Abstract Multiple factors influence chemical process design and technology selection, including technical, economic, environmental, and safety considerations. Traditionally, a techno-economic analysis has been used to select a base case design, while safety and environmental impact have been subsequently assessed. This may leave out designs that exhibit better environmental and safety performance than the selected base case at a very early stage of design, where abundant opportunities for incorporating these objectives are present. Furthermore, although safety is an integral part of the overall sustainability of a chemical plant, historically it has been addressed separately from sustainability. Thus, there is a growing awareness for simultaneous consideration of these objectives during the conceptual process design phase of a project in order to select the most sustainable process route. The key to an effective sustainability assessment method for selecting the most sustainable process route involves the parsimonious selection of adequate metrics which define the sustainability profile of the process and an integrated multi-criteria decision-making (MCDM) framework. In this context, this work investigates gaps in conceptual process design and existing sustainability assessment methods through a review of existing environmental impact and safety assessment methodologies/tools. A possible workflow that incorporates both safety and environmental impact in a holistic multi-criterion decision-making framework (MCDM) has been proposed to select the most sustainable process route. The use of this framework is illustrated through a simple case study involving assessing solvent alternatives for palm oil recovery to highlight the scope and significance of the proposed framework.