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.

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...

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...

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...

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.”...

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...

Safety Culture and Operational Discipline

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 27, 2009
This session focuses on the cultural aspects of a successful Process Safety program. Papers that are presented cover new and innovative ideas on...

Becoming a Great Process Safety Leader

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 2, 2014
Leaders play a critical role in catastrophic event prevention through their effect on culture. At least one cultural factor was a root cause...

"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 (...

Real-Time Risk Assessment and Decision Support

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 1, 2014
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
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...

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...

Troubleshooting a Furnace Emissions Problem

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 30, 2013
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...

Case Histories and Lessons Learned

Conference Presentation
AIChE Spring Meeting and Global Congress on Process Safety
April 29, 2009
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
April 28, 2009
Fires and explosions result in the largest losses in process safety accidents. The increased sensitivity by industry, regulatory, and public sectors...

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.

Pages

Subscribe to Incident Investigation