process safety - Introduction into incident investigation

By Ir. Jan Pranger

An incident, with or without harm or damage, demonstrates that the organisation was not able to operate as planned and indicates a flaw in its management systems. Therefore, incident investigation is an important learning tool and lessons learned must be applied at operational and management levels. Jan Pranger will present an introduction into incident investigation in the context of AIChE’s Risk Based Process Safety System framework. Especially in sensitive investigations with significant implications for the organisation, credibility is achieved by a rigorous and structured approach that warrants the integrity of the facts identified and their logical connection. Further, any investigation method is based on an accident model in which human factors must be explicitly addressed. This lecture presents several investigation methods and describes to what extent the above criteria are met and for what type of incidents they can be applied.

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