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Flixborough Disaster Details
Flixborough Disaster Details
00
# 2004 Institution of Chemical Engineers
www.ingentaselect.com=titles=09575820.htm Trans IChemE, Part B, March 2004
Process Safety and Environmental Protection, 82(B2): 105–127
REVIEW PAPER
T
he Flixborough explosion was the largest-ever peacetime explosion in the UK. There
were 28 fatalities as well as the near complete destruction of the NYPRO plant in North
Lincolnshire by blast and then fire. An official Court of Inquiry was established and
charged with the responsibility of determining the cause(s) of the disaster and any lessons to be
learnt. This paper reviews the disaster, its investigation and inquiry, its attributed cause, and an
alternative possibility, and this redraws the lessons to be learnt for modern chemical plant
design and accident investigation. The reanalysis suggests that the failure was caused by a
complex two-step mechanism that resulted from the initial failure of only one bellows, a release
of about 10–15 tonnes of cyclohexane, and the detonation of the consequent vapour cloud with
an explosive effect of some 280 tonnes of TNT. This is compared with the single-step failure
process reluctantly acknowledged by the Court; the amount of release accepted, 40–60 tonnes
of cyclohexane, and its explosive effect, 6–16 tons of nitroglycerine. The results should be of
interest to industry, regulators, and loss prevention and risk assessment specialists.
Keywords: Flixborough; disaster; vapour cloud explosion; cyclohexane; loss prevention; risk
assessment.
105
106 VENART
Figure 1. NYPRO site plan showing Section 25A: the reactors; explosion origin, X; and CFD study area, cross hatched (modified from Figure 1, Secretary of
State for Employment, 1975, under the terms of Crown Copyright Policy Guidance issued by HMSO).
ensure level control and bottom feed as well as a gas sparger ization between reactors was provided by individual off-
for oxidation and a line for catalyst addition. The height of gas lines connected to a common header with pressure
flow over the weir was about 115–130 mm under full pro- relief.
duction and 40 mm at the time of the incident (Artingstall, The interconnecting pipes and their bellows had originally
1974). All but one reactor, R4, had an agitator (Artingstall, permitted the hot pressurized feedstock to flow over the outlet
1974). A 13 mm mild steel flanged skirt served as the reactor weir in the upstream reactors, through the bellows stub-pipe
base and this was affixed to a 460 mm thick reinforced connection into the downstream reactors with a fixed eleva-
concrete slab atop stepped concrete plinths. Pressure equal- tion difference of 178 mm at a velocity of about 0.3 m s1
through the nearly full pipes of full production flow. The
original freeboard of 230 mm also provided additional
pressure equalization capability, although, if pipes became
full and the off-gas vents blocked—say by a two phase
mixture—pressure balance could be compromised. The
‘dog-leg’ pipe adaptation, now, however, doubled the head
between R4 and R6 to 356 mm so there was a significant
weir ‘waterfall’ (velocities from 1.8 to 2.6 m s1 dependent
upon production—full=recycle) in addition to hydraulic
jumps in the very complex flow structure (Figure 4).
At full production the R4–B4 stub-pipe was nearly half
full at a velocity of about 0.5 m s1. Immediately after the
bellows, with transition into the 508 mm section, the flow
accelerated and became supercritical, ending in a significant
hydraulic jump near the lower mitre bend nearly filling the
pipe—due to a reduced freeboard of 120 mm—and then
Figure 2. Section 25A during construction (before vessels were insulated)
slugging into the lower B6 bellows and thence into R6;
showing the six reactors and their connections (source J. I. Cox, 1976, here the flow was quiescent (Teng-yang et al., 2000);
reproduced with permission from J. I. Cox). velocity at full production was again about 0.3 m s1.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 107
Figure 3. Reconstruction of the R5 bypass assembly showing the two bellows and stub pipes, the 508 mm dogleg pipe and support scaffolding (source
Secretary of State for Employment, 1975, is reproduced under the terms of Crown Copyright Policy Guidance issued by HMSO).
Under the conditions of hot recycle the weir overflow thermal expansion of the reactors. And, finally, there were
generated greater velocity and turbulence due to the the significant discharge and flow modifications.
increased fall. The process fluid in this portion of the plant, cyclohexane
The modification made was thus much more than just a (C6H12, MW 84), is a colourless liquid similar in some of its
geometric alteration. Significant changes were made to the properties to gasoline [flash point 20 C, auto-ignition
statics, the dynamics and the flow. First, due to the dog-leg temperature (AIT) 245 C]. It has a normal boiling point
shape of the bridging pipe and the differences in pipe of 80 C and at 150–155 C saturation pressures, psat, of
diameters, there were a couple which latterly loaded 0.55–0.60 MPa. When the liquid was saturated with nitro-
the pipe and the bellows in the vertical direction. Second, gen, or air—as when oxidation was occurring in the reactor
the assembly was a mass–spring system with very little stream—the pressure was 0.96 MPa. Under these condi-
support provided by the scaffolding, especially upon vertical tions the liquid was 99.5–99.6% C6H12 saturated with
Figure 4. Reactor vessels R4 and R6 with the temporary bypass indicating liquid levels at full production (source Teng-yang et al., 2000, reproduced with
permission from IChemE).
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
108 VENART
0.5–0.4% N2 or air; the vapour would have consisted of east, are the remains of the warehouse and flaking plant
about 61–68% C6H12 and 39–31% N2 or air (NIST, 1999). where there were four fatalities. Note that the damage to
The lower flammable (LFL) and upper flammable limits vehicles in the car park suggests very large over-pressures—
(UFL) of a vapour–air mixture by weight, under atmo- out in this area there were two deaths, a chemical worker
spheric conditions, are 3.5 and 20 wt% (1.3; 7.8 vol%), found 55 m from the plant entrance and 12 m from the car
respectively. park perimeter and the Main Gate security guard found
The scale of the disaster and damage can be appreciated 120 m from the centre of the explosion and 30 m from the
from photographs taken soon after the explosion and shown car park perimeter. A tanker truck, in the centre background,
in Figures 5 and 6. was completely crushed and its contract driver found nearby
In Figure 5 we are looking north over the rubble pile of at the plant weigh-bridge, some 120 m from the explosion
the Main Office building at Section 27. Notice the crushed centre.
columns to the right (east) of the Section and the, amazingly,
still near-vertical lamp-post, all indicators that this location
THE COURT OF INQUIRY
was near the center of the explosion. Note also that the
columns and vessels on the west (left) side of the section are An Official Court of Inquiry was immediately appointed
uncrushed. Had the explosion occurred during the week by the Secretary of State for Employment, Michael Foot, ‘to
the three-storey Main Office would have been occupied. establish the causes and circumstances of the disaster and to
In Figure 6 the car park to the southeast of the Main point out any lessons . . . to be learned therefrom’. The
Office building is shown. This spot is near where the main Court comprised R. J. Parker, QC (Chairman), J. A. Pope
entrance and Gate House would have been. To the right, the (Deputy Chairman), J. F. Davidson and W. J. Simpson and
heard from over 170 witnesses over a period of 70 sittings.
The essential problem faced by the Court was ‘to determine
what had caused the rupture of the by-pass.’ However, the
only possibilities considered in detail were: ‘(i) rupture of
the by-pass assembly through internal pressure; (ii) rupture
of the assembly in two stages; a small tear in the bellows
[B4] leading to an escape and a minor explosion causing
final rupture; and (iii) rupture of the ‘8 inch’ line at the
50-inch split leading also to a minor explosion causing
rupture of the by-pass assembly’.
Processes (ii) and (iii) were interpreted to require an
external minor explosion to trigger events; little evidence
for this could be determined, however. All required greater
than normal internal pressure. Possibility (ii) was ruled out
early in the investigations as extensive testing of six new
bellows showed that pressures in excess of those required to
activate the pressure relief system were necessary and also
that low cycle fatigue would not extend the very small
resulting tears (Batstone, 1975). So, despite a large internal
Figure 5. Looking north over the rubble of the Main Office Building into tear found in bellows B4 (Foley, 1974a), and compelling
Section 27 (photograph reproduced with permission from the Scunthorpe
Evening Telegraph, www.thisisscunthorpe.co.uk=photosales). eyewitness evidence, only three paragraphs in the final report
and a few pages in the Court’s record, no definitive studies
were further devoted to the two-stage rupture possibility.
Processes (i) and (iii) only were examined in depth and in
near equal measure in the Report of the Inquiry, the Records
of the Court and the supporting studies. Other possibilities
considered for an internal initiating event (e.g. peroxide
decomposition and the operation of a nitrogen purge) were
excluded, as was the likelihood of fatigue and a water–
cyclohexane superheated explosive boiling interaction (King,
1975, 1977, 1999). In this case recent experiments under-
taken for the UK Health and Safety Executive on behalf of
the Minister of the Environment (Snee, 2004) indicate that
water trapped in the bottom of R4 did not play a significant
role in the event; further experiments to examine the
influence of venting are planned.
