incorrect operation index

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    Laila Utari Ratna PuspitaFakultas Teknik Mesin dan Dirgantara

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    In structures, only about 10% of failures are dueto a statistical variation in either the applied

    load or the member resistance. The remainderare due to human error or abuse

    Human errors are estimatedto have caused 62% of all

    hazardous materialsaccidents in US

    This index assesses thepotential for pipeline

    failure caused by errorscommitted by the pipeline

    personnel in designing,building, operating, ormaintaining a pipeline.

    Human error can logically

    impact any of the previousprobability-of-failureindexes-active corrosion,

    for example, could indicatean error

    in corrosion control

    activities

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    Relative Risk Score

    Leak Impact Factor

    Index Sum

    Third PartyDamage

    Corrosion DesignIncorrectOperation

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    Hazard

    identification

    MOP potential

    Safety systems

    Material selection

    Checks

    Inspection

    Materials

    Joining

    Backfill

    Handling

    Coating

    Procedures

    SCADA/Communications

    Drug-testing

    Safety programs

    Surveys

    Training

    Mechanical errorpreventers

    Documentation

    Schedule

    Procedures

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    Structural failure can be defined (in asimplified way) as the point at which

    the material changes shape under stressand does not return to its originalshape when the stress is removed

    The most readily available measure ofa pipelines strength will normally be

    the documented Maximum OperatingPressure or MOP

    MOP is determined from stresscalculations, with internal pressurenormally causing the largest stresses

    in the wall of the pipe. Material stresslimits are theoretical values,confirmed (or at least evidenced) bytesting, that predict the point at whichthe material will fail when subjected tohigh stress.

    *0f 30 (design weighting)

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    0 pts

    Where routine, normal operations could allow the system toreach MOP

    Routine

    5 ptsWhere overpressure can occur through a combination of

    procedural errors or omissions, and failure safety devicesUnlikely

    10 pts

    Where overpressure is theoretically possible, but only

    through an extremely unlikely chain of events

    Extremely

    unlikely

    12 pts

    Where the pressure source cannot, under any conceivablechain of events, overpressure the pipeline

    Impossible

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    0 pts No safety device present

    3 pts On site, one level only

    6 pts On site, two or more levels

    1 pt Remote, observation only

    -2 pts Non-owned, active witnessing

    -3 pts Non-owned, no involvement

    10 pts Safety systems not needed

    *0f 30 (design weighting)

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    The evaluator should look for evidence that proper materialswere identified and specified with due consideration to allstresses reasonably expected

    Documents should show that the corrosion potential, includingincompatible material problems and welding-related problems,was considered in the design

    Here, the evaluator determines if design calculations anddecisions were checked at key points during the design process.Two points are awarded for sections whose design process wascarefully monitored and checked

    *0f 30 (design weighting)

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    If inspection is a complete unknown, 0 points can be awarded0-10 pts

    An on-site material handler should be taking reasonable steps to ensure thatthe right material is indeed being installed in the right location

    0-2 pts

    100% inspection of all joints by industry-accepted practices warrants 2 pointsin this example

    0-2 pts

    Knowledge and practice of good backfill/support techniques duringconstruction warrants 2 points

    0-2 pts

    The evaluator should award 2 points when he sees evidence of good materialshandling practices and storage techniques during and prior to construction

    0-2 pts

    This variable examines field-applied coatings and provides an additionalevaluation opportunity for precoated components

    0-2 pts

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    C1. Procedures (7 pts)

    C2. SCADA/communications (3 pts)

    C3. Drug testing (2 pts)

    C4. Safety programs (2 pts)

    C5. Surveys/maps/records (5 pts)

    C6. Training (10 pts)

    C7. Mechanical error preventers (6 pts)

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    Mainline valve checks and maintenance

    Safety device inspection and calibrationPipeline shutdown or startup

    Pump/compressor operations

    Product movement changes

    Right-of-way maintenanceInstrument maintenance

    Safety device testing

    Management of change

    Patrol

    Surveys

    Corrosion control

    Control center actions

    Lock-out and equipment isolation

    Emergency response

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    Supervisory control and data acquisition (SCADA) refers to the transmission ofpipeline operational data (such as pressures, flows, temperatures, and productcompositions) at sufficient points along the pipeline to allow monitoring of theline from a single location

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    1. Monitoring of all critical activities and conditions

    2.Reliability of SCADA system

    3. Enforced protocol requiring real-time communicationsbetween field operations and control room; two sourcesinvolved in critical activities; an adequate real-time

    communications system(s) is assumed

    4. Interlocks or logic constraints that prevent incorrectoperations; critical operations are linked to pressure,flow, temperature, etc.; indications that are set aspermissives before the action can occur

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    Level 1 No SCADA system exists or is not used in a manner thatpromotes human error reduction.

    Level 2

    Some critical activities are monitored; field actions areinformally coordinated through a control room; system is atleast 80% operational.

    Level 3

    Most critical activities are monitored; field actions are usuallycoordinated through a control room; system uptime exceeds95%.

    Level 4

    All critical activities are monitored; all field actions arecoordinated through a control room; SCADA system

    reliability (measured in uptime) exceeds 99.9%.

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    Written companystatement of safety

    philosophy

    Safety program designedwith high level of employeeparticipation--evidence of

    high participation is found

    Strong safety performancerecord (recent history)

    Good attention tohousekeeping

    Signs, slogans, etc., to showan environment tuned tosafety

    Full-time safety personnel.

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    The scoring of surveys/maps/records can be based on such aspects such as :

    Comprehensiveness-

    Amount of the systems covered by maps and records

    Detail

    Level of detail shown (depth, landmarks, pipe specification, leakhistory, etc.)

    Clarity

    Ease of reading

    Timeliness of update

    Schedule to update

    Document management system

    Ensuring version control and ready access to information

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    4 pts Three-way valves with dualinstrumentation

    2 ptsLock-out devices

    2 pts Key-lock sequence programs

    2 ptsComputer permissives

    1 pt Highlighting of criticalinstruments

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    D1. Documentation

    The evaluator should check for a formal program ofretaining all paperwork or database dealing with all aspectsof maintenance exists

    0-2

    pts D2. Schedule

    A formal schedule for routine maintenance based onoperating history

    0-3

    pts D3. Procedures

    The evaluator should verify that written procedures dealingwith repairs and routine maintenance are readily available

    0-10pts

    Modern maintenance practices often revolve around concepts of Predictive

    Preventive Maintenance (PPM) programs. The evaluator may wish to judge thestrength of the maintenance program based on the following items :

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