Engineering is a bold discipline. Engineers are constantly reaching for new
heights, searching for new materials and greater efficiency. Unfortunately
, part of that process means we occasionally exceed known boundaries. It is
regrettable, but it would appear that human nature requires that we learn
the hard way. While this is an obviously painful process, we can learn more
from our few mistakes than from our many successes Our many successes may
contain flaws that are never revealed under normal conditions, and we may g
o an repeating them over and over. It is only when expected conditions are
exceeded, and failure is the result that we learn where we went wrong [12].
Valuable lessons can be learned from failures, and then are plenty of examp
les from industry in general as well as specific details regarding failures
of safety control systems. For example, the UK HSE (Health and Safety Exec
utive) issued a publication in 1995 [2] that reviewed 34 accidents that wer
e directly caused by control and safety system failures. The HSE published
the reviews so that engineers could learn from and hopefully not repeat the
mistakes discussed in the book. The IEC and ISA standards on this subject
as well as the CCPS Guidelines, are based upon a "Safety Life Cycle" which
is a set of steps one should go through in the overall design process in an
effort to ensure that nothing falls through the cracks.
A responsible engineers, we should not have to learn the hard way Plants ha
ve became tao large and the risks have become too great for us to learn by
mere trial and error. Because we cannot do a recall on all refineries we ne
ed to get things right the first time. We can, however; learn from the mist
akes of others without re-inventing the wheel or operating in isolation.