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TRANSCRIPT
Introduction
• Robert J. Weber, P.E. – President/CEO/Director
• Annie Nguyen – Director
PSRG Asia Pacific Pte. Ltd.
JTC Summit
8 Jurong Town Hall Road 24-05
TEL. +65 6818 0967 FAX. +65 6818 0801
EMAIL: [email protected]; [email protected]
PSRG OVERVIEW • Established, 1997
• More than 80 professionals worldwide averaging 28+ years experience
• Diverse industry experience on 1,000+ projects with more than 750 customers in 74 countries
• Hands-on plant operations experience
• Single source, one stop shop for comprehensive PSM/RMP, and HSSE consulting and field services
• Tailored solutions to meet and exceed customer expectations
• Highly qualified resources enable customers to receive value that far exceeds cost of our services
PSRG Expertise
• Process Safety and Risk Management
• Facilitation of HAZOP/LOPA-SIL Studies, HAZID Studies
• Alarm Rationalization
• ALARP Workshop
• Quantitative Risk Assessment (QRA)
• Safety Case
PSRG Expertise
• Relief Valve and Flare Analysis
• Fire Protection Engineering
• Bow-Tie Analysis
• Audit / Benchmarking
• Training Services: Process Safety Management, PHA-HAZOP
• And much more…..
Upcoming Training
Courses (Singapore)
• November 11: Introduction of PSM
• November 12-13: Design and Implementation of Effective PSM Program
• November 16-19: PHA-HAZOP Leader Training (including LOPA)
FOR MORE INFORMATION AND REGISTRATION DETAILS:
Industries Served
• Exploration & Production • Gas Processing/ LNG • Petroleum Refining • Petrochemical and Chemicals • Specialty Chemicals • Pipelines and Terminals • Onshore / Offshore • Power Generation • Light / Heavy Manufacturing • Light / Heavy Construction • Food Processing • Pharmaceutical
www.psrg.com
• History Incidents and Lessons Learned
• PSM – Common Deficiencies
• Conclusion
Presentation Outline
Flixborough, UK (1974) Nypro UK
(Cyclohexane release & explosion)
• Killed 28 people and seriously
injured 36 out of a total of only
72 people on site at the time.
• The number of casualties
would have been more if the
incident had occurred on a
weekday.
• Offsite consequences resulted
in 53 reported injuries.
The Incident
• A 20 inch diameter temporary bypass pipe
around a reactor (R-5) Jack-knifed and failed
under thermal expansion stress.
• 40 tons of cyclohexane was released into a the
congested reactor area.
• Within 2 minutes, a vapor cloud ignited and a
Detonation Class VCE took place (35 tons TNT
Equiv).
The Consequences
• 28 Plant people killed.
• 53 people wounded; requiring medical treatment.
• 1,800 nearby houses damaged in the rural area
beyond the plant fence line.
• Property damage: $ 425MM USD.
Causes / Lessons Learned
• Lack of plant modification / change control.
Management of “temporary changes”; changes
in organization.
• Lack of design codes for pipework.
• Lack of siting considerations for placement of
control room and other occupied buildings.
Seveso, Italy (1976)
ICMESA (Industrie Chimiche Meda Società Azionaria)
(Tetrachlorodibenzoparadioxin release)
• Release of a Dioxin, a poisonous and
carcinogenic by-product of an
uncontrolled exothermic reaction.
• 25 km North of Milan.
• No fatalities. More than 600 people
evacuated; 20 people treated for
Dioxin poisoning.
• Long term health impacts.
• Led to development of initial EU
“Seveso” directive.
Mexico City, Mexico (1984)
• PEMEX LPG Terminal BLEVE (Boiling Liquid Expansion Vapor Explosion) and fire after Loss of Containment in local sewer system
• Over 650 fatalities, mostly offsite; $20MM damages
• CONTRIBUTING FACTORS:
• Plant layout
• Active / passive fire protection
• Emergency isolation
• Emergency response / spill control
Bhopal, India (1984) Union Carbide India Limited (UCIL)
(Methyl isocyanate (MIC) tank rupture & release)
• Considered the world’s worst industrial disaster.
