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.

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...

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...

"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...

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...

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...

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...

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...

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 ―...

Correlating Process Safety Leading Indicators with Performance

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 3, 2012 - 12:00am
Correlating Process Safety Indicators with Performance Jerry Forest Global Process Safety Manager Celanese 1601 West LBJ Freeway Dallas, TX 75234 (...

Learning from Major CSB Investigations

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Monday, April 2, 2012 - 12:00am
Learning from Major CSB Investigations

Acid Release From Catalyst Tanks

Conference Presentation
AIChE Spring Meeting and 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...

Explosion at T2 Laboratories

Archived Webinar
Sep 22, 2010
This webinar discusses the CSB investigation and findings related to the explosion and chemical fire at T2 Laboratories, Inc. in December 2007.

Case Histories and Lessons Learned

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Wednesday, April 29, 2009 - 9:30am
Reviews of process safety incidents and near misses provide valuable learning opportunities. Papers dealing with incidents, near misses, and the...

Fire, Explosion, & Quantitative Analysis

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
Tuesday, April 28, 2009 - 11:30am
Fires and explosions result in the largest losses in process safety accidents. The increased sensitivity by industry, regulatory, and public sectors...

My Neighborhood Radioactive Waste Dump

February 22, 2016
Like so many of us, I jog through my neighborhood in pursuit of 10,000 steps a day. My urban journey through Queens, NY, is a slow blur of delis, liquor marts, and grocery stores...

Incidents That Define Process Safety

March, 2008
Incidents That Define Process Safety describes approximately fifty incidents that have had a significant impact on the chemical and refining industries' approaches to modern process safety. Events are described in detail so readers get a fundamental understanding of the root causes, the...

Guidelines for Investigating Chemical Process Incidents, 2nd Edition

March, 2003
This book provides a valuable reference tool for technical and management personnel who lead or are a part of incident investigation teams. This second edition focuses on investigating process-related incidents with real or potential catastrophic consequences. It presents on-the-job information,...

CEP: Process Safety Beacon - Mechanical Integrity of Tubing

May
2012
Process Safety Beacon
Proper installation, maintenance, and inspection of metal tubing is important in preventing fires and toxic material releases in process plants. Do not forget about tubing just because it is usually small. Even a small leak can cause a fire that can...

Conduct an Effective Incident Investigation

September
2004
Safety
Frederick T. Dyke
Information that can reveal the root cause of an incident resides in many places — within the plant or process unit, in control rooms and offices, and even in witnesses’ minds. Here’s how to find the data and conduct effective witness interviews.

RELEASE: A Model with Data to Predict Aerosol Rainout in Accidental Releases

March, 1998
This book documents CCPS's Aerosol Research Program to develop a model to predict liquid rainout from release of a pressurized, liquefied gas--and, hence the residual amount of material in a vapor cloud, which may be greater than the amount calculated from an enthalpy chart. RELEASE predicts the...

Nitrogen — Hazard and Safeguard

June
2012
Process Safety Beacon
This Beacon is not focused on a single incident, but on incidents that continue to occur across industry — nitrogen asphyxiation.
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