A CONCEPTUAL APPROACH ON LEARNING FROM ACCIDENT BY DIRECT DISSEMINATION OF ACCIDENT INFORMATION INTO PLANT DESIGN
Keywords:
accident, learning from accident, experience feedback, plant design, continuous improvementAbstract
Major accident kept on happening in the chemical process industry (CPI) may due to poor learning causing similar accident recur. It is been claimed that the weakest link of learning from accident is related to poor dissemination of accident information. In this paper, the dissemination parts of learning cycle were improved. A conceptual approach of direct dissemination of accident knowledge into design process is proposed. In the accident information dissemination, the accident knowledge was transformed into statistical data and/or accident ranking which is a major part of hazard identification and risk assessment method/tool. Depending on the type of accident data used, the accident-based method or problem-solving method could be developed through this concept. The concept was successfully applied into chemical plant design and several systematic methods for hazard identification and safer process design life cycle have been published.