RISK BASED PSM PROCESS SAFETY MANAGEMENT INDIA CONSULTANT INCIDENT INVESTIGATION HAZOP TRAINING ROOT CAUSE ANALYSIS AND LESSONS FROM INCIDENTS
September 27, 2020
Lessons Learned from a Hydrogen Explosion
September 24, 2020
Small bore tubing incident
A gas leak occurred at a compressor station when small bore pipework fractured. The incident resulted in a small natural gas release that was successfully resolved without harm, although the licensee identified the potential for the situation to have escalated if it was not for the careful inspection prior to works being undertaken.The small bore pipe that failed was a low point in the drain system located in a pit that was not readily accessible.The root cause was identified as the small bore pipe that failed had not been designed to handle vibration resulting from high gas flows and decreased suction pressures. The small bore pipe’s limited accessibility resulted in it being missed on previous site reviews specifically undertaken to identify potential points of failure due to vibrations.
Source:https://www.dmp.wa.gov.au
September 20, 2020
HYDROGEN FIRED BOILER EXPLOSION
Bypassing of safety interlocks during start up of boilers have caused many explosions around the World, killing many people. I had investigated one incident where a hydrogen fired boiler was being commissioned and the trips were bypassed as they were causing some problem. The boiler exploded and the operator was killed. Read about another hydrogen fired boiler explosion in this link:
https://www.dmp.wa.gov.au/Documents/Safety/PGS_SIR_01-2016.pdf
September 16, 2020
Explosion in molten sulphur tank
Molten sulphur tanks are often not given the importance they deserve. because of the nature of the product, they are dangerous and have to be handled with precautions. This safety alert explains the case of an explosion in an molten sulphur tank. Ensure the learnings are shared. Read the safety alert in this link:
https://epsc.be/epsc_media/Learning+Sheets/2019/19_06+EPSC+Learning+Sheet+_+H2S+explosion-p-660.pdf
September 12, 2020
Inspection frequencies and OSHA
The most commonly cited equipment for non-compliant inspection frequencies (of any type, not only thickness measurements) have been piping circuits followed by pressure vessels, relief devices, and monitoring alarms. As part of the inspection program, an appropriate inspection frequency must be established for equipment in order to determine whether pipe/vessel thickness is decreasing as expected. API 570 identifies three classes of piping services and recommends a thickness measurement inspection frequency based on the class. For example, Class 1 includes:
- Flammable,
- Pressurized services that may rapidly vaporize and explode upon release,
- Hydrogen sulfide,
- Anhydrous hydrogen chloride,
- Hydrofluoric acid
- Piping over water of public throughways, and
- Flammable services operating above their auto-ignition temperature.
As discussed in API 570, Class 1 requires a thickness measurement inspection frequency of at least every five years. Classes 2 and 3 require a thickness measurement frequency of at least every 10 years. The inspection interval for specific piping is established by the inspector or piping engineer in accordance with the owner/user’s quality assurance system, but not to exceed the limits set by API 570
Source:Osha.gov
September 8, 2020
OSHA ASSET INTEGRITY OBSERVATIONS
Examples of equipment cited for violations of the PSM MI requirements that OSHA found during NEP inspections include:
- A broken gate valve caused a level gauge to not work properly, which rendered visual verification of liquid level for the vessel ineffective. This deficiency went uncorrected.
- The installation of an engineered clamp failed to correct a deficient piece of process piping, which was a 90-degree elbow that was outside acceptable limits. The employer continued to use the leaking 90-degree elbow as part of a piping circuit that conveyed waste hydrogen sulfide gas.
- Hydrogen sulfide monitors were not inspected and tested on a regular basis to correct deficiencies in alarms that were outside acceptable limits due to bad sensors, loose wiring, or monitors that needed to be replaced. Work orders were not managed by a tracking system to ensure that deficiencies were fixed in a timely manner. Some work orders marked “fix today” or “ASAP” were not fixed for a week or longer.
- Six relief systems in an alkylation unit were incorrectly sized and were not corrected in a timely manner when the deficiencies were reported. No Management of Change (MOC) was performed to justify the decision to delay replacing the deficient systems.
- Grounding cables were removed from equipment, such as a heat exchanger and pump motors, but were not replaced.
- Excessive vibration was observed on motors with visible movement of structural steel decking and supports. Also, two 1” pipes and one 4” pipe containing flammable liquid were not adequately supported
Source: Osha.gov
September 4, 2020
ASSET INTEGRITY ISSUES
Failure to correct equipment deficiencies that are outside acceptable limits39 is one of the leading causes of PSM non-compliance in the petroleum refinery sector. Non-compliance for equipment deficiencies broke down into four major groups:
- Lack of proper maintenance or repair, 38. 29 CFR 1910.119(j)(1)(i)-(vi)39. 29 CFR 1910.119(j)(5)OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION18
- Inappropriate installation (such as inappropriate sizing),
- Missing protective system (such as not including relief devices), and
- Insufficient structural support.
Equipment most commonly cited for deficiencies were relief devices, followed by piping circuits, pressure vessels, and alarm systems.
Source:Osha.gov
September 1, 2020
Dust collector system explosion
Employee #1 was feeding 400 lb of granular polyalphamethyl styrene (CAS 25014-31-7) through a Mikropal #3 micropulverizer (equipped with a .032 in. screen) into a Mikropal Mikro-Pulsaire dry dust collector. The Mikro-Pulsaire unit has a continuously self-cleaning bag filter located inside the building and had no provision for explosion relief or venting. Apparently a piece of metal between 1 and 2 in. got past the magnet in the micropulverizer, ignited the dust in the system, and caused a fire and explosion that blew open the access door to the dust collector. Employee #1 was standing about 10 ft from the door and sustained second- and third degree-burns on his hands and face.
Source:Osha.gov