• Accident was a result of poor safety
management practices, poor early warning
systems, and the lack of community
preparedness.
• Estimates vary on the death toll.
• Eventually, resulted in the demise of Union
Carbide, one of the world’s largest integrated
chemical companies.
Bhopal, India (1984)
• Methyl isocyanate release at Union Carbide insecticide plant
• 3,000+ fatalities; 100,000+ injured
• Accident a result of many failures in safety management systems; equipment; human errors
• Considered world’s worst industrial disaster
PIPER ALPHA
North Sea (1988)
• Occidental Petroleum, Piper Alpha Platform
• 167 fatalities
• $3.4B insured loss
• CONTRIBUTING FACTORS:
• Lack of adequate emergency evacuation and egress
Pasadena, Texas (1989) Phillips Pasadena Chemical Complex
(Vapor Cloud Explosion)
• Explosion with a force of 2.4 tons
of TNT.
• 23 killed; more than 130 injured.
• Property damage was $750MM+.
• The evidence showed that more
than 85,000 pounds of highly
flammable gases were released
through an inadvertently open
valve.
History of Process Safety
• Process Safety Management was initiated by U.S. OSHA in
1992 as a way to respond with government regulations/
oversight of industries using highly hazardous chemicals
(HHCs).
• PSM emphasizes the management of hazards associated
with highly hazardous chemicals and establishment of a
comprehensive management program that integrated
technologies, procedures, and management practices
Elements of Process Safety
PROCESS SAFETY
MANAGEMENT
Employee
Participation
Process Safety
Information
Operating
Procedures
Trade
Secrets
Emergency
Planning and
Response
Management
of Change
Mechanical
Integrity
Incident
Investigation
Pre-Startup
Safety Review
Training
Compliance
Audits Contractors
Process Hazard
Analysis
Hot Work
Permit
BP Texas City (2005) (Vapor Cloud Explosion)
• 15 workers were killed and more
than 170 others were injured.
• Both the BP and the U.S.
Chemical Safety and Hazard
Investigation Board identified
numerous technical and
organizational failings at the
refinery and within corporate BP.
Deepwater Horizon (2010) BP / Transocean / Halliburton
(Explosion and sinking of the Deepwater Horizon oil rig
followed by oil release)
• Considered the largest accidental marine oil spill in the
history of the petroleum industry.
• Oil flowed for ~90 days; 134MM- 176 MM bbls. spilled.
• Eleven workers were never found despite a three-
day Coast Guard (USCG) search operation.
West, Texas– April 17, 2013 West Fertilizer Company
(Ammonium nitrate explosion)
• 15 people killed; more than 160 people
injured.
• More than 150 buildings and homes
were damaged or destroyed due to
blast.
• Investigators have confirmed that
ammonium nitrate was the material
that exploded.
• USGS recorded the explosion as a
2.1-magnitude.
History of Process Safety Regulations have NOT changed since their
promulgation, but……
• OSHA Petroleum Refinery Process Safety
Management National Emphasis Program (NEP)
Directive – 2007
• OSHA’ PSM Covered Chemical Facilities National
Emphasis Program (NEP) Directive – 2011
• Executive Order 13650 (August 1, 2013)
• More chemicals, lower TQs, more covered facilities
• Stay tuned……
Singapore Standard SS 506 Part 3
• A systematic way of managing
• Occupational Safety and Health risks
• Process Safety of the chemical industry through Plan-Do-
Check-Act cycle
1993
Recommended
Practice on
Process Safety
Management
2001
Code of Practice
on Safety
Management
System for the
Chemical
Industry
2006
Singapore
Standard SS
506 Part 3
Process Safety Focused 14-Element format comprising Process Safety and OSH elements.
PDCA Format – Certifiable Standard Comprising Process Safety and OSH elements
Evolution of Singapore Standard SS 506
• Boundaries of PSM-covered process not well-
defined or documented; leading to inconsistent
interpretation by different departments across
Site and incomplete PHA assessment.
• Failure to include interconnecting utilities (e.g.,
cooling water, steam, nitrogen, etc.) in the
PSM-covered process and PHA review.
