Learn From Experience

Metrics provide direct feedbacks on the workings of RBPS systems, and leading indicators provide early warning signals of ineffective process safety results. Organizations must use their mistakes and those of others as motivation for action and view as opportunities for improvement.

Use Case Histories to Energize Your HAZOP

March
2001
Safety
Glenn  Mahnken
Reviewing incident reports at a HAZOP meeting is more than just a lessons learned activity. It can spur sharper thinking and lead to a more telling analysis of your processes.

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.

Don't Let History Repeat Itself

August
2007
Safety
John F. Murphy, P.E.
Heed these lessons learned from investigations conducted by the Chemical Safety and Hazard Investigation Board to prevent accidents at your site.

Acid Release From Catalyst Tanks

Mar 15, 2011
R. Wayne Garland
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. Several aspects will be discussed including cumulative effects of multiple changes to the system, identification of potential scenarios in...

Fatal Explosion Caused by An Intermittently-Used Fuel Gas Piping System

Mar 15, 2011
Russell A. Ogle
A fatal explosion occurred at a foundry during a routine test of an intermittently used propane standby system. Just prior to the explosion, maintenance personnel were preparing the propane standby system for a startup test. While preparing for the startup test, the group was alerted that employees...

PSM Metrics Impact on Process Safety Culture

Mar 15, 2011
Bill Patton
Several years ago our facility recognized the need to expand from a PSM Program managed by a small group to a PSM Culture owned by the full facility. Development and implementation of effective and consistent PSM metrics were utilized to achieve the following: (1) Set the vision for a PSM Culture (...

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