Details

Autor(en) / Beteiligte

• American Institute of Chemical Engineers Staff

Titel

Guidelines for investigating chemical process incidents [electronic resource]

Auflage

2nd ed

Link zum Volltext

• Wiley Online Library - AutoHoldings Books

Beschreibungen/Notizen

• Description based upon print version of record.
• Includes bibliographical references and index.
• Guidelines for Investigating Chemical Process Incidents; Contents; Preface; Acknowledgments; 1 Introduction; 1.1. Building on the Past; 1.2. Who Should Read This Book?; 1.3. The Guideline's Objectives; 1.4. The Continuing Evolution of Incident Investigation; 2 Designing an Incident Investigation Management System; 2.1. Preplanning Considerations; 2.1.1. An Organization's Responsibilities; 2.1.2. The Benefits of Management's Commitment; 2.1.3. The Role of the Developers; 2.1.4. Integration with Other Functions and Teams; 2.1.5. Regulatory and Legal Issues; 2.2. Typical Management System Topics
• 2.2.1. Classifying Incidents2.2.2. Other Options for Establishing Classification Criteria; 2.2.3. Specifying Documentation; 2.2.4. Describing Team Organization and Functions; 2.2.5. Setting Training Requirements; 2.2.6. Emphasizing Root Causes; 2.2.7. Developing Recommendations; 2.2.8. Fostering a Blame-Free Policy; 2.2.9. Implementing the Recommendations and Follow-up Activities; 2.2.10. Resuming Normal Operation and Establishing Restart Criteria; 2.2.11. Providing a Template for Formal Reports; 2.2.12. Review and Approval; 2.2.13. Planning for Continuous Improvement
• 2.3. Implementing the Management System2.3.1. Initial Implementation-Training; 2.3.2. Initial Implementation-Data Management System; References; 3 An Overview of Incident Causation Theories; 3.1. Stages of a Process-Related Incident; 3.1.1. Three Phases of Process-Related Incidents; 3.1.2. The Importance of Latent Failures; 3.2. Theories of Incident Causation; 3.2.1. Domino Theory of Causation; 3.2.2. SystemTheory; 3.2.3. Hazard-Barrier-Target Theory; 3.3. Investigation's Place in Controlling Risk; 3.4. Relationship between Near Misses and Incidents; Endnotes
• 4 An Overview of Investigation Methodologies4.1. Historical Approach; 4.2. Modern Structured Approach; 4.3. Methodologies Used by CCPS Members; 4.4. Description of Tools; 4.4.1. Brainstorming; 4.4.2. Timelines; 4.4.3. Sequence Diagrams; 4.4.4. Causal Factor Identification; 4.4.5. Checklists; 4.4.6. Predefined Trees; 4.4.7. Team-Developed Logic Trees; 4.5. Selecting an Appropriate Methodology; Endnotes; 5 Reporting and Investigating Near Misses; 5.1. Defining a Near Miss; 5.2. Obstacles to Near Miss Reporting and Recommended Solutions; 5.2.1. Fear of Disciplinary Action
• 5.2.2. Fear of Embarrassment5.2.3. Lack of Understanding: Near Miss versus Nonincident; 5.2.4. Lack of Management Commitment and Follow-through; 5.2.5. High Level of Effort to Report and Investigate; 5.2.6. Disincentives for Reporting Near Misses; 5.2.7. Not Knowing Which Investigation System to Use; 5.3. Legal Aspects; Endnotes; 6 The Impact of Human Factors; 6.1. Defining Human Factors; 6.2. Human Factors Concepts; 6.2.1. Skills-Rules-Knowledge Model; 6.2.2. Human Behavior; 6.3. Incorporating Human Factors into the Incident Investigation Process; 6.3.1. Finding the Causes
• 6.4. How an Incident Evolves
• 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, techniques, and examples that support successful investigations. The methodologies, tools, and techniques described in this book can also be applied when investigating other types of events such as reliability, quality, occupational health, and safety incidents. The accompanying CD-ROM contains the tex
• English