A Fatal Cleaning Incident: Familiarity Breeds …

“While devastated at this unimaginable loss, we are so very proud that Ryan died while trying to protect his fellow employees and restaurant patrons.”  — family of Ryan Baldera On November 7, 2019, a restaurant employee in Burlington, Massachusetts was overcome by fumes from a “strong chemical cleaning agent” and died. Thirteen others were taken [...]

By |2019-11-14T17:48:11+00:00November 14th, 2019|Chemicals, Current Events, Workplace Safety|0 Comments

Out of the Blocks: Credit for Human Response

“Fear is often our immediate response to uncertainty.”  — Gabrielle Bernstein In 2001, when the CCPS book, Layer of Protection Analysis: Simplified Process Risk Assessment, “the purple book”, stated that human response is “a relatively weak protection layer” and “less reliable than engineering controls”, many people were willing to accept that piece of conventional wisdom. [...]

Someone Else’s Experience

“Experience: that most brutal of teachers. But you learn, my God do you learn.”  — C.S.Lewis We all learn from experience. When it comes to brutal lessons, though, it is better to learn from someone else’s experience.  In the course of our work, clients have shared some experiences with us that everyone can learn from.  [...]

By |2019-09-26T13:14:16+00:00September 26th, 2019|Process Safety, Workplace Safety|0 Comments

Shelter-in-Place: What the Community Should Know

“By failing to prepare, you are preparing to fail.”  — H.K.Williams On July 18, 2019, two people were injured after a chemical fire broke out at Diamond Chemical Company in East Rutherford, New Jersey.  At least one of the chemicals involved in the fire was chlorine, which is poisonous, especially as a gas.  When it [...]

By |2019-09-05T13:36:34+00:00September 5th, 2019|Chemicals, Process Safety|0 Comments

Notre-Dame Burning: Don’t Wait for the Fire

“If your house were burning down and you could take away one thing, what would it be?”…”I’d take the fire.” — Jean Cocteau, interviewed by André Fraigneau The images of the Notre-Dame de Paris Cathedral burning broke my heart. I am grateful that people and organizations around the world have vowed to contribute to the [...]

By |2019-04-18T13:28:58+00:00April 18th, 2019|Current Events, Workplace Safety|0 Comments

An Incident? Don’t Recommend Training!

“It’s not how we make mistakes, but how we correct them that defines us.”  — Rachel Wolchin One of the most common recommendations made as a result of incident safety investigations is “improved training,” especially when the investigation concludes that the incident was the result of an error. It is not because training is so [...]

Grounding the Max 8: Ignoring Near Misses

“The failure of a layer of protection to prevent an incident is not the initiating cause of the incident.”  The United States just joined much of the world in grounding the Boeing 737 Max 8 and Max 9. The tipping point was not the crash of Indonesian Lion Air Flight 610 into the Java Sea [...]

By |2019-03-14T16:47:23+00:00March 14th, 2019|Current Events, Process Safety|0 Comments

Do You Need a Hero? Emergency Action Plans

“Show me a hero and I’ll write you a tragedy.”  — F. Scott Fitzgerald Being a firefighter is about as safe as any typical job in the United States. Fighting house fires is safer.  Fighting industrial fires, on the other hand, is about as dangerous as the most dangerous jobs that are legal. The Dangers [...]

By |2019-02-14T14:32:40+00:00February 14th, 2019|Chemicals, PHA, Procedures, Training, Workplace Safety|0 Comments

By the Book: Procedure Violations in Incident Investigations

“There is almost no human action or decision that cannot be made to look flawed and less sensible in the misleading light of hindsight.  It is essential that the critic should keep himself constantly aware of that fact.”  — Lord Anthony Hidden One of the insidious effects of hindsight bias is that it puts much [...]

Man Down: Knowing When Someone is Hurt

“If knowledge can create problems, it is not through ignorance that we can solve them.”  Isaac Asimov We recently facilitated a Process Hazard Analysis (PHA) where the question came up, “What if there was a release and an operator was suddenly overcome? How would we know?” The PHA team considered several possible safeguards: rounds, radio [...]