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Pre-Incident Planning A key Element in Successful Management of Industrial Emergencies Ramasami Sundaresan FIFireE, MBA Athena HESS Athena HESS Consultants Pte Ltd Singapore Failing to Plan is Planning to Fail "He who fails to plan is planning to fail“ - Winston Churchill "If you fail to prepare then you are preparing to fail“ - Benjamin Franklin ©Athena HESS Consultants Pte Ltd, Singapore Pre-Incident Planning (PIP) - Definition The process of documenting and maintaining critical information and predetermined actions to precipitate concerted mitigation efforts by response parties to successfully contain incidents and minimize consequential losses. © 2011 Athena HESS Consultants Pte Ltd, Singapore Outbreak escalates to Conflagration A recurrence of this incident is playing out NOW ! Preventable Consequence! ©Athena HESS Consultants Pte Ltd, Singapore Largest Refinery of Global Oil Major September 2011 Preventable Consequence! ©Athena HESS Consultants Pte Ltd, Singapore Buncefield UK 2005 Preventable Consequence! 6 ©Athena HESS Consultants Pte Ltd, Singapore Crude Pipeline Explosion - Dalian(2010) Preventable Consequence! 7 Firework Plant Explosion - Yichun City (2010) Preventable Consequence! 8 Largest Refinery of Global Oil Major COSMO Petrochem. Explosion & Fire - Ichihara, Chiba , March 11, 2011 Injures : serious 1, slight 5 Time table of accident - March 11, 14:46 earthquake broke out - 15:35 : inflammable gas leaked near the LPG tank - 15:47 : the tank fire and explosion, all units were shut down - 16:04 : start extinguishing - March 21, 10:10 : extinguished fire(10 days) Preventable Consequence! 9 Largest Refinery ofTa Global Oil Major Polystyrene polymerization unit explosion Hyundai EP Petrochem. Co. Ulsan, KOREA, August 17, 2011 Fatalities : 3, Injures : 2 Runaway reaction resulted from the cooling water failure at polymerization reactor Rupture disc burst and occurred VCE $50 million property or product damage Preventable Consequence! 10 Polyethylene Textile Mfg - August 2011 Ta Gumi, Korea Preventable Consequence! 11 Video – Fire at an Oil Refinery URL: http://www.youtube.com/user/bozkuhi#p/a/u/2/uKQinSGm6cI OR Hyperlink attached video clip ©Athena HESS Consultants Pte Ltd, Singapore If these incidents are indeed Preventable: Consider why these incidents are recurring with disturbing regularity! 1. Which HES Management System element is responsible for these lapses? Leadership and Accountability 2. How? © 2011 Athena HESS Consultants Pte Ltd, Singapore Leadership failure due to: 1. Emergency preparedness program not robust: • Lack of sustained will and commitment 2. Limited resource allocation: • Priority for operational demands. 3. Sporadic nature of incidents: • Short organizational memory. 4. Failure to recognize incident potentials & consequences • Ineffectual risk assessment & management. 5. Underestimation of IM complexities • Lack of management insight 6. Paucity of easy-to-use tools • Failure to challenge & motivate creativity © 2011 Athena HESS Consultants Pte Ltd, Singapore The Necessity of Pre-Incident Planning • An industrial emergency invariably requires the coordinated effort of multi-disciplinary teams such as Operations, Engineering, Emergency Responders and Management. • Whist each team may be carrying out different tasks; their collective effort requires cohesion and must conform to a single overall strategy. • Furthermore, resources available within an organization to handle an emergency are limited and have to be applied in unison. • Pre-Incident Plans (PIP) are a vital tool to harness the finite resources of an organization to mount concerted and coordinated action to contain an industrial emergency. ©Athena HESS Consultants Pte Ltd, Singapore Emergency Preparedness Framework Start Risk Indentification & Analysis BowTie/HAZOP HAZOP Reports Previous Incidents ER Strategy & Tactics Mitigation /Solution Emergency Preparedness Pre-Incident Plans (PIP) Incident Action Plan (IAP) Fire Brigade SOP Incident Command System (ICS) Implementation & Training End Implementation of Plans & Procedures Emergency Responder Skills Responder Training 'Live' Fire Training Brigade SOP Training Professional FF Training Dry & Wet Drills Combined Exercises Responder Training Incident Management & Leadership Skills Incident