An analysis of CSB investigation reports for inherent safety learnings

11AIChE - 2011 AIChE Spring Meeting and 7th Global Congress on Process Safety, Conference Proceedings

Volumn , Issue , 2011, Pages

  Amyotte, Paul R ^a   MacDonald, Dustin K ^a   Khan, Faisal I ^b  

^a DALHOUSIE UNIVERSITY   (Canada)

^b MEMORIAL UNIVERSITY OF NEWFOUNDLAND   (Canada)

Author keywords

Hierarchy of controls; Inherent safety; Inherently safer design; Process safety management; U.S. Chemical safety and hazard investigation board

Indexed keywords

EID: 84917673031     PISSN: None     EISSN: None     Source Type: Conference Proceeding    
DOI: None     Document Type: Conference Paper

References (76)

1. CSB, Investigation Report - Explosives Manufacturing Incident - Sierra Chemical Company, Report No. 98-001-I-NV, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (1998).
2. CSB, Summary Report - Nitrogen Asphyxiation - Union Carbide Corporation, Report No. 98-05-I-LA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (1999).
3. CSB, Investigation Report - Propane Tank Explosion - Herrig Brothers Feather Creek Farm, Report No. 98-007-I-IA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (1999).
4. CSB, Investigation Report - Chemical Manufacturing Incident - Morton International Inc., Report No. 1998-06-I-NJ, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2000).
5. CSB, Investigation Report - Catastrophic Vessel Overpressurization - Sonat Exploration Company, Report No. 1998-002-I-LA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2000).
6. CSB, Investigation Report - Refinery Fire Incident - Tosco Avon Refinery, Report No. 99-014-I-CA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2001).
7. CSB, Safety Bulletin - Management of Change, No. 2001-04-SB, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2001).
8. CSB, Investigation Report - Steel Manufacturing Incident - Bethlehem Steel Corporation, Report No. 2001-02-I-IN, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2002).
9. CSB, Case Study - The Explosion at Concept Sciences: Hazards of Hydroxylamine - Concept Sciences, Inc., No. 1999-13-C-PA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2002).
10. CSB, Investigation Report - Thermal Decomposition Incident - BP Amoco Polymers, Inc., Report No. 2001-03-I-GA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2002).
11. CSB, Investigation Report - Refinery Incident - Motiva Enterprises LLC, Report No. 2001-05-I-DE, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2002).
12. CSB, Hazard Investigation - Improving Reactive Hazard Management, Report No. 2001-01-H, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2002).
13. CSB, Investigation Report - Hydrogen Sulfide Poisoning - Georgia-Pacific, Report No. 2002-01-I-AL, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
14. CSB, Investigation Report - Petroleum Products Facility Incident - Third Coast Industries, Report No. 2002-03-I-TX, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
15. CSB, Investigation Report - Chlorine Release - DPC Enterprises, L.P., Report No. 2002-04-I-MO, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
16. CSB, Safety Bulletin - Hazards of Nitrogen Asphyxiation, No. 2003-10-B, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
17. CSB, Investigation Report - Vapor Cloud Deflagration and Fire - BLSR Operating, Ltd., Report No. 2003-06-I-TX, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
18. CSB, Case Study - Hydrogen Sulfide Exposure - Environmental Enterprises, Inc., No. 2003-02-C-OH, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
19. CSB, Investigation Report - Chemical Waste-Mixing Incident - Kaltech Industries Group, Inc., Report No. 2002-02-I-NY, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
20. CSB, Investigation Report - Explosion and Fire - First Chemical Corporation, Report No. 2003-01-I-MS, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
21. CSB, Case Study - Fire and Explosion: Hazards of Benzoyl Peroxide - Catalyst Systems, Inc., No. 2003-03-C-OH, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2003).
22. CSB, Investigation Report - Catastrophic Vessel Failure - D.D. Williamson & Co., Inc., Report No. 2003-11-I-KY, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2004).
23. CSB, Safety Bulletin - Removal of Hazardous Material from Piping Systems, No. 2004-03-B, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2004).
