Analysis of Safety-Related Incidents Reported at a Major North American Petrochemical Processing Facility between 2016 and 2020

IF 3.4
A. Dana Ménard*,  and , John F. Trant*, 
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Abstract

Chemistry is a potentially dangerous enterprise. Major incidents in academic and industrial settings are commonly used in the form of case studies to suggest lessons and inspire change; however, a truism of safety studies is that major incidents often arise from the same causes as those that previously caused minor events that remained unaddressed. However, major events make up only a very small percentage of the events that could, with multiple failures, lead to the adverse outcomes. In this study, we examined 258 routine safety incidents reported between 2016 and 2020 at a major petrochemical processing facility site in North America. Restricting the analysis to incidents that included both chemicals and human error reduced the sample to 75 incidents that were categorized via quantitative content analysis. Findings showed a significant effect of day of the week; most incidents involved mid-operation errors and related to administrative issues. Findings highlight a culture of reporting even superficially minor incidents, which may lead to improved safety-implementation policies that could help prevent major incidents from occurring. We propose a crude measure to determine the rigor of a reporting culture: the incident severity reporting threshold index, the ratio between the number of incidents involving injuries, and the total number of reported incidents. We strongly suggest that the severity threshold for reporting be lowered so as to address hazards and emergent risks before they have an opportunity to become dangerous. The implications of incident reporting and safety in industry are considered in relation to academic settings.

Abstract Image

2016年至2020年北美一家大型石化加工厂报告的安全相关事故分析
化学是一项有潜在危险的事业。学术和工业环境中的重大事件通常以案例研究的形式来提出教训并激发变革;然而,安全研究的一个不言自明的事实是,重大事故的发生往往与之前导致未解决的小事件的原因相同。然而,重大事件只占可能导致不利结果的事件的很小比例,其中包含多个失败。在这项研究中,我们研究了2016年至2020年间北美一家大型石化加工厂报告的258起常规安全事故。将分析限制在包括化学品和人为错误的事件上,通过定量内容分析将样本减少到75个事件。研究结果显示,一周中的哪一天对睡眠有显著影响;大多数事故涉及操作过程中的错误,并与管理问题有关。调查结果强调了一种即使是表面上的小事故也要报告的文化,这可能会导致安全实施政策的改进,从而有助于防止重大事故的发生。我们提出了一种粗略的方法来确定报告文化的严谨性:事件严重性报告阈值指数,涉及伤害的事件数量与报告事件总数之间的比率。我们强烈建议降低报告的严重程度阈值,以便在危险和紧急风险有机会变得危险之前解决它们。事故报告和工业安全的影响被认为与学术环境有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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