Catastropic rupture Heat exchanger Tesoro Anacortes

Accident Description of An explosion and fire that led to the fatal injury of seven employees when a nearly forty-year-old heat exchanger catastrophically failed during a maintenance operation to switch a process stream between two parallel banks of exchangers at the Tesoro refinery in Anacortes, Washington, USA.

Duiding score:

Duiding:

Wat zijn relevante lessen van anderen?

Doelgroep(en):

• Anders
• Beleidsmakers
• HSE managers
• Maintenance managers
• Onderwijsgevers
• Operatie managers
• Operationeel leiderschap
• Site managers
• Strategisch leiderschap
• Tactisch leiderschap
• Toezichthouders

Risicothema:

• Risk | Control | Assurance - nieuwe risico's