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Review of Accidents and Lessons Learned

机译:审查事故和教训

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Government and private sector safety related databases and other published safety resources were studied to determine their relevance and to identify the major lessons learned from each product. The sources of information studied include the National Response Center (NRC), Major Accident Reporting System (MARS), the Accidental Release Information Program (ARIP), the Bureau of Labor Statistics (BLS), Census of Fatal Occupational Injuries (CFOI), Safety and Loss Prevention Symposia (LPS), and the Marsh & McLennan Summaries (Marsh). This paper appropriately references these sources of information to facilitate similar studies. We identified a) some problems with the government databases, b) even with these problems some important information can be extracted, and c) descriptions of accidents are especially useful and educational. Some surprising and useful conclusions have been developed; e.g. although PSM may be making a mark, something else is needed to improve our industry's accident performance. Two case histories are summarized to support the conclusions and recommendations of this study. Both accidents involve runaway reactions, because runaways are identified as a major problem in the petrochemical industry. Some recommendations concerning PSM and runaway reactions are also included in this paper.
机译:对与政府和私营部门安全相关的数据库以及其他已发布的安全资源进行了研究,以确定它们的相关性并确定从每种产品中学到的主要经验教训。研究的信息来源包括国家响应中心(NRC),重大事故报告系统(MARS),事故释放信息计划(ARIP),劳动统计局(BLS),致命职业伤害普查(CFOI),安全性预防损失研讨会(LPS)和沼泽与麦克伦南摘要(沼泽)。本文适当地引用了这些信息源,以促进类似的研究。我们发现a)政府数据库存在一些问题,b)即使存在这些问题,也可以提取一些重要信息,并且c)事故描述特别有用且具有教育意义。已经得出了一些令人惊讶和有用的结论。例如尽管PSM可能会有所作为,但还需要采取其他措施来改善我们行业的事故表现。总结了两个案例历史,以支持本研究的结论和建议。两次事故都涉及失控反应,因为失控被确定为石化行业的主要问题。本文还包括有关PSM和失控反应的一些建议。

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