On the basis of expert evidence by Professor D.E.
Newland (Newland, 1976), based on a dynamic analysis
and assessment of energy requirements for both bellows to
squirm and the by-pass pipe to buckle as one event, the
Figure 6. The NYPRO car park to the east of the Main Office Building Court concluded, albeit with low probability, ‘that the
(photograph reproduced with permission from the Scunthorpe Evening disaster resulted from a one stage failure of the 20-inch
Telegraph, www.thisisscunthorpe.co.uk=photosales). assembly’—as a result ‘of conditions of pressure and
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 109
temperature more severe than any which had previously in Hz, p is the bellows pitch (m), and V is the mean flow
prevailed but no higher than careful and conscientious plant velocity (m s1). The flexibility of expansion joints makes
operators could be expected to permit.’ This failure process them susceptible to self-excited vibration, resulting in bend-
was supported only partially by an extensive full-scale ing stresses that may produce fatigue failure (Weaver and
experiment (Games and Waterhouse, 1974), which indicated Ainsworth, 1989). Gigacycle fatigue damage to the thin wall
that bellows squirm and pipe-bridge buckling of the assem- bellows may thus have occurred since between 20 million
bly (as shown in Figure 3) would occur in about 100 ms. and over 300 million cycles were possible within the range
Other experiments and bellows tests at the same and more of potential excitations present during the 2-month operating
severe operating conditions were also conducted (Batstone, period. In the fatigue testing of steels, trials are usually
1975). All these experiments were, however, unable to terminated before 100 million cycles since a ‘fatigue limit’
reproduce fully the failure process accepted, the physical is normally registered between 1 and 10 million cycles. How-
evidence, and the experience of witnesses within their ever, tests conducted with high-frequency random vibration
observation time-frames. The Court did state, though, that (similar to those associated with the natural resonance of a
their conclusion ‘would be readily displaced if some [other structure) show that the fatigue limit of steels can disappear
event of] greater probability to account for the rupture could and that fatigue failures occur (Miller, private communica-
be found’ (Secretary of State for Employment, 1975). tion 1999; Au-Yang, 1999).
The Court’s qualified conclusion as to cause has been the It is worthwhile to review the Court’s concerns on fatigue.
subject of considerable controversy, especially regarding the The only serious questioning on the subject was raised by
actual failure process (e.g. Ball, 1975, 1976; Butler, 1975; Dr Pope, Deputy Chair of the Court, and a mechanical
Cox, 1976; Gugan, 1976; King, 1977; Warner, 1975; engineer, in his questions to Dr Foley (Foley, 1974d).
Warner and Newland, 1975), the amount of cyclohexane Drs Gill and Kitching (Gill, 1974; Kitching, 1974) as well
released, and whether the unconfined vapour cloud formed as Dr Ryder (Ryder, 1974) also raised concerns regarding
in the release detonated (e.g. Gugan, 1979, 1980a,b; Ale and flow induced and other vibrations and fatigue. Dr Foley had
Bruning, 1980a,b; Fu and Eyre, 1974; Phillips 1981). The earlier stated that ‘detecting fatigue failure in thin sheets is
debate and study continue to this day (e.g. Gugan, 2000; difficult’ (Foley, 1974e). In order to determine evidence for
Høiset et al., 2000; King 2000; Kletz 2000; Swan 2000). fatigue in the bellows, over 26 m of failure surface would
In view of the role this event has played in the chemical have had to have been carefully examined. Dr Foley had
and insurance industries and its pivotal function to loss stated (Foley, 1974b,c) that his inspection was only made by
prevention and regulation, a further reexamination now ‘eye and a small lens’ and thus the possibility of fatigue,
appears warranted. In this, greater attention will be focused especially at the interior tear in the upstream B4 bellows,
on possibility (ii)—rejected by the Court—as a two-stage cannot be ruled out since a more careful examination would
event was certainly experienced by most witnesses. In what have necessitated greater magnification. Dr Miller, too, was
follows the bellows, the bridging pipe and its assembly into questioned on this subject (Miller, 1974).
the by-pass are modelled and a release scenario that consid-
ers the likely sequence of events initiated by the crack noted
in B4 is advanced. This is done because flow-induced THE EVIDENCE
excitation and fatigue of bellows was not considered in
The Safety and Mines Research Establishment (now the
depth by the Court and this may have been responsible for
Health and Safety Laboratory of the Health and Safety
the initiation of events.
Executive) was responsible for the work of recovery, identi-
Each bellows had a first natural frequency of about 65–
fication and examination of the wreckage and the conduct of
71 Hz axially and between 325 and 416 Hz in the transverse
further testing. Creamer and Warner, Consulting Chemical
direction. The system (pipe, stub-pipes and bellows) reso-
Engineers, were appointed technical advisors to the Court.
nance frequency, as determined for a straight pipe, was
HM Coroner was A. A. Collins. The Home Office Patho-
3.9 Hz axial, 15.7 Hz lateral (ends of the spool pipe in
logist was Dr A. Usher of the University of Sheffield (Usher,
phase), and 27.2 Hz for the rocking mode (EJMA, 1993).
1979).
The excitation of this very complex spring–mass system was
now such that resonance with portions of the flow was
possible (Teng-yang et al., 2000). Most of the lower
Witness Statements
frequencies could have been excitable by the very broad
range of flow velocities present, particularly near the Humberside Police were in charge of the accident inves-
hydraulic jump and regions of flow acceleration. The jetting tigation (Humberside Police, 1974). Interviews were
at the base of the weir outfall could also result in the axial conducted, and statements taken from nearly 300 indivi-
resonance of the bellows since these were about one pipe duals. These included 43 shift survivors, 54 off-site
diameter away. witnesses, 78 employees on the June 1 7 a.m.–3 p.m. and
With flow-induced vibration of bellows, no significant 8 a.m.–4 p.m. shifts, as well as 114 other employees and
response is observed up to some critical velocity and then, contractors. Dr J. I. Cox worked with many of the survivors
as the velocity is increased further, the convolutions become and witnesses to reconstruct events and confirm the timings
unstable. For uniform mean flows the critical Strouhal made in statements (Cox, 1976).
number is St ¼ 0.45 (Weaver and Ainsworth 1989); for In 1974 Nypro had grown to employ 560 persons of
non-uniform flows, as at the exits of elbows leading to whom some 260 were shift workers (Westgate, 1975). June 1
bellows and perhaps the weir outfall region, St ¼ 0.57 was a Saturday and so only about 70 persons, employees
(Jakubauskas and Weaver, 1998a,b). The Strouhal number, and contractors, were on site. Of these, Humberside police
St ¼ ( fp)=V, where f is the bellows axial natural frequency were able to take statements from 43 individuals; nearly all
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
110 VENART
(42) indicated that the lead up to the explosion had consisted Blast
of some noisy events in the vicinity of the southwest end The Main and Project Office buildings (Figure 1) were
of section 25A—a ‘bump’, a release of high-pressure gas totally destroyed, likewise the Laboratory and Main Control
(‘like a PRV vent’) for about 2–4 s, deep rumbling, more Room. W. Thomas, of Amcotts, saw what appeared to be the
noise—a ‘bang’—with debris being scattered upwards, a interior explosion of the Project Office immediately prior to
‘roar like a jet engine’, massive upward and southern the main explosion (Humberside Police, 1974). The 0.4 m
releases concurrent with a westward developing ground thick concrete second floor of the southeast corner of
flow, and small fires about the base of the reactors, all Section 27 was displaced downwards (Roberts and Pritch-
taking place over about 30 s prior to the explosion. In the ard, 1982), suggesting an aerial flammable cloud at this
3–4 s initial period some observed something like a ‘tank location. A tanker truck (cf. Figure 6), located about 150 m
top’, or ‘sheet of metal’ 1 m diameter, being thrown up east of the southern end of Section 27 was completely
and spiraling downwards, one on site, L. Harry, and three crushed by an overpressure estimated to be about 1 MPa
off-site, J. A. R. Cooke, S. Hill, and H. Toyne. Many then (Gugan, 1976). A manhole cover, located on the roadway, in
observed debris and dust being thrown upwards followed by front of the Main Office building and midway between the
vertical and then horizontal jets of discharged material Gatehouse and Section 25A was broken by a similar over-
(Humberside Police, 1974; Harry, 1974). pressure (Gugan, 1976).
