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
INTRODUCTION 1. Case Histories and Their Use in Enhancing Process Safety Knowledge 2. Bhopal 3. Opportunities for ReflectionMAINTENANCE 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 ReflectionEQUIPMENT 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 ReflectionHAZARDS 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 ReflectionKNOWLEDGE AND COMMUNICATION 26. Poor Communication 27. Accidents in Other Industries 28. Accident Investigation – Missed Opportunities 29. Opportunities for ReflectionDESIGN 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 ReflectionCONCLUSION 38. An Accident That May Have Affected the Future of Process Safety 39. An Accident That Did Not Occur 40. Summary of Lessons LearnedAPPENDICES 1. Relative Frequencies of Incidents 2. Why Should We Publish Accident Reports? 3. Some Tips for Accident Investigators 4. Recommended Reading 5. Afterthoughts
