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    Hazards, Accidents,Process Safety Management& Process Hazard Analysis

    Well developed, time honored process:Ammonia Refrigeration

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    Topics

    Hazards and Accidents

    Process Safety Management (PSM)

    Process Hazard Analysis (PHA)

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    Learning Objectives

    Describe the hazard and accident-drivenstimulus for, and main components ofOSHAs Process Safety Managementstandard

    Define Process Hazard Analysis and relatedterminology

    Describe major hazard analysis methods Assess applicability (via pros and cons) of

    major hazard analysis methods

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    Hazards

    An inherent physical or chemical characteristicthat has the potential for causing harm to people,the environment, or property1

    Hazards are intrinsic to a material, or itsconditions of use

    Examples

    Hydrogen sulfidetoxic by inhalation

    Gasolineflammable

    Moving machinerykinetic energy, pinch points

    1 AICHE Center for Chemical Process Safety

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    Hazard Management:

    The World as It Was Before

    Reliant on Personal Responsibility

    Experience = Expertise

    Administration was not same asDocumentation

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    The Rising Case for Change

    2,500immediatefatalities;20,000+ total

    Many otheroffsiteinjuries

    1984Bhopal, IndiaToxic MaterialReleased

    HAZARD:Highly Toxic

    Methyl Isocyanate

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    The Rising Case for Change

    1984Mexico City, MexicoExplosion

    300 fatalities

    (mostly offsite)$20M damages HAZARD:

    Flammable LPG

    in tank

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    The Rising Case for Change

    1988Norco, LAExplosion

    7 onsite fatalities, 42 injured

    $400M+ damages

    HAZARD:Flammable

    hydrocarbon vapors

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    The Rising Case for Change

    1989Pasadena, TXExplosion and Fire

    23 fatalities, 130 injured; damage $800M+

    HAZARD:Flammable

    ethylene/isobutanevapors in a 10 line

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    Enter Process Safety Management

    Integral part of OSHA Occupational Safety andHealth Standards since 1992

    Known formally as: Process Safety Managementof Highly Hazardous Chemicals (29 CFR1910.119)

    PSMapplies to most industrial processescontaining 10,000+ pounds of hazardous material

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    In a Few Words, What is PSM?

    Theproactive andsystematicidentification,evaluation, andmitigation or preventionof chemical releasesthat could occur as a

    result of failures inprocess, procedures, orequipment.

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    Whats Covered by PSM?

    Process SafetyInformation

    Employee Involvement Process Hazard Analysis

    Operating Procedures

    Training

    Contractors

    Pre-Startup SafetyReview

    Mechanical Integrity

    Hot Work

    Management of Change Incident Investigation

    Emergency Planningand Response

    Compliance Audits

    Trade Secrets

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    Process Hazard Analysis

    Simply, PHA allows the employer to:

    Determine locations of potential safety problems

    Identify corrective measures to improve safety

    Preplan emergency actions to be taken if safetycontrols fail

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    PHA Requirements

    Use one or more establishedmethodologies appropriate to thecomplexity of the process

    Performed by a team with expertise inengineering and process operations

    Includes personnel with experience and

    knowledge specific to the process beingevaluated and the hazard analysismethodology being used

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    PHA Must Address (contd)

    Consequences of failure of engineeringand administrative controls, especially

    those affecting employees

    Facility siting; human factors

    The need to promptly resolve PHAfindings and recommendations

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    Hazard Analysis Methodologies

    What-If

    Checklist

    What-If/Checklist Hazard and Operability Study (HAZOP)

    Failure Mode and Effects Analysis (FMEA)

    Fault Tree Analysis An appropriate equivalent methodology

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    What-If

    Experienced personnel brainstorming aseries of questions that begin, "What if?

