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Nebosh Process Safety Management
Nebosh Process Safety Management
Regulation implemented:
- Introduction of Safety cases regulations 2005 for offshore installation
- Regulatory control of offshore installations was taken over by the health and safety executive (HSE) in 1991.
Lesson learned :
1. Management of change (design issues);
2. Personal safety over process safety (fire water pumps on manual start to protect divers);
3. Permit to work and isolation for maintenance (pump re-started before maintenance complete);
- Formal inquiry found a number of technical or organisational failures.Maintenance error that eventually led to the leak was the result of
inexperience, poor maintenance procedures and poor learning by the organization. There was a breakdown in communications and the permit to
work system at shift changeover and safety procedures were not practised sufficienly.