Learning from accidents in industry

Trevor Kletz

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Risk and Safety Analysis Occupational Health and Safety Research Industrial and Mining Safety

Abstract

Two simple incidents protective system failure poor procedures and poor management a gas leak and explosion the hazards of insularity a liquid leak and fire the hazards of amateurism a tank explosion the hazards of optional extras another tank explosion the hazards of modifications and ignorance Flixborough Seveso Bhopal Three Mile Island Chernobyl Aberfan missing recommendations three weeks in a works some pipe failures.

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2005Design support for the systematic integration of risk reduction into early chemical process design 2021Predicting major hazard accidents in the process industry based on organizational factors: A practical, qualitative approach 2003Designs that lacked inherent safety: case histories 2014Violent explosion after inadvertent mixing of nitric acid and isopropanol – Review 15years later finds basic accident data corrupted, no evidence of broad learning

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