Of the eight survivors from the Laboratory, seven gave Physical damage to steel chemical plant components, for
evidence. Of these, five were specific in the description of example some of the reactors and strong pressure vessels
a slowly developing vapour cloud moving to the west over located in sections 25A, 7 and 27, and closest to the Main
the time period of their observation, 8–12 s. This cloud Office building, exhibited crushing of their skirts or bases,
was described as being about 1.5–2 m high and moving which indicated overpressures of the order of 1 MPa. R5,
at 5–6 m s1 along the ground across the clear space located in the waste ground north of the Project Office,
between the Laboratory and the Project Office. Its origin however, only experienced crushing to its skirt on its eastern
was described as either being near the top of R4 or at its perimeter, whereas its western base and the upper sides of
base, but at least between the two (R4 and R6) reactors. the weaker cylindrical section were undamaged [compare
None of the these witnesses described any northward flow, Plate 7 in Secretary of State for Employment (1975) with
i.e. any flow coming towards them. One described debris Figure 2.4 in Center for Chemical Process Safety (1994a)].
being thrown up into the air very early into the event. Crushing was also evident around the base of R6 but not the
Other individuals, one about 90 m east and some 60 m upstream reactors (Plate 8 in Secretary of State for Employ-
north of the Main Office building described a cloud of dust ment, 1975): the fact that the base of R6 was crushed but not
and smoke coming round the southern end of Section 27 its weaker barrel suggests that this was under pressure at the
(Colquhoun, 1974). Another, some 500 m to the west time of the explosion. In the failure mode accepted by the
observed the development of the cloud from its initiation Court, both reactors R4 and R6 would have discharged
as a ‘whisper of ‘‘steam’’’ to its enlargement into a ‘roaring’ together. Since the upstream reactors had greater inventory
jet going up-river (i.e. south) and ending up ‘like a fog’ (there were five reactors; the non-return valve after R6
across the car park (Ayre, 1974). limited the downstream capacity to that of R6 only), their
Various off-site witnesses, e.g. King (1974) about 500 m discharge would have lasted longer than that from R6 and it
away, reported seeing ‘dirty steam’ going up into the air, should have emptied earlier and not been under pressure.
followed by ‘what appeared to be an explosion that blew Additionally the Goodchild cine film as well as Plate 5 of
vapour sideways into the works’ and then the major explo- the Court’s report, both taken after the explosion, show a
sion; Dickinson (1974), about 200 m away, saw a flash like a significant torch fire from the south end of the section.
large ‘creamy coloured torch’ coming towards him (i.e. Process columns to the southeast in Sections 25A, 7 and
eastward) before the explosion. One described a ‘kettle 27 exhibited considerable crushing at a variety of elevations
spout’ and another a ‘swan neck pipe’ in the vicinity of [e.g. Figure 6; Plate 8 in Secretary of State for Employment
Section 25A (Humberside Police, 1974). (1975), Sections 25A and 27; and Figure 2 in Roberts and
A cine film taken immediately after the explosion indi- Pritchard (1982)]. High pressure crushing damage was not
cated what appeared to be a short duration moving and apparent, however, into the northern sections of the plant
bifurcated near-vertical torch-like fire from the southern end (Gugan, 1976). This pattern is consistent with the explosion
of the section (Goodchild, 1975). of both a ground level (to the west out nearly to R5) and an
elevated flammable cloud that encompassed the Main Office
and Project buildings and the southern end of the plant. That
only the southern and SE outer perimeter of plant appeared to
Physical Evidence
have been subjected to such great pressures suggests that the
The enormity of the disaster can only be appreciated by initial extent of the fuel air cloud had not penetrated exten-
reference to the many photographs included in references sively into the northern sections of the plant such as would
(Secretary of State for Employment, 1975; Sadee et al., have been necessary by the simultaneous dual bellows failure
1976=1977; Gugan, 1979; Roberts and Pritchard, 1982) and scenario accepted by the Court. Furthermore, the determined
others available in reports prepared for the investigation. center of the explosion, just immediately north of the Main
Photographs from the press, particularly those taken by Office building, and stated to have been at an elevation
the Scunthorpe Evening Telegraph, reveal the extent of the of about 20–30 m (Sadee et al., 1976=1977), coincides
destruction, especially out into the car park south of the closely with the cloud development and its centre of mass
offices where most automobiles were completely crushed for the R4-only discharge, as will be shown later in the CFD
(Figure 6). studies.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 111
Other evidence the dead load of the fluid inventory. Pressure was applied by
Metallographic examination of the surfaces of the brid- nitrogen gas. Strains in the pipe were also measured. There
ging pipe, stub pipes and bellows indicated no unusual were eight test runs, three at ambient temperature, three at
features except on the surface and attached bellows 155 C, and two at 160 C. The maximum pressure utilized
remnants of stub pipe R4. This showed a heavy grain- was 0.964 MPa in all but the last two cases; for these the
boundary network of carbides which extended into the bellows were squirmed at 1.06 MPa and then ‘burst’ at
structure (Foley, 1974a). Grain-boundary carbide networks 1.53 MPa.
can be produced in austenitic steels by prolonged heating in In the experiments at ambient temperature, internal pres-
a carburizing atmosphere (i.e. cyclohexane vapours) within sure caused the B4 end of pipe to move upward and the
the sensitizing range (400–800 C; Foley and Nicholson, scaffolds there were only lightly loaded. With increase in
1974). Two-phase jetting from R4 should have cooled this pressure, the B4 end rose off the scaffold support as the B6
structure and thus prevented carbide formation. Upon cessa- end moved downwards and the scaffolds there carried
tion of a R4 discharge, however, the impact of a R6 jet fire greater load. However, under operating conditions, 150–
could have resulted in the carbide formation. Carbide 155 C, the assembly was mostly unsupported since the
formation, along with zinc embrittlement, formed by high reactors expand upwards about 6 mm.
temperature exposure and molten zinc contamination, was
found on portions of the ‘8-inch’ pipes. From this it was Bridging pipe
possible to infer probable temperature distributions within Experiments on the 4.8 mm thick wall dog-leg pipe were
that piping structure (Foley and Nicholson, 1974). also carried out (Batstone, 1975). Two 75 mm pin joints
Figure 7 and Plate 9 of the Court’s report show that were located at the centre of the bellows at each end of the
portions of the scaffold supports and the plinth crossing original assembly where the bending moment was zero. An
walkway, in front of R6, have been impacted by something axial load was applied horizontally at the lower end through
and swept towards the base of R6. There was also an two pre-calibrated hydraulic rams each of 100 tonnes
unexplained impact dent in the front, i.e. facing R4, side capacity with 152 mm stroke. In order to support the vertical
of R6 (Figure 7 and Artingstall, 1974). The inlet baffle plate force on the ram, two double row, self-aligning ball bearings
of R6 had been torn off and had impacted the agitator shaft, were located on the extended pin of the joints. These were
bending it through an angle of 15 (Artingstall, 1974, free to move on two horizontal supports mounted on the
Gugan, 1979). floor as the rams extended but were prevented from twisting.
Two strengthened adapter pieces were welded to blank
Experiments flanges bolted to both ends of the pipe and pivoted on pin
joints fixed to vertical support columns. The pipe itself was
Dog-leg pipe-bellows assembly filled with water and internal pressure applied with a hand
A test of the assembly was conducted at Flixborough pump. The axial load applied via the ram maintained the
using a new pipe built according to the original design and internal pressure according to the relationship:
inserted in place of reactor 3 (R3) (Secretary of State for
Employment, 1975; Games and Waterhouse, 1974). The F ¼ pA (1)
bellows utilized were new with axial stiffness of 498 and
482 kN m1 for the B4 and B6 bellows, respectively. Scaf- where F was the horizontally applied axial load, p the
folding, similar to that in the original installation, could also internal pressure, and A the effective cross-sectional area
be used. Axial and lateral deflections were measured, both of bellows (deff ¼ 747 mm). The internal pressure and
cold and hot (155 and 160 C), with a chain used to simulate deflections at several positions were measured and recorded.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
112 VENART
This pipe failed, i.e. buckled at its lower mitre joint at As a result B6 rapidly expands and compresses B4 due to
1.89 MPa. this unequal pressure distribution, Figure 8(b), and the
now superheated and supersaturated cyclohexane starts to
Bellows and stub-pipes boil with a ‘rumbling’ sound; the boiling becomes more
Batstone (1975) also conducted four individual water- vigorous with time. The B4 bellows are hard compressed
filled bellows tests with a facility designed to simulate half from 228 down to 50 mm and all the convolutions
the dog-leg pipe=double bellows assembly. As the distance creased; B6 expands from 228 to 400 mm.
