Learning lessons from major incidents – improving process safety by sharing experience
[Bron: IChemE , Safety and Loss Prevention Special Interest Group – IChemE]
Samenvatting
Trevor Kletz famously observed that “Organisations have no memory. Only people have memory and they move on”. He also observed that “Accidents are not due to lack of knowledge, but failure to use the knowledge we have”. This Lessons Learned Database (LLD) was inspired by these observations. Its purpose is simply to raise awareness of major incidents in the process industries, to promote the importance of root cause analysis and to catalyse cross-sector sharing of lessons learned and good practices. The infographic contained in the document below provides an overview of the main root causes of each incident and enables the user to quickly identify which incidents share common root causes across multiple process industry sectors. The document contains hyperlinks so the user can simply click on the incident name to directly access a 1-Page incident summary.
