What Went Wrong? (6th Ed.)
Case Histories of Process Plant Disasters and How They Could Have Been Avoided

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Language: Anglais
Cover of the book What Went Wrong?

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700 p. · 15.2x22.9 cm · Hardback

What Went Wrong- And Is Still Going Wrong? 6th Edition is the latest edition of Trevor Kletz?s well-known book What Went Wrong? The comprehensive case history structure, editorial comments, and illustrations make this book a must-have for any professional in the chemical or process engineering industry. The content includes a complete analysis of the design, operational and managerial causes of process plant accidents and disasters, plus their aftermaths.

The new authors Prof Amyotte and Mr Lockwood have built on Kletz?s legacy by adding in questions and personal exercises at the end of each chapter. They have added new case studies related to: key process safety concepts such as inherently safer design, safety culture and recognition of warning signs, and key process safety management system elements such as management of change.

The new edition explicitly relates the technical causes of process incidents to management system deficiencies. It now covers Buncefield, Macondo and Texas City as well as Bhopal under inherent safety. Case histories illustrate what went wrong, why it went wrong, and then guides readers in how to avoid similar tragedies and learn from the mistakes of others. Updated throughout and expanded, this sixth edition is the ultimate resource of experienced based anaylsis and guidance for safety and loss prevention professionals.



  • 20% new material, updating of existing content with parts A and B now combined
  • Case studies incorporating Safety Instrumented Systems terminology and information
  • Biological hazard case histories and examples of recent incidents

Preparation for maintenance Modifications Accidents caused by human error Labeling Storage tanks Stacks Leaks Liquefied flammable gases Pipe and vessel failures Other equipment Entry to vessels Hazards of common materials Tank trucks and cars Testing of trips and other protective systems Static electricity Materials of construction Operating methods Reverse flow and other unforeseen deviations I didn't know that Problems with computer control Inherently safer design Reactions-planned and unplanned Part 2 How Could Disasters Have Been Avoided? Maintenance Entry into confined spaces Changes to processes and plants Changes in organization Changing procedures instead of designs Materials of construction (including insulation) and corrosion Operating methods Explosions Poor communication Control Leaks Reactions - planned and unplanned Both design and operations could have been better Accidents in other industries Accident investigation - Missed opportunities

Safety and loss prevention engineers and managers, process and plant designers, in all chemical, petroleum and process industry sectors.
Since 2011 Dr. Paul Amyotte, P.Eng. has held the C.D. Howe Chair in Process Safety at Dalhousie University, where he is also a Professor of Chemical Engineering. Dr. Amyotte’s research and practice interests are in industrial safety and loss management, particularly in the areas of process safety and inherently safer design (ISD). He is an expert in the prevention and mitigation of dust explosions. He has written a book with us entitled An Introduction to Dust Explosions, and wrote the second edition of Process Plants: A Handbook for Inherently Safer Design in conjunction with Trevor Kletz.

He has published or presented approximately 300 research papers, and is the editor of the Journal of Loss Prevention in the Process Industries. He is also a Past-President of the Canadian Society for Chemical Engineering, Engineers Nova Scotia, and Engineers Canada. Dr. Amyotte leads a comprehensive research team of undergraduate and graduate students as well as postdoctoral fellows working to advance process safety practice worldwide.
Trevor Kletz, OBE, D.Sc., F.Eng. (1922-2013), was a process safety consultant, and published more than a hundred papers and nine books on loss prevention and process safety, including most recently Lessons From Disaster: How Organizations Have No Memory and Accidents Recur and Computer Control and Human Error. He worked thirty-eight years with Imperial Chemical Industries Ltd., where he served as a production manager and safety adviser in the petrochemical division, also holding membership in the Department of Chemical Engineering at Loughborough University, Leicestershire, England. He most recently served as senior visiting research fellow at Loughborough University, and adjunct professor at the Mary Kay O’Connor Process Safety Center, Texas A&M University.