24. CSB, Safety Bulletin - Sodium Hydrosulfide: Preventing Harm, No. 2003-03-B, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2004).
25. CSB, Investigation Report - Vent Collection System Explosion - Technic Inc., Report No. 2003-08-I-RI, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2004).
26. CSB, Case Study - Explosion at Biochemical Facility: Liquid Nitric Oxide Release - Isotec, No. 2003-15-C-OH, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2004).
27. CSB, Investigation Report - Dust Explosion - West Pharmaceutical Services, Inc., Report No. 2003-07-I-NC, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2004).
28. CSB, Investigation Report - Combustible Dust Fire and Explosions - CTA Acoustics, Inc., Report No. 2003-09-I-KY, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2005).
29. CSB, Investigation Report - Chlorine Release, Contaminated Antimony Pentachloride Exposure, Hydrogen Fluoride Release - Honeywell International, Inc., Report No. 2003-13-I-LA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2005).
30. CSB, Investigation Report - Aluminum Dust Explosion - Hayes Lemmerz International-Huntington, Inc., Report No. 2004-01-I-IN, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2005).
31. CSB, Case Study - Oil Refinery Fire and Explosion - Giant Industries' Ciniza Oil Refinery, No. 2004-08-I-NM, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2005).
32. CSB, Safety Bulletin - Explosion at ASCO: Dangers of Flammable Gas Accumulation, No. 2006-01-B, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
33. CSB, Investigation Report - Sterigenics- Sterigenics, Report No. 2004-11-I-CA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
34. CSB, Investigation Report - Toxic Chemical Vapor Cloud Release - MFG Chemical, Inc., Report No. 2004-09-I-GA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
35. CSB, Case Study - Polyethylene Wax Processing Facility Explosion and Fire - Marcus Oil and Chemical, No. 2005-02-I-TX, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
36. CSB, Safety Bulletin - Fire at Praxair St. Louis - Dangers of Propylene Cylinders in High Temperatures, No. 2005-05-B, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
37. CSB, Case Study - Fire at Formosa Plastics Corporation: Evaluating Process Hazards - Formosa Plastics Corporation, No. 2006-01-I-TX, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
38. CSB, Safety Bulletin - BP Texas City, TX Refinery Fire - Positive Material Verification: Prevent Errors During Alloy Steel Systems Maintenance, No. 2005-04-B, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
39. CSB, Case Study - Confined Space Entry - Worker and Would-be Rescuer Asphyxiated - Valero Energy Corporation Refinery, No. 2006-02-I-DE, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
40. CSB, Investigation Report - Combustible Dust Hazard Study, Report No. 2006-H-1, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2006).
41. CSB, Investigation Report - Chlorine Release - DPC Enterprises, L.P., Report No. 2004-02-I-AZ, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
42. CSB, Investigation Report - Vinyl Chloride Monomer Explosion - Formosa Plastics Corp., Report No. 2004-10-I-IL, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
43. CSB, Investigation Report - Methanol Tank Explosion and Fire - Bethune Point Wastewater Treatment Plant, Report No. 2006-03-I-FL, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
44. CSB, Investigation Report - Refinery Explosion and Fire - BP, Report No. 2005-04-ITX, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
45. CSB, Case Study - Mixing and Heating a Flammable Liquid in an Open Top Tank - Universal Form Clamp, Inc., Investigation No. 2006-08-I-IL, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
46. CSB, Case Study - Hot Work Control and Safe Work Practices at Oil and Gas Production Wells - Partridge-Raleigh Smith County Oilfield., Report No. 2006-07-IMS, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
47. CSB, Safety Bulletin - Emergency Shutdown Systems for Chlorine Transfer, No. 2005-06-I-LA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
48. CSB, Case Study - Runaway Chemical Reaction and Vapor Cloud Explosion - Synthron, LLC, No. 2006-04-I-NC, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2007).
