Description
What Went Wrong? 6th Edition provides a complete analysis of the design, operational, and management causes of process plant accidents and disasters. Co-author Paul Amyotte has built on Trevor Kletz's legacy by incorporating questions and personal exercises at the end of each major book section. Case histories illustrate what went wrong and why it went wrong, and then guide readers in how to avoid similar tragedies and learn without having to experience the loss incurred by others. Updated throughout and expanded, this sixth edition is the ultimate resource of experienced-based analysis and guidance for safety and loss prevention professionals.- 20% new material and updating of existing content with parts A and B now combined- Exposition of topical concepts including Natech events, process security, warning signs, and domino effects- New case histories and lessons learned drawn from other industries and applications such as laboratories, pilot plants, bioprocess plants, and electronics manufacturing facilities
Table of Contents
INTRODUCTION1. Case Histories and Their Use in Enhancing Process Safety Knowledge2. Bhopal 3. Opportunities for ReflectionMAINTENANCE AND OPERATIONS4. Maintenance: Preparation and Performance5. Operating Methods6. Entry to Vessels and Other Confined Spaces7. Accidents Said to Be Due to Human Error8. Labeling9. Testing of Trips and Other Protective Systems10. Opportunities for ReflectionEQUIPMENT AND MATERIALS OF CONSTRUCTION11. Storage Tanks12. Stacks13. Pipes and Vessels14. Tank Trucks and Tank Cars15. Other Equipment16. Materials of Construction17. Opportunities for ReflectionHAZARDS AND LOSS OF CONTAINMENT 18. Leaks19. Liquefied Flammable Gases20. Hazards of Common Materials21. Static Electricity22. Reactions – Planned and Unplanned23. Explosions24. Opportunities for ReflectionKNOWLEDGE AND COMMUNICATION26. Poor Communication27. Accidents in Other Industries28. Accident Investigation – Missed Opportunities29. Opportunities for ReflectionDESIGN AND MODIFICATIONS30. Inherently Safer Design31. Changing Procedures Instead of Designs32. Both Design and Operations Could Have Been Better33. Modifications: Changes to Equipment and Processes34. Modifications: Changes in Organization35. Reverse Flow, Other Unforeseen Deviations, and Hazop36. Control37. Opportunities for ReflectionCONCLUSION38. An Accident That May Have Affected the Future of Process Safety39. An Accident That Did Not Occur40. Summary of Lessons LearnedAPPENDICES1. Relative Frequencies of Incidents2. Why Should We Publish Accident Reports?3. Some Tips for Accident Investigators4. Recommended Reading5. Afterthoughts
