January 25, 2021

TEG SOAKED INSULATION FIRE INCIDENT

A fire on an offshore installation has highlighted the risk of low temperature spontaneous combustion from TEG soaked insulation. An investigation has shown that spontaneous combustion of TEG soaked into fibrous materials can occur at relatively low temperatures (70oC). Therefore, specific precautions are required for stripping and disposal, to avoid unexpected ignition and fire.

The incident occurred on the process deck and involved removal of the aluminium cladding and TEG soaked insulation (Kaowool Ceramic) from dehydration system pipework following a small leak of hot TEG from a flange. The materials were temporarily stored, with rags used to mop up excess TEG from the deck, in a plastic sack. Spontaneous combustion subsequently caused a fire, which consumed the sack and contents.

The TEG soaked insulation was at, or near, the pipework temperature when it was placed in the plastic sack. The process of stripping the insulation allowed air to be absorbed into the insulation. In addition, dry hot insulation could have come into contact with TEG soaked insulation after being removed from the pipework.

As the insulation cooled it was possible for an oxidation process to have begun in the centre of the waste in the plastic sack, which eventually gave rise to spontaneous ignition and combustion.

This incident is an example of a well-recognised phenomenon more often observed in oil soaked rags in workshops and insulation soaked in mineral oil. It is less common in relation to TEG but can occur in the following circumstances: For spontaneous combustion to occur, TEG must be absorbed into an insulating material which has sufficient void spaces for air to be absorbed. The temperature will rise if the temperature of the insulation is relatively high and the volume sufficient to allow heat generated by an oxidation process at its centre to be retained. The larger the volume of the insulation, the greater the amount of heat retained and the lower the temperature at which spontaneous combustion of the TEG will begin. High temperatures can develop that could lead to a fire. If the bulk of TEG soaked insulation is large enough, spontaneous combustion could occur even if the insulation starts from cold. However, the time taken before the initiation of the rapid heating process would be much longer. TEG soaked rags are much less reactive than insulation, but could still present a hazard. TEG dehydration systems can run at temperatures up to 200oC and pipework is often insulated with fibrous rock wool type material. This material has a structure suited to the absorption of air into the void spaces. In normal circumstances the insulation will be clad with aluminium plate, which holds the insulation in a compressed state and prevents the ingress of air. When cladding is removed and the insulation stripped from the pipework, air will be absorbed into the insulation. If the TEG and insulation are hot from the process pipework and collected in bulk, the conditions within the stripped material can be susceptible to spontaneous combustion.

SOURCE:IOGP

January 13, 2021

INCIDENT DUE TO BLOCKING OF ISOLATION VALVE

 In 2008, facility workers in the US closed an isolation valve between the heat exchanger shell and a relief valve to replace a burst rupture disk. Maintenance workers replaced the rupture disk on the day, however, they forgot to reopen the isolation valve. The next day, other facility workers closed a block valve to isolate the pressure control valve from the heat exchange so that they could connect a steam line to the process line to clean the piping. The steam flowed through the heat exchanger tubes, heated the liquid in the exchanger shell, and increased the pressure in the shell. The closed isolation and block valves prevented the increasing pressure from safely venting through either the pressure control valve or the rupture disk and relief valve. The pressure in the heat exchanger shell increased until it violently ruptured.

January 2, 2021

Tank explosion due to a chemical reaction

The accident occurred when nitric acid delivered to a factory by a tank truck was unloaded into the wrong tank. The tank exploded due to a chemical reaction within the tank.Around 5:30 in the afternoon on the day of the accident, the driver of the tank truck carrying nitric acid arrived at the factory, handed over a delivery slip to the employee inc harge of accepting deliveries, and connected the hose of the tank truck to the flange(for unloading).As this was the first time for the driver to make deliveries to this factory, his co-worker who has delivered to this factory before told him that the flange for nitric acid was the second from the left. However, as the second flange from the left was made of vinyl chloride and the driver did not think that this could be the pipe for nitric acid, the driver connected the hose to the second flange from the right, which was made of stainless steel.After the connection of the hose, the employee in charge of accepting deliveries opened the electromagnetic valve, and the driver started the discharge. As the liquid surface of the nitric acid tank did not rise, however, the driver checked the label of the tank and found that he was unloading nitric acid into the tank for triethanolamine.The driver informed the employee in charge of accepting deliveries of the mistake,connected the hose to the correct flange for the nitric acid tank, and completed the unloading in about 20 minutes. When the driver was going out from the front gate, he noticed white smoke being emitted from the tank. Around 6:25 in the afternoon, the sub-tank and main tank for triethanolamine that were wrongly charged exploded,releasing a chemical spill in the area.No injuries or fatalities were caused by this accident.

Causes

The following can be considered as the causes of this accident.The hose of the truck delivering nitric acid was mistakenly connected to the pipe for the wrong chemical. The contact and coordination procedures for chemical delivery work were insufficient.Safety and health education for workers was insufficient.

Source: tamu.edu

January 1, 2021

December 27, 2020

STARTING MY 11TH YEAR OF BLOGGING!

Dear Readers,

Thank you for being with me for the past 10 years since I started my blog. 

