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6.

FAILING SAFETY SYSTEMS


WHAT HAPPENED
When a last line of defence is not working severe incidents happen.

1.Bhopal 3. Ski-lift Italy


Flare was not working Emergency break was bypassed
(this was known) (on purpose)

2. Chernobyl 4. Macondo oil rig


Emergency stop did not work Blow-out preventor failed
(design flaws were known)

ASPECTS
A solid last line of defence, like SIL rated interlocks, Pressure relieve devices
and Passive barriers, are essential for scenario’s that involve multiple fatalities.
Assure high reliability by a good design, preventive maintenance and regular
testing.

A LAST LINE OF DEFENCE, THAT PREVENTS MULTIPLE FATALITIES,


HAS TO WORK

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