Report accident

When preparing an accident investigation report, use the analysis results to make specific and constructive recommendations. Never make general reconunendations just to save time and effort. Use previously drafted sequence of events to describe what happened. Photographs and diagrams may save many words of description. Identify clearly if evidence is based on facts, eyewitness accounts. 

Individual accident reports, sometimes referred to as Form 45s, employee accidents reports, or supervisor accident reports, should be filled out for every accident. Each state typically has workers compensation guidelines that require reporting any work-related injury within a certain time frame. If your organization has not been keeping these records, you can expect a variety of things to happen. First, you will probably get bills from hospital emergency rooms for treatment for 

Your company must ensure that all injured workers report their injuries immediately (or within acceptable time frames) and that persons such as front-line supervisors ensure that documentation of the incident is submitted in the proper time frame. K and when work-related accidents occur (and I hope that your safety culture is so well developed that you have zero accidents), prompt reporting and documentation must be required. 

The person(s) who is attempting to determine safety culture development should review all of the individual accident report forms. During this review, any shortcomings or needs for improvement should be noted. For instance, if these reports are incomplete or filed late, a determination needs to be made about why this has happened. The result could include policy adjustments or other corrective action. 

Inadequacies noted on accident forms are an indication that the safety culture is in need of further development. Although we are aiming toward zero incidents, if an incident occurs, we must act swiftly and decisively. This includes the proper filing of forms or documentation. 

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When reading an accident report, look for the things that are not said. For example, a gland leak on a liquefied flammable gas pump caught fire and caused considerable damage. The report drew atten-... 

Drogaris, G. 1993. Major Accident Reporting System Lessons Learned from Accidents Notified. Elesevier Science Publishers,B.V., Amsterdam. 

The accident reporting procedure should be more than reporting of equipment damage for insurance purposes. The report should show appropriate action taken to prevent a recurrence. 

When I retired from industry one of my first tasks was to sort the many accident reports I had collected. The thickest folder by far was one labeled Preparation For Maintenance. Some of the incidents from that folder, together with more recent ones, are described above. 

The blowdown valves on the boilers were operated by a special key, which had a lug on it so that it could not be removed when the valve was open. It was therefore impossible, in theory, for two blowdown valves to be open at the same time. However, the boiler fitter kept and jealously guarded a private key w ithout a lug and had used this one to open the blowdown valve on the boiler that was under repair. He forgot to tell the process foreman what he had done or to close the valve. The presence of this key would appear to have been of little moment as long as the correct procedure of complete isolation was maintained, but as soon as it was departed from, the additional key became a menace, which eventually enabled the present tragedy to occur, the accident report said. 

Many people s reaction would have been that this is another of those accidents that we can do nothing about, another occasion when "man told to take more care appears on the accident report. 

The fifth reason is that nothing else has the same impact as an accident report. If we read an article that tells us to check modifications, we agree and forget. If we read the reports in Chapter 2, we are more likely to remember. 

If your employers will not let you publish an accident report under your own name, perhaps they will let you send it to a journal that will publish it anonymously, for example, the Loss Prevention Bulletin (see Recommended Reading), or perhaps they will let you publish details of the action you took as a result. This may not have the same impact as the report, but it is a lot better than nothing (see Section 8.1.5). 

For the third edition, I added sections or chapters on heat exchangers, furnaces, inherently safer design, and runaway reactions, and extended many other chapters. Although I have read many accident reports since the first edition appeared, most have merely reinforced the messages of the book, and I added only those incidents that tell us something new. 

A National Transportation Safety Board Railroad Accident Report (1973) describes the accident which occurred in a shunting yard in East St. Louis, Illinois. Arriving cars are classified in the yard, then delivered to outbound carriers. On arrival, cars are inspected. They are then pushed up a mound, uncoupled, and allowed to roll down a descending grade onto one of the classification tracks. This process is called humping. Cars are directed and controlled by a computerized switching and speed-control system. 

