| |
| |
List of Tables | |
| |
| |
List of Figures | |
| |
| |
Files on the Web Accompanying This Book | |
| |
| |
Acknowledgements | |
| |
| |
Foreword | |
| |
| |
Preface | |
| |
| |
| |
Introduction | |
| |
| |
| |
Process safety management | |
| |
| |
| |
Normalization of deviance | |
| |
| |
| |
A strategy for response | |
| |
| |
| |
Maintaining organizational memory and a healthy sense of vulnerability | |
| |
| |
| |
Risk based process safety | |
| |
| |
| |
Our target audience | |
| |
| |
| |
How to use this book | |
| |
| |
| |
Case study - Toxic gas release in India | |
| |
| |
| |
Incident Mechanics | |
| |
| |
| |
Incidents do not just happen | |
| |
| |
| |
Incident models | |
| |
| |
| |
Case study - Benzene plant explosion in China | |
| |
| |
| |
Leadership and Culture | |
| |
| |
| |
How does leadership affect culture? | |
| |
| |
| |
The leadership and culture related warning signs | |
| |
| |
| |
Case study - Challenger space shuttle explosion in the US | |
| |
| |
| |
Training and Competency | |
| |
| |
| |
What is effective training and how is competency measured? | |
| |
| |
| |
The training and competency related warning signs | |
| |
| |
| |
Case study - Gas plant vapor cloud explosion in Australia | |
| |
| |
| |
Process Safety information | |
| |
| |
| |
Critical information to identify hazards and manage risk | |
| |
| |
| |
The process safety information related warning signs | |
| |
| |
| |
Case study - Batch still fire and explosion in the UK | |
| |
| |
| |
Procedures | |
| |
| |
| |
Safe and consistent operation | |
| |
| |
| |
The procedure related warning signs | |
| |
| |
| |
Case study - Nuclear plant meltdown and explosion in the Ukraine | |
| |
| |
| |
Asset Integrity | |
| |
| |
| |
Systematic implementation | |
| |
| |
| |
The asset integrity related warning signs | |
| |
| |
| |
Case study - Refinery naphtha fire in the US | |
| |
| |
| |
Analyzing Risk and Managing Change | |
| |
| |
| |
Risk management | |
| |
| |
| |
The risk analysis and management of change related warning signs | |
| |
| |
| |
Case study - Cyclohexane explosion in the UK | |
| |
| |
| |
Audits | |
| |
| |
| |
Audits support operational excellence | |
| |
| |
| |
The audit related warning signs | |
| |
| |
| |
Case study - Chemical warehouse fire in the UK | |
| |
| |
| |
Learning From Experience | |
| |
| |
| |
Methods for continuous improvement | |
| |
| |
| |
The learning from experience warning signs | |
| |
| |
| |
Case study - Space shuttle Columbia incident in the US | |
| |
| |
| |
Physical Warning Signs | |
| |
| |
| |
The everyday things matter | |
| |
| |
| |
The physical warning signs | |
| |
| |
| |
Case study - Resin plant dust explosion in the US | |
| |
| |
| |
A Call to Action | |
| |
| |
| |
Actions you can take now for each warning sign | |
| |
| |
| |
A simple plan to consider for rigorous implementation and follow-up | |
| |
| |
| |
Actions to consider | |
| |
| |
| |
Summary | |
| |
| |
| |
Incident Warning Sign Self Assessment Tool | |
| |
| |
| |
Composite List of Catastrophic Incident Warning Signs | |
| |
| |
References & Selected Regulations | |
| |
| |
Acronyms and Abbreviations | |
| |
| |
Glossary | |
| |
| |
Index | |