Trevor Kletz, OBE, [...]., [...]. (1922-2013), was a process safety consultant, and published more than a hundred papers and nine books on loss prevention and process safety, including most recently Lessons From Disaster: How Organizations Have No Memory and Accidents Recur and Computer Control and Human Error. He worked thirty-eight years with Imperial Chemical Industries Ltd., where he served as a production manager and safety adviser in the petrochemical division, also holding membership in the Department of Chemical Engineering at Loughborough University, Leicestershire, England. He most recently served as senior visiting research fellow at Loughborough University, and adjunct professor at the Mary Kay O'Connor Process Safety Center, Texas A&M University.

INTRODUCTION1. Case Histories and Their Use in Enhancing Process Safety Knowledge
2. Bhopal
3. Opportunities for Reflection MAINTENANCE AND OPERATIONS4. Maintenance: Preparation and Performance
5. Operating Methods
6. Entry to Vessels and Other Confined Spaces
7. Accidents Said to Be Due to Human Error
8. Labeling
9. Testing of Trips and Other Protective Systems
10. Opportunities for Reflection EQUIPMENT AND MATERIALS OF CONSTRUCTION11. Storage Tanks
12. Stacks
13. Pipes and Vessels
14. Tank Trucks and Tank Cars
15. Other Equipment
16. Materials of Construction
17. Opportunities for Reflection HAZARDS AND LOSS OF CONTAINMENT 18. Leaks
19. Liquefied Flammable Gases
20. Hazards of Common Materials
21. Static Electricity
22. Reactions - Planned and Unplanned
23. Explosions
24. Opportunities for Reflection KNOWLEDGE AND COMMUNICATION26. Poor Communication
27. Accidents in Other Industries
28. Accident Investigation - Missed Opportunities
29. Opportunities for Reflection DESIGN AND MODIFICATIONS30. Inherently Safer Design
31. Changing Procedures Instead of Designs
32. Both Design and Operations Could Have Been Better
33. Modifications: Changes to Equipment and Processes
34. Modifications: Changes in Organization
35. Reverse Flow, Other Unforeseen Deviations, and Hazop
36. Control
37. Opportunities for Reflection CONCLUSION
38. An Accident That May Have Affected the Future of Process Safety
39. An Accident That Did Not Occur
40. Summary of Lessons Learned APPENDICES1. Relative Frequencies of Incidents
2. Why Should We Publish Accident Reports?
3. Some Tips for Accident Investigators
4. Recommended Reading
5. Afterthoughts