Incidentally

We have now completed our 1st deck of Incidents Cards based on 52 famous (and less well known) Process Safety (Loss of Primary Containment) events researched, evaluated & summarised by Peter Marsh of XBP Refining.

These have been peer reviewed by members of the IChemE Safety & Loss Prevention Special Interest Group.

Their work is documented as a Lessons Learned Database which is free to download by clicking the image below:

Click to download Major Process Safety Incident vs Root Cause Map

A 2nd deck is already in development which will visualise & operationalise the 100+ incidents investigated by the US Chemical Safety & Hazard Investigation Board.

Click to access the CSB Investigations

Cards

Key aspects of each Incident are illustrated as shown below

These are described on the Incidents Cards page which can be accessed via the icon below:

Cards have a Top Trumps layout similar to the SDS cards and can be used (played) in a variety of ways e.g. discuss if/how this incident relates to our operations or simply who holds the most ‘severe’ card is either the winner or loser – the prize or forfeit to be decided by the team.

The Process Incidents cards use the following iconography:

Hazards

Biological
Corrosive
Decomposition
Environmental
Explosive
Flammable
Compressed Gas
Irritant or Harmful
Health
Oxidising
Radiological
Toxic

Industries

Chemicals
Explosives
Consumer Goods
Food & Drink
Gas Processing
Laboratories
Life Sciences
LNG
LPG
Manufacturing
Metal Processing
Nuclear Power
Offshore Oil & Gas
Oil Refining
Onshore Oil & gas
Petrochemicals
Pipelines
Plastics & Polymers
Power Generation
Pulp & Paper
Rail Transport
Renewable Energy
Road Transport
Shipping
Tank Storage
Warehousing
Waste Treatment
Water Treatment

Contributing Factors

Using the Root Cause Map, Proximate (immediate) and/or Root Causes are indicated by up to 10 of the following Process Safety Management (PSM) elements (cards):

Leadership & Culture
Continuous Improvement
Information Management
Capability Management
Hazard & Risk Analysis
Process & Plant Design
Operational Integrity
Asset & Protection Integrity
3rd Party Management
Emergency Planning
Control of Work
Event Investigation
Change Management

For more information on all our cards & initiatives – please contact us. All materials (physical cards/boxes and digital cards/platforms) can be customised to match your technical & local languages – please visit our Options page for more details.

If you’d like to subscribe to future updates, please submit your email address below – many thanks for your interest.

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