Understanding Process Safety & Avoiding Catastrophic Failures - - PowerPoint PPT Presentation

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Understanding Process Safety & Avoiding Catastrophic Failures - - PowerPoint PPT Presentation

Understanding Process Safety & Avoiding Catastrophic Failures LEARNING FROM 30 YEARS IN MAJOR HAZARD RISK CONTROL Ian Travers Process Safety Consultant www.iantravers.co.uk IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK


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SLIDE 1

Understanding Process Safety & Avoiding Catastrophic Failures

LEARNING FROM 30 YEARS IN MAJOR HAZARD RISK CONTROL

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

Ian Travers Process Safety Consultant www.iantravers.co.uk

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SLIDE 2

What is a Hazard?

2

Why does it matter?

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SLIDE 3

What is risk?

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SLIDE 4

What is process safety risk?

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SLIDE 5

Why did it happen to us?

The most repeated responses from CEOs and Directors following a major accident. Safety is our number 1 priority – we always put safety first I just don’t understand how it could happen No one ever mentioned we had a problem We have professional safety experts We never skimp on safety We have extensive systems and procedures HSE has regulated us for years and we have never had anything serious wrong We have a comprehensive safety report scrutinised by HSE We have never had an incident before

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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SLIDE 6

What’s process safety management for?

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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SLIDE 7

The case for process safety management is normally framed via disasters

Flixborough

Bhopal

Pipa Alpha

Bp Texas City

Buncefield

Toulouse Ammonium Nitrate

Columbia shuttle

Deepwater Horizon

Esso Longford

Seveso

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SLIDE 8

 Reliability and certainty that systems and procedures will work and deliver the safety,

environmental and business outcomes you need.

 Asset failure modes understood and vulnerabilities identified and managed.  Competent people delivering critical tasks to the required standard.  Early warning of failures before disaster strikes.  Effective leadership and positive culture promotes and supports critical outcomes.

What’s process safety management for?

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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SLIDE 9

 Provides a way of managing risks which can not readily be seen  Dealing with hazards and consequences which most people don’t have any direct experience of

  • r can readily envisage

 Using the same approach to management of personal safety is not always sufficient for major

hazards

 Need to different way of thinking and different approach to risk management

− A life-cycle approach

What’s process safety management for?

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

De- commission Concept Build Commission Start-up Operate Modify Shutdown Plant Life Cycle Maintain

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SLIDE 10
  • 12. Emergency

Arrangements

  • 1. Hazard

Identification

  • 2. Risk

Assessment

  • 4. Operational

Parameters

  • 3. Plant &

Process Design Basis of Safety

  • 5. Asset

Integrity / Management 9. Management

  • f Contractors
  • 6. Operational

Procedures

  • 7. Operational

Control

  • 10. Permit to

Work 8. Competence Management

Start-up Operation Shut-down

  • 13. Monitor, Measure

& Review

  • incident investigation
  • Audit
  • KPIs

11. Management of Change

Process Safety Management System

  • 14. Leadership &

Culture

What does a Process Safety Management System look like?

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SLIDE 11

Hazardous Processes understood and controlled

➢ Clearly setting out what hazards are present? ➢ What could go wrong? ➢ What systems and procedures we have in place to prevent serious incidents? ➢ How we ensure they are working all the time the hazard is present?

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SLIDE 12

Avoiding Catastrophe and Safeguarding Reputation

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SLIDE 13

What do Water Companies Do?

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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SLIDE 14

Scenario mapping – what can go wrong & where

Maj Major A r Acc ccident Sce cenari arios

1. . Ship o

  • ffl

ffloading & & Product T Transfe fer t to Bulk T k Tanks 2. . Static S Storage ( (no product m move vement) 3. . Road T Tanker ker Filling 4. . Filling De Denaturant Tanks ks fr from R Road Tanker ker 5. . Ext xter ernal Even Events Ship-shore connection Pipelines to bulk tanks (including pumps, valves & flanges) Storage Tanks At tank Within bund from equipment At loading gantry Within tank bund(s) At road tanker gantry Pipeline to Tanks Storage tanks D1-12 Fire / Explosion on vessel in dock Fire / Explosion in premises adjacent to Methylation Facility Aircraft Impact Seismic event Lightning Storage Tank

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SLIDE 15

How do things fail?