from the mid-point between the two mitre bends to the first Owing to local boiling, a two-phase swell rapidly fills R4,
convolution of each bellows only differed by 17.5 mm, only its top vent, and its R3 inlet as well as B4 and its stub pipe.
the lower, R6, bellows was evaluated. Axial and shear forces This restricts pressure equalization with R6. As nitrogen
on the bellows were measured as functions of internal comes out of solution and the fluid boils, the increase
pressure along with vertical deflection measurements. The in pressure, from the cyclohexane saturation pressure back
pivot point of the pipe assembly was fixed 0.178 m above to operating conditions, generates a dynamic two-phase
the centreline of the bellows at zero internal pressure at a head space impact and dynamic re=over-pressurization
distance of 2.4 m to the first convolution. The ends of the (Gromles, 1984; Ramier and Venart, 2000). This immedi-
bellows were welded to stub-pipes and these bolted to blank ately causes the compression of the downstream, B6,
flanges, the fixed end being bolted to the support frame and bellows, the extension of B4, and the initiation of its
the free end being welded to an I-beam which supported the upwards ‘squirm’, Figure 8(c)–(e). Squirm is a result of
pivot point of the assembly. the extension, >170 mm, and due to fluid distribution in
The bellows all failed, i.e. squirmed, at an internal the pipe. There is first the ‘thud’ as B4 is compressed and
pressure of about 1.2 MPa. In one of the tests, pressures then a minor ‘rumbling’ of the boiling process in the B4
were cycled over selected ranges of up to 3456 times. In this region of the pipe-bridge, and then a further ‘thud’ as B6 is
test, cracks did not occur until further pressurization to now hard compressed by the repressurization occurring in
1.5 MPa. These cracks were sealed and the test cycles R4 and B4, Table 1.
continued for 900 cycles (1.0–1.1 MPa) and a further 400 The compression of B6, by this local overpressure, fixes
cycles (1.07–1.2 MPa); there was only a slight increase the constraint of the dogleg pipe at its R6 connection and
(2 mm) in the three cracks which had formed at the ‘crimple’ causes the process of B4 squirm to act over the full
points due to squirm. In a few experiments a 48 mm 356 mm eccentricity, Figure 8(d), with much less force
diameter 1.82 m long scaffold support was provided with a than needed by Newland’s 178 mm offset single stage
6.4 mm space between stub-pipe flange in order to evaluate analysis (Newland, 1976).
the influence these had on the behaviour. It was this This results in the collapse, by buckling, of the 0.5 m
experiment that the Court used to rule out its possibility (ii). pipe, at its lower mitre joint, as the B4 bellows continues
to squirm, then balloon, burst and is ripped off at its
normal operating pressure due to the ‘p–V’ work of the
A POSSIBLE INITIATING MECHANISM expanding two-phase fluid, Figure 8(f), the unresisted
squirming force, and the massive reduction in the pipe’s
A potential initiating mechanism consistent with the
moment of inertia caused by buckling, Figure 8(g). It
possibility of fatigue and the evidence outlined above first
should be noted that there is a reduction in moment of
requires the initiating tear found near the top of the
inertia from a thin-walled cylinder to collapsed tube
upstream, B4, bellows (Secretary of State for Employment,
greater than 4000 to 1.
1975; Foley, 1974a; Foley and Nicholson, 1974). The
The B4 squirm, once past about 50 mm vertically, cannot
topmost convolutions of the B4 bellows nearest R4 are most
be resisted and the collapse of the pipe and destruction of
highly stressed (Venart and Tan, 2000) and the convolutions
B4 continues. B4 is torn into three pieces.
susceptible to excitation by the flow.
The ripped off topmost section of B4 is projected
The various steps in the failure process are portrayed in
upwards and sails into the air and appears, to some
Figure 8 and a tabulation of the sights and sounds that
as a ‘blown off ‘‘tank top’’’; it was found only two
would have been expected indicated in Table 1. The very
months later under extensive debris between the line
complex process can be summarized as follows.
of reactors and the after-reactors (Foley and Nicholson,
The instability of the assembly and the near-resonance of 1974); all other portions of both the B4 and B6
the upstream, B4, bellows with the forcing fluid flow bellows were located immediately by investigators
initiates fatigue damage which accumulates in the most (Foley, 1974a).
highly stressed, and least damped (i.e. the vapour space), The shape of the buckled pipe is now somewhat like the
regions of the unit. Small cracks form. ‘swan neck’, Figure 8(g)–(h), noted by some (Marshall,
Sufficient damage accumulates to cause the cracks to join 1974; Gugan, 1974) with a significant jet discharge such
and initiate a tear which further opens, due to pressure, that it resembles a ‘tea kettle spout’. The B6 bellows
and local vapour–gas depressurization occurs, Figure through all of this is, however, still intact, although
8(a). There is a bang and a sound like a pressure relief possibly severely damaged.
valve going off, Table 1. The vapour space of R4 and In the buckling process, Figure 8(g)–(h), the 250 kg liquid
B4 rapidly, 3–4 s, depressurizes down to the saturation contents of the lower end of the 0.5 m diameter pipe are
pressure of the cyclohexane, 0.55–0.60 MPa. forcibly ejected into R6 and this impulse tears off its inlet
Pressure reduction to this level is nearly immediate in the baffle and causes this to impact and bend the internal
structure whereas the pressure response times are three to 154 mm diameter SS agitator shaft (Artingstall, 1974;
15 times slower in the fluids. Gugan, 1979).
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 113
Figure 8. Successive stages in a crack-initiated two-stage bellows and pipe-bridge failure (reproduced from Venart, 1999, with permission from
INTERFLAM, www.intercomm.dial.pipex.com).
The above processes would have been very noisy as the The major explosion occurs which strips off most of the
bellows burst and the dog-leg pipe buckled. Some of the local pipe and vessel insulation.
overhead scaffolding would have been projected upwards The now swinging pipe is swept through the scaffolding
along with other debris and discharged material. In the below by the force of the blast toward the base of the
process some pieces of scaffolding boards and insulation R6 reactor (see Figure 7 and Plate 9 of Secretary of State
material (insulation and its aluminum sheet cover) are for Employment, 1975) and it deflects further and its
caught in the ‘nip’ of the collapsed pipe (Foley, 1974a; lower surface impacts the side of R6 denting it (Arting-
Secretary of State for Employment, 1975). There would stall, 1974) as well as flattening the bottom of the pipe
have been also the development of a ‘roar’ due to the after the lower miter-bend further (Foley, 1974a), Figure
massive two-phase discharge from R4 and the lesser two- 8( j). This effectively cuts off all flow through the pinch.
phase discharge from fluid trapped in the B4 end of the Additionally, the topmost portion of B6 is stretched out
pinched pipe-bridge additional to the ‘rumbling’ of the flat, without any convolutions being left, unlike the
boiling of the superheated cyclohexane in R4, Table 1. companion piece of B4, where some convolution creases
The R6 internal pressure now expands B6 and frees its were still intact (Foley and Nicholson, 1974). The posi-
constraint, Figure 8(h). The reaction of the ‘choked’ two- tions of the ‘crimple’ points in B6 also differ significantly
phase discharge, which occurs through the B4 end of the from those in B4 (Foley and Nicholson, 1974), indicating
buckled pipe-bridge, bends and distorts the bellows a different distortion process for this bellows.
forcibly expanding and stretching its topmost elements In this dynamic process, the B6 bellows are torn off and
to their full extent. The pipe now appears as a ‘swan neck’ the rebound from the R6 impact and the impulse of the
or a ‘tea kettle spout’. two-phase release from the now open R6 end of the pipe
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
114 VENART
Table 1. Sights and sounds in the Flixbourgh by-pass pipe-bridge failure; Figure 8.
spins the assembly clockwise downwards, Figure 8(k), production flow (Artingstall, 1974). The inlet–outlet pipes
such that the flanges, after the lower mitre bend and its R6 of all reactors would thus have been nearly full aside from
stub-pipe, impact the top of the 0.46 m thick reinforced the outlet pipe leaving R4. Here the level at the foot of the
concrete R5 plinth puncturing it, Figure 8(l) (Secretary overflow weir would have been much lower and under full
for State for Employment, 1975). In this process only the production flow, 0.125 m3 s 1, the 0.71 m discharge pipe
R6 stub end of the pipe and its flanges are severely would have been only about half full.
distorted at the point of impact (Foley, 1974a). The With the release mechanism outlined earlier (Figure 8,
pipe, after impact, rebounds and falls over. In the mechan- Table 1), the discharge would have initially been a vapour jet
ism accepted by the Court the buckled end of the pipe or jets through the fatigue cracks, which then would have
should have impacted the plinth slab. extended by pressure to the extent noted by Foley (1974a) in
These later sequences, Figure 8(i)–(l), occur after, the the B4 bellows remnant. The volume of vapour discharged
major explosion. would essentially be that amount trapped in the top of R4
Once the B6 bellows blows off, the resulting horizontal and in the upper reach of the B4 end of the dog-leg,
northward developing torch flame is split by the R4 approximately 12.5 m3. A determination of the quantity
reactor and the eastern half envelopes the now distorted and an estimate of the time can be made based upon the
bare ‘8-inch’ pipes causing the inferred temperature assumption of sonic vapour-only flow through a crack the
distributions, observed creep swelling, zinc contamina- length noted by Foley (1974a). Then, dependent upon
tion and failures (Foley and Nicholson, 1974; Cottrell and the assumed crack width (2 mm) and its discharge coeffi-
Swan, 1976). The bifurcated R6 jet flame explains the cient (1.0), a discharge of about 0.1 tonnes could occur in
cine film taken by a witness (Goodchild, 1975) and obser- about 10 s. This assumes that the discharge process is
ved by others (Carter, 1974). High temperature carburiza- choked and takes place down to a condition where the
tion is found only on the R4 stub-pipe and its attached liquid will just commence boiling, i.e. 0.55 MPa, the satura-
remnants of the B4 bellows (Foley, 1974a; Foley and tion pressure of pure cyclohexane.