    Each question represents a potential failurein the facility or misoperation of the facility

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    What-If

    The response of the process and/oroperators is evaluated to determine if apotential hazard can occur

    If so, the adequacy of existing safeguards isweighed against the probability and severity

    of the scenario to determine whethermodifications to the system should berecommended

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    What-If Steps

    1. Divide the system up into smaller, logicalsubsystems

    2. Identify a list of questions for a subsystem3. Select a question

    4. Identify hazards, consequences, severity,

    likelihood, and recommendations5. Repeat Step 2 through 4 until complete

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    What-If Question Areas

    Equipment failures

    Human error

    External events

    What if a valve leaks?

    What if operator fails to restart pump?

    What if a very hard freeze persists?

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    What-If Summary

    Perhaps the most commonly used method

    One of the least structured methods

    Can be used in a wide range of circumstances

    Success highly dependent on experience of the

    analysts

    Useful at any stage in the facility life cycle Useful when focusing on change review

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    Checklist

    Consists of using a detailed list of preparedquestions about the design and operationof the facility

    Questions are usually answered Yes orNo

    Used to identify common hazards throughcompliance with established practices andstandards

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    Checklist Question Categories

    Causes of accidents

    Process equipment

    Human errorExternal events

    Facility Functions

    Alarms, construction materials, controlsystems, documentation and training,

    instrumentation, piping, pumps, vessels, etc.

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    Checklist Questions Causes of accidents

    Is process equipment properly supported?

    Is equipment identified properly?

    Are the procedures complete? Is the system designed to withstand hurricane winds?

    Facility Functions

    Is is possible to distinguish between different alarms? Is pressure relief provided?

    Is the vessel free from external corrosion?

    Are sources of ignition controlled?

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    Checklist Summary

    The simplest of hazard analyses

    Easy-to-use; level of detail is adjustable

    Provides quick results; communicatesinformation well

    Effective way to account for lessonslearned

    NOT helpful in identifying new orunrecognized hazards

    Limited to the expertise of its author(s)

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    ChecklistSummary (contd)

    Should be prepared by experiencedengineers

    Its application requires knowledge of thesystem/facility and its standard operatingprocedures

    Should be audited and updated regularly

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    What-If/Checklist

    A hybrid of the What-If and Checklistmethodologies

    Combines the brainstorming of What-Ifmethod with the structured features ofChecklist method

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    What-If/Checklist Steps

    Begin by answering a series of previously-prepared What-if questions

    During the exercise, brainstormingproduces additional questions to completethe analysis of the process under study

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    What-If/Checklist Summary

    Encourages creative thinking (What-If) whileproviding structure (Checklist)

    In theory, weaknesses of stand-alone methods areeliminated and strengths preservednot easy todo in practice

    E.g.: when presented with a checklist, it is typicalhuman behavior to suspend creative thinking

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    HAZOP

    Hazard andOperability Analysis

    Identify hazards (safety, health,environmental), and

    Problems which prevent efficient operation

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    HAZOP

    1. Choose a vessel and describe intention

    2. Choose and describe a flow path

    3. Applyguidewordtodeviation Guidewords include NONE, MORE OF, LESS

    OF, PART OF, MORE THAN, OTHERTHAN, REVERSE

    Deviations are expansions, such as NO FLOW,MORE PRESSURE, LESSTEMPERATURE, MORE PHASES THAN(there should be),

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    HAZOP

    (Illustrative example of HAZOP)

    To Distillation Column

    Feed Tank

    Check

    ValvePump

    1. Vessel

    3. REVERSAL OF FLOW

    2. FLOW PATH

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    HAZOP

    4. Can deviation initiate a hazard of consequence?

    5. Can failures causing deviation be identified?

    6. Investigate detection and mitigation systems7. Identify recommendations

    8. Document

    9. Repeat 3-to-8, 2-to-8, and 1-to-8 until complete

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    (Illustrative example of HAZOP)

    HAZOP

    To Distillation Column

    Feed Tank

    CheckValve

    Pump

    1. Vessel

    3. REVERSAL OF FLOW

    2. FLOW PATH

    4. Distillation materials returning via pumparound

    5. Pump failure could lead to REVERSAL OF FLOW

    6. Check valve located properly prevents deviation

    7. Move check valve downstream of pumparound

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    Loss of Containment Deviations

