Piper Alpha Monument
This Safety Moment discusses a case where a hazards analysis found that there was no operating manual for a very critical operation. When the manual was located it was noted that following the instructions as written would cause a serious incident. The material provided here is extracted from the ebook 52 Process Safety Moments.
Safety Moments are short stories or anecdotes that illustrate some aspect of personal or process safety. Generally they feature a near miss or foolish event that had the potential to be much worse than it was. They can be used to start a meeting or a task assignment.
The Kletz Legacy
One of the founders of the process safety discipline was Trevor Kletz (1922-2013). Probably his best eulogy is also the simplest, "He saved lives."
As we reflect on Trevor's contributions it is clear that one of his greatest gifts was that of telling stories. He wrote extensively on technical topics such as hazards analysis and inherent safety, but he is probably best remembered for his story-telling books such as Learning from Accidents and What Went Wrong? Human beings learn best from stories and Trevor knew it.