PSM – Common Deficiencies
• Lack of well-articulated management
expectations and defined goals; leading to
weaker employee morale and decreased
employee participation
• Employees do not know how to access PHAs
and other PSM information.
PSM – Common Deficiencies
• Incomplete compilation of PSI prior to
performing PHA (PSRG recommends “PSI
Checklist” documentation with each PHA.)
• Design basis information for process
equipment incomplete (e.g., API RP520/521
contingency analysis not completed for
PSVs).
PSM – Common Deficiencies
• Design basis for safeguards, which prevent or mitigate a potential release, incomplete (e.g., firewater systems).
• Materials of construction information not on file for all equipment in the “covered process”.
• Lack of reference Plant design codes and standards identified (RAGAGEP).
PSM – Common Deficiencies
• API RP 752
Management of Hazards Associated with Location of Process Plant Permanent Buildings
• API RP 753
Management of Hazards Associated with Location of Process Plant Portable Buildings
Most Frequently Referenced RAGAGEPs
in Recent OSHA Inspections
• API 570
Piping Inspection Code: In-Service Inspection, Rating, Repair, and Alteration of Piping
• API 510
Pressure Vessel Inspection Code: In-Service Inspection, Rating, Repair, and Alteration
• API 521
Pressure-Relieving and Depressuring Systems
• API 574
Inspection Practices for Piping System Components
Most Frequently Referenced RAGAGEPs
in Recent OSHA Inspections
• API 574
Inspection Practices for Piping System Components
• API 520
Sizing, Selection, and Installation of Pressure-relieving Devices in Refineries
• ANSI/ISA S.84.01
Functional Safety: Safety Instrumented Systems for the Process Industry Sector
Most Frequently Referenced RAGAGEPs
in Recent OSHA Inspections
• PHA fails to comprehensively identify all hazards of the process because wrong methodology selected or incomplete set of Guidewords + Parameters (“Deviations”) utilized.
• Consequences not based on failure of engineering
controls; but instead taking into account
safeguards. Failure to assess consequences to
“ultimate” loss event.
• Independence of safeguards versus the cause-consequence.
PSM – Common Deficiencies
• Failure to address Facility Siting
• Failure to address Human Factors
• Overdue PHA recommendations with no
updated timeline for completion.
PSM – Common Deficiencies
• SOPs not written for all phases of operation (esp.,
non-routine operations, e.g., purging, cleaning,
sampling, etc.).
• Consequences of deviation tables with steps to
correct/avoid deviations and safe operation limits
not documented.
• No written procedure for Shift Change / Handover.
PSM – Common Deficiencies
• Procedures not annually certified.
• No documented Equipment-specific
LOTO, Confined Space procedures.
• Lack of periodic LOTO, Confined Space
training.
PSM – Common Deficiencies
• Missing records of initial training for qualified operations.
• Refresher training not conducted at least every three (3) years.
• No written proof that operators consulted on frequency or content of refresher training.
• Refresher training too much focused on “normal operation”.
PSM – Common Deficiencies
• Out of date contractor prequalification.
• Too much reliance on third party clearinghouses (e.g., ISNetworld, PICS, SMI, etc.) for contractor prequalification; not enough Company due diligence for Site-specific hazards.
• Lack of qualification, certification records for contractor employees who perform “specialized skill or craft work”.
• Lack of documented periodic surveillance of contractors post-selection.
PSM – Common Deficiencies
• PSSR not documented for each MOC.
• Weak, short-form PSSR checklist used
for major changes.
PSM – Common Deficiencies
• List of covered M.I. equipment not
consistent with PSM-covered process
boundaries. Missing equipment.
• Lack of written deficiency management
program for non-conformances
identified during inspection and testing.
PSM – Common Deficiencies
• Failure to review PHA and include all
“safeguards” in Mechanical Integrity
program.
• Focus on stationary equipment; less
well-developed Rotating Equipment and
Instrumentation & Controls.
PSM – Common Deficiencies
• Overdue inspections.
• Failure to identify RAGAGEP used for inspections and tests performed.
• Lack of fitness for service documentation.
• MOC process for changes to inspection frequency not used.
