What Went Wrong?, Fifth Edition: Case Histories of Process Plant Disasters and How They Could Have Been Avoided (Butterworth-Heinemann/IChemE)

"What Went Wrong?" has revolutionized the way industry views safety. The new edition continues and extends the wisdom, innovations and strategies of previous editions, by introducing new material on recent incidents, and adding an extensive new section that shows how many accidents occur through simple miscommunications within the organization, and how strightforward changes in design can often remove or reduce opportunities for human errors. Kletz' approach to learning as deeply as possible from previous experiences is made yet more valuable in this new edtion, which for the first time brings together the approaches and cases of "What Went Wrong" with the managerially focussed material previously published in "Still Going Wrong". Updated and supplemented with new cases and analysis, this fifth edition is the ultimate resource of experienced based anaylsis and guidance for the safety and loss prevention professionals. * A million dollar bestseller, this trusted book is updated with new material, including the Texas City and Buncefield incidents, and supplemented by material from Trevor Kletz's 'Still Going Wrong' * Now presents a complete analysis of the design, operational and for the first time, managerial causes of process plant accidents and disasters, plus their aftermaths * Case histories illustrate what went wrong, why it went wrong, and then guide readers in how to avoid similar tragedies: learn from the mistakes of others Copyright.pdf 1 Dedication.pdf 2 Acknowledgments.pdf 4 Preface.pdf 5 Units and Nomenclature.pdf 12 Part A: What Went Wrong? 18 Chapter 1 - Preparation for Maintenance.pdf 18 Chapter 2 - Modifications.pdf 60 Chapter 3 - Accidents Said to Be Due to Human Error.pdf 86 Chapter 4 - Labeling.pdf 104 Chapter 5 - Storage Tanks.pdf 112 Chapter 6 - Stacks.pdf 137 Chapter 7 - Leaks.pdf 144 Chapter 8 - Liquefied Flammable Gases.pdf 162 Chapter 9 - Pipe and Vessel Failures.pdf 176 Chapter 10 - Other Equipment.pdf 198 Chapter 11 - Entry to Vessels.pdf 219 Chapter 12 - Hazards of Common Materials.pdf 232 Chapter 13 - Tank Trucks and Cars.pdf 248 Chapter 14 - Testing of Trips and Other Protective Systems.pdf 257 Chapter 15 - Static Electricity.pdf 273 Chapter 16 - Materials of Construction.pdf 281 Chapter 17 - Operating Methods.pdf 290 Chapter 18 - Reverse Flow.pdf 306 Chapter 19 - I Didn't Know That.pdf 321 Chapter 20 - Problems with Computer Control.pdf 330 Chapter 21 - Inherently Safer Design.pdf 343 Chapter 22 - Reactions—Planned and Unplanned,.pdf 354 Part B: Still Going Wrong 364 Still Going Wrong.pdf 364 Chapter 23 - Maintenance.pdf 366 Chapter 24 - Entry into Confined Spaces.pdf 380 Chapter 25 - Changes to Processes and Plants.pdf 395 Chapter 26 - Changes in Organization.pdf 411 Chapter 27 - Changing Procedures Instead of Designs.pdf 427 Chapter 28 - Materials of Construction (Including Insulation).pdf 439 Chapter 29 - Operating Methods.pdf 453 Chapter 30 - Explosions.pdf 463 Chapter 31 - Poor Communication.pdf 482 Chapter 32 - I Did Not Know.pdf 493 Chapter 33 - Control.pdf 508 Chapter 34 - Leaks.pdf 522 Chapter 35 - Reactions—Planned and Unplanned.pdf 531 Chapter 36 - Both Design and Operations Could Have Been Better.pdf 539 Chapter 37 - Accidents in Other Industries.pdf 555 Chapter 38 - Accident Investigation—Missed Opportunities.pdf 564 Chapter 39 - An Accident That May Have Affected the Future of Process Safety.pdf 576 Appendices 582 Appendix 1 - Relative Frequencies of Incidents.pdf 582 Appendix 2 - Why Should We Publish Accident Reports.pdf 585 Appendix 3 - Some Tips for Accident Investigators.pdf 587 Appendix 4 - Recommended Reading.pdf 588 Appendix 5 - Afterthoughts.pdf 589 Index.pdf 591 Copyright © 2009Butterworth-Heinemann. Uploaded By Dr Yasser S. El-Sayed,http://www.vet4arab.co.cc Computer Science "What Went Wrong?" has revolutionized the way industry views safety.

The new edition continues and extends the wisdom, innovations and strategies of previous editions, by introducing new material on recent incidents, and adding an extensive new section that shows how many accidents occur through simple miscommunications within the organization, and how strightforward changes in design can often remove or reduce opportunities for human errors.

Kletz' approach to learning as deeply as possible from previous experiences is made yet more valuable in this new edtion, which for the first time brings together the approaches and cases of "What Went Wrong" with the managerially focussed material previously published in "Still Going Wrong". Updated and supplemented with new cases and analysis, this fifth edition is the ultimate resource of experienced based anaylsis and guidance for the safety and loss prevention professionals.





* A million dollar bestseller, this trusted book is updated with new material, including the Texas City and Buncefield incidents, and supplemented by material from Trevor Kletz's 'Still Going Wrong'
* Now presents a complete analysis of the design, operational and for the first time, managerial causes of process plant accidents and disasters, plus their aftermaths
* Case histories illustrate what went wrong, why it went wrong, and then guide readers in how to avoid similar tragedies: learn from the mistakes of others Aimed at safety and loss prevention professionals, this fifth edition presents analysis of the design, operational and managerial causes of process plant accidents and disasters. Case studies are used to illustrate what and why things went wrong, how to learn from others' mistakes and how to avoid similar tragedies "The history of the process industries shows that many incidents are repeated after a lapse of a few years. People move on, and the lessons are forgotten. This book will help keep the memories alive"--Page xix