(78k) Do We Really Learn from Loss Incidents?
AIChE Spring Meeting and Global Congress on Process Safety
2009
2009 Spring Meeting & 5th Global Congress on Process Safety
43rd Loss Prevention Symposium
Poster Session
Tuesday, April 28, 2009 - 5:15pm to 6:30pm
Well, the general public's perception is that we in the chemical, petrochemical, oil and gas industries mostly do not learn well from loss incidents of the past and that is why we keep on having repeat incidents. In our region alone in the past decade we have had several major incidents that resulted in massive financial loss and property damage and/or multiple fatalities in refineries and gas handling facilities in Algeria, Kuwait and Saudi Arabia.
We want to assure our readers that there are definitely some organizations and individuals who take this learning from incidents very seriously. We can draw very useful lessons from not only major incidents that have caught the public and media eye, but also from smaller incidents that occur in one's industry. When an incident is reported in the media everyone is naturally curious as to what happened. But if we want to learn from the incident we have to go beyond simple curiosity. There are some known hurdles in our ability to learn from other people's incidents. In order to learn lessons, we need to review the incident in depth. In analyzing these incidents for the purpose of learning lessons for the future, there is no point in trying to blame specific person or persons. ?Culpability? is applicable in cases of sabotage or other deliberate actions with malice aforethought. In accidents and incidents, it is better to concentrate on systemic or procedural failures or design deficiencies so that viable, effective and long-term remedial measures can be proposed and implemented.
The learning process is not easy. You need to have the will and the ability to pay attention to detail.
?... Safety management is not rocket science. Rocket science is trivial pursuit compared to the management of safety. There are only a limited number of fuel types capable of lifting a payload into space: but the variety of ways in which harm can come to people is legion? ? Trevor Kletz (from his book entitled: Still Going Wrong!).
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