What Went Wrong?: Case Histories of Process Plant Disasters and How They Could Have Been Avoided / Edition 6

by Trevor Kletz, Paul Amyotte

Overview

What Went Wrong: Case Histories of Process Plant Disasters and How They Could Have Been Avoided, Sixth Edition, the latest release of Trevor Kletz’s well-known book, presents a complete analysis of the design, operational and managerial causes of process plant accidents and disasters, including their aftermaths. It builds on Kletz’s legacy by including questions and personal exercises, adding new case studies that focus on safer design, safety culture and recognition of warning signs, and including safety management system elements, such as management of change. The book now covers Buncefield, Macondo and Texas City, as well as Bhopal under inherent safety.

Case histories illustrate what went wrong, then guiding readers in how to avoid similar tragedies and learn from the mistakes of others. Updated throughout and expanded, this new edition is the ultimate resource of experienced based analysis and guidance for safety and loss prevention professionals.

• Contains 20% new material and an update of existing content, with parts A and B now combined
• Includes case studies that incorporate Safety Instrumented Systems terminology and information
• Presents biological hazard case histories and examples of recent incidents

Product Details

ISBN-13:	9780128105399
Publisher:	Elsevier Science
Publication date:	06/27/2019
Edition description:	6th ed.
Pages:	840
Product dimensions:	6.00(w) x 9.00(h) x (d)

About the Author

Trevor Kletz, OBE, D.Sc., F.Eng. (1922-2013), was a process safety consultant, and published more than a hundred papers and nine books on loss prevention and process safety, including most recently Lessons From Disaster: How Organizations Have No Memory and Accidents Recur and Computer Control and Human Error. He worked thirty-eight years with Imperial Chemical Industries Ltd., where he served as a production manager and safety adviser in the petrochemical division, also holding membership in the Department of Chemical Engineering at Loughborough University, Leicestershire, England. He most recently served as senior visiting research fellow at Loughborough University, and adjunct professor at the Mary Kay O’Connor Process Safety Center, Texas A&M University.

Paul Amyotte is a Distinguished Research Professor and Professor of Chemical Engineering at Dalhousie University (Halifax, Canada). He is a chemical engineering graduate of the Royal Military College of Canada (Bachelor’s), Queen’s University (Master’s), the Technical University of Nova Scotia (PhD) and a registered professional engineer in Nova Scotia. Dr. Amyotte is a member and past president of Canadian Society of Chemical Engineering, a member of American Institute of Chemical Engineers, a Fellow of Chemical Institute of Canada, the Engineering Institute of Canada, Canadian Academy of Engineering, Engineers Canada, and the Canadian Academy of Engineering. Dr. Amyotte has an extensive record of authorship, with six books, several book chapters, and over 350 papers published in peer-reviewed journals or presented at national and international conferences. He has presented invited plenary lectures at symposia in Canada, France, Italy, Malaysia, Netherlands, Norway, Poland, Qatar, Taiwan, and the United States. He is the current editor of the Journal of Loss Prevention in the Process Industries, and a past president of the Canadian Society for Chemical Engineering, Engineers Nova Scotia, and Engineers Canada. He has also served as chair of the Canadian Engineering Qualifications Board, member of the Canadian Engineering Accreditation Board, and co-chair of the Materials and Chemical Engineering Evaluation Group of the Natural Sciences and Engineering Research Council of Canada. Dr. Amyotte has consulted on numerous industrial projects involving hazard analysis, incident investigation, and material explosibility. Dr. Amyotte is a recipient of distinct awards including Cybulski Medal from the Polish Academy of Sciences, the Trevor Kletz Merit Award from the Mary Kay O’Connor Process Safety Center, and the Process Safety Management Award from the Canadian Society for Chemical Engineering.

Table of Contents

INTRODUCTION 1. Case Histories and Their Use in Enhancing Process Safety Knowledge 2. Bhopal 3. Opportunities for Reflection

MAINTENANCE AND OPERATIONS 4. Maintenance: Preparation and Performance 5. Operating Methods 6. Entry to Vessels and Other Confined Spaces 7. Accidents Said to Be Due to Human Error 8. Labeling 9. Testing of Trips and Other Protective Systems 10. Opportunities for Reflection

EQUIPMENT AND MATERIALS OF CONSTRUCTION 11. Storage Tanks 12. Stacks 13. Pipes and Vessels 14. Tank Trucks and Tank Cars 15. Other Equipment 16. Materials of Construction 17. Opportunities for Reflection

HAZARDS AND LOSS OF CONTAINMENT 18. Leaks 19. Liquefied Flammable Gases 20. Hazards of Common Materials 21. Static Electricity 22. Reactions – Planned and Unplanned 23. Explosions 24. Opportunities for Reflection

KNOWLEDGE AND COMMUNICATION 26. Poor Communication 27. Accidents in Other Industries 28. Accident Investigation – Missed Opportunities 29. Opportunities for Reflection

DESIGN AND MODIFICATIONS 30. Inherently Safer Design 31. Changing Procedures Instead of Designs 32. Both Design and Operations Could Have Been Better 33. Modifications: Changes to Equipment and Processes 34. Modifications: Changes in Organization 35. Reverse Flow, Other Unforeseen Deviations, and Hazop 36. Control 37. Opportunities for Reflection

CONCLUSION 38. An Accident That May Have Affected the Future of Process Safety 39. An Accident That Did Not Occur 40. Summary of Lessons Learned

APPENDICES 1. Relative Frequencies of Incidents 2. Why Should We Publish Accident Reports? 3. Some Tips for Accident Investigators 4. Recommended Reading 5. Afterthoughts

What People are Saying About This

From the Publisher

A thorough update to the most popular book on process safety, with new case studies and exercises

Editorial Reviews

"The examples were very clear and graphic, with good sketches or pictures. Without a doubt, I strongly recommend this book as required reading for every engineer and supervisor in the process industry and suggested reading for others." — AFE Facilities Engineering Journal"The incidents described could occur in many types of plants, and should therefore be of interest to a wide variety of plant operators. The new fourth edition contains considerable new material, with extensive references." — Mechanical Engineering"This book is recommended for generalists with an interest in industrial safety and safety/process who wish to gain some insight into the realities of plant operations." — IChemE-Institute Of Chemical Engineers"This book should be read by every health and safety advisor and all managers and engineers who work in the chemical and petrochemical industries. It should also be used by those who provide training courses in these industries." — The Safety & Health Practitioner, July 2002 "very readable, precise and well documented... This book is a required reading for every engineer and supervisor in the process industry" — Chemical Industry Digest, July-August 2002"excellent, if somewhat disturbing book... In my opinion, the book should be read by a great many different professions and persons" — Ergonomics, Vol 46, Issue 5, 2003

From the Publisher