Investigation Report
Improving Reactive Hazard Management — Final Investigation Report
Improving Reactive Hazard Management — Final Investigation Report
- CSB
- Investigation Report
- ExplosionLearning from incidentsProcess safetyRegulation and legislationRisk management
- Competence and trainingManagement of changeOperating and work proceduresRisk assessment
- Downstream and process industries
- Onshore facility
Summary
This hazard investigation examines limited data on 167 serious US reactive incidents, industry surveys and selected facility visits. It evaluates gaps in OSHA and EPA regulatory coverage, chemical incompatibility and thermal hazard assessment. Recommendations address process safety information, hazard analysis, test-data sharing and incident learning.
Classifications: Explosion; explosive atmospheres.
Classifications: Learning from incidents; incident learning; lessons learnt; lessons learned.
Classifications: Process safety; major accident hazards.
Classifications: Regulation and legislation; safety legislation; regulatory requirements.
Classifications: Risk management; risk evaluation.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Management of change; MOC; change management.
Classifications: Operating and work procedures.
Classifications: Risk assessment; hazard assessment.
Classifications: Downstream and process industries; refining; petrochemicals.
Classifications: Onshore facility; onshore plant.