This session will share an incident from the summer of 2022 where an RV lifted on a spent acid rail car. Key topics will include the conditions that led to the relief, the response to mitigate the release, and the causal understanding of why the relief occurred. Finally, the discussion will focus on considerations for preventing future similar releases.
Facilitator: Ray Chafin, Pemex Deer Park
Speakers:
Hi Chen, Pemex Deer Park
Ahram Yoon, Pemex Deer Park
In this session, we will discuss in detail the definition of Normalization of Deviance and how it has contributed to major accidents, including both Space Shuttle disasters. Examples will be provided of Normalization of Deviance in operating and maintaining process plants, as well as in our daily lives.
Participants will:
Gain an understanding of how to stop Normalization of Deviance
Learn how to identify and correct this behavior
Take this concept home to apply with their families