Nicholson, 1974). No carbide formation was observed Next it is assumed there is a point before all the vapour is
on the R6 stub-pipe nor its B6 bellows remnants as would exhausted where there will be sufficient superheat in the
be required from the simultaneous jet fires resulting from liquid for it to commence boiling and swell up and fill the
the Court’s accepted mechanism. R4 vessel. At the same time the pressure differences
between the reactors will cause each connection between
The major consequence of this sequence of events is that the reactors to fill and essentially two-phase ‘choke’ such
a discharge through reactor R4 alone occurs prior to the that the discharge process after the vapour release will
main explosion and is thus responsible for the blast. This is consist of the sequential two-phase choked discharge from
only sufficient to provide a release of some 370 kg s1 of each reactor in turn starting from R4. Further discharge from
cyclohexane for probably less than the 30–40 s determined this point in time will have R4 essentially acting as a
for initial events (Cox, 1976). This vent, of some 10–15 separator for the subsequent discharges from the upstream
tonnes (Leclude and Venart, 1996, 1997), is very much reactors R3 to R1. The inlet baffles and the outlet weirs of
smaller than the 40–60 tonne estimates previously attributed each reactor will essentially aid in this process as they will
to the explosion (Sadee et al., 1976=1977; Roberts and additionally restrict flow beyond that provided by the two-
Pritchard, 1982; Bjerketvedt et al., 1997), since once the phase chokes of the reactor inlet–outlet nozzles.
flashed inventory of R4 is exhausted the two-phase choke The energy for boiling comes at the expense of a loss of
from R3 now limits its (R4’s) function to that of a ‘knock internal energy of the liquid and a determination of the
out’ vessel. amount of material that must be vaporized to fill the R4
Any estimate of the amount of cyclohexane released must vessel can be made using mass and energy conservation as
take into account the very complex interior geometry of the well as Clausius Clapeyron considerations in order to
reactor stream flow path in addition to the composition and deduce pressure. Since the quantity of nitrogen dissolved
thermodynamic state of the flow. Figure 3 partially illus- in the cyclohexane is small (0.2%), the vapour phase
trates the interior of the reactors and the ‘by-pass’ pipe depressurization is assumed complete when the pressure
assembly. Under the hot recycle flow conditions existing at has fallen to 0.54 MPa (i.e. just sufficient superheat to
the time of the accident (0.04 m3 s1), the levels in the evaporate enough liquid to fill the reactor). At this point
reactors would have been 130–150 mm lower than under full the vapour discharge is complete and the bellows squirms
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 115
and blows off. A two-phase discharge now commences from The Bellows
the full 0.71 m R4 outlet.
For small deflections (i.e. elastic behaviour), bellows can be
The average void fraction in R4 is based upon the original
simplified by only half a convolution. The axial and transverse
vapour volume, i.e. 0.2. To estimate the initial discharge
stiffness from such an analysis can be regarded as a reference
void fraction the non-homogeneous bubble distribution in
base for the verification of any later more detailed, and
the vessel must be considered, (Gromles, 1984), where a
therefore necessarily less refined, FE model. Although the
distribution factor (Kataoka and Ishii, 1987) is taken. From
results are somewhat dependent upon the physical properties,
this we can now deduce all the necessary properties for the
Venart and Tan (2000) made an analysis using 2688 eight-
fluid at the entrance to the nozzle.
node isoparametric two-dimensional symmetric elements
The level within the R4 reactor must now be tracked and
with 8753 nodes of a model of the Flixborough bellows that
here the rate of vapour production is compared with the rate
resulted in a determined cold axial stiffness of 403.8 kN m1
that volume can separate via the pool free surface (Wehmeier
and transverse stiffness of 5558 kN m1.
et al., 1994), where the velocity of separation (Kataoka and
With large transverse deflections, contacts between adja-
Ishii, 1987) can be utilized. When the separated volume
cent convolutions occur and half a whole bellows must be
exceeds that being produced, the volume of the two-phase
modelled. The shape of the bellows is asymmetric, i.e. the
swell diminishes and the preceding reactor (R3) will com-
overall shape of the deformed structure possesses 180
mence discharging into R4. Using a variety of two-phase
rotational symmetry about the mid-point of the neutral
flow models (Leclude and Venart, 1996) with discharge
axis. Three dimensional (3D) shell and surface contact ele-
coefficients of 0.5 and over the pressure range 0.55–
ments are thus necessary. An element size of 12 12 mm
0.45 Mpa, it is estimated that about 10 tonnes flash from
yields 11,760 elements and 11,979 nodes to mesh half
R4 and are discharged in between 10 and 18 s, dependent
a bellows. The computational requirements for this are
upon the flow model chosen.
extremely large.
Both reactor R3 and R4 must now be considered since R4
An extension of this work by Li et al. (to be published)
is now essentially full of vapour at a pressure of 0.43 MPa.
increased the total number of elements to nearly 3000 and
R3 now starts to discharge into R4. Finally only about
considered in detail elastic and plastic behaviour of bellows
10–16 tonnes of cyclohexane are discharged and not the
as functions of pressure as well as large-scale extension and
40–60 tonnes previously thought.
compression. Figure 9(a) illustrates the model used to
Thus far, the postulated complex behaviour of the
consider axial loading with large-scale compressive and
bellows–pipe assembly has been described, such as might
tensile loading. Axial elastic spring rates under ‘zero’
has been initiated by a fatigue-initiated tear in the B4
pressure for compression and extension are 516 and
bellows. Finite element analyses of the full-scale experi-
527 kN m1, respectively (Figure 9b); in these simulations
ments undertaken for the Court are described next and then
the axial elastic spring rate increases slightly (1%) with
the remainder of the paper examines the discharge processes
pressure increase to 1.1 MPa. Experimental values, obtained
for the case postulated by the Court and that which would
from the manufacturer, and presumably not under pressure
have resulted under the circumstances outlined above; it will
(Batstone, 1975), were between 485 and 578 kN m1. Large
thus compare the developments of the vapour cloud noted
deformation behaviour (Figure 9c) indicates that as the
by witnesses and the consequences of its ignition.
bellows are compressed the convolution crests and roots
start to plastically deform, and that at about 50 mm and
22 kN, with very small increase in load, the bellows
shorten to 110 mm where greater resistance sets in due
FINITE ELEMENT ANALYSES
to convolution compaction—with further compression, to
ANSYS 5.3–5.5 (Swanson Analysis, 1994) non-linear 160 mm, the joint is now effectively rigid and the load
elastic-plastic large deformation finite element (FE) rises to 170 kN. In extension, plastic deformation com-
models were made of the individual bellows and the mences again at about 50 mm and a load of 21 kN. The
assembly of bellows, stub pipes and dog-leg illustrated in roots and crests plastically deform as the sheet straightens
Figure 3. Additional simulations of the experiments carried out to about to 230 mm at 31 kN—further extension now
out for the Court were also conducted. The required requires greater load and the bellows extend finally to
mechanical properties of 304L and 316L SS were deter- 733 mm and start to tear at a load of 900 kN with the
mined either from test (Venart and Tan, 2000) or from the critical elements experiencing a 37% reduction in area.
report of Foley (1974a) and the literature. These results indicate that, if a pressure difference of only
The elastic lateral stiffness of a bellows decreases linearly 0.1 MPa developed between R4 and R6, the respective
with increasing pressure (EJMA, 1993; Newland, 1964; bellows sets, if axially constrained, would be compressed
Snedden, 1981, 1985) and, upon sufficient increase, the and extended 160 mm due to the difference between the
bellows can become unstable, usually resulting in rapid bellows mean diameter and the 508 mm pipe; this could
gross lateral deflection or ‘squirm’. The lateral stiffness occur if the R4 vent and the lower section of the bridging
and response of a universal expansion joint, i.e. two bellows pipe became full of two-phase fluid and ‘choked’. Under
interconnected by a straight length of pipe or ‘spool’ piece, operational conditions with little or no vertical support
has been considered by Newland (1964). The lateral stiff- or upwards restriction, incipient squirm may have been
ness for two bellows connected by an offset spool piece, possible.
such as here, was undertaken by Newland (1976); however, The ‘zero’ pressure transverse, or lateral, elastic spring
no determination appears to exist for the determination of rate of the model was 7474 kN m1 (the lateral elastic spring
natural frequency for this case. rate decreases 25% with pressure increase to 1.1 MPa).
