Fail safe or Fail unsafe?

The blowout preventer that failed in the BP oil rig disaster was meant to be fail safe. But why did it fail? There is an excellent video from the NY Times explaining what could have gone wrong. Layers of protection analysis is supposed to find these weak links, but in my experience, LOPA depends heavily on the time available for the team to do it, the experience of the team and finally what is done with the recommendations. Watch the NY times video in this link.

Vacuum hazards - Another one bites the dust!

I came to know yesterday of an incident in India where a pressure vessel collapsed due to vacuum. The hazards of vacuum in vessels that are not designed for them is great. Please see my earlier post on the subject.

Dangers of Solvents inside confined spaces

The CSB has released an excellent video of 5 deaths occurring in a confined space in a hydroelectric plant in USA. The workers were using MEK (Methyl Ethyl Ketone) , a highly flammable solvent inside a confined space when it caught fire most likely due to static electricity. The CSB report has raised three points:
1.The contractor selected for the job was selected based on the lowest quotation even though his safety record was poor.
2.The current OSHA standard for confined spaces (CFR 1910.146) does not specify what additional precautions must be taken for working in a permit-required confined space with a potential flammable atmosphere, nor does it limit entry based upon measurable criteria such as a specific maximum percentage of the LFL, even though OSHA defines an atmosphere as hazardous when it exceeds 10 percent of the LFL.
3.There was no proper emergency plan for the work conducted
In India, the problems with contractors are numerous. Public sector units are required to go for three quotations and submit the job to the contractor with the lowest quote. This is also followed in some private players. Contractors are not trained adequately on the hazards of confined spaces. I know of at least three similar incidents in India where contractor employees died when flammable solvents caught fire inside a confined space.
See the video and report in this link.

Water and reactive chemicals = fire

A warehouse with old stored toxic chemicals has reportedly caught fire in Ukraine. The cause of the fire is due to rain water entering the warehouse and reacting with the chemicals stored and causing fire.
How well are your chemical warehouses protected from the elements?
Read the full article in this link.

Process Safety - Bhopal and BP- I Don't know!

It is eerie. 25 years ago after the Bhopal gas leak occurred, the then police chief met the security chief of Union Carbide and asked him what had leaked and what was the antidote. The answer was "I don't know". Cut to 2010. A news article mentions that "BP executives told U.S. investigators they didn’t know who was in charge of the doomed Deepwater Horizon rig in the Gulf of Mexico or who made key decisions before the vessel exploded in April, killing 11 workers and spewing millions of barrels of crude into the sea". The testimony from Wells, the highest-ranking BP executive to appear before the joint U.S. Coast Guard-Interior Department panel probing the catastrophe, frustrated Hung Nguyen, co- chairman of the panel, who said no one from BP has accepted responsibility for actions that led to the disaster.

“We’ve had so many vice presidents of drilling come before us, I can’t even keep track,” said Nguyen, a Coast Guard captain. “A lot of them answered ‘I don’t know, I’m not responsible’ for this or that. If everybody’s in charge, nobody’s in charge, is that correct?”
One interesting point mentioned by a manager was that he could not read the well cementing procedure in his blackberry due to its small size! Now did a blackberry cause the disaster?!!!!
Read the news article in this link.

PSM violations in refinery

OSHA has fined a Louisiana refinery for deficiencies in its PSM program.
Serious violations found include failing to provide accurate process safety information for piping and instrumentation diagrams, conduct incident investigations, provide written operating procedures, resolve recommended actions resulting from compliance audits, and adequately address the citing of control rooms and employees working in process units.
Read more of the article in this link.

Ammonia leak in refrigeration plant

An ammonia leak in a refrigeration plant in Alabama in USA has put 10 people in hospital including two in intensive care. It is reported that the was from piping.
Read more in this link.
As a spate of ammonia leak incidents have recently occurred from refrigeration plants in the USA, the CSB is investigating it in detail.

Process safety makes business sense!

A news item mentions that BP will pay a $50.6 million fine, negotiate another $30 million in penalties imposed by the Occupational Safety and Health Administration (OSHA), and undertake $500 million worth of repairs and upgrades at the Texas City plant where an explosion took place in 2005.
Under the agreement, BP will pay the $50.6 million fine and work out with OSHA how much of an additional $30 million in fines it should pay for other violations the agency has found on subsequent inspections at Texas City. BP will also spend $500 million to fix "process safety" problems it ignored on 28 separate plant processes.
Read more of the article in this link.

100 major oil and gas leaks from UK offshore

A news item reveals that there were nearly nearly 100 major oil and gas leaks from UK platforms in the past year. It is reported that there were 443 dangerous occurrences during the last year. Remember the Piper Alpha disaster in the North Sea in 1988. This data again reinforces my strong belief that technology alone will not solve our process safety problems. Its about people. Read the full article in this link.

Ammonia leak from broken pipe

An incident of a broken pipe leading to anhydrous ammonia leak has been reported in Lacona,USA. Authorities ordered a voluntary evacuation of the town. Just observe the lack of populated areas around the leak area. Catch this happening in India!
See the 15 photos of the leak and emergency response in this link.

Traces of phosphine gas reported emanating from MV Chitra

News reports indicate that traces of phosphine gas emanating from the damaged MV Chitra which was involved in a collision with another ship at Mumbai Port is delaying salvage efforts. The ship was reportedly carrying Aluminium phosphide, which is used as a pesticide and rodenticide. Aluminium phosphide on reaction with water generates phosphine. Wikepedia reports the following on phosphine:Phosphine gas may form explosive mixtures with air and can self ignite. The gas is heavier than air. When phosphine burns, it produces a dense white cloud of phosphorus pentoxide – a severe respiratory irritant.[8]
Also, Wikepedia reports the following about Aluminium phosphide:
In October 2002, Sir Derek Bibby, 2nd baronet and great-great-grandson of the founder and past chairman and president of the Bibby Line shipping company, aged 80 and terminally ill with leukaemia, committed suicide by consuming aluminium phosphide - the poison, hours later, caused his body to emit dangerous fumes forcing the evacuation of the hospital department where his body was being held.[4]
In February 2009, two children died in Jeddah, Saudi Arabia after a neighbouring house was fumigated with aluminium phosphide.[5]
In February 2010, two sisters died in Layton, Utah after the area around their home was treated with fumitoxin to get rid of rats. The two sisters, ages 4 years old and 15 months, died just three days apart from each other after experiencing identical symptoms.[6]
See the following links for further information
News item about phosphine gas leak
Aluminium phosphide
Phosphine

Dangers of turbine overspeed

In 1983, I was nearly killed when a 100 HP steam turbine driving a naphtha pump catastrophically disintegrated due to overspeeding caused by the choking of the pump suction strainer. I was standing near the turbine when I heard it suddenly speeding up. I managed to hide myself behind a concrete pillar before the turbine disintegrated. The mechanical overspeed trip malfunctioned and did not work.
Understand that rotating equipment have speed limits and make sure that your overspeed trip mechanisms are working properly.
I was saddened when I came across a news item about an incident in 2001 when a person was killed due to an overspeed of a turbine when it was being tested.
Read more about the incident in this link "Machinist Struck and Killed by Fragments from Ruptured Steam Turbine Housing"