Digest
Some short-cuts may cut lives short — Process Safety Beacon, October 2024
Some short-cuts may cut lives short — Process Safety Beacon, October 2024
- CCPS
- Digest
- Process Safety Beacon October 2024
- Control of WorkHuman FactorsProcess Safety
- Barrier managementExplosionHuman factorsProcess safety
- Inspection and maintenance
- HoseProcess pipework and pipelinesValve
- Energy and process isolationManagement of changeOperating and work proceduresPermit to work
- Downstream and process industries
Summary
This bulletin examines procedural shortcuts through a fatal polyethylene reactor incident in Pasadena, Texas. It describes inadequate isolation, unenforced permits and cross-connected valve air hoses. Guidance stresses operational discipline, functioning safeguards and authorised assessment of changes, warning against treating temporary safeguard bypasses as routine practice.
Classifications: Barrier management; safety barrier management.
Classifications: Explosion; explosive atmospheres.
Classifications: Human factors; human performance; ergonomics.
Classifications: Process safety; major accident hazards.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Hose; flexible hose.
Classifications: Process pipework and pipelines; process piping.
Classifications: Valve; valves.
Classifications: Energy and process isolation; isolation; energy isolation.
Classifications: Management of change; MOC; change management.
Classifications: Operating and work procedures.
Classifications: Permit to work; PTW; work permit.
Classifications: Downstream and process industries; refining; petrochemicals.
Summary
One-page Beacon on the dangers of taking short-cuts around procedures and safeguards.
Process Safety Beacon October 2024. Themes: control of work, human factors, process safety.