On June 5, 2006 there was a fatal explosion at a rural oil production field in Raleigh Mississippi. Three contractors died and one contractor suffered serious injuries in an explosion and fire at the Partridge-Raleigh Oilfield. The contractors, all employees of Stringer Oilfield Services, were standing on top of a series of four oil production tanks. They were preparing to weld piping to the tanks when a welding tool likely ignited flammable vapors from the tanks.
Lessons learned or lessons learnt are experiences distilled from a project that should be actively taken into account in future projects.
There are several definitions of the concept. The one used by the National Aeronautics and Space Administration, European Space Agency and Japan Aerospace Exploration Agency sounds as follows: “A lesson learned is knowledge or understanding gained by experience. The experience may be positive, as in a successful test or mission, or negative, as in a mishap or failure...A lesson must be significant in that it has a real or assumed impact on operations; valid in that is factually and technically correct; and applicable in that it identifies a specific design, process, or decision that reduces or eliminates the potential for failures and mishaps, or reinforces a positive result.”
The Development Assistance Committee of the Organisation for Economic Co-operation and Development defines lessons learned as “Generalizations based on evaluation experiences with projects, programs, or policies that abstract from the specific circumstances to broader situations. Frequently, lessons highlight strengths or weaknesses in preparation, design, and implementation that affect performance, outcome, and impact.”
In the practice of the United Nations the concept has been made explicit in the name of their Working Group on Lessons Learned of the Peacebuilding Commission.
In the military field, conducting a Lessons learned analysis requires a leader-led after-actions debriefing. These debriefings require the leader to extend the lessons-learned orientation of the standard after-action review. He uses the event reconstruction approach or has the individuals present their own roles and perceptions of the event, whichever best fits the situation and time available
Work in confined space can be dangerous. In a case study, a surveyor was found dead after he entered a tank on board a barge. Watch this video and learn what went wrong and what should be done to prevent such tragic incidents.
You are having coffee with some of your colleagues discussing and laughing about a mistake another colleague of yours has recently made. You say: "Did you already hear the latest story?" "How could he have done that...?!" "I mean okay, NO BLAME, but this was really too stupid"
Think for a minute, do you have the tendency to react that way? you still think: "If only he had reacted in a different way. And you are convince YOU would have reacted in a different way...." ?
Whilst it is easy to point the finger at somebody else, what if - one day -- the finger is pointed at you...? Would you not want to explain what really happened? To be understood? Because you did your best, it was logic to do it that way? You were right with it!
You can make a difference!
Your hands do what you tell them to do, so put your brain gear before using your hands.
This video is about lessons learned due to non-compliance to HSE measures when working in confine space. Safety procedures must be adhered to at all times. If not the consequences are not desirable
Work in confined space can be dangerous. In a case study, a surveyor was found dead after he entered a tank on board a barge. Watch this video and learn what went wrong and what should be done to prevent such tragic incidents.
A training video for the onshore drilling industry detailing lessons learned from the January 22, 2018, blowout and fire at the Pryor Trust gas well in Pittsburg County, Oklahoma, that fatally injured five workers.
The best technical description of what happened. Many small human errors combined to create the conditions for this tragic accident. We can help www.alertometer.com.
Another quality USCSB production that delivers critical safety data that will ultimately preserve lives. This video allows you to understand what happened, why it happened, how it happened and what could have been done instead.
We hope we are never involved in a crash, but the reality is that many of us will be. Candid Wisconsin teens share their experiences and the lessons they’ve learned as a result. We all share the common goal of supporting safe teen drivers, and these teens’ stories illustrate ways to reduce risks on the road.
The US Chemical Safety Board investigates industrial accidents in the chemical industry, providing analysis that can be used to promote and improve the safety of industrial chemical operations.
The Animation SAFETY video is inspired from true incident
An August 6, 2012, release of flammable vapor led to a fire at the Chevron Refinery in Richmond, California. The CSB released three investigation reports into this incident - an Interim Report, a Regulatory Report and a Final Report.
Three accidents occur over a 33-hour period at the Dupont plant in Belle, WV.
Webinar held by the Chartered Association of Building Engineers and Structural-Safety on learning lessons from structural failures on 13th November 2019.
This presentation from Structural-Safety discusses the importance of learning lessons from structural failures and why these lessons must be re-learned by each generation to prevent similar occurrences happening again. Examples of major safety incidents, such as the collapse of a steel frame building in London and the collapse of a masonry wall at a school in Edinburgh will be discussed.
Nuclear Accidents: Lessons Learned from Three Mile Island, Chernobyl, and Fukushima. Presented by Dr. Brian Sheron, Director (Retired) Office of Nuclear Regulatory Research
In this talk, Dr. Sheron provides a brief description of the three reactors (Three Mile Island, Chernobyl, and Fukushima), and what caused each accident, along with a brief description of the consequences. He concludes with a discussion of a recent analytical study done by the U.S. Nuclear Regulatory Commission that estimates the consequences of a core melt accident at a U.S. nuclear plant, if one were to occur today.
On October 2, 2007, five people were killed and three others injured when a fire erupted 1,000 feet underground in a tunnel at Xcel Energy Company's hydroelectric power plant in Georgetown, Colorado, located approximately 45 miles west of Denver. This CSB safety video explains how the accident occurred.
This series is intended to raise industry awareness of the hazards specific to shipyard work environments. Each video provides accident examinations and discusses factors contributing to the fatalities. Volume 1 covers crane, confined space, and improper use hazards. Volume 2 covers crane hazards, drowning hazards, and OSHA's mission.
Anatomy of a Disaster tells the story of one of the worst industrial accidents in recent U.S. history--the March 23, 2005, explosion at the BP refinery in Texas City, Texas, which killed 15 workers, injured 180 others, and caused billions of dollars in economic losses. The U.S. Chemical Safety Board, an independent federal agency, investigated the accident. The CSB produced this video in March 2008 based on its comprehensive 341-page public report issued in 2007.
The video includes a nine-minute animation detailing the events leading up to the blast
On November 22, 2016, a fire erupted during maintenance activities at the ExxonMobil refinery in Baton Rouge, LA, severely burning four workers.
Parents should discuss with their teens the dangers associated with speeding. Drivers must slow down. They are responsible for the safety of anyone in that vehicle. Passengers need to "speak up" when they feel uncomfortable in a vehicle. Life can change in an instant. There are no second chances. SPEED KILLS!
Safety is always our number one priority for our contractors and BHP employees. Adrian shared an important lesson from a light vehicle accident he had on the open road in the Pilbara, at a contractor safety forum we held last week. It’s an important lesson and reminder to always be vigilant.