PSM – Common Deficiencies
• Hot work permit does not clearly identify “object on which hot work being performed”.
• Pre-job safety checklist incomplete.
• Missing signature authorizations on hot work permit form.
• No documentation of fire watch training/qualifications.
• Hot work training not performed annually.
• Permit-required hot work areas inconsistent with definition of electrically classified area.
PSM – Common Deficiencies
• MOC process not applied for: • Installation of temporary equipment
• Decommissioning or taking equipment out-of-service
• Changes to alarm setpoints
• Procedural-only changes (e.g., conversion from paper-
based to electronic systems)
• Changes in shift work; workforce reductions
PSM – Common Deficiencies
• MOC process not institutionalized – may be strong in Operations; but weaker by Maintenance.
• PSI, SOPs, M.I. not updated.
• MOC forms completed and signed off before PSSR completed.
PSM – Common Deficiencies
• “Near misses” not documented; focus more on
personnel safety incidents.
• Unable to confirm investigation initiated within 48
hours.
• Investigation team not identified (esp. contractors).
• Failure to identify “root causes” leading to repeat of
incidents.
PSM – Common Deficiencies
• Emergency evacuation maps with routes not posted.
• Emergency action plan not up-to-date.
• Lack of training on latest EAP.
• No written process for testing and servicing plant alarms; no
documentation that alarm testing was completed
• Safe distances not addressed.
• Lack of documented drills and exercises
• Lack of coordination of EAP with local community, responders.
PSM – Common Deficiencies
• Compliance audits performed; but not certified.
• Audit action items not tracked or completed in a timely manner.
PSM – Common Deficiencies
Regulatory Update
Regulations have NOT changed since their
promulgation, but……
• OSHA Petroleum Refinery Process Safety
Management National Emphasis Program (NEP)
Directive – 2007
• OSHA’ PSM Covered Chemical Facilities National
Emphasis Program (NEP) Directive – 2011
Mechanical Integrity 202
Process Safety Information 189
Process Hazard Analysis 188
Operating Procedures 184
Management of Change 92
Incident Investigation 71
Compliance Audits 47
Contractors 33
Training 29
OSHA REFINERY NEP
ENFORCEMENT STATISTICS, 2007-2011
855
79%
Emergency Planning and Response 17
Employee Participation 15
Pre-Startup Safety Review 13
Hot Work Permits 8
Trade Secrets 0
Total PSM Citations
1088
OSHA REFINERY NEP
ENFORCEMENT STATISTICS, 2007-2011
Mechanical Integrity 156
Process Safety Information 140
Operating Procedures 114
Process Hazard Analysis 106
Management of Change 44
Compliance Audits 35
Training 21
Incident Investigation 19
Employee Participation 16
CHEMICAL NEP PSM
ENFORCEMENT STATISTICS
(98 NEP Citations Sampled)
516
76%
Contractors 14
Emergency Planning and Response 7
Pre-Startup Safety Review 5
Hot Work Permits 1
Trade Secrets 0
Total PSM Citations
678
CHEMICAL NEP PSM
ENFORCEMENT STATISTICS
(98 NEP Citations Sampled)
CCPS Risk Based Process Safety (RBPS)
• Process Safety Culture
• Compliance with Standards
• Process Safety Competency
• Workforce Involvement
• Stakeholder Outreach
• Process Knowledge
Management
• Hazard Identification and
Risk Analysis
• Operating Procedures
• Safe Work Practices
• Asset Integrity and Reliability
• Contractor Management
• Training and Performance Assurance
• Management of Change
• Operational Readiness
• Conduct of Operations
• Emergency Management
• Incident Investigation
• Measurement and Metrics
• Auditing
• Management Review and
Continuous Improvement
• Implementation and the Future
Conclusion
• Relax and learn
• Ask questions
• Participate
• Share experiences
• Enjoy yourself!
www.psrg.com
FOR MORE INFORMATION….
www.psrg.com
PSRG ASIA PACIFIC PTE. LTD.
JTC Summit
8 Jurong Town Hall Road #24-05
609434 SINGAPORE
Tel: +65 6818 0967
Email: [email protected]
Contact: Ms. Annie Nguyen, Director