oesi forum risk awareness & perception,oesi.tamu.edu/uploads/may 2014 risk forum/day 1/session...
TRANSCRIPT
1
Session III:
What are effective leading risk indicators of future process safety performance
OESI Forum Risk Awareness & Perception,
12 & 13 May 2014
Safety & Environmental Management Systems
(SEMS)
2
• Goal: Safe & Reliable Operations / Operational Integrity
• SEMS is a key mechanism to reduce the likelihood of
major incidents
Current State
• Good systems with analysis exist
• Generally good culture of reporting
Areas for Enhancement
• Not shared between organizations
• Safety culture could further encourage reporting
• Analysis could be improved to allow system learning
• Legal protection could improve sharing
• Many existing data bases not well analyzed
• Not necessarily true that pyramid or near misses are indicative of major incidents
3
4
Phase 1 SPI
A. Fatality
B. Injury to 5 or more persons in a single incident
C. Tier 1 process safety event
D. Loss of well control
E. $1 million direct cost from damage to or loss of facility /vessel / equipment
F. Oil spill to water > or equal to 10,000 gallons (238 barrels)
A. Tier 2 Process safety event
B. Collisions that result in property or equipment damage > $25,000
C. Crane or personnel/material handling operations
D. Loss of station keeping resulting in drive off or drift off
E. Life boat, life raft, or rescue boat event
SPI 3: Percentage of SPI 1 and SPI 2 incidents that involved failure of one or more of COS specified equipment as a contributing factor
SPI 5: % of critical maintenance, inspections and tests completed on time
SPI 6: Number of fatalities
SPI 7: DART
SPI 8: Recordable Injury and Illness Rate
SPI 9: Oil spills > 1 bbl
SPI 1: frequency of work-
related incidents resulting in one or more of the following
SPI 2: Frequency of work-
related incidents that do not meet the definition of a SPI 1 incident but have resulted in one or more of the following:
5
Phase I SPI Bow TieTM Coverage
Barrier Elements
SPI 1A
SPI 1B
SPI 1C
SPI 1D
SPI 1E
SPI 1F
SPI 2B
SPI 2A
SPI 2C
SPI 2D
SPI 2E
SPI 5
SPI 3
SPI 6
SPI 7
SPI 8
SPI 9
SPI 3
6
LFI Program Scope
A. Fatality
B. Injury to 5 or more persons in a single incident
C. Tier 1 process safety event
D. Loss of well control
E. $1 mil direct cost from damage to or loss of facility/vessel/ equipment
F. Oil spill to water > or equal to 10,000 gallons (238 barrels)
A. Tier 2 process safety event
B. Collisions that result in property or equipment damage > $25,000
C. Crane or personnel/material handling operations incident
D. Loss of station keeping resulting in drive off or drift off
E. Life boat, life raft, or rescue boat incident
SPI 1
SPI 2
7
LFI Program Scope
High Value Learning Event
An event that may be considered for use as a reference in process hazard analyses, management of changes, project design, risk assessments, inspections, operating procedures reviews and/or training. HVLEs should meet 1 or more of the criteria below:
A. Identify a previously unknown risk, situation, operational or mechanical hazard, or critical equipment failure
B. Identify a previously unknown combination of factors that resulted in an unexpected condition or event.
C. Identify a routine operation or activity that created a previously unidentified risk or consequence
D. Identify a situation where established industry designs, controls or procedures failed to prevent an event (e.g. loss of wall thickness).
E. An event that is part of a pattern in industry events which could indicate that certain hazardous conditions are not well understood.
8
Areas for Improvement and Additional Comments • Physical Process and Equipment
• Design • Material Construction • Reliability • Instrumentation & Controls
• Administrative Process • Risk Assessment and Management • Operating Procedures or Safe Work Practices • Management of Change • Work Direction or Management • Emergency Response
• People • Personnel Skills or Knowledge • Quality of Task Planning and Preparation • Individual or Group Decision-Making • Quality of Task Execution • Quality of Hazard Mitigation • Communication
9
LESSONS LEARNED.
Describe lessons
learned and actions
taken to reduce the
likelihood of a
recurrence
Lessons:
Questions Charlie Williams
Center for Offshore Safety
Executive Director [email protected]
THANK YOU
11
Data Requested
OGP Learning Workshop - Mar 31 2014
• General: date, time, location, water depth
• Description
• Site Type
• Operation Type
• Activity Type
• Incident or Event Category
• Incident Consequences
• Areas for improvement
• Lessons Learned
12
Data Requested
OGP Learning Workshop - Mar 31 2014
Site Type
• Aircraft
• Diving Vessel
• Drilling Rig on Production Facility
• Fixed Production Facility
• Floating Production Facility
• Floating Storage and Offloading Facility
• Mobile Offshore Drilling Unit
• Offshore Supply or Support Vessel
• Offshore Construction Vessel
• Seismic Vessel
• Subsea Production System
• Other
13
Data Requested
OGP Learning Workshop - Mar 31 2014
Operation Type
• Aviation
• Marine - Diving, Seismic, Transportation, Rig Moves, etc.
• Production – Petroleum, Natural Gas Production, Flow Lines, Pipe Lines
• Projects – Includes Offshore Construction Activities
• Wells – Exploration, Appraisal, Production Drilling, Wireline, Completion, Workover, Abandonment, Intervention Activities
• Other
14
Data Requested
OGP Learning Workshop - Mar 31 2014
Activity Type
• Confined Space Entry
• Diving
• Drilling Activities – Normal, Routine
• Energy Isolation
• Emergency Response (Actual or Drill)
• Helicopter Flight
• Helicopter Landing or Take-Off
• Hot Work
• Maintenance, Inspection and Testing
• Marine Vessel – In-Transit
• Marine Vessel – Station Keeping
• Material Transfer or Displacement
• Mechanical Lifting or Lowering
• Production Activities – Normal, Routine
• Simultaneous Operations
• Start-Up or Shut-Down Operations
• Working At Height
• Other
15
Data Requested
OGP Learning Workshop - Mar 31 2014
• Areas for improvement
• Physical Facility, Equipment and Process
• Administrative Processes
• People
Multiple Areas for Improvement can be checked
16 OGP Learning Workshop - Mar 31 2014 16
Physical Facility, Equipment and Process
Enhancements in the quality of the physical process and equipment design, layout, material specification, fabrication, or construction were highlighted for improvement, including:
• Process or Equipment Design or Layout
• Process or Equipment Material Specification, Fabrication and Construction
• Process or Equipment Reliability
• Instrument, Analyzer and Controls Reliability
Data Requested
17 OGP Learning Workshop - Mar 31 2014 17
Administrative Processes
Enhancements in the quality, scope or structure of administrative processes for managing various aspects of work execution were highlighted for improvement, including:
• Risk Assessment and Management
• Operating Procedures or Safe Work Practices
• Management of Change
• Work Direction or Management
• Emergency Response
Data Requested
18 OGP Learning Workshop - Mar 31 2014 18
People
Enhancements to the personnel actions linked to the execution of work tasks were highlighted for improvement, including:
• Personnel Skills or Knowledge
• Quality of Task Planning and Preparation
• Individual or Group Decision-Making
• Quality of Task Execution
• Quality of Hazard Mitigation
• Communication
Data Requested
19 OGP Learning Workshop - Mar 31 2014 19
• LFI Committee
• Blind sharing by members – 3rd Party Reviewer
• Year round sharing
• Quarterly review of and learning from LFI data
• Annual Performance Report
LFI Process