Incident Investigation and Accident Prevention in the Process and Allied Industries

541 Pages·2006·19.605 MB·English

by  Hyatt, Nigel

Incident Investigation &
Accident Prevention in the
Process & Allied Industries
by
Nigel Hyatt
Copyright © 2006 by Dyadem Engineering Corporation
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Copyright © 2006 by Dyadem Engineering Corporation
IncidentInvestigation & AccidentPrevention in theProcess & AlliedIndustries
NigelHyatt
Copyright© 2006 by DyademEngineering Corporation
1stEdition, 1stPrinting- April 2006
ISBN 0-8493-0778-3
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CoverIllustration: "Refinerywith catcracker, late afternoon" byN. Hyatt
Copyright © 2006 by Dyadem Engineering Corporation
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Copyright © 2006 by Dyadem Engineering Corporation
Aboutthe Author
Nigel Hyatt has extensive expertise and experience in Hazardous Risk Assessment,
Incident Investigation, Hazards Analysis and Risk Management. Mr. Hyatt is a
professional engineerwith almost 40 years ofindustrial experience in design, operations,
development, engineering and risk fields in the Petrochemical, Refinery, Offshore Oil &
Gas, Chemical, Environmental, Power, Biochemicaland FoodIndustries.
Mr. Hyatt has been involved with a wide range ofIncident Investigations involving fires
and explosions that also include major incidents. Over a 24-year period, he worked in a
leadership role for two major engineering companies, managing and completing projects
for significantmultinational firms. In 1987, he was Risk Analysis ProgramManagerfor a
large tar sands expansion study. He was responsible for the creation, setup and
implementation of risk assessment programs that dealt with many leading consulting
companies as well asbeing focused towards meetingthe needs ofinsurance companies.
His experience has not only been focused on risk fields such as assessment, analysis,
incidentinvestigation andrisk managementbut is also an originatorofPHA-Pro®, one of
theworld's bestsellinghazards identification software tools.
Mr. Hyatt is used to working with, and being responsible for, multi-disciplinary teams of
people. He regularly gives courses in the field of risk and safety and is particularly
interested in extending the boundaries and methodologies in order to reduce risk and
preventaccidents.
Mr. Hyatt is registered as a Professional Engineer in Ontario, is a Chartered Engineer of
the U.K. and is also a Member of the Institution of Chemical Engineers. He has 3
children, 2grandchildren andresides with his wife inRichmondHill, Ontario.

Copyright © 2006 by Dyadem Engineering Corporation
Professional associates:
• TimMcGuire • DavidMoore
• Marcello Oliverio • MikeHazzan
• GordonCowan • BrianKelly
• FrankCurry • InderRattan
• Martin Sich
NigelHyatt
RichmondHill
Ontario, 2006

Copyright © 2006 by Dyadem Engineering Corporation
Acknowledgments
In writing this bookIwould liketo acknowledge the following valuedroles:
Principal reviewers oftext:
• AlexVervoom • John Doyle
• BobBaird • Bala Subramanyan
• ProfessorDouglas Napier • AnnaAnandarajan
• Philippe Guillard
Assistance with preparation:
• Narenderpal Marwaha • Rob Bartlett
• DavidBlanchard • Kerry Kelly
• DrAngelaWong • Katherine Park
• Vishal Shah
Dyadem reviewers and commenters:
• SteveBondarewski • Carlos Vargas
• KumarIsrani • SaudAhmed
• Jorge Larez • Hugo Forte
• PaulMainprize
Supporters:
• Michael Hyatt • FionaGoy
• RichardHyatt • Sergey Osipov
• Susan Hyatt • TomWilson
• KevinNorth
Copyright © 2006 by Dyadem Engineering Corporation
TableofContents TC-l
Table of Contents
Preface PR-1
Introduction and Guide IG-1
Purpose IG-l
Who ShouldUse this Book IG-l
Howto Use this Book IG-2
AccidentPrevention IG-8
Chapter 1: Purpose ofIncidentInvestigation 1-1
CompliancewithIncidentReporting Requirements in the USA 1-3
ComplianceunderHealth & Safety Executive(HSE) inthe UK 1-6
BasicPoints when Conductingthe Investigation 1-6
Example 1-9
Chapter2: Onsite Investigation: Initial &OtherIssues 2-1
Categories ofIncidentandInitial Requirements 2-1
Internal andExternal InvestigationCriteria 2-3
Role ofPhotographic Evidence 2-6
Type ofInvestigationTeamNeeded 2-8
Types ofEvidence Required 2-9
Disassembly, Testing and SecuringofEvidence 2-10
Working Hypothesis for Incident 2-11
Dealingwiththe Mass MediaFollowingan Incident 2-12
Dealingwiththe SurroundingCommunity 2-12
Chapter3: Evidence Gathering: Eyewitness Testimonies
and Interviews 3-1
Heinrich's Observations: Ratio ofFatalitiesto Serious and LesserInjuries 3-8
Eyewitness Testimony 3-9
InterviewingWitnesses 3-11
RecordingofWitness Testimony 3-17
Maintaining Confidentiality 3-20
SummaryonInterviewing Witnesses 3-21
IntentionalDamage 3-22
Chapter4: Specific Questions for Evidence Gathering 4-1
Evidence GatheringThroughQuestions 4-1
Differences BetweenEyewitnesses and Interviewees 4-2
Interviewingand BeingOrganized 4-3
Copyright © 2006 by Dyadem Engineering Corporation