    Pressure too high

    Pressure too low (vacuum)

    Temperature too high Temperature too low

    Deterioration of equipment

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    HAZOPs Inherent Assumptions

    Hazards are detectable by careful review

    Plants designed, built and run to appropriatestandards will not suffer catastrophic loss ofcontainmentif ops stay within design parameters

    Hazards are controllable by a combination of

    equipment, procedures which are Safety Critical

    HAZOP conducted with openness and good faithby competent parties

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    HAZOP Pros and Cons

    Creative, open-ended

    Completenessidentifies all process hazards

    Rigorous, structured, yet versatile

    Identifies safetyandoperability issues

    Can be time-consuming (e.g., includes operability)

    Relies on having right people in the room Does not distinguish between low probability,

    high consequence events (and vice versa)

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    FMEA Failure Modes, Effects Analysis

    Manual analysis to determine the consequencesof component, module or subsystem failures

    Bottom-up analysis

    Consists of a spreadsheet where each failure

    mode, possible causes, probability ofoccurrence, consequences, and proposedsafeguards are noted.

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    FMEAFailure Mode Keywords

    Rupture

    Crack

    Leak

    Plugged

    Failure to open

    Failure to close

    Failure to stop

    Failure to start

    Failure to continue

    Spurious stop

    Spurious start

    Loss of function

    High pressure

    Low pressure

    High temperature

    Low temperature

    Overfilling

    Hose bypass

    Instrument bypassed

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    FMEA on a Heat ExchangerFailureMode

    Causes ofFailure

    Symptoms PredictedFrequency

    Impact

    Tube

    rupture

    Corrosion

    from fluids(shell side)

    H/C at

    higherpressurethan

    coolingwater

    Frequent

    hashappened2x in 10 yrs

    Critical

    couldcause amajorfire

    Rank items by risk (frequency x impact)

    Identify safeguards for high risk items

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    FMEA Failure Modes, Effects Analysis

    FMEA is a very structured and reliable methodfor evaluating hardware and systems.

    Easy to learn and apply and approach makesevaluating even complex systems easy to do.

    Can be very time-consuming (and expensive) anddoes not readily identify areas of multiple faultthat could occur.

    Not easily lent to procedural review as it may notidentify areas of human error in the process.

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    Fault Tree Analysis

    Graphical method that starts with ahazardous event and works backwards toidentify the causes of thetop event

    Top-down analysis

    Intermediate events related to the top eventare combined by using logical operationssuch as AND and OR.

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    FTA

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    Fault Tree Analysis

    Provides a traceable, logical, quantitativerepresentation of causes, consequences and

    event combinations Amenable tobut for comprehensive

    systems, requiringuse of software

    Not intuitive, requires training

    Not particularly useful when temporalaspects are important

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    Accident Scenarios May Be

    Missed by PHA No PHA method can identify all accidents

    that could occur in a process

    A scenario may be excluded from thescope of the analysis

    The team may be unaware of a scenario

    The team consider the scenario but judge itnot credible or significant

    The team may overlook the scenario

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    Summary

    Despite the aforementioned issues with PHA:

    Companies that rigorously exercise PHA areseeing a continuing reduction is frequency andseverity of industrial accidents

    Process Hazard Analysis will continue to playan integral role in the design and continuedexamination of industrial processes

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    Using What You Learn

    The ideas and techniques of ProcessHazard Analysis will be immediately

    useful in upcoming recitation exercise onHazard Evaluation

    Expect to be part of a Process HazardAnalysis Team early on in yourprofessional career

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    Where to Get More Information

    Chemical Safety and Hazard InvestigationBoards web site: www.csb.gov

    MPRI web site: www. Mpri.lsu.edu/main/ Crowl and LouvarChemical Process Safety:

    Fundamentals with Applications

    KletzHAZOP & HAZAN: Notes on the Identificationand Assessment of Hazards