Abstract

Investigation of major accidents, breakdowns and other unforeseen events involving hazardous substances is one of the most important tools for the efficient and effective development of safety management systems. This should be encountered in any management system operated by businesses, either as a specification of the used standard or as a description of various guidelines. These regulations apply to accidents, major accidents, and malfunctions involving the release of hazardous substances. However, they do not refer to the investigation of events outside a normal operation that do not involve the discharge of hazardous substances. It is, therefore, necessary to investigate incidents thoroughly and logically in order to prevent the occurrence of similar incidents and to provide lessons that will develop the further safety-conscious activities of employees.

Highlights

  • Due to their activities, hazardous industrial plants always mean some risk to their environment, as potential accidents can mean different types of hazards to human life and health

  • Incident investigation should play an important role in the safety management system so that lessons learned from all incidents that have occurred and are investigated can be incorporated into the system, avoiding its repetition and increasing the level of technological safety

  • An incident investigation can be considered successful by a company if the root causes are identified and action is taken on them, but as new, identified risks are included in the assessed and managed risks

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Summary

INTRODUCTION

Hazardous industrial plants always mean some risk to their environment, as potential accidents can mean different types of hazards to human life and health. Companies must be prepared to deal with deviations from normal operation and the possible release of hazardous substances. They must have procedures in place to minimize damage and the necessary protection infrastructure. These companies have to be more expected to guarantee a high level of safety for their environment. As a result of operator errors and human omissions, a large number of technological events occur outside of serious events, without the aforementioned serious consequences This is precisely why human behavior and the issue of responsibility need to be addressed in more detail in the investigation of incidents. That it is not for the sake of accountability, but for the purpose of prevention, to develop a safety culture. (Mearns, 2017; Jazayeri, 2017)

CONSIDERATION OF HUMAN FACTORS
Improper Activities
Omission and commission
INCIDENT PREVENTION OPPORTUNITIES
IMPROVING INCIDENT INVESTIGATION
Drawing conclusions
METHODOLOGICAL DEVELOPMENT OF EVENT INVESTIGATION
Findings
CONCLUSION
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