Industry Best Practices to Counter Critical MOC Faulure Modes
CCPS Latin American Conference on Process Safety
2013
5th Latin American Conference on Process Safety
General Program
Management of change- more than a checking box/Gerenciamento del Cambio - Mas que una lista de requisitos
Wednesday, August 14, 2013 - 10:50am to 11:15am
Industry Best Practices to Counteract Critical MOC Failure Modes
MOC continues to recognized as a vital PSM element for accident prevention. Yet, industry incident experience reveals that are several areas where MOC design, roll-out, execution and monitoring still challenge even the best companies. This paper will address critical MOC failure modes and ways to address them to prevent repeating other company's accidents:
- Not recognizing change
- People going around the MOC system
- Temporary changes
- Organizational changes
- Inadequate hazard review
- Inadequate communication of changes
This paper and presentation will present each critical failure mode, a specific incident example, technical /cultural causal factors, and industry best practices to make an MOC system fault-tolerant to these problems.