6. Cover important past accidents in training undergraduates and company employees.
7. Keep a folder of old accident reports in every control room. Make it compulsory reading for recruits; others should look through it from time to time.
8. Read more books, which tell us what’s old, as well as magazines, which tell us what’s new.
9. When downsizing, make sure remaining employees at all levels have adequate knowledge and experience.
10. Devise better retrieval systems so that we can find details of past accidents more easily. Staff members should review all published or privately circulated reports; any relevant information they contain should be placed in a searchable database.
Trevor A. Kletz is visiting professor in the Department of Chemical Engineering at Loughborough University, Loughborough, U.K., and an adjunct professor at Texas A&M, College Station, Texas. The fifth edition of his book “What Went Wrong: Case Histories of Process Plant Disasters and How They Could Have Been Avoided” has just been published (see www.ChemicalProcessing.com/articles/2009/148.html). E-mail him at T.Kletz@lboro.ac.uk.
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6. Dawson, D. M. and J. B. Brooks, “The Esso Longford Gas Plant Explosion,” report of Royal Commission, State of Victoria, Australia (1999).