National Transportation Safety Board. 1971. Highway Accident Report Liquefied Oxygen tank truck explosion followed by fires in Brooklyn, New York, May 30, 1970. NTSB-HAR-71-6. 

National Transportation Safety Board. 1972. Railroad Accident Report—Derailment of Toledo, Peoria and Western Railroad Company s Train No. 20 with Resultant Fire and Tank Car Ruptures, Crescent City, Illinois, June 21, 1970. NTSB-RAR-72-2. 

National Transportation Safety Board. 1973. Highway Accident Report—Propane Tractor-Semitrailer overturn and fire, U.S. Route 501, Lynchburg, Virginia, March 9, 1972. NTSB-HAR-73-3. 

National Transportation Safety Board. 1973. Railroad Accident Report—Hazardous materials railroad accident in the Alton and Southern Gateway Yard in East St. Louis, Dlinois, January 22, 1972. NTSB-RAR-73-1. 

National Transportation Safety Board. 1979. Pipeline Accident report—Mid-America Pipeline System—Liquefied petroleum gas pipeline rupture and fire, Donnellson, Iowa, August 4, 1978. NTSB-Report NTSB-PAR-79-1. 

National Transportation Safety Board. 1972. Pipeline Accident Report, Phillips Pipe Line Company propane gas explosion, Franklin County, MO, December 9, 1970. National Transportation Safety Board, Washington, DC, Report No. NTSB-PAR-72-1. 

The accident reportedly killed 31 people, injured 299 others, and caused tlic evacuation of 135,000 from the site. The full extent of tlie damage from tliis incident probably will not be known for years. It is tlie long-term effects from exposure to radiation that frighten most people, and tliese fears may still become a horrible reality. 

Management must institute procedures to assess levels of compliance with agreed standards for safety. Techniques include environmental and/or biological monitoring, health surveillance, safety audits, safety inspections, and procedures for accident reporting, investigation and analysis. Communication is essential, e.g. by provision of information (on specific chemicals, processes, etc.), safety meetings, notices, safety bulletins etc. 

Common observation and accident reporte often refer to molecules with these bonds, but especially the first eight in the list. Carbon-metal bonds are to be added to this list, in particular the ones involving transition metals. 

There are only a few accidents reported which involve cobalt and its derivatives. The reason must be because compounds of this metal are hardly ever used. The accidents described are similar to the previously mentioned analogous transition metals. 

There are only a few accidents reported involving this metal and its derivartives. 

Molybdenum sulphide, like any sulphide, reacts violently with oxidants. There was an accident reported describing a molybdenum sulphide/potassium nitrate mixture, which detonated. 

Except with nitric acid, most dangerous reactions are those of alcohols with perchloric acid or its salts (that can form acid). All accidents reported are caused by the formation of highly unstable organic perchlorates. 

Common accidents reported as a result of interaction between metals and halogen derivatives... 

Command post Supervision of all field operations and field teams Maintenance of communications, including emergency lines of communication Recordkeeping, including - Accident reports - Chain-of-custody records - Daily logbooks - Manifest directories and orders - Personnel training records - Site inventories... 

Source After Zalosh, R.G. and Short T.P., Compilation and Analysis of Hydrogen Accident Reports, COO-4442-4, Factory Mutual Research Corp., Norwood, OH, 1978. 

Identify the initiation, propagation, and termination steps for the following accident reports.14 Suggest ways to prevent and contain the accidents. 

What facts should a near-miss accident report include Compare your answer to CCPS s (1992, p. 240). 

Most factors affecting inherent safety are quite straightforward to estimate since they are e.g. based on the physical and chemical properties of the compounds present. An inherently safe process structure is not possible to define by explicit rules, but one has to rely on standards, recommendations and accident reports. This information is based on the experience gained in the operation practice of different processes (Lees, 1996). For example accident reports, which are made after accidents, give valuable information of the possible weaknesses in the different process solutions. Also extensive databases have been collected from accident reports (Anon, 1996). From this data a database of good and bad designs can be collected. 

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