Acceptance of small leakages, near misses or substandard practices.
- When related to Safety Critical Equipment.
- Small leakages & Activation of barriers.
Challenges in the Field
- No open learning culture that stimulates intervention by all on safety.
- Production pressure.
- Bad follow-up and feedback on reported items.
- Difficult reporting tools.
Options to Get it Right
- Create a culture where reporting nasty items is considered valuable feedback to improve safety. Have time available for that.
- Report all spills: have an easy database to do so.
- Follow-up on reported items and provide feed-back.
- Classify LOPC according to a standard and have a KPI with a target.
- Ensure workers recognise and report on TIER 3 & 4 incidents, that is weak signals or leading indicators, that should include:
- Small leakages.
- Failures of safety critical systems.
- Activation of a last line of defence like a safety interlock.
- Fires; liquid hammering; vibrations; corrosion.
- Pressure or temperature outside design: like Autorefrigeration.
- Locked or car-sealed valves not in the right position.
- Long standing or nuisance alarms.
- Ignition sources in zoned area’s; ATEX deficiencies.
- Deviation of critical procedures.
This page only summarises the guidance – refer to the EPSC website for further information.
For more information on our Process Safety Fundamentals (or other) playing cards please contact us.