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
116 VENART
Experimental values, obtained from the manufacturer, and The weights of the heavy flanges, with its bolts, nuts and
again presumably not under pressure (Batstone, 1975), were washers, the adapters and the fluid-filled pipe were
between 7567 and 9015 kN m1. The differences in these converted into equivalent density variations of the shell
results could be due to non-isotropy due to the forming and beam elements similar to that used in the bellows
process and the choice of a uniform wall thickness in the simulation. Internal pressure and axial force were applied
model formed bellows that were thinner at their crests and to the pipe in a step-wise fashion until failure. Both room
roots. Figure 10(a) shows the deformed shape of the bellows temperature and hot evaluations were conducted. Large-
joint at an internal pressure of 0.96 MPa and a transverse scale axial loading of the structure was also carried out at
displacement of 42 mm. Figure 10(b) illustrates the trans- an internal pressure of 0.96 MPa.
verse loads required to effect the lateral displacement at The room temperature simulation failed by bucking at the
0.96 MPa as a function of extension. Four main stages can lower mitre joint at 2.16 MPa; the hot simulation failed at
be observed. The first stage is a linear elastic range; here the 1.87 MPa; Batstone (1975) recorded a similar cold failure
load–deflection curve is linear and the stress in the bellows pressure, i.e. 1.89 MPa. The large-scale deformation simula-
is below the yield strength. In the second stage primary tion at 0.96 MPa required over 800 kN to initiate failure
yielding occurs localized at the tops or bottoms of the (Figure 12b).
convolutions where stress levels are high. With increased In order to evaluate the influence of end constraint on
loading, the bellows go into a third stage where contact pipe behaviour a further FE study was conducted using this
between convolutions occurs. This stiffens the bellows in the model (Figure 13a and b). However, this employed a ‘hard’
lateral direction. The final stage is one of general plastic or fixed constraint at the B6 end that restricted rotation of
deformation where the whole bellows yields and the slope of the pipe and thus simulated the constraint of a compressed
the load–deflection curve decreases until the bellows B6 bellows. This model indicated that an internal pressure
becomes unstable and final rupture may occur if bellows of only 1.09 MPa could initiate buckling failure of the pipe
movement is not resisted. at its lower mitre bend. Further, at an internal pressure of
Snedden (1981) experimentally obtained similar load– 0.96 MPa, an axial force of only about 400 kN is required to
deflection curves up to the point of instability. He developed initiate buckling of the pipe, Figure 13(c). Relaxing the B6
simplified analyses to determine the collapse pressure and constraint would obviously increase the required pressure
evaluate the deformations observed (Snedden, 1985). He and load. However, such a result indicates that, had a
considered the lateral stiffness, once convolution contact differential pressure occurred across the two reactors, such
occurred, to be infinite and thus any constraint to be ‘rigid’ as could have happened by only one bellows suddenly
though, as can be seen from his results, this is far from the tearing and depressurizing, the subsequent repressurizing
case (Figure 7 of Snedden, 1985), and a more gradual of R4 coupled with the squirm of B4 could lead to buckling
approach to failure develops in reality and the FE model. of the pipe assembly—all now possible at near-operating
The limiting internal design pressures, based on column pressure.
instability (both ends rigidly supported) and no axial exten-
sion, were estimated by EJMA (1993) methods to be 2.1 and
The Bridging Pipe–Bellows Assembly
1.8 MPa for the cold and hot bellows, respectively.
Both static and dynamic FE analyses for an assembly
made of the dog-leg pipe, its two stub pipes and the bellows
Bridging Pipe
joined to the reactor stub pipes were made based on the
A model was constructed to simulate the experiment on previous models (Venart and Tan, 2000). The model setup,
the bridging pipe alone (Batstone, 1975) described earlier loads and weight conversions were similar to those used
(Li et al., to be published). Internal pressure in this model earlier. The main difference was that the pipe was not fully
was increased gradually and the axial loads at the pivot as filled with cyclohexane (Teng-yang et al., 2000), and that a
well as the vertical deflections computed. Two cases were scaffold system could be set to support the pipe assembly
considered; one that for a ‘new’ pipe, i.e. as constructed, the (Figures 3 and 14).
other plastically deformed to give a pre-test axial set of Four load steps were used in the FE simulation of the
19 mm. A comparison between measured and simulated complete assembly: (1) initially the by-pass pipe rested on
loads is shown in Figure 11. This indicates that failure of the the scaffolding without internal pressure; (2) the system was
pre-plastically deformed pipe occurs at a similar pressure. next pressurized; then (3) the assembly was set free due to
Although there are some differences in the results, agree- the upward thermal expansion of the reactors (6.4 mm); and
ment is reasonable, with the FE model generally more (4) finally the pipe was allowed to thermally expand axially
compliant. The final measured and simulated squirming (approximately 10 mm) along with the radial expansion of
pressures are, however, very nearly the same (1.89 MPa). each reactor and its stub-pipe (about 2.5 mm). At the lower
or R6 end contact and deformation of the scaffolding was
permitted if the downward assembly deflection exceeded
Bridging Pipe and Stub Pipes
6.4 mm.
The FE simulation of this modification of the experiment In the model it was assumed that the upper pipe was half
conducted by Batstone (1975), was simpler than that for the full and the lower pipe full of liquid cyclohexane. It was also
bellows assembly (Venart and Tan, 2000). The half pipe and assumed that the scaffolds were made from normal structural
its stub pipes were represented with over 2200 shell steel; these were simulated by beam elements with contact
elements with strengthened adapter pieces, which connected elements to prevent any loading when the pipe contact was
the blank flanges in turn connected to pin joints, as shown in lost. Elastic–plastic load–deflection relationships were used to
Figure 12(a), which additionally illustrates the deformation. simulate the pipe, the bellows and the scaffolding.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 117
Figure 9. Axial load–extension of the finite element model of the Flixborough bellows; (a) the bellows model, (b) small extension–load behaviour, (c) large
extension–load behaviour (Li et al., to be published).
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
118 VENART
Figure 10. Transverse load–deflection of a finite element model of the Flixborough bellows (Li et al. to be published); (a) three-dimensional FE model—
lateral loading: equivalent Von Mises strain at 0.96 MPa at 0 m axial extension. The FE results are based on surface-to-surface contact with a 0.4 friction
coefficient; the lateral deflection is 41.75 mm. (b) three-dimensional FE model—lateral loading as a function of extension at 0.96 MPa. FEM simulations
based on point-to-point contact elements.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 119
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
120 VENART
Figure 12. (a) Flixborough dog-leg pipe FE model, B6 ‘pin–pin’ constraint model, equivalent Von Mises stress contours for the pipe when Ux ¼ 0.365 m and
Uy ¼ 1.0675 m at the left pin as predicted by the FE model. (b) Nodal force load Fx (kN) vs deflection, Ux (axial) at the left pin predicted by FE simulation,
pin-pin model.
a turbulent viscosity and thermal diffusivity where these Plant equipment, pipe racks and supporting structures,
quantities are linked by the turbulent Prandtl number, which other than the five reactors and the associated after vessels
takes a constant value of 0.9. and plumbing, were treated as flow obstacles with a uniform
Buoyancy effects due to thermal expansion and the heavy resistance and porosity of 0.5. Buildings and other large
vapour dispersion of the evaporated cyclohexane are structures (the Main Office, the Project Office, the Labora-
included in the y direction as a gravitational source term. tory and the Control Room) were assumed to be impervious
The variation of properties, in this particular case, density, is to the flow and adiabatic. The prevailing wind was assigned
assumed to be governed by the ideal gas laws. The mole- by steady vector components as boundary conditions on the
cular viscosity, thermal conductivity and diffusivity were free boundaries of the domain. The surface of the ground
taken to be those for air and constant. was set to a uniform roughness of 0.01 m.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 121
Figure 13. (a) Flixborough dog-leg pipe FE model, B6 ‘hard’ constraint, Fx ¼ pA, failure initiated at 1.08 MPa. (b) Flixborough dog-leg pipe FE model, B6
‘hard’ constraint, Fx ¼ pA, failure at 1.08 MPa, axial (x) and vertical (y) deflections as a function of ram load, Fx. (c) Equivalent Von Mises strain contours for
the pipe when Ux ¼ 0.365 m and Uy ¼ 1.0675 m at the left pin as predicted by the FE model. (d) Nodal force load Fx (kN) vs deflection, Ux (axial), Uy
(vertical) at the left pin predicted by FE simulation, pin–fixed model.
