2009 National Oil & Gas Safety Conference Improving Industry - - PowerPoint PPT Presentation
2009 National Oil & Gas Safety Conference Improving Industry - - PowerPoint PPT Presentation
2009 National Oil & Gas Safety Conference Improving Industry Health & Safety Performance Simon Schubach Acting CEO, NOPSA Aug 2009 NOPSAs functions 2 Balanced judgment is required for these functions Investigate Advise
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NOPSA’s functions
Monitor & Enforce Co-operate Investigate Advise Promote
Balanced judgment is required for these functions
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Proactive
27 OHS Inspectors ► 89 Inspections 163 Facilities (68 pipelines)
Reactive
Assessments ~ 220 Accident & DO Notifications ~ 400 Complaints ~ 25 Enforcement
Improvement Notices ~ 40 Prohibition Notices
~ 10
NOPSA Activities 2 0 0 8 -0 9
(Based on current data Jul 2008 – Jun 2009)
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NOPSA focus areas: 2 0 0 9 -2 0 1 0
- Industry safety leadership
- Asset integrity
- Emergency preparedness
- Contractors
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Safety Leadership & Asset I ntegrity
Themed Audits
What is a themed audit?
Company-wide critical examination
- f operator
systems and facilities
To be conducted this year:
- 5 safety leadership audits
- 5 asset integrity audits
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Them ed Audits
Elem ents Safety Leadership Audits
- draw on Baker Panel & Buncefield reports and consider:
- Process safety expectations,
- Communications & visibility,
- Involvement in process safety audits,
- Employee empowerment,
- Resources & positioning,
- Process safety in decision-making
Asset Integrity Audits
- draw on NOPSA FI results and sources such as OGP Asset Integrity question set:
- Facility major incidents & barriers
- Critical equipment
- People & processes
- Projects
- Culture
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W e are VULNERABLE … so be VI GI LANT
21st Anniversary of the Piper Alpha tragedy 6 July 1988
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Texas City Refinery 1 5 Fatalities – March 2 0 0 5
$US ~1 Billion
Victim Compensation
$US ~1 Billion
Renewal Plan
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US Chem ical Safety Board
- Mistakes made in Texas City have their roots in
decisions made by managers, sometimes years earlier
- Safety culture is first and foremost about how
managerial decisions are made
- Are production and cost control being rewarded at
the expense of safety and risk management?
- Recommended BP set up independent panel
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Major Accident Prevention – US CSB
Ask yourself these questions:
- Is it an engineering problem?
- Is it a problem of employee
compliance?
- Is it a matter of corporate policy and
behaviors?
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Baker Report Findings Jan 2 0 0 7 Corporate safety culture
- effective process safety leadership
- perating discipline: no toleration of deviations from safe operating practice
Process safety management systems
- process safety standards & good engineering practices
- translate corporate expectations into process safety criteria
Performance evaluation, corrective action and oversight
- effective root cause analysis of incidents & audits to ensure performance
- senior management oversight of process safety
Pre ve nting pro c e ss ac c idents requires
vigilanc e… Pe o ple c an fo rge t to be
afraid!
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Buncefield Oil Storage Depot
United Kingdom
Dec 2 0 0 5
₤1 Billion
Economic Impact
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Buncefield I nvestigation Findings
- Leadership and Culture
- Collate and communicate data
- high potential incidents
- solutions and control measures
- Undertake thorough root cause investigation
- Share lessons learned and best practices
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Offshore Petroleum I ndustry Health & Safety Perform ance Collected since NOPSA commenced
- Accidents and Dangerous Occurrences
- Planned Inspections
- National Programmes
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MAJOR A + DOs include: Death/serious injury Could cause death/serious injury Fires or explosions Collision marine vessel & facility Hydrocarbon gas release >300 kg Petroleum liquid release >12 500 L
MAJOR Accidents & Dangerous Occurrences
Major Incidents - rolling 12-month totals 10 20 30 40 50 60 70 80 90 100
Jan05- Dec05 Jul05- Jun06 Jan06- Dec06 Jul06- Jun07 Jan07- Dec07 Jul07- Jun08 Jan08- Dec08 Jul08- Jun09 The International Regulators Forum (IRF) has devised a severity rating. ‘Major’ is considered more serious, followed by ‘Significant’.
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SIGNIFICANT Accident & Dangerous Occurrences
SIGNIFICANT A + DOs include: Incapacitation LTI ≥3 days Could cause an LTI ≥3 days Other kind needing immediate investigation Damage to Safety-critical Equipment HC gas release >1-300 kg PL release >80 -12 500 L Well kick >50 barrels Unplanned Event - Implement ERP Significant Incidents - rolling 12-month totals 50 100 150 200 250 300 350
Jan05- Dec05 Jul05- Jun06 Jan06- Dec06 Jul06- Jun07 Jan07- Dec07 Jul07- Jun08 Jan08- Dec08 Jul08- Jun09 The International Regulators Forum (IRF) has devised a severity rating. ‘Major’ is considered more serious, followed by ‘Significant’.
