Catastropic rupture Heat exchanger Tesoro Anacortes

Accident Description of An explosion and fire that led to the fatal injury of seven employees when a nearly forty-year-old heat exchanger catastrophically failed during a maintenance operation to switch a process stream between two parallel banks of exchangers at the Tesoro refinery in Anacortes, Washington, USA.

Duiding score:

Duiding:

Wat zijn relevante lessen van anderen?

Doelgroep(en):

  • Anders
  • Beleidsmakers
  • HSE managers
  • Maintenance managers
  • Onderwijsgevers
  • Operatie managers
  • Operationeel leiderschap
  • Site managers
  • Strategisch leiderschap
  • Tactisch leiderschap
  • Toezichthouders

Risicothema:

  • Risk | Control | Assurance - nieuwe risico's
Categorie Uitgever Maker Taal

Incident onderzoek

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Chemical Safety Board (CSB)

English