The mass source terms, representing the flashing two- cyclohexane and its dissolved nitrogen were obtained from
phase discharges from the reactors, were evaluated from the NIST (1999) mixture property program, STRAPP.
prior choked flow determinations and the assumption of A near-field isometric view of the reactor train as may
sonic, vapour only, flow at the reactor, R4 and R6, outlet have been seen from the Main Office is shown in Figure 15
nozzles (Leclude and Venart, 1997). The properties of as represented in the Flomerics code. In the figure, the
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
122 VENART
walkways along the reactor train are represented by porous (UFL) flammable limit (0.037 and 0.198 wt.%, respectively)
resistance areas, and the ‘8-inch’ pipes connecting the two and provide interactive visualization through time-
after vessels together are indicated. The cuboid representa- sequenced plots of the iso-surfaces.
tions of the vessels are also shown. Simulations were preformed for two cases: (i) the simul-
The FloSYS ASCI output files were used as input files to taneous discharge from both R4 and R6, as the base case
be processed by Tecplot (Amtec Engineering Inc., 1996) to representing that process accepted by the Court, and (ii) a
extract the iso-contours for the lower (LFL) and upper discharge from only R4 prior to the explosion. In both
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 123
Figure 14. FE model of the Flixborough by-pass assembly and its supports (reproduced from Venart and Tan, 2000, with permission from ICPVT).
Table 2. FE analysis of the assembly and comparison with test data (Games and Waterhouse, 1974), vertical deflections (Venart and Tan, 2000).
instances, the discharges were taken as choked sonic cyclo- cloud distribution at 12 s as it would have been seen from
hexane vapour at 370 kg s1 and 150 C. The results are near the top of the Hydrogen Plant.
available in the form of ‘movies’ or animations both for the
‘far field’ and ‘close in’ regions of the computational
domain. Simultaneous Discharge from both R4 and
In the figures discussed here the view is as from near the R6 (Figure 16, ‘Movie’ 1)
top of the Hydrogen Plant looking towards the Main Office
building (Figure 1) at about 30 s into the discharge process. Even at 1 s into the event the simultaneous discharge
The UFL is represented as the panelled interior, and the process accepted by the Court results in an aerial cloud from
LFL, the wire-frame exterior, surfaces. the discharge of R4 riding up and over both the jet discharge
The transient development of the cyclohexane vapour from R6 and the top of this vessel and reaching a height of
cloud at its LFL and UFL over a period of 30 s is now
briefly described. Figures 16 and 17 illustrate the LFL=UFL
Figure 15. A near-field view from southeast of the reactor train and the Figure 16. Southeast view from the top of the Hydrogen Plant looking
after-reactors as might have been seen from the roof of the Main Office towards the Main Office Building: simultaneous discharge of R6 and R4 at
building (reproduced from Venart, 1999, with permission from INTER- 12 s, LFL and UFL envelopes (reproduced from Venart, 1999, with
FLAM, www.intercomm.dial.pipex.com). permission from INTERFLAM, www.intercomm.dial.pipex.com).
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
124 VENART
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
FLIXBOROUGH 125
into the parking lot. The northern extent of the LFL compared with the results of the CFD simulations of events
footprint has developed just midway of the last after-reactor. show remarkable agreement with the cloud development
Westward development of the cloud has just reached the portrayed in the two-stage event.
northeast corner of the Project Building with the edges of The two CFD simulations of the possible accidental
both the LFL and UFL in line with the east–west axis of R6 cyclohexane releases in the Flixborough disaster permit
pushing some 20 m past R6 at somewhat less than 1 m s1. the following conclusions.
Within 20 s, due to the continuing momentum of the R4
In both cases, the R4 discharge results in ground level
jet, the UFL envelope detaches from the eastern wall of the
vapour clouds that exit to the east, from around the
office block to also progress in the direction of the parking
southern end of sections 25A and 7, and to the south as
lot. The LFL southern branch fills the space between the two
a jet channelled between the works and Main Office
offices and further pushes out into the parking lot at over
buildings out into the parking lot.
8 m s1; the eastern LFL development has topped the Main
As well, both instances exhibit conspicuous vertical
Office block and is exiting eastward at some 4–5 m s1.
cloud-like accumulations near the southern ends of
Westward development of both envelopes has now hit the
Sections 25A, 7 and 27 and located on the determined
northeast corner of the Project Office and progressed
focus of the blast.
westward some 8 m along its northern wall in the case of
Only in the case of the single discharge from R4 is there
the LFL.
the significant westward development of a ground-level
By 21 s, the LFL envelope at ground level has progressed
cloud that corresponds directly to witness recollections.
westward some 20 m along the Project Office northern wall
In the situation with the two simultaneous discharges, a
with the UFL cloud only 8 m behind. The northern devel-
strong split jet (from R6) is formed that develops into a
opment of the LFL envelope has only just reached within
rapidly northward moving ground-level cloud, with little
22 m of the Laboratory as a rather flattened pancake-shaped
westward progression. This cloud reaches the Laboratory
cloud. Both the LFL and UFL envelopes have pushed
and Control Room areas in less than 12 s.
southward out into the parking lot; the UFL cloud has
In the case of the R6 discharge the LFL=UFL distribution
become completely detached from the Main Office block
around the ‘8-inch’ pipes, if ignited as a jet fire, can be
and slides along the eastern wall of the Project Office. The
used to explain the inferred temperature distribution to
LFL envelope continues its eastern progression over the top
these pipes.
of the Main Office block and around behind sections 25A
and 7, exiting eastward at some 4–6 m s1.
In the sequence of frames following 21 s, a pseudo-steady
state has developed for the southern and easternmost exiting
domain discharges; there is a strong UFL and LFL ground BLAST MEASUREMENTS
jet into the parking lot along with a less strong, but Grover (1974) made seismic recordings of the Flixbor-
volumetrically greater, one at the LFL to the east channelled ough explosion and determined that the time of the explo-
by the north wall of the Main Office building. Aside from sion was 15:52:15.5 2.1 UT. Analyses of infrasound
these two discharges to the west, both the LFL and UFL measurements were also made. Both were compared with
continue to enlarge with little northern development. The a large blast at sea recorded by the same set of instruments;
western ground cloud has progressed towards the eastern this suggested that the bast was equivalent to between 6
edge of R5. and 16 tons of nitroglycerine, or 8.6–23 tonnes of TNT
(Meyer, 1987).
Jones and Spracklen (1974) made six Doppler ionosphere
Summary of the Results of the CFD Simulations
records of the Flixborough explosion using two transmitters.
There were 28 fatalities in the explosion; of these 18 No estimate of blast was given but its occurrence was
individuals were in the Control Room area as well as three estimated to be at about 15:50:35 UT.
each in the Gate House and Warehouse=Flaking Plant In a reanalysis of the ionospheric records, Table 3,
(Humberside Police, 1974). In the Laboratory (separated Krasnov et al. (2003), determined that the explosive yield
by less than 12 m from the Control Room, Figure 1) the was equivalent to 283 38 tonnes of TNT and that the blast
eight survivors were able to observe the release over a period took place at 15:52:08 6 UT. A comparison of this yield
estimated to be 8–12 s. They then appreciated the threat with that resulting from the detonation of fuel-drop–air
and ran from the building. Other witnesses, further away, clouds (Fishburn et al., 1981) suggests that the Flixborough
likewise directly observed the developing vapour cloud, the explosion was the result of the detonation of only 14 2
resultant fires and the explosion. These observations, when tonnes of cyclohexane.
Table 3. Analysis of the Flixborough ionospheric records of Jones and Spracklen (1974) and Krasnov et al. (2003).
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127
126 VENART
DISCUSSION AND CONCLUSION Center for Chemical Process Safety (CPPS), 1994a, Guidelines for evaluat-
ing the characteristics of vapor-cloud explosions, flash fires, and BLEVEs
The evidence and studies outlined above support the case (American Institute of Chemical Engineers, New York, USA), Section
that the Flixborough explosion was caused by a two-stage 2.4, Fig. 2.4, p 12.