Nicely:

  • Predictably
  • Steadily
  • According to engineering calculations and design

lives

  • Provide early warning of failure
  • Allow for recovery

Unhelpfully:

  • Erratically
  • Without warning or previous mal-function
  • Early
  • Allowing for no recovery

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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Key stages of Safety Management – risk profiling

Risk Assessment Measures to control risks Hazard Identification Risk Profile

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How can it go wrong? – Fault tree

MAH 11 LoC Drum / pipeline

failure between drum & vacuum demand valve

  • 1. Overfilled drum supplied

Supplier error Drums not weighed on receipt

  • 2. Pressure relief valve

failure Failure of regulator

  • 3. corrosion of

pipework Moisture ingress 4.Mechanical failure of vacuum regulator Cathodic protection failure Mechanical failure Failure to maintain correct temperature Impact / struck by object Poor maintence / purging 5.Cholorine degradation

  • f pipework

Failure in inspection / maintenance Failure of quality control by supplier

  • 6. Malfunction of PRV

Contamination / blockage Failure in inspection / maintenance

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IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

Bow Tie Model

Loss of Control

Outcome MAJOR HAZARD Preventive Barriers Mitigation Barriers

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Demonstrating Control of Hazardous / Critical Processes

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Demonstrating Control of Hazardous Processes

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Demonstrating Control of Processes

Procedure Safety Critical Task Procedure Maintence Active Control Sensor, Alarm & Shutdown

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Demonstrating Control of Processes – detecting early signs of failure

Procedure Safety Critical Task Active Control Sensor, Alarm & Shutdown Procedure Maintence

Wrong method Late Not undertaken Step missed Wrong equipment Mistake Inaccurate Disconnected Mal function Understanding how controls fail & detecting when this happens before an incident

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SLIDE 23

Risk / Reliability Acceptability

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SLIDE 24
  • 12. Emergency

Arrangements

  • 1. Hazard

Identification

  • 2. Risk

Assessment

  • 4. Operational

Parameters

  • 3. Plant &

Process Design Basis of Safety

  • 5. Asset

Integrity / Management 9. Management

  • f Contractors
  • 6. Operational

Procedures

  • 7. Operational

Control

  • 10. Permit to

Work 8. Competence Management

Start-up Operation Shut-down

  • 13. Monitor, Measure

& Review

  • incident investigation
  • Audit
  • KPIs

11. Management of Change

  • 14. Leadership &

Culture

Process Safety Management Framework

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  • the system is safety critical – that is, if it failed and

there was an associated loss of containment would this potentially lead to a major accident or a serious incident?

  • the control measure is towards or is ‘the last in line’

using the bow-tie analogy,

  • the system provides any ‘early warning’, of failure,
  • there is opportunity to recover the loss of

containment, and

  • the correct functioning of the control measure relies

partly or wholly on human intervention.

Vulnerability analysis

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Criticality

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Vulnerability

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Criticality & Vulnerability

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Safety Critical Vulnerable to failure

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Competence Management

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SLIDE 31
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Leadership & Culture

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Process Safety Leadership Challenge

What you need to know and understand you can’t see. Sometimes the concepts of process safety seem like quantum physics: (you have heard about it, know its complicated but you couldn’t explain it to a someone else) Risk has been transformed into equations & numbers:

  • likelihood of 10-6 / year
  • Safety Integrity level 3
  • Initiating event x likelihood x consequences
  • Giving risk a precise numerical value seems to make it less intangible and acceptable

If you are uncertain about risk management you are probably reluctant to ask You probably want simple answers on complex issues

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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Process Safety Leadership Challenge

Every decision you make affects safety Do you understand how? Do you take process safety and risk management into consideration when making corporate decisions?

IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK

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So leadership is vital – but what does it consist of?

The vision of the organisation. The way in which:

  • Process safety is given the right degree of attention and focus;
  • Process safety considerations feature in key business decisions, and
  • Understanding of major hazard risk and the importance of critical control

measures is communicated and championed.

  • “what we do when no one is looking or checking up on us”.
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Successful process safety management is essential for business success

Failure in process safety management can never deliver sustainable business success Your plant and equipment is both your benefactor and liability The consequences of getting control of major hazard wrong is extremely costly Getting it right pays large dividends

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Management systems were both deficient and not properly followed, control room staff had little control over flow rates and timing of receipt and did not have sufficient information to manage precisely the storage of incoming fuel A culture where keeping the process operating was the primary focus and process safety did not get the attention, resources or priority that it required

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IAN TRAVERS LTD. PROCESS SAFETY CONSULTANCY WWW.IANTRAVERS.CO.UK