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PROJECTS

Lessons learnt from Accidents – 2009

  • Number: 2009/01
  • Status: Finalised
  • Period: 2009
  • Lead Country: France

  • Project team countries:
    Please see project report.

  • Participating countries:
    Please see project report.

Executive Summary

The collection of the accidents and their analysis is necessary in order to prevent new accidents from occurring again. As a consequence, it is necessary for inspectors to have illustrations of accidents situations, in order to understand what happened actually and what measures were finally taken in such situations. During the seminar each presentation was carried out by an inspector concerned by the accident – technical description of the accident, the effects, the measures taken, the systems or material that failed, the organisational aspects and particularly the lessons learnt from the accident. The different levels of the accidents were investigated and presented, technical but also judicial or organizational approaches may be carried out. A glance on the regulations in force was also possible. Apart from the presentations, time was left for exchanges of points of view. The aim was the enrichment of the knowledge for the participants based both on the discussions and the presentations.



Project description

This seminar  took place on 3-4 June, 2009 in Paris (France): 19 countries involved, including France – registration of 270 persons including 44 participants coming from EU countries apart from France including Turkey and Croatia – presentations of 21 recent accidents.

Various kinds of recent accidents concerning different fields were presented : e.g. 3 accidents in refineries, major release of oil in a tank farm in Ambes in 2007 in France, major mercury release in Belgium in 2008, blaze at an ethylene pipeline and a nearby acrylonitrile tank in Germany in 2008, fire and explosion of ammonia synthesis gas in 2006 in the UK, transboundary pollution in Latvia, leakage of a hydrogen-pipeline in the Netherlands …

A few topics were emphasized during the seminar: ageing of industrial facilities, communicating under difficult circumstances, accidents with transboundary effects, domino effects, gas distribution pipelines and the effect of water pollution by hydrocarbons.

Final report - Lessons learnt from Accidents 2009