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Accidents & Dangerous Occurrences
Top 5 Root Causes
Data from Jul 2008 – Jun 2009
2 4 6 8 10 12
Preventive Maintenance Procedures - Not Followed Design Specs Design Review Procedures - Wrong
Per cent
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Root Causes
Com parison w ith previous years
2005 2006 2007 2008 YTD 2009 Procedures - Not Followed Preventive Maintenance Preventive Maintenance Preventive Maintenance Procedures - Wrong Preventive Maintenance Procedures - Not Followed Design Specs Procedures - Not Followed Design Specs Design Specs Human Engineering - Machine Interface Procedures - Not Followed Design Specs Preventive Maintenance Work Direction - Preparation Design Specs Procedures - Wrong Equipment / Parts Defective - Handling Equipment - Design Review Other Work Direction - Preparation Equipment - Design Review Procedures - Followed Incorrectly Procedures - Not Followed
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Accidents
Top 5 Root Causes
Data from Jul 2008 – Jun 2009
Top 5 most common Root Causes of Accidents (LTIs and Major Injuries)
2 4 6 8 10 12 14 16 18
Procedures - Followed Incorrectly Procedures - Not Followed Procedures - Wrong Work Direction - Preparation Human Engineering - Work Environment
Per cent
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Comparison with IRF injury rates
(ADI + LTI) Rate ≥1 day
2004 2005 2006 2007 2008
Australian Rate
4.94 6.99 8.35 7.81
IRF Average Rate (Benchmark)*
3.28 3.74 3.68 3.19
IRF Best Rate
2.93 2.23 2.75 2.06
US
Netherlands Netherlands
US
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Hydrocarbon Gas Releases
Num ber per year
Gas Releases 12-month totals
5 10 15 20 25
Jul05-Jun06 Jul06-Jun07 Jul07- Jun08 Jul08- Jun09
Number
Major (>300 kg) Significant (>1 - 300 kg)
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Even taking into account higher levels of activity …
As per IRF guidelines – process-related releases only. i.e. NOPSA Gas Release Rates only include data from the following facility types: Platforms, FPSOs, FSOs, MOPUs
Gas Release Rates
(per 100 Production Facilities per month) 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0
Jan05- Dec05 Jul05- Jun06 Jan06- Dec06 Jul06- Jun07 Jan07- Dec07 Jul07- Jun08 Jan08- Dec08 Jul08- Jun09
Rate
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Com parison w ith I RF gas release rates
Australia Total Rate International Benchmark Total Rate
2005 1.85 3.08 2006 2.73 3.46 2007 3.27 5.16 2008 3.02
not yet available
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Hydrocarbon Gas Releases
Root Causes
Top 5 most common Root Causes of Gas Releases (Jan 2005 - Jun 2009)
5 10 15 20
Preventive Maintenance Design Specs Procedures - Not Followed Design Review Quality Control
Per cent
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Gas Releases per Facility for Production Operators Jan 2005 - Jun 2009
2 4 6 8 10 12
1 2 3 4 5 6 7 8 9 10 11 12
Number
Production Operators
Gas releases per Facility per Operator
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Production Operator # 2
Root Causes
Top 5 Root Causes per Operator #2 for Gas Releases 10 20 30 40 Quality Control Design Review Preventive Maintenance Design Specs Procedures - Not Followed
Per cent
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Production Operator # 3
Root Causes
Top 5 Root Causes for Operator #3 for Gas Releases 5 10 15 20 Preventive Maintenance Procedures - Not Followed Design Specs Procedures - Wrong Management System
Per cent
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Overall Proportion of FI Releases Jan 2005 - Jun 2009 % Other Incidents % FI Incidents
0% 20% 40% 60% 80% 100%
Facility I ntegrity
National Program m es
- NOPSA Inspections
(FI Prompt sheets)
- Analysis of Accident
& Dangerous Occurrences
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FI : I nspection Results by Focus Areas
Percentage Facilities at each FI Expectation Level at Jun 2009
0% 20% 40% 60% 80% 100%
Facility Integrity Mgmt System - Onshore Topsides Maintenance System - Onshore Topsides Maintenance System - Offshore Topsides Process Integrity Topsides Pressure Integrity Topsides Corrosion and Erosion Topsides Structures SmallBore Piping/Tubing, Flexible Hoses
Does not meet FI Expectations Partially meets FI Expectations Meets FI Expectations
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0% 20% 40% 60% 80% 100%
Facility Integrity Mgmt System - Onshore Topsides Maintenance System - Onshore Topsides Maintenance System - Offshore SmallBore Piping/Tubing, Flexible Hoses
Does not meet FI Expectations Partially meets FI Expectations Meets FI Expectations
FI : Focus Area Elem ents that require attention
Audit & Review Compliance with Performance Stds System Test of SCE Field Installation
8 areas, also; process pressure corrosion structures
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Key Findings from National Program m es
- 1. NOPSA Inspections (FI Prompt sheets)
- Backlogs in testing & maintenance of safety critical
elements
- Monitoring, independent auditing and review
- 2. Analysis of Accident & Dangerous Occurrences
- Safety Critical Elements: inadequate testing &
maintenance
- Equipment and Parts Defects
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Parts and Equipment involved in FI Incidents
Hydrocarbon Releases Parts and Equipment Involved Jan 2005 - Jun 2009
5 10 15 20 25 30
V a l v e s / V e n t s P i p e s / T u b e s O t h e r J
- i
n t s / F l a n g e s G a s k e t s / S e a l s P u m p s / C
- m
p r e s s
- r
s I n s t r u m e n t s T a n k E n g i n e s
Per cent
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HSE ( UK) Asset I ntegrity Program m e ( KP3 )
Maintenance Management System areas of concern:
– Maintenance of SCEs – Backlog – Deferrals – Measuring compliance with Performance Stds – Corrective Maintenance
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Process safety indicators
- APPEA has taken the initiative to trial 3 leading
indicators: safety tours, high potential incidents and audit action close-outs
- AIChE CCPS (www.ccpsonline.org) has proposed a
series of leading process safety indicators, including one for mechanical integrity: SCE inspections completed/Total SCE inspections due
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Accidents & Dangerous Occurrences Root Causes Overall Top 3 (Jan 2005 – Jun 2009)
- 1. Preventive maintenance
needs improvement
- 2. Procedures
not used/not followed
- 3. Design specifications
needs improvement
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