Document zoEKXBVV161Yk501Lwqg2evq3

CHEMICALS fL INDUSTRIES TO FROM Distribution D. L. Duncan INTEROFFIC /t /r^* LAKE CHARLES DATE SUBJECT September 17, 1973 Procedure for Reporting, Investi gating and Following Up of Abnormal Operational Incidents The attached procedure, as approved by the Operations Review Com mittee on September 14, 1973, ?s intended to provide a useful tool for supervision to obtain the necessary follow-up in areas of loss poten tial. Please implement this service by properly reviewing and informing all of your area supervision of the intent and providing them with the neces sary follow-up forms. It will be your responsibility to be sure that this service is utilized on questionable incidents. DLD/mm Enel. Distribution E. L. Cook H. C. Hank L. Krause R. P.Lynch T. G. Taylor SL 048683 PROCEDURE FOR REPORTING, INVESTIGATING AND FOLLOW-UP OF ABNORMAL OPERATIONAL INCIDENTS INTRODUCTION Accidents leading to personnel injury and no injury personnel accidents are thoroughly investigated to determine the exact cause and to ascertain that action has been taken to prev nt recurrence. Abnormal operating incidents, such as a process upset leading to operation of a safety relief device, also have potential for causing personnel injury. These process incidents can conceivably involve catastrophic consequences. For these reasons, thorough investigation of such incidents is also justified. This procedure is aimed at organizing the investigation of these incidents so that the following goals are accomplished: 1. Define exactly what happened. 2. Decide what action is needed to prevent recurrence. SCOPE The investigations should cover plant occurrences which have potential for causing personnel injury, significant equipment damage, and significant loss of production. The following are examples of incidents which warrant investigation: 1. Process upsets leading to operation of safety relief devices, safety shutdown systems/ etc. 2. Trips of fire protection system. 3. Fires. 4. Significant spills and leaks (such as those which have vapor cloud or fire potential). 1 SL 048684 5. Equipment failure (vessel, instrument, etc.) which has hazard or loss potential. 6. Significant misoperation, 7. Process upsets leading to abnormal reaction rates, significant abnormal pressures or temperatures, operation in or near the explosive range, etc. This list of incidents is not intended to cover all possible occurrences: any happening which has hazard or significant loss potential should be reported. DEFINITION OF RESPONSIBILITY The responsibility for correcting any conditions which have accident potential remains with the area operations personnel. They will assume the additional responsibility of reporting incidents to the Loss Prevention Engineer, using the attached form. The Loss Prevention Engineer will assume the responsibility of participating in the follow-up investigation, problem solving and report writing. He also has the responsibility to utilize knowledge or lessons learned from the incidents in other similar areas in the plant. This investigation and follow-up will be a service available to Operations from the Loss Prevention Engineer. PROCEDURE A. Surveillance for, and notification of. Incidents: Incidents falling within the above scope should be reported on the standard forms by the operations supervision for the area involved (foreman, shift supervision, general foreman, superintendent). In addition, the Loss Prevention Engineer will keep current on any incidents via shift engineer/supervisor log books. -2- SL 048685 B. Investigation of Incidents: Each incident shall be investigated by a cooperative effort of the area operations personnel and the Loss Prevention Engineer. The results of the investigation, along with the proposed plan to prevent recurrence, shall be submitted to the Plant Superintendent and the Area Superintendent by the Loss Prevention Engineer. - 3- SL 048686 REPORT OF ABNORMAL OPERATING INCIDENT Date: Location:____________ Describe the Incident: Describe the Hazard or Loss Potential: Describe the Action Taken to Prevent Recurrence: SEND TO LOSS PREVENTION ENGINEER! SL 048687 REPORT OF ABNORMAL OPERATING INCIDENT Date:_______________ Location:____________ Describe the Incident: Describe the Hazard or Loss Potential: Describe the Action Taken to Prevent Recurrence: SEND TO LOSS PREVENTION ENGINEER! SL 048688 REPORT OF ABNORMAL OPERATING INCIDENT Date:_______________ Location: Describe the Incident: Describe the Hazard or Loss Potential: Describe the Action Taken to Prevent Recurrence: SEND TO LOSS PREVENTION ENGINEER! SL 048689 ?r? ...... f\e.r\ rn4SJc.j\___________________________ -T. MerK ... : S& Par ~~ INDUSTRIES y /tf Aup v sh j *n<y s /'ll- r/e.& 5<r h**d /<r An,|sf. D>scu$s f-vy.'T.JqS. kZ> /& wT~ Ci C ______i'o , > & i *rO C& nrvicT e 7ev ys>r VA,e hfi'z-sk =^S <?/ /A<? C I C. Ju dt ^ ... j? nn^/v fj,,icr/'S ^), fike? /Ac 4ci/z&**__ W A <2/4 ^ Ck perse* c&h*,ds &~ (?& cJ SIGNED INSTRUCTIONS TO ORIGINATOR: Detach this copy. Send remaining set, carbons intact, for use of replier. SL 048690