Lessons Performance Indicators

Measurements and Metrics

April

202409AprAll DayWEIFANG FATALITIES 2015Weifang, Shandong (CN)Lessons:Audits & Reviews,Commitment & Culture,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Management of Change,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:Water TreatmentCountry:ChinaLanguage:ENLoC:Operator error Origin: MKOPSC Incident:AsphyxiationHazards:Environmental,Flammable,ToxicContributory Factors:Component MalfunctionImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Hydrogen Sulfide

May

202410MayAll DayANHUI BENGBU EXPLOSION 2015Anhui Bengbu, Anhui (CN)Lessons:Audits & Reviews,Commitment & Culture,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Incident Investigation,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:Metal ProcessingCountry:ChinaLanguage:ENLoC:Overpressure Origin: MKOPSC Incident:Runaway reaction explosionHazards:Corrosive,FlammableImpact:HUMAN (On Site At Risk)Effects:EnvironmentalMaterial:Sodium

June

202413JunAll DayDANA CHEMICAL FIRE 2015Dana Chemical Co., Nanjing, Jiangsu (CN)Lessons:Asset integrity,Competency,Compliance with Standards,Control of Work,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk AssessmentIndustry:PetrochemicalsCountry:ChinaLanguage:ENLoC:Confined explosion Origin: MKOPSC Incident:EXPLOSIONHazards:Flammable,ToxicImpact:HUMAN (On Site At Risk)Effects:EnvironmentalMaterial:Ethylene Oxide

202418JunAll DayHAOLIANGHE TOXIC RELEASE 2015Haolianghe, Heilongjiang (CN)Lessons:Commitment & Culture,Competency,Compliance with Standards,Control of Work,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:ChemicalsCountry:ChinaLanguage:ENLoC:Operator error Origin: MKOPSC Incident:Gas/vapour/mist/etc release to airHazards:Corrosive,Environmental,ToxicContributory Factors:Organized ProceduresImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Ammonia

July

202401JulAll DayTHERMO FISHER SCIENTIFIC TOXIC RELEASE 2015Thermo Fisher Scientific. Loughborough (GB)Lessons:Asset integrity,Audits & Reviews,Competency,Control of Work,Operating Procedures,Operational Integrity,Performance Indicators,Risk Assessment,Stakeholder EngagementIndustry:Life SciencesCountry:United KingdomLanguage:ENLoC:Deterioration Origin: MKOPSC Incident:Fluid release to groundHazards:Corrosive,ToxicImpact:HUMAN (On Site At Risk)Effects:EnvironmentalMaterial:Hydrochloric acid

202403JulAll DayHANWHA CHEMICAL EXPLOSION 2015Hanwha Chemical, Ulsan, South Korea (KR)Lessons:Audits & Reviews,Commitment & Culture,Competency,Compliance with Standards,Contractor Management,Control of Work,Management of Change,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Workforce InvolvementIndustry:ChemicalsCountry:South KoreaLanguage:ENLoC:Maintenance error Origin: MKOPSC Incident:VCEImpact:HUMAN (On Site Fatalities)Effects:1-10 Fatalities

August

202422AugAll DayRUNXING EXPLOSION 2015Runxing, Zibo, Shandong (CN)Lessons:Asset integrity,Commitment & Culture,Competency,Compliance with Standards,Control of Work,Emergency Preparedness,Operating Procedures,Operational Integrity,Operational Readiness,Performance Indicators,Process Knowledge,Risk Assessment,Stakeholder Engagement,Workforce InvolvementIndustry:WarehouseCountry:ChinaLanguage:ENLoC:Fire exposure Origin: MKOPSC Incident:Explosive decompositionHazards:ToxicImpact:HUMAN (On Site Fatalities)Effects:1-10 FatalitiesMaterial:Adiponitrile

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