Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont.

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Increasing Likelihood

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Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont or its affiliates. Developing a pattern of incidents to project potential catastrophic incidents May 2011

Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont or its affiliates. 2 Use an incident from the client and get leadership to brainstorm on what could have become catastrophic given a different stroke of luck Acetone Spill/Fire If MCC had caught fire

Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont or its affiliates. 3 Identify a pattern of similar incidents to present a systemic risk issue 1.xx.08.10Fire due to static while shifting IPA in carboys 2.xx.09.10Fire due to static while shifting acetone in carboys 3.xx Spill of flammable materials while sifting in containers 4.xx Fire due to acetone leaks from pump. 5.xx.03.11Fire due to acetone leak from drum Address as risk – not as an incident

Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont or its affiliates. 4 How we allow incidents to become catastrophic People risks Observable behaviour Man-Machine Risks Unseen behaviour Integrity Risks Understanding assets Reactive Catastrophic Incident Multiple fatality Near Miss Major Incident Loss Incident Fatality Serious Injury First-aid Incident Unsafe Acts and Conditions BehaviorProcess Safety Preventative Assess the effort to eliminate both behavioural and process safety hazards

Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont or its affiliates. 5 Corporate financial ratios go into red, creating financing issues Open market value falls Bad reputation, delay in project, increased capital costs and delay in new revenue stream Direct consequence of accident immediately Accident: fatalities or property damage by fire How Incidents Can Pose Major Enterprise Risks

Copyright © 2011 DuPont. All rights reserved. The DuPont Oval Logo, DuPont™, and The miracles of science™ are registered trademarks or trademarks of DuPont or its affiliates. 6