Center for Chemical Process Safety (CPPS), 1994b, Guidelines for evaluat-
event that resulted in a release from only one reactor, R4, ing the characteristics of vapor-cloud explosions, flash fires, and BLEVEs
that was limited to about 10–15 tonnes of cyclohexane. The (American Institute of Chemical Engineers, New York), Appendix F,
initiation of this failure may have been fatigue of the B4 pp 363–382.
bellows. A subsequent release from R6 was responsible for Colquhoun, D.C., 1974, Minutes of Proceedings at the Court of Inquiry; into
the exposure to the ‘8-inch pipes’ and the carbide formation the disaster which occurred at Nypro (UK) Ltd, Flixborough, Third Day,
September 11.
on the R4 stub pipe and its bellows remnants. A blast in the Cottrell, A.H. and Swan, P.R., 1976, A metallurgical examination of the
Main Office building, the Project Office building, or both eight-inch line, Chem Eng, April: 266–274.
together, and=or the R4 jet-fire may have ‘triggered’ the Cox, J.I., 1976, Flixborough—some additional lessons, Chem Eng,
detonation of the cloud formed; if true, this is one of a very May: 353–358, 387.
Dickinson, J., 1974, Minutes of Proceedings at the Court of Inquiry; into the
few genuine vapour cloud detonations. disaster which occurred at Nypro (UK) Ltd, Flixborough, Second Day,
The consequences of these results should: September 10.
EJMA, 1993, Standards for the Expansion Joint Manufacturers Association,
prompt industry, insurers, and regulators to initiate Inc., 6th edition (Tarrytown, NY, USA).
reviews of ‘reportable’ inventories in chemical plant and Fishburn, B., Slagg, N. and Lu, P., 1981, Blast effect from a pancake shaped
in transportation, fuel-drop–air cloud detonation (theory and experiment), J Hazard Mater,
initiate further, more detailed, studies of chemical plant 5: 65–75.
safety, security and placement by industry, government Flomerics, 1994, FloVent Reference Manual, Document no.
FloVent=RM=0994=1=0 (Flomerics Ltd, Surrey).
and universities; and Foley, J.H., 1974a, Metallurgical examination of the damaged pipes from
revise the accepted cause and consequences of the Flix- section 25A, Report no. 1, Part I, Safety in Mines Research Establishment
borough explosion. (SMRE), September 10.
Foley, J.H., 1974b, Minutes of Proceedings at the Court of Inquiry; into the
In addition finite element and computational fluid dyna- disaster which occurred at Nypro (UK) Ltd, Flixborough, Thirty-third
mics analyses of accidents, such as used in this study, can be Day, November 14, pp 34–35.
useful tools in incident investigations. Though these tools Foley, J.H., 1974c, Minutes of Proceedings at the Court of Inquiry; into the
disaster which occurred at Nypro (UK) Ltd, Flixborough, Thirty-fourth
were not widely available at the time of the incident their use Day, November 15.
today should be mandatory. Foley, J.H., 1974d, Minutes of Proceedings at the Court of Inquiry; into the
As a further point of concern in these times of heightened disaster which occurred at Nypro (UK) Ltd, Flixborough, Thirty-seventh
security it should be noted that many local delivery services Day, p 26–27.
Foley, J.H., 1974e, Minutes of Proceedings at the Court of Inquiry; into the
routinely transport 10–15 tonnes of product, e.g. LPG, disaster which occurred at Nypro (UK) Ltd, Flixborough, Thirty-seventh
which if released to form a vapour cloud and then deliber- Day, p 21, para 5.
ately detonated could cause similar blast damage and even Foley, J.H. and Nicholson, C.E., 1974, Metallurgical examination of the
greater loss of life than in this case; a possibility that should damaged pipes from Section 25A, Report no. 1, Part III, Safety in Mines
be of special concern to security services. Research Establishment (SMRE), November 8.
Fu, W.B. and Eyre, J.A., 1974, Unconfined vapour cloud explosions, Letter,
Chem Eng, 359=360: 368.
Games, G.A.C. and Waterhouse, D., 1974, Construction of and tests on a
reconstructed bridging pipe assembly, Report no. 2, Part II, Safety in
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explosion, J Atmos Solar-Terrest Phys, 65: 1205–1212. ACKNOWLEDGEMENTS
Leclude, J. and Venart, J.E.S., 1996, Single and two-phase discharge from a
pressurized vessel, Rev Gen Therm, 35: 503–516. Many individuals have contributed to this work. Specifically, the staff at
Leclude, J. and Venart, J.E.S., 1997, Determination of the amounts the Health and Safety Laboratory Library in Sheffield, and in particular
discharged in the Flixborough disaster, unpublished work, University of Linda Heritage, are thanked for their help in making the Minutes of
New Brunswick, Canada. Proceedings of the Court of Inquiry and many other documents and reports
Marshall, H., 1974, Official Statement to Humberside Police, H Div., dealing with the disaster available over an extended period of time; C.E.
Scunthorpe, June 9, 1974, Humberside Police Book 1, pp 167–169. Nicholson gave permission to reference many of the SMRE and other
Meyer, R., 1987, Explosives, 3rd edition (revised) (VCH, New York, USA) reports available. The Scunthorpe Evening Telegraph, and in particular Ms
pp 239 and 367. Jackie Cole, provided access to many photographs and material from their
Miller, K.J., 1974, Minutes of Proceedings at the Court of Inquiry; into the archives dealing with their staff’s coverage of the accident. Professors
disaster which occurred at Nypro (UK) Ltd, Flixborough, Fifty-first Day T.B. Jones and Terry Robinson of the University of Leicester gave freely of
and Fifty-second Day, pp 16 and 27. their time to explain and elaborate on the ionospheric effects of the
Newland, D.E., 1964, Buckling of double bellows expansion joints under Flixborough explosion; V. Krasnov and Ya Drobzheva of the Institute of
internal pressure, J Mech Eng Sci, 6: 270–277. Ionosphere, Ministry of Science and Education, Kazakhastan helped
Newland, D.E., 1976, Buckling and rupture of the double bellows analyse these records. Dr John I. Cox provided details of his precis on
expansion joint assembly at Flixborough, Proc R Soc Lond, A351: the statements and re-enactments of eyewitness made for the Inquiry and
525–549. other material. Ralph King and his colleague, Ronald Hirst, provided details
NIST, 1999, Standard Reference Database 4; Thermophysical Properties of regarding what influence water in the reactors may have had on the accident.
Hydrocarbon Mixtures, Supertrapp, Version 3.00 (National Institute The personnel at the BBC Film Archive Unit in London assisted in the
Standards and Technology, Gaithersburg, MD, USA). review of the background video and cine film records for the event. BBC
Phillips, H., 1981, Unconfined vapour cloud explosions: a new look at North, and especially Christine Hamill and Close-up North series producer
Gugan’s book, Chem Eng, 369: 286–287. Ian Cundall made arrangements for an interview with one of the Laboratory
Rajaratnam, N. and Chamani, M.R., 1995, Energy loss at drops, J Hydraul eyewitnesses, Brian Pettitt, and prepared a programme historically reviewing
Res, 33: 373–384. the event and its consequences. The northeast Lincolnshire Archivists,
Ramier, S. and Venart, J.E.S., 2000, Boiling liquid expanding vapour J. Wilson and J. Veltham, allowed access to their comprehensive files on the
explosions: dynamic re-pressurization and two-phase discharge, Hazards incident at the as well as details of the coroner’s report. My colleagues at the
XV, IChemE Symp Ser 147: 527–537. University of New Brunswick and many graduate students have all
Roberts, A.F. and Pritchard, D K., 1982, Blast effect from unconfined vapour substantially contributed through discussion, critiques, and other studies.
cloud explosions, J. Occup Accidents, 3: 231–247. Drs D.M. Tan and G. Li conducted the ANSYS finite element (FEM)
Ryder, D.A., 1974, Minutes of Proceedings at the Court of Inquiry; into the analyses and assisted in the preparation of the Tecplot ‘movies’ of the
disaster which occurred at Nypro (UK) Ltd., Flixborough, Thirty seventh Flomerics CFD and the FEM results. Any errors and omissions are the
Day, pp 57–58. author’s alone.
Sadee, C., Samuels, D.E. and O’Brien, T.P., 1976=1977, The characteristics
of the explosion at the Nypro (UK) Flixborough Plant on 1st June 1974, The manuscript was received 14 July 2003 and accepted for publication
J Occup Accidents, 1: 203–235. 7 January 2004.
Trans IChemE, Part B, Process Safety and Environmental Protection, 2004, 82(B2): 105–127