thomas and Jihui Geng Baker Engineering and Risk Consultants 3330 Oakwell Court...

Process Safety in Power Plants

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, May 1, 2013 - 10:45am-11:15am
Process Safety is a very common and used topic in the chemical industry. According to CCPS, an incident is reported as a process safety incident if...

Baha Blanca, Argentina. Explosin Catastrfica De Polvo En Un Silo

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 30, 2013 - 4:00pm-4:30pm
El 13 de marzo de 1985 a las 0.15 horas un incendio en el puerto dio inicio a uno de los accidentes más grandes ocurridos en la República Argentina...

Process Safety: Uniandes Vision From the Latin-American Context

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 30, 2013 - 1:30pm-2:00pm
Process Safety: Uniandes vision from the Latin-American context J. Cadena 1 , G. Gómez 2 , F. Munoz 3 Chemical Engineering Department, Universidad de...

Worker Behavior Changing by Dynamic Culture

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 30, 2013 - 9:00am-9:30am
INTRODUCTION The chemical industries need appropriated project of process to control safety and production avoiding accidents and environmental...

Troubleshooting a Furnace Emissions Problem

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 30, 2013 - 8:45am-9:15am
We had been fighting CO flue gas emissions on our CEMS analyzer for around a year, we had indications that it was a burner problem, fixed the burners...

Unique Failure Mode for API Seal Plan 76

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, April 29, 2013 - 2:30pm-3:00pm
Unique Failure Mode for API Seal Plan 76 Double mechanical seals with a pressure alarm in the containment chamber are commonly used in LPG and other...

Where Process Safety Must Move

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, April 29, 2013 - 11:30am-12:00pm
Description: Process safety has long embodied the adage, “If you always do what you’ve always done, you’ll always get what you’ve always got.”...

Near Misses - Private or Public Concern?

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, April 29, 2013 - 11:30am-12:00pm
Near miss incidents include those releases and/or fires that do not result in significant employee injury or costs. In many cases there are federal...

Process near Misses Identification, Investigation and Challenges

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, April 29, 2013 - 11:00am-11:30am
Topic: - Near Misses/Preventing Process Incidents Title: -Process Near misses identification, investigation and challenges Author: - Anil Singh Email...

Safety in the LNG Value Chain

Archived Webinar
Dec 12, 2012
In this webinar, presenters describe and examine potential LNG (liquefied natural gas) hazards and risk-reduction methods for the LNG value chain ―...

Critical Alarm Management : Connecting the Dots

Conference Presentation
Global Congress on Process Safety
Tuesday, April 3, 2012 - 12:00am
In the aftermath of some high profile national security incidents, investigations starting with the catastrophe or near miss and working backwards...

Go out and lead on Process Safety Management

Conference Presentation
Global Congress on Process Safety
Tuesday, April 3, 2012 - 12:00am
This paper will share the UK's experience of risk control for major hazards and will emphasise the key role corporate governance and leadership plays...

Why Smaller Companies Struggle with Process Safety

Conference Presentation
Global Congress on Process Safety
Tuesday, April 3, 2012 - 12:00am
Proposed title: Why smaller companies struggle with Process Safety Author: John Herber, Principal Consultant, Process Hazard Management Services, LLC...

Fire From Iron

Conference Presentation
Global Congress on Process Safety
Tuesday, April 3, 2012 - 12:00am
Although the potential consequences of combustible dust explosions are becoming more widely known, the potential consequences of combustible dust...

Management of Change: Quality Implementation and Performance

Conference Presentation
Global Congress on Process Safety
Monday, April 2, 2012 - 12:00am
It is often said that the only thing which is permanent in this world is change. In the process industry, as elsewhere, change is a main lever for...

Acid Release From Catalyst Tanks

Conference Presentation
Global Congress on Process Safety
Tuesday, March 15, 2011 - 8:00pm
This is the story of how the cumulative effects of several seemingly innocent changes to a catalyst system resulted in a near miss Process Safety...

Incident Investigation- Addressing Common Oversights

Conference Presentation
Global Congress on Process Safety
Monday, March 14, 2011 - 8:00pm
Principles of incident investigation may be used in daily process troubleshooting and near miss events to identify root cause. Identifying and...
Subscribe to Incident Investigation