I need help with writing a report about a chemical plant incident

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HazardReviewMatrix-Team2.xlsx

DCCP Matrix

Process Deviation Cause Consequence and Prevention Matrix
Process or Product Name: Methylcyclopentadienyl Manganese Tricarbonyl (MCMT) Production Prepared by: Team 2: Ali Alenezi, Megan Blevins, Reed Boeger, Abigail Doyle
Responsible: Cooling System Point Failure Process D&C Date (Orig) _____ (Rev) _____________
Process Step / Input Potential Deviation Potential Causes Potential Consequence Current Preventive Measures Freq. Of Occurance (1,2,3,4) Consequence (1,2,3,4) Recommended Preventive Measures (Where Applicable)
What step, equipment, pipe, etc. List all deviations for the given process step in order to determine best prevention methods in place and needed. What (list all) could cause the specific deviation? Impact to employees, equipment, product Existing Controls in place to prevent deviation? What else can or should be put in place to prevent deviation? (If the current system is inadequate.)
Cooling Water System Insufficient Cooling water supply valve failure, water drain valve None: no redundency
Metalation/Reactor Runaway Reaction Contamination, Concentration mistakes
cooling system cooling system failure failed pump, fluid leak, fouling,
Metalation/Reactor pressure improper vent size,  improper rupture disk rating
Process-Scale Up pressure valve not sized correctly, hydrogen scale up not calculated. Never increased rupture disk size, hydrogen ignited. Primary cause rupture of big vessel[notes]

Sheet &P of &N