exxonmobil presentation 2016.01

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    CSB Public Meeting

    ExxonMobil Refinery Explosion

    Torrance, California

    anuary ,

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     Agenda

    •  

    • Statements from Elected Officials• Investi ation Team Presentation

    • Board Questions to Team

    • Torrance Refinery Action Alliance• Break

    • PSM Panel

    • Board Questions to Panel• Public Comment

    www.csb.gov

    • os ng ommen s

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    Board Opening Remarks

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    a emen s rom ec e c a s

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    Investigation Team Presentation

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    Investigation Presentation

    • ac groun an rocess escr p on• Incident Description

    • Modified Hydrofluoric Acid Near Miss

    and Off-site Conse uences• Key Issues

    •  • Obstacles

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    Background and Process Design

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    Refinery was constructed

    n -

    The Torrance Refiner

    represents about 1/5th of

    southern California’s fluid

    capacity

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    www.csb.gov

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    Refinery Proximityto Public Receptors

    Within a 3-mile radius

    of the refinery, there

    • 330,000 residents

    • 71 schools

    • 8 hospitals

    www.csb.gov

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     The FCC converts low-value, thick oil to higher value

    gasoline by “ cracking” the large molecules apart into

    smaller molecules

    Catal tic Crackin

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    FCC Layout

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    Catal st

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      uOperation

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    ESP Principle of Operation

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    Incident Overview

    • February 11 – FCC expander began toex erience vibrations

    • February 16- Expander vibrations

    exceeded limit and unit wasautomatically put in “ safe park” by logic

    controls

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    Incident Overview

     

    with expander issue

    • u t mate y ec e to use same p an

    from 2012 to go into expander and cleant, stay ng n sa e par 

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    nc en me ne• Early on February 18, maintenance

    workers who were to blind theex ander outlet became concerneddue to steam coming out of expander 

    • Steam reduced, allowinhydrocarbons to flow from maincolumn to flue as i in

    • Workers started getting hydrogensulfide alarms and exited the unit

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     Serious Near Miss

    “ Dropping loads or other falling objectsw n amage range o equ pmen

    containing flammable or toxic material”

    -near miss incident

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     • Two tank

    •  Approximately80 feet south

    of the ESP

    • Still outside ofxxon o s

    minimum

    spacing

    re uirement

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     Location

    Settler Tank

    Damaged

    Scaffold

    IntakeIntake

    Column

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     MHF•

    severe hazard to the population and

    • Causes severe damage to skin,,

    exposure and can lead to death

    • arge re ease cou mpac un re s othousands of residents

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    ommun y xposure

     

    released due to the ESP explosion• ata yst ust e n t e near y

    communities as far as a mile away• SCAQMD report can be found on theirwebsite: htt ://www.a md. ov/

    www.csb.gov

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    Key Issues Identified in Investigation

     

    Operations Integrity Management System

    • Process Hazard Analysis

    • ec an ca ntegr ty

    • Worker Participation

    • Process Safety Regulatory Gaps

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    Issue: Process Hazard Analysis

    • PHA failed to ade uatel consider   

    hydrocarbons reaching the ESP – PHA onl considered carbon monoxideentering the ESP

     –  As a result, detectors used to shut down thewere on y ca rate to rea car on

    monoxide

     

    determine rationale behind the ExxonMobil

    www.csb.gov

     

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    Issue: Process Hazard Analysis Cont.

    • S ent Catal st Slide Valve not maintainin 

    catalyst level• H drocarbons in main column

    • No analysis of steam flow rate needed into

    column

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    ssue: ec an ca n egr y 

    • Expander 

    • CO gas detectors

    •  • Valves attached to these heat

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    ssue: or er ar c pa on 

    Incident Response Team• nput was not g ven or t e var ance

    • Workers ex ressed concern for actionsbeing taken

    •  Job Safety and Environmental Analysis

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    , .

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     Controls Analysis

    • Could have prevented incident throughutilization of assive barriers. 

    • Shutting all valves leading to the ESP, or 

    • A blind at the top of the main column.• HOC Principles could have been applied.

    • Design of SCSV

    • Removing HC from MC• Evaluate the use of modified HF

    www.csb.gov

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    Process Safety Management

     

    approach focused on the prevention

    releases of chemicals or energy from

    a rocess associated with a facilit . • Elements of PSM include:

     – Process Hazard Analysis (PHA),

     – Operating Procedures, – Management of Change (MOC), and

    www.csb.gov

     –    .

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     Management (PSM) Reform•  

    been identified under the current CA.

    • Certain PSM elements fail to require an

    completion.• Current PSM re ulation also lacks ke

    process safety requirements• CA draft PSM regulations will be discussed

    www.csb.gov

    n a ater pane ton g t

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    •Previous CSB re orts have 

    identified similar regulatory gaps in’ 

    regulations• evron e nery re

    • Tesoro Refinery Fatal Explosion

    and Fire (2010)

    www.csb.gov

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    ona ssues

     

    •ESP Sitin

    •Non-routine operating conditions

    • a e y r ca qu pmenManagement

    www.csb.gov

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    nves ga on s ac es

     

    safety-related documentation•ExxonMobil subpoena responses:

    • 51%-Full Res onsive• 24%-Partially Responsive

    •  

    www.csb.gov

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    a orwar   

    this Meeting into the Investigation• na ze nvest gat on an an or eport

    • Issue Re ort with Recommendations• Safety Video

     

    www.csb.gov

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    oar uest ons or nvest gat on eam

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    Break

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    PSM Panel

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    ograp yhttp://2010.igem.org/User:Meagan/Oil_Sands (black oil picture)

    "Electrostatic precipitator" by Evan Mason - Own work.Licensed under CC BY-SA 3.0 via Commons -

    https://commons.wikimedia.org/wiki/File:Electrostatic_precipitat

    or.svg#/media/File:Electrostatic_precipitator.svg

    www.csb.gov