Make the first three incident-investigation decisions after a chemical manufacturing near miss.
Near miss The transfer hose jumped, no one was injured, and there was no release. The damaged restraint and alarm history are still available tonight. The first response determines whether the investigation has facts or memories. Investigation discipline Preserve -> Start -> Explain -> Close A credible process-safety near miss should be investigated promptly, with evidence preserved and contributing factors traced beyond the last action. Shortcut Replace the hose, remind operators, and move on. The near miss changes the system before it becomes a release. Investigate what could have happened, not only what did happen. 01 Preserve 02 Team 03…
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