49. CSB, Case Study - Fire and Community Evacuation in Apex, North Carolina - Environmental Quality Company, 2007-01-I-NC, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2008).
50. CSB, Investigation Report - Confined Vapor Cloud Explosion - CAI, Inc. and Arnel Company, Inc., Report No. 2007-03-I-MA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2008).
51. CSB, Case Study - Barton Solvents - Static Spark Ignites Explosion Inside Flammable Liquid Storage Tank, No. 2007-06-I-KS, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2008).
52. CSB, Investigation Report - LPG Fire at Valero-McKee Refinery - Valero Energy Corporation, Report No. 2007-05-I-TX, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2008).
53. CSB, Case Study - Static Spark Ignites Flammable Liquid During Portable Tank Filling Operation, No. 2008-02-I-IA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2008).
54. CSB, Investigation Report - Little General Store - Propane Explosion - Little General Store, Inc., Report No. 2007-04-I-WV, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2008).
55. CSB, Investigation Report - Allied Terminals, Inc. - Catastrophic Tank Collapse - Allied Terminals, Inc., Report No. 2009-03-I-VA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2009).
56. CSB, Investigation Report - T2 Laboratories, Inc. - Runaway Reaction, Report No. 2008-03-I-FL, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2009).
57. CSB, Investigation Report - Sugar Dust Explosion and Fire - Imperial Sugar Company, Report No. 2008-05-I-GA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2009).
58. CSB, Case Study - Uncontrolled Oleum Release - Petrolia, Pennsylvania, 2009-01-IPA, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2009).
59. CSB, Safety Bulletin - Seven Key Lessons to Prevent Worker Deaths During Hot Work In and Around Tanks - Effective Hazard Assessment and Use of Combustible Gas Monitoring Will Save Lives, No. 2009-01-SB, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2010).
60. CSB, Urgent Recommendations from Kleen Energy Investigation, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2010).
61. Center for Chemical Process Safety, Inherently Safer Chemical Processes. A Life Cycle Approach, 2nd edition, John Wiley & Sons, Hoboken, NJ (2009).
62. nd edition, CRC Press/Taylor & Francis Group, Boca Raton, FL (2010).
63. Hendershot, D.C., A Summary of Inherently Safer Technology, Process Safety Progress, 29 (4), 389-392 (2010).
64. Wilson, L. and McCutcheon, D., Industrial Safety and Risk Management, University of Alberta Press, Edmonton, AB (2003).
65. rd edition, Canadian Society for Chemical Engineering, Ottawa, ON (2002).
66. Center for Chemical Process Safety, Guidelines for Risk Based Process Safety, John Wiley & Sons, Hoboken, NJ (2007).
67. CSB, Urgent Recommendations from ConAgra Investigation, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2010).
68. CSB, Case Study - Explosion and Fire in West Carrollton, Ohio - Veolia Technical Solutions, LLC, 2009-10-I-OH, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2010).
69. CSB, Investigation Report - Xcel Energy Hydroelectric Plant Penstock Fire - Cabin Creek, Report No. 2008-01-I-CO, U.S. Chemical Safety and Hazard Investigation Board, Washington, DC (2010).
70. Amyotte, P.R. and Eckhoff, R.K., Dust Explosion Causation, Prevention and Mitigation: An Overview, Journal of Chemical Health and Safety, 17 (1), 15-28 (2010).
71. Amyotte, P.R., Pegg, M.J. and Khan, F.I., Application of Inherent Safety Principles to Dust Explosion Prevention and Mitigation, Process Safety and Environmental Protection, 87 (1), 35-39 (2009).
72. Kaszniak, M., Oversights and Omissions in Process Hazard Analyses: Lessons Learned from CSB Investigations. Process Safety Progress, 29 (3), 264-269 (2010).
73. th International Symposium on Loss Prevention and Safety Promotion in the Process Industries, Volume 02, Brugge, Belgium (June 6-9, 2010), pp. 447-450.
74. th Global Congress on Process Safety), Chicago, IL (March 13-16, 2011).
75. st Annual International Conference - Process Safety Challenges in a Global Economy, Orlando, FL (April 23-27, 2006), pp. 175-207.
76. Yang, X., Dinh, L., Castellanos, D., Osorio, C., Ng, D. and Mannan, M.S., Common Lessons Learned from an Analysis of Multiple Case Histories, Hazards XXI, IChemE Symposium Series No. 155, Manchester, UK (November 10-12, 2009), pp. 43-50.