Previous edition: Burlington; Oxford: Gulf Professional Pub., 2009. Includes bibliographical references and index.
Contents:
INTRODUCTION -- 1. Case Histories and Their Use in Enhancing Process Safety Knowledge -- 2. Bhopal -- 3. Opportunities for Reflection -- MAINTENANCE 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 Reflection -- EQUIPMENT 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 Reflection -- HAZARDS 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 Reflection -- KNOWLEDGE AND COMMUNICATION -- 26. Poor Communication -- 27. Accidents in Other Industries -- 28. Accident Investigation -- Missed Opportunities -- 29. Opportunities for Reflection -- DESIGN 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 Reflection -- CONCLUSION -- 38. An Accident That May Have Affected the Future of Process Safety -- 39. An Accident That Did Not Occur -- 40. Summary of Lessons Learned -- APPENDICES -- 1. Relative Frequencies of Incidents -- 2. Why Should We Publish Accident Reports? -- 3. Some Tips for Accident Investigators -- 4. Recommended Reading -- 5. Afterthoughts.
Summary:
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.
This resource is supported by the Institute of Museum and Library Services under the provisions of the Library Services and Technology Act as administered by State Library of Iowa.