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What Went Wrong
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Revolutionizes the way industry views safety

Table of Contents

Part 1 ? What Went Wrong? Learning From the Experiences of Others Preparation for maintenance Modifications Accidents caused by human error Labeling Storage tanks Stacks Leaks Liquefied flammable gases Pipe and vessel failures Other equipment Entry to vessels Hazards of common materials Tank trucks and cars Testing of trips and other protective systems Static electricity Materials of construction Operating methods Reverse flow and other unforeseen deviations I didn't know that Problems with computer control Inherently safer design Reactions-planned and unplanned Part 2 ? How Could Disasters Have Been Avoided? Maintenance Entry into confined spaces Changes to processes and plants Changes in organization Changing procedures instead of designs Materials of construction (including insulation) and corrosion Operating methods Explosions Poor communication Control Leaks Reactions - planned and unplanned Both design and operations could have been better Accidents in other industries Accident investigation - Missed opportunities

About the Author

Trevor Kletz, OBE, D.Sc., F.Eng. (1922-2013), was a process safety consultant, and published more than a hundred papers and nine books on loss prevention and process safety, including most recently Lessons From Disaster: How Organizations Have No Memory and Accidents Recur and Computer Control and Human Error. He worked thirty-eight years with Imperial Chemical Industries Ltd., where he served as a production manager and safety adviser in the petrochemical division, also holding membership in the Department of Chemical Engineering at Loughborough University, Leicestershire, England. He most recently served as senior visiting research fellow at Loughborough University, and adjunct professor at the Mary Kay O'Connor Process Safety Center, Texas A&M University.

Reviews

"The examples were very clear and graphic, with good sketches or pictures. Without a doubt, I strongly recommend this book as required reading for every engineer and supervisor in the process industry and suggested reading for others." (AFE Facilities Engineering Journal) "The incidents described could occur in many types of plants, and should therefore be of interest to a wide variety of plant operators. The new fourth edition contains considerable new material, with extensive references." (Mechanical Engineering) "This book is recommended for generalists with an interest in industrial safety and safety/process who wish to gain some insight into the realities of plant operations." (IChemE-Institute Of Chemical Engineers) "This book should be read by every health and safety advisor and all managers and engineers who work in the chemical and petrochemical industries. It should also be used by those who provide training courses in these industries." -The Safety & Health Practitioner, July 2002 "very readable, precise and well documented... This book is a required reading for every engineer and supervisor in the process industry" (Chemical Industry Digest, July-August 2002) "excellent, if somewhat disturbing book... In my opinion, the book should be read by a great many different professions and persons" Ergonomics, Vol 46, Issue 5, 2003

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