Bouncing Back from a Heart-Wrenching Process Safety Incident
- Type: Conference Presentation
- Conference Type: AIChE Spring Meeting and Global Congress on Process Safety
- Presentation Date: April 21, 2021
- Duration: 60 minutes
- Skill Level: Intermediate
- PDHs: 0.50
Detailed incident investigation by a multi-disciplinary team highlighted number of gaps related to human elements, job handover/execution and crisis management. The incident occurred due to failure of multiple layers of protection including management of change, mechanical integrity, risk assessment, PTW, job supervision, fatigue element, over-occupancy, communication, training & development, emergency response, PPEs etc.
Interestingly, this happened in less than 3 years after successful compliance certification of Process Safety Management System but raw material unavailability and resulting financial crunch hugely jeopardized organizationâs process safety management system and safety culture.
The paper will cover this eye-opening case of huge PSM deterioration in very short time due to financial factors and how did the organization bounce back from that desperate situation. It will shed light on causes of incident, lessons learning and results achieved after revamp of the process safety management program. It will enable other participants to learn from story of our setbacks & revival, and implement similar cultural shift programs in their respective organizations.
|AIChE Member Credits||0.5|
|AIChE Graduate Student Members||Free|
|AIChE Undergraduate Student Members||Free|