What Went Wrong? : Case Histories of Process Plant Disasters and How They Could Have Been Avoided, 6th Edition

What Went Wrong? 6th Edition provides a complete analysis of the design, operational, and management causes of process plant accidents and disasters. Co-author Paul Amyotte has built on Trevor Kletz’s legacy by incorporating questions and personal exercises at the end of each major book section. Case histories illustrate what went wrong and why it went wrong, and then guide readers in how to avoid similar tragedies and learn without having to experience the loss incurred by others. Updated throughout and expanded, this sixth edition is the ultimate resource of experienced-based analysis and guidance for safety and loss prevention professionals.

Preface

Part I : Introduction
Chapter 1 : Case Histories and Their Use in Enhancing Process Safety Knowledge
Chapter 2 : Bhopal
Chapter 3 : Opportunities for Reflection

Part II : Maintenance and Operations
Chapter 4 : Maintenance : Preparation and Performance
Chapter 5 : Operating Methods
Chapter 6 : Entry to Vessels and Other Confined Spaces
Chapter 7 : Accidents Said to Be Due to Human Error
Chapter 8 : Labeling
Chapter 9 : Testing of Trips and Other Protective Systems
Chapter 10 : Opportunities for Reflection

Part III : Equipment and Materials of Construction
Chapter 11 : Storage Tanks
Chapter 12 : Stacks
Chapter 13 : Pipes and Vessels
Chapter 14 : Tank Trucks and Tank Cars
Chapter 15 : Other Equipment
Chapter 16 : Materials of Construction
Chapter 17 : Opportunities for Reflection

Part IV : Hazards and Loss of Containment
Chapter 18 : Leaks
Chapter 19 : Liquefied Flammable Gases
Chapter 20 : Hazards of Common Materials
Chapter 21 : Static Electricity
Chapter 22 : Reactions – Planned and Unplanned
Chapter 23 : Explosions
Chapter 24 : Opportunities for Reflection

Part V : Knowledge and Communication
Chapter 26 : Poor Communication
Chapter 27 : Accidents in Other Industries
Chapter 28 : Accident Investigation – Missed Opportunities
Chapter 29 : Opportunities for Reflection

Part VI : Design and Modifications
Chapter 30 : Inherently Safer Design
Chapter 31 : Changing Procedures Instead of Designs
Chapter 32 : Both Design and Operations Could Have Been Better
Chapter 33 : Modifications : Changes to Equipment and Processes
Chapter 34 : Modifications : Changes in Organization
Chapter 35 : Reverse Flow, Other Unforeseen Deviations, and Hazop
Chapter 36 : Control
Chapter 37 : Opportunities for Reflection

Part VII : Conclusion
Chapter 38 : An Accident That May Have Affected the Future of Process Safety
Chapter 39 : An Accident That Did Not Occur
Chapter 40 : Summary of Lessons Learned

Appendices
Appendix 1 : Relative Frequencies of Incidents
Appendix 2 : Why Should We Publish Accident Reports?
Appendix 3 : Some Tips for Accident Investigators
Appendix 4 : Recommended Reading
Appendix 5 : Afterthoughts
Index