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Hydroxylamine Explosion Case Study


C.J. Kelly (Syracuse University)
J.V. Birtwistle (Risk Reliability and Safety Engineering LLC.)


This product is based on an explosion at Concept Sciences, Inc., which occurred in 1999 and was subsequently investigated by the U.S. Chemical Safety and Hazard Investigation Board (CSB). This package will help students and engineers to:
  • Understand the contributing causes of accidents,
  • Design plants with the appropriate features to prevent accidents,
  • Understand the important concepts relevant to managing a plant to prevent accidents, and
  • Introduce the concept of a hazard and operability study.
A well-known principle relevant to safety is that we are not discovering new ways to have accidents; we are just repeating mistakes of the past. The emphasis of this product is to learn from history or be doomed to repeat it! This introduction to safety features a PowerPoint lecture describing the explosion and introducing the concept of a hazard and operability study. The presentation is based on the CSB's Case Study of the incident. Supporting material included in this product is the CSB’s Case Study, several newspaper articles concerning the explosion, and a brief team exercise on HAZOP analysis.

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  • Design
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