The Buncefield explosion occurred when a gasoline storage tank overfilled after both its level gauge and independent high-level switch failed. Gasoline vapor formed a massive cloud that ignited, causing significant damage to surrounding business parks. Fortunately, the Sunday morning timing prevented fatalities, though 43 injuries occurred. The incident revealed critical gaps in safety control verification, testing procedures, and maintenance regimes. Twenty years later, the disaster emphasizes the importance of recognizing weak signals, maintaining bund integrity, and ensuring operators actively monitor tank filling operations rather than relying solely on automated systems.

In this episode, Trish Kerin reads her most recent column, which highlights the importance of immediate communication in safety situations, even when complete information isn't yet available to share.

You can read the column here.

Trevor Kletz revolutionized process safety through HAZOP advocacy, inherent safety principles, learning from accidents, and emphasizing design simplification over complex add-ons. In this episode, Trish & Traci discuss his many contributions to the world of process safety.

When OSHA's Process Safety Management (PSM) standard took effect in 1992, it promised a new era of systematic hazard identification. Three decades later, process safety professionals are still witnessing the same critical oversights repeatedly compromising facility safety—oversights that have contributed to near misses, and far worse, major incidents.

Editor-in-Chief Traci Purdum reads an article from Felicia Miller, senior principal engineer at ABSG Consulting and Darshankumar Lakhani, senior manager in engineering at ABSG.

Original article: https://www.chemicalprocessing.com/safety-security/risk-assessment/article/55311485/hidden-hazards-10-common-pha-oversights

This episode explores the critical role of equipment reliability in chemical processing, focusing on three major incidents: Longford, BP Texas City and Buncefield. Trish highlights how faulty instrumentation, poor maintenance and overlooked management of change led to catastrophic failures, fatalities and environmental impacts. The discussion emphasizes safety-critical elements, maintenance KPIs and the importance of accurate instrumentation.

Workers who challenge flawed procedures can improve safety and production. In this episode, Trish Kerin reads her latest column, which details how a trip to Tasmania with her sister turned getting lost into a process safety lesson of not blindly following procedures.

Enjoy as our favorite Australian safety guru guides you through the Bass Strait to Cataract Gorge.

In this episode, Trish Kerin and Traci Purdum discuss process safety insights with Alex Fernando and Warren Smith from Incident Analytics. Their research analyzed over 10,000 incidents across 12 countries and multiple high-risk industries.

Key findings include that organizations often misclassify serious incidents, missing critical learning opportunities. Many safety controls are "difficult" or "unworkable" in practice, with workers adapting procedures to get jobs done despite inadequate equipment or impractical requirements. The research reveals a significant gap between "work as imagined" and "work as done."

A fundamental shift in leadership thinking needs to take place — from asking "why didn't they follow the procedure?" to "why couldn't they follow the procedure?"

References:

Whitepaper 1

Whitepaper 2

This episode revisits the critical topic of permit-to-work systems, exploring how these systems manage the safe transfer of equipment ownership between operations and maintenance teams. Trish & Traci discuss key elements, different permit types, common failures, and the tragic Piper Alpha disaster.