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                              90        Serious Incident Prevention



                              chemical facility responsible for loading and properly securing chemical
                              tank cars for shipment. The loading and securement process must be care-
                              fully performed to minimize the probability of product releases during
                              transport. Let’s assume the operators responsible for loading and securing
                              tank cars comprise a chemical loading and shipping team. The team’s goals
                              include zero releases resulting from improper securement or condition of
                              chemical tank car shipments.
                                  In working toward leak-free rail shipments, the chemical loading and
                              shipping team takes the same approach as utilized to improve results in
                              other key performance areas. The team’s focus is on development of an im-
                              proved process—a more effective process for tank car inspection and se-
                              curement. To fully understand significant risks that must be controlled, the
                              team evaluates potential scenarios and causes that can lead to chemical re-
                              leases from tank cars. The team’s objective is to drive transportation inci-
                              dents, controllable by the team, to zero by identifying and executing the
                              work critical to ensuring leak-free tank car shipments.
                                  Worn manway gaskets have been the most common cause of past leaks
                              from cars loaded by the team. However, the team recognizes that their inci-
                              dent prevention efforts must be broad enough to address what can occur
                              rather than limited to what has occurred. For additional information on po-
                              tential causes of incidents, the team consults with the  Association of




                                          Manway

                                 Other Causes/Unknown

                                       Rupture Disc
                                    Other Top Fittings

                                      Bottom Fittings

                                    Safety Relief Valve

                                        Liquid Line

                                       Shell or Head
                                               0        50      100      150      200      250

                                                   Number of Incidents - 1997

                              FIGURE 8-3. Sources of tank car nonaccident releases, United States, 1997
                              (from Transportation Technology Center Inc.). 6
   107   108   109   110   111   112   113   114   115   116   117