Management Training Fire Ground Command - Fire & Rescue - HAZMAT Incident Management Training Operations Response Capability Operational Emergency Training Personal Safety & Evacuation Safe Plant Shutdown Fire Protection System Combined Exercises Operational Emergency Training © 2011 Athena HESS Consultants Pte Ltd, Singapore Pre-Incident Plan (PIP) Development Process 1. Identify and review of potential scenarios BowTie® / HAZOP reports Past incidents and trends Site inspection and assessment of • Plant layout and spacing • Verification of implementation of BowTie/HAZOP recommendations • Exposure/escalation potentials • Emergency access adequacy • Fire Protection system adequacy and configuration 2. Rationalize & prioritize identified scenarios 3. Develop of mitigation strategy and tactics for IAPs 4. Determine standard template for PIPs 5. Deploy resources & responsibilities for PIP development © 2011 Athena HESS Consultants Pte Ltd, Singapore Essential Elements of PIP 1. Target Equipment / Facility 2. Potential Scenarios 3. Alternative Mitigation Means 4. Thermal Radiation & Vapour Plume Simulations 5. Fixed Fire & Other Protection Systems 6. Extinguishing Media Requirements/Logistics 7. Incident Action Plans © 2011 Athena HESS Consultants Pte Ltd, Singapore Generic Scenarios – Example Scenario Category Scenario Description 1 Flammable Liquid Jet / Pool Fire 2 Flammable Liquid Pool Fire - Enclosed/Furnace 3 Potential Furnace Explosion - Flammable Liquid Pool Fire (Enclosed) 4 Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire 5 Confined Explosion (Deflagration/Detonation) in Vessel/Pipeline 6 Sewer Fire 7 Tank Fire - Fixed Roof 8 Flammable Liquid Pool Fire - Toxic Fuel (TCE) 9 Toxic Release/Hazmat (H2S, HCL, Ammonia, Caustic, TCE, Process Catalyst) 10 Collapse of Process Structure/Equipment/Column - Major Incident © 2011 Athena HESS Consultants Pte Ltd, Singapore Specific Scenarios – Refinery Unit 1 Refinery 1: List of Specific Scenarios Pre-Incident Plans 1 2 3 4 5 6 7 8 9 10 CDU1 Crude Charge Pumps G101/G101A/G101B Mechanical Seal Failure: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire CDU1 Heat Exchanger E-1001B Shell Rupture: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire CDU2 Heat Exchanger E-101B/E-1014/E-1016/E-1020/E-1019 Shell/Line Rupture: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire CDU3 Furnace (#___) Tube Rupture: Enclosed (Furnace) Liquid Pool Fire CDU5 Overhead Pump G-111 Mechanical Seal Failure: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire CDU6 (Pump Type & G#) Mechanical Seal Failure: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire CDU6 Heat Exchanger E-119 Shell Rupture: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire HTU1 Reaction Charge Heater F101 Explosion - Enclosed Flammable Liquid Pool Fire HTU1 Column C-401 Flammable (Gas) Release: Unconfined Vapour Cloud Explosion/Flash Fire HTU1 Surge Drum C101 Rupture: Flammable Liquid Pool Fire © 2011 Athena HESS Consultants Pte Ltd, Singapore Specific Scenarios – Refinery Unit 1 (Cont…2) Refinery 1: List of Specific Scenarios Pre-Incident Plans 11 12 13 14 HTU1 Reaction Charge Heater F101 Explosion - Enclosed Flammable Liquid Pool Fire HTU1 Heat Exchanger E-102 Shell/Line Rupture: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire HTU1 Stripper Reboiler Pumps G-102/A Mechanical Seal Failure: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire Plat1 TCE Storage Drum D-102: Flammable Liquid Pool Fire - Toxic 16 Pumps G-401/A/B Mechanical Seal Failure: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire Plat 2 Run Down Tank #? - Fixed Roof Tank / Liquid Pool Fire 17 Plat2 After cooler E115 Shell Rupture: Flammable Liquid Jet / Pool Fire 18 Asphalt Unit Vacuum Heater F301 Enclosed Flammable Liquid Pool Fire 15 19 20 Asphalt Unit HVGO pumps G303/G303AMechanical Seal Failure: Flammable Liquid Jet / Pool Fire LPG1 Feed Drum C201/De-Ethaniser C202/C203A De-Ethaniser Overhead Receiver: 1) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire 2) Flammable Liquid Jet / Pool Fire © 2011 Athena HESS Consultants Pte Ltd, Singapore Specific Scenarios – Refinery Unit 1 (Cont…3) Refinery 1: List of Specific Scenarios Pre-Incident Plans 21 LPG1 Heat Exchanger E-202 Shell/Line Rupture: 1) Flammable Liquid Jet / Pool Fire 2) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire LSR/LPG Naphtha Sand Filter C211/ LSR Sand Filter C214 drain valve Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire LPG1 Feed Drum C201/De-ethaniser C202/C203A De-ethaniser Overhead 23 Receiver : 1) Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire 2) Flammable Liquid Jet / Pool Fire 24 LPG Merox: Heat exchanger E201Rupture: Flammable Liquid Jet / Pool Fire LSR/LPG Naphtha Sand Filter C211/ LSR Sand Filter C214 drain valve 25 Flammable Gas Release/Unconfined Vapour Cloud Explosion/Flash Fire 22 26 LPG/LSR Merox: LPG Tank D201 Vent - Toxic Release/Hazmat - H2S LPG/LSR Merox - Tank D201 Vent - Confined Explosion (Deflagration/Detonation) in Vessel/Pipeline LPG/LSR Merox Ammonia Storage Tank D1001 - Toxic Release/Hazmat 28 Ammonia 27 29 LPG/LSR Merox Tank D-201 - Toxic Release/Hazmat - H2S © 2011 Athena HESS Consultants Pte Ltd, Singapore Pre-Incident Plan Specimen (Refining) ©Athena HESS Consultants Pte Ltd, Singapore Cover Page ABC Refining Company Limited Pre Incident Plan Crude FeedPump Mechanical Seal Failure Applicable to: Pump # 1101 Pump # 1102 Pump # 1103 Pump # 1104 Pump # 1105 © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 1: Target Equipment / Facility • • • Equipment, Facility Technical data Environmental Data © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 2: Potential Scenario • • • Potential Scenario & Challenges Special Hazards & Precautions Alternative Mitigation Means © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 3: Alternative Mitigation Means • • Additional Isolation Means Alternative Access © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 4: Thermal Radiation Simulation - 37.5 kW/m2 - 12.5 kW/m2 - 4.0 kW/m2 © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 5: Vapour Plume Simulation • • • Concentration Cloud Height Distance Downwind © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 6: Fixed Fire Protection System © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 7: Extinguishing Media Demand © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 8: Initial Standard Response Deployment © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 9A: IAP – Immediate Ignition (Liquid) Incident Action Plan A. Liquid Pressure & Pool Fire (Immediate ignition) 1. Raise alarm 2. Stop pump involved (G101/ G101-A/ G101-B) 2. Evacuate non-essential personnel from Unit and conduct headcount 3. Isolate crude feed line (by shutting valve at battery limit – Road #) 4. Stop crude pump at source (CTT) 5. Cool adjacent exposures 6. Confirm Fire Pump(s) in operation and line pressure 7. Deploy Fire Tenders (predetermined locations, refer FB-SOP #) 8. Initiate Foam Attack 9. Shut water monitors (FWM) 10. Establish foam concentrate replenishment 11. Standby Foam hand-lines for mopping up operation 12. Confirm extinguishment, maintain vigilance against re-ignition. © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 9B: IAP – Delayed Ignition (Vapour) B. Unconfined Vapour Cloud Explosion (UVCE); Liquid Pressure & Pool Fire 1. Raise alarm 2. Evacuate personnel from Unit and conduct headcount 3. Stop pump (G101) 4. Commence Shut-down of unit and eliminate all sources of ignition 5. Isolate crude feed line (by shutting valve at battery limit – Road #) 6. Stop crude pump at source (CTT) 7. Activate Fixed Water Monitors 8. Monitor wind direction 9. Initiate gas monitoring to establish hot-zone boundary 10. Keep personnel outside the ‘hot zone’ 11. Confirm Fire Pump(s) in operation and line pressure 12. Direct Fire Tenders to deploy in safe areas (refer FB-SOP #) 13. Deploy Fire Tenders per FB-SOP #( ) 14. Commence Brigade operation to situation (Vapour Dispersal or Foaming) per SOP In the event vapour cloud ignites: Unconfined Vapour Cloud Explosion (UCVE) will occur with the characteristic “fire ball” resulting from the volumetric expansion combusting vapours, followed by Liquid Pressure & Pool Fire © 2011 Athena HESS Consultants Pte Ltd, Singapore Pre-Incident Plan Specimen (Gas Plant) © 2011 Athena HESS Consultants Pte Ltd, Singapore ABC Gas Company Limited Pre Incident Plan Product Bullet Drain Valve Seizure in Open Position Applicable to: LPG Bullet # 9 LPG Bullet # 10 LPG Bullet # 11 LPG Bullet # 12 LPG Bullet # 13 LPG Bullet # 14 © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 1: Target Equipment / Facility (LPG) Material Phy sical State O peration Condition Liquified Petroleum Gas (LPG) - 80% Butane, 20% Propane Atmospheric condition Pressurised Liquid Prevailing Wind direction 5 Pressure(kg/cm2) TBC 50 (Summer), 18 (Winter) Temperature(℃) Prevailing Wind speed(m/s) Flow Rate(kg/s) TBC TBC © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 2: Potential Scenario Potential Incident: Siezed Drain Valve (Uncontrolled flow of LPG) 1. Liquid Pressure /Jet Fire Crude Feed 2. Unconfined Vapour Cloud Ex plosion 1 © 2011 Athena HESS Consultants Pte Ltd, Singapore Part 2B: Special Hazards & Precautions 1. In the event vapour cloud ignites, an Unconfined Vapour Cloud Explosion (UVCE) will occur with the characteristic “fire ball” resulting from the volumetric expansion of combusting vapours. 2. If an explosive situation is credible, priority shall be to evacuate all nonemergency personnel to the designated evacuation assembly area(s). 3. Emergency Response Team members should be moved to a safe area upwind of the incident. 4. In the event of thermal radiation from UVCE affecting the neighbouring bullets, raised internal pressure may cause PSVs to release LPG vapour jets which may get ignited. Extinguishment of the resultant jet fires could be achieved by the Cooling of the bullets. Fixed water spray systems, supplemented by water monitors. 5. Unfreezing of the seized valves may be achieved by applying water streams on the affected valve(s). 6. Gas fires should not be extinguished other than by isolating the source, unless isolation can be achieved immediately upon extinguishment. © 2011 Athena HESS Consultants Pte Ltd, Singapore IAP – Liquid Jet Fire (Immediate ignition) A. Liquid Pressure / Jet Fire (Immediate ignition) 1. Raise alarm (Sounding of Plant siren; Civil Defence notification) 2. Initiate Total Plant Shutdown by activating ESD 3. Stop all vehicular movement within Plant 4. Evacuate non-emergency personnel to designated assembly area. 5. Activate of Water Spray System of involved bullet 6. Activate of Water Spray System of adjacent bullet 7. Deploy portable 'water-curtain' monitor between drain line discharge & root-valve a. Provide water spray cover from handline for deployment 8. Apply water stream from handline on root-valve to 'unfreeze' valve seizure 9. Close root-valve to starve jet fire issuing from drain valve Note. In the unlikely event that the root-valve cannot be fully closed, attempt should be made to safely close the tail end drain valve. 10. Maintain cooling until normal operating conditions are attained. © 2011 Athena HESS Consultants Pte Ltd, Singapore IAP – Vapour Cloud (Delayed Ignition) B. Unconfined Vapour Cloud Release threatening Explosion (UVCE) followed by Liquid Pressure / Jet Fire (Delayed ignition after release) 1. Raise alarm (Sounding of Plant siren; Civil Defence notification) 2. Initiate Total Plant Shutdown by activating ESD 3. Evacuate non-emergency personnel from Plant 4. Eliminate all sources of ignition (including vehicular traffic) 7. Operate Fixed Water Monitor (where available): a. Dissipate vapour cloud b. Divert vapors away from bullet 8. Supplement monitor operation with wheeled monitors 8. Monitor wind direction 9. Initiate gas monitoring to establish hot-zone boundary 10. Keep personnel outside the ‘hot zone’ 11. Apply water stream from handline on root-valve to 'unfreeze' valve seizure 12. Close root-valve to starve jet fire issuing from drain valve Note. In the unlikely event that the root-valve cannot be fully closed: Attempt should be made to safely close the tail end drain valve. 13. Maintain cooling until normal operating conditions are attained. Unconfined Vapour Cloud Explosion (UCVE) will occur with the characteristic “fire ball” resulting from the volumetric expansion combusting vapours, followed by Liquid Pressure & Pool Fire © 2011 Athena HESS Consultants Pte Ltd, Singapore Leveraging BowTieXP® Software A Current Initiative in the Netherlands © 2011 Athena HESS Consultants Pte Ltd, Singapore Leveraging BowTieXP Software Advanced Barrier Management Plan – Do – Check – Act © 2011 Athena HESS Consultants Pte Ltd, Singapore Leveraging BowTieXP® Software Athena HESS lending its Concept & Experience. © 2011 Athena HESS Consultants Pte Ltd, Singapore Possible Message to Management: PIP = Profit Insurance Plan [email protected] Thank you!