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.

Incident Investigation

Face-to-Face Course
Incidents are minor occurrences and are often the result of a single failure or defect. Join Incident Investigation expert Brian Kelly for an in-...

Incident Reporting and Investigation

Archived Webinar
Jun 22, 2016
The thorough investigation, analysis and follow-up of incidents—including near misses—is one of the most effective ways to improve safety and reliability of process facilities. Yet, many struggle with the collection and management of data related to injuries, fires, regulatory/citation issues,...

Fire Behavior: Part 1

Archived Webinar
Oct 11, 2017
What if you could predict fire behavior and better protect your people and structures? Take this webinar to learn more. In 60 minutes, you’ll gain an overview of fire event modeling, how source terms are developed and how to use model predictions to better protect your people and structures. You’ll...

Produced Water Tank Explosion Case Study

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
March 29, 2017
Produced Water Tank Explosion Case Study J. Kelly Thomas, Ph.D. Baker Engineering and Risk Consultants 3330 Oakwell Court, Suite 100 San Antonio, TX...

Human Error. a Myth Eclipsing Real Causes

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
March 27, 2017
Abstract Human Error. A myth eclipsing real causes For years the professionals involved in the investigation of industrial accidents have identified...

Elongated VCE Blast Waves and Structural Damage

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
March 27, 2017
Elongated congested volumes are common at chemical processing and petroleum refining facilities due to the arrangement of processing units, but there...

CSB Recommendations: Gems, Gewgaws, and Buried Treasure

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 12, 2016
The US Chemical Safety and Hazard Investigation Board (CSB) was authorized by the Clean Air Act Amendments of 1990 (CAAA) and began operation in 1998...

Vapor Cloud Explosions

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 12, 2016
TBA Copyright © American Institute of Chemical Engineers. All rights reserved.

Black Swans in the Chemical Processing Industries

Archived Webinar
Mar 16, 2016
Catastrophic events continue to happen in the chemical processing industries. Learn how to protect yourself against “black swan” occurrences. This webinar presents examples of black swan events while discussing the difficulties of predicting them. You’ll learn that once black swan events occur,...

Bhopal 30 Years Later

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2015
On the early morning of December 3rd 1984 a large release of methyl isocyanate (MIC) gas occurred in a pesticide production plant located in Bhopal,...

Planning Early for Compressor Surge Avoidance

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2015
Compressor stations are installed at regular interval to drive the flow of gas in a pipeline. The principal component of the compressor station is...

Fire from the Cascading Failure of an Oxygen Supply System

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2015
This paper discusses the investigation, findings, and root cause analysis of a fire due to the loss of oxygen containment in an ethylene oxide...

Huaa...When Local Learning and Casual Sharing Is Not Enough

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 28, 2015
As a consequence of the Deepwater Horizon blowout and explosion, Bhopal and Piper Alpha, we have the PSM standard and SEMS rule. This helps ensure...

Modelling Liquid Fuel Cascades with Open Foam

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 28, 2015
Modelling Liquid Fuel Cascades with OpenFoam M. Macchi1, J.X. Wen2*, K. Volkov1 and Y. Chung2 1Centre for Fire and Explosion Studies, Kingston...

Relief Systems Design: Simplifying Assumptions Gone Wrong

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

Walk the Line

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

Engaging Senior Management In Process Safety: A Case History

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

Hurricane Ike Recovery - Electrical & Instrument Systems

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

Are Unconfined Hydrogen Vapor Cloud Explosions Credible?

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

Unknown Aspects of Metal Dust Explosions

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

Technology Qualification - Two Subsea Applications

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

"All in" Means "All the Time"

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

Chemical Explosion Isolation For Small Contained Vessels

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 1, 2014
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
March 31, 2014
Popcorn polymer fouling is thought to be exclusive to Butadiene plants, but in fact, there are dozens of isolated cases of popcorn polymer fouling...

CSB Investigation of Chevron Richmond Refinery Fire

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
May 1, 2013
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
May 1, 2013
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
May 1, 2013
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...

Worker Behavior Changing by Dynamic Culture

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

Unique Failure Mode for API Seal Plan 76

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2013
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...

Near Misses - Private or Public Concern?

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2013
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...

Where Process Safety Must Move

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2013
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.”...

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 ― production and consumption.

Critical Alarm Management : Connecting the Dots

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 3, 2012
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
AIChE Spring Meeting and Global Congress on Process Safety
April 3, 2012
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...

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