Hindsight | Insight | Foresight
February, 2015
This is a repeating eventFeb 08 2020
An explosion occurred when 8 personnel were working on the repair of a catalyst tower. Proximate causes: • Inadequate training/knowledge transfer (Lack of understanding the process) • Lack of work rules/policies/
An explosion occurred when 8 personnel were working on the repair of a catalyst tower.
Proximate causes:
• Inadequate training/knowledge transfer (Lack of understanding the process)
• Lack of work rules/policies/ standards/procedures (wrong procedures for inspections);
• Inadequate work rules plan (lack of the pre-start safety review before inspection).
Source: A web-based collection and analysis of process safety incidents (https://www.sciencedirect.com/science/article/abs/pii/S0950423016302285)