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Summary
Summary
To prevent future accidents, a complete examination of the causes and contributory factors of an accident is necessary. Stressing the need to correct these issues, Incident Investigation and Accident Prevention in the Process and Allied Industries strikes a balance between the theoretical and applied aspects of accident investigation while also addressing accident prevention.
Based on the authors forty years of experience, this detailed work covers an extensive range of topics often encountered during an incident investigation. Since the scope and needs of investigations can widely vary, the author begins with an introduction that provides guidance on how to use the book. He supplies a "roadmap" of incident investigation, making the material accessible to novices yet also valuable to more seasoned investigators.
Topics include:
Responding to occurrence of incidents and emergency response
Securing the site and handling eyewitness testimonies
Notification of appropriate authorities, compliance requirements, and legal and insurance issues
Internal/external incident investigation options and investigation team requirements
Disassembly, gathering, screening, tagging, storing of evidence, and post-incident testing
Establishing preliminary causal mechanisms and root cause determinations
Multiple cause determination, incident modeling, and human error evaluation and reporting
Remedial and preventative measures, lessons learned, and reconstruction and retraining
Accident prevention through predictive methodologies, including pro-active measures
Pre- and post-incident management
Corporate structuring, attitudinal problems, and planning an accident prevention program
Table of Contents
| Introduction and Guide |
| Purpose of Incident Investigation |
| Onsite Investigation: Initial and Other Issues |
| Evidence Gathering: Eyewitness Testimonies and Interviews |
| Specific Questions for Evidence Gathering |
| Legal and Insurance Issues |
| Onsite and Offsite Investigation Teams |
| Development of Hypothesis for Incidents |
| Time Aspects: Event Sequences |
| Determining Preliminary Causal Mechanisms |
| Evidence: Physical and Forensic |
| Post-Incident Testing: Assigning and Conducting Laboratory Tests |
| Knowledge, Experience of Plant Personnel, and After Effects |
| Potential for Human Error |
| Multiple Cause Determination |
| Incident Modeling - Quantifying Health and Plant Impacts |
| Common Cause Failures, and Some Common Failures |
| Getting the Analysis Right |
| Report Documentation and Communication |
| Incident Prevention and Remediation Measures Following an Incident |
| Lessons Learned, Regrouping, Repairing, and Reconstruction, Re-Training |
| Accident Prevention: The Role of Predictive Methodologies |
| Accident Prevention: Pro-Active Measures |
| Accident Prevention: Pre- and Post Incident Management |
| Accident Prevention: Corporate Structuring and Attitudinal Problems |
| Accident Prevention: Planning for Accident Prevention |
| Appendix A Aspects of Typical Incident Report Documentation |
| Appendix B Emergency Response Analysis |
| Appendix C Non-Destructive Evaluation (NDE) and Other Tests |
| Appendix D Plant Safety Program |
| Appendix E Process Hazards Analysis Methods |
| Appendix F Management of Change (MOC) |
| Appendix G Photographic Issues |
| Appendix H Human Error Assessment and Reduction Technique (HEART) |
| Appendix I Explosion Energy] |
| Appendix J Safety Integrity Level (SIL) and Layer of Protection Analysis (LOPA) |
| Appendix K List of Methodologies Commonly Used in Incident Investigation |
| Acronyms and Terms |
| Recommended Reading and Reference Material |
