Incident Description
A mechanical explosion due to loss of control of a chemical reaction
Office Incident
- Deficiency in qualification and training of workers
- Weak operational supervision and oversight
- Absence of emergency plans and approved procedures
- Reliance on inaccurate estimates and manual intervention in abnormal conditions
Al Harjah
Procedures Corrective
- Conducting periodic training and qualification programs for workers
- Strengthening field supervision and oversight
- Preventing immediate interventions on systems and equipment
- Connecting inspection and periodic maintenance plans and procedures for equipment
- Developing and implementing comprehensive emergency plans for the plant including: evacuation response
Different etc.andEdith
- Developing design and operational standards for equipment and production plans
Lessons Learned
- Periodic inspection and maintenance of equipment to ensure operational safety and continuity
andAccording to Instructions Authority LysNo. andProtection OF Burning (SAIS SAF-02 & 04)
- The necessity of continuously training and qualifying facility workers to raise the level of
Competence andReadiness andAccording to Instructions Authority LysNo. andProtection OF Burning (SAIS SAF-02 & 25)
- The importance of strengthening field supervision and oversight to ensure compliance
With actions -Hello? -Hi, Alice?No. and "Operation", andAccording to Instructions Authority LysNo. andProtection OF Burning (SAIS SAF-02 & 13)
- Preventing unauthorized manual interventions on systems and equipment,
andandAccording to Instructions Authority LysNo. andProtection OF Burning (SAIS SAF-13)
- The necessity of preparing and implementing comprehensive emergency plans including: immediate response,
organized evacuation, and providing necessary first aid for all types of incidents and equipment, in accordance with the Authority's Safety and Fire Protection Instructions (SAIS SAF-20)