1800 posts, 325000 views, about 800 incidents and many of my readers spreading the information from the posts through process safety one point lessons within their own organizations...I am still far from satisfied. My mission in life has been "Preventing another Bhopal" and let us not rest till we have achieved it. How can you help? By the following steps:

  1. Never be silent when you see something going wrong - it could be a decision that is not in the interest of process safety - speak up!
  2. Share past incidents (internal incidents and external incidents) and their root causes, with all your colleagues - we see the same old incidents repeating
  3.  As an engineer, be ethical when taking decisions and do not take decisions because they please the boss
  4. Update your technical knowledge continuously
  5. Do not be carried away by all the technologies that vendors try to sell you. Thoroughly study them and employ only those technologies that are useful to you. Don't get carried away by Jargon.
  6. Wear your engineering hat always, even when you go up the management ladder.
  7. Be aware of normalization of deviations around you. Report them and determine the root causes. You work in a chemical plant. You and your colleagues should not have the misfortune of seeing people die before your eyes because of an incident....

I end by quoting Robert Frost, "The woods are lovely, dark and deep, but I have miles to go before I sleep"

December 17, 2020

Can a flame arrester element be made of a non metallic element?

Flame arresters are often provided on vent lines in atmospheric storage tanks storing flammable materials. The principle of operation is by cooling the flame and extinguishing it before it reached the inside of the tank. As the flame travels through the element, it is exposed to a large area of the element, which can be folded meshes etc. But do you know that the element inside does not necessarily have to be metal? The flame arrester element itself experiences very little warming, because it is subjected to a high temperature for a very short time. Heat transfer is initially due to convection/diffusion and then later due to conduction after flame has been extinguished. Hence non metallic elements like PTFE can be used to avoid plugging. See one vendors catalogue here https://www.protego.com/products/detail/FA-I-PTFE.html

Note: This is for information only.

December 13, 2020

INCIDENT DUE TO BLOCKING OF ISOLATION VALVE

 In 2008, facility workers in the US closed an isolation valve between the heat exchanger shell and a relief valve to replace a burst rupture disk. Maintenance workers replaced the rupture disk on the day, however, they forgot to reopen the isolation valve. The next day, other facility workers closed a block valve to isolate the pressure control valve from the heat exchange so that they could connect a steam line to the process line to clean the piping. The steam flowed through the heat exchanger tubes, heated the liquid in the exchanger shell, and increased the pressure in the shell. The closed isolation and block valves prevented the increasing pressure from safely venting through either the pressure control valve or the rupture disk and relief valve. The pressure in the heat exchanger shell increased until it violently ruptured.

December 6, 2020

Do not depend on remotely operated valves for isolation for maintenance work

The two incidents below highlight the fact that you should not depend on rmotely operated valves for isolation during maintenance activities. ROV's are meant for use only during emergencies to prevent a major loss of primary containment:

  1. A bolted joint was opened for maintenance on a pump but reliance for isolation was placed on a remotely actuated valve. The valve was inadvertently opened either from the control room or from the motor control centre resulting in a major release of flammable gas, with subsequent explosion.
  2. A fire occurred during the removal of a blind. The blind was located downstream of an air actuated valve which was inadvertently opened during blind removal. This released flammable liquid, resulting in a large fire and multiple fatalities.

December 3, 2020

On the 36th anniversary of the Bhopal Gas Disaster

Are we better off in Process Safety Management than what we were when the Bhopal disaster occurred in 1984? I would answer this by saying that those who wanted to improve have certainly done so, with the help of various process safety initiatives by industry. But we continue to hear about many incidents every year that mar the image of the chemical industry. Based on my 41 years of experience (out of which the first 20 years were in operating plants and the next 21 years were in process safety consulting), I think the answer boils down to this basic fact. Some one said " The whole World moves on Vitamin M (Money)". After an incident, there is always a big reaction, but after some time, it becomes business as usual in some companies, and that's when another incident occurs. Can technology prevent incidents? The answer is yes, to a certain degree. But ultimately, it is decisions taken by the humans (and I am not talking about the human sitting in the control room) that cause an incident to occur. In Bhopal gas disaster too, decisions taken far away from the plant had an impact on the plant. 

Mahatma Gandhi had once said "The Earth has enough for everyone's need, but not for everyone's greed". Your views, please....


December 1, 2020

Nitrogen hose burst due to overpressure

A release of ammonia occurred from a chemical plant when a hose burst following maintenance to an ammonia filter. The release of ammonia was detected by operators due to ammonia alarms and a high flow of ammonia to the plant. The site emergency siren was activated to alert people of the incident and operators isolated the supply of ammonia to the plant. Operators donned personal protective equipment and doused the leak with water in order to gain access to the area to isolate the leak.

Cause

Ammonia filters were used to remove contaminants from the liquid ammonia, prior to it being processed in the plant. An essential step in the maintenance of filters is a nitrogen purge of the system. After purging occurs, the filter is changed, resealed and the nitrogen hose disconnected. The relevant valves are then opened to recommission the system with ammonia. In this instance, the nitrogen hose remained connected to the filter and drain valves were left open allowing the hose to become pressurised with liquid ammonia. While the hose was suitable for the pressures normally experienced under service with nitrogen, the hose was not suitable for the much higher pressures of liquid ammonia and as a result the hose burst in two places.

Source: http://www.dmp.wa.gov.au