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KS 12-19.11.2019 PDF
KS 12-19.11.2019 PDF
3
…….prevent this from happening
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Our Job is to….
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WE ADD SAFETY
195
139 148
127
96 TRANSPORT ACCIDENTS
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
19 15 8 6 7
TRANSPORT FIRES
2014-15 2015-16 2016-17 2017-18 2018-19
Transport (Fires) Transport (Accidents)
Incident Statistics
COMPANY WISE TRANSPORT INCIDENTS
180
IOCL
160
140 BPCL
120 HPCL
100
80
60
40
20
0
2014-15 2015-16 2016-17 2017-18 2018-19
Transport Total IOCL 104 110 151 114 60
Transport Total BPCL 97 159 97 58 49
Transport Total HPCL 110 170 124 119 113
Transport Total IOCL Transport Total BPCL Transport Total HPCL
Incident Statistics
FATALITIES (TRANSPORT) IN LAST FIVE YEARS
244
224
172 164
126
62 105 90 69
60 80 73 63 65
50 59 61 32 34
27
2014-15 2015-16 2016-17 2017-18 2018-19
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
5.46875
6
5
4
3
2 1.282051282
0.970873786
0.862068966
1 0
0
14-15 15-16 16-17 17-18
AUTHOR:DEVENDRA M MAHAJAN,JOINT 18-19
DIRECTOR,OISD
Qualitative Analysis
15 13
10
6 6
4
5 3
0
14-15 15-16 16-17 17-18
AUTHOR:DEVENDRA M MAHAJAN,JOINT
18-19
DIRECTOR,OISD
Qualitative Analysis
Negligence by othersFigures in %
40
30
20
10
0
14-15 15-16 16-17 17-18 18-19
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Qualitative Analysis
Negligence by TT driver
Figures in %
100
80
60
40
20
0
AUTHOR:DEVENDRA M MAHAJAN,JOINT
14-15 15-16 16-17
DIRECTOR,OISD 17-18 18-19
QUALITATIVE ANALYSISOF IN-TRANSIT ACCIDENTS
80%
70%
60%
50%
40%
30%
20%
10%
0%
AUTHOR:DEVENDRA M MAHAJAN,JOINT
Negligence by TT Equipment Natural Calamity
DIRECTOR,OISD Poor Road Negligence by
driver failure Conditions others
QUALITATIVE ANALYSIS OF IN-TRANSIT ACCIDENTS
Natural Calamity
2%
Negligence by TT
90 % Negligence driver
Equipment failure AUTHOR:DEVENDRA M MAHAJAN,JOINT 65%
DIRECTOR,OISD
6%
Negligence by TT driver Equipment failure Natural Calamity Poor Road Conditions Negligence by others
Genesis and Mitigation
ROAD ACCIDENTS IN INDIA – 2017 , GOVERNMENT OF INDIA ,MINISTRY OF ROAD TRANSPORT & HIGHWAYS,TRANSPORT RESEARCH WING-Published in July 2018
MITIGATION
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Design & Safety features
DESIGN
The Petroleum (Amendment) rules, 2011.
For POL tank trucks design OISD-RP-167
Pressure vessels for transportation of LPG -The Static and Mobile
Pressure Vessels (Unfired) Rules 2016, IS: 2825,
OISD-STD-159-LPG Tank Trucks - Requirements of Safety on Design
/ Fabrication and Fittings.
OISD-RP-157
STANDARD FOR SAFETY IN TRANSPORTATION OF BULK PETROLEUM PRODUCTS
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Genesis and Mitigation
…………..Driver
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Training
Training
AUTHOR:DEVENDRA M MAHAJAN,JOINT
चलाना
गड्डी
Sharing of Incident by
Victim/family
AUTHOR:DEVENDRA M MAHAJAN,JOINT
member
DIRECTOR,OISD
Video/live
TRAINING
1. DRIVING
2. TRAFFIC RULES
3. RISK INVOLVED
4. EMERGENCY
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Genesis and Mitigation
………….. Incentive and Punishment
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Incentive and Punishment
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
Genesis and Mitigation
………….. Audit
DECANTATION FACILITY
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
Tanker no. ‘A’ was positioned behind the TLD bay no: 02
The driver of the truck then attached the male fittings on LPG liquid and LPG vapour
pipeline manifold on the LPG tank truck.
In the meantime, TT no. ‘B’ and TT no. ‘C’ were placed behind bay no. 1 & 3
respectively.
Similarly, loaded LPG TT’s were awaiting their turn by positioning behind the respective
TLD bays undergoing fixing of liquid & vapour male fittings.
At 10:23 hrs, the driver of the tank truck no: ‘A’ (which is placed inside the TLD bay no:
02, and connected to TLD LPG liquid and vapour LPG pipelines via unloading arms
associated with breakaway couplings) reverses the tank truck.
The unloading arms (liquid & vapour) are stretched to the maximum and rips the 2”
threaded ball valve on the LPG liquidDIRECTOR,OISD
pipeline of the tank truck. Immediately liquid LPG
AUTHOR:DEVENDRA M MAHAJAN,JOINT
Liquid LPG leak from the fully loaded tank truck enveloped whole of the TLD and
adjacent area creating a thick white fog.
LPG vapours were seen travelling towards Motor Control Centre (MCC), Diesel
Generator room, weigh bridge room, fire engine room and main gate.
Sprinkler in TLD was operated and dispersal of LPG using water monitors was
undertaken.
Around 10:50 hrs, the LPG vapour gets ignited which leads to Unconfined Vapour
Cloud Explosion (UVCE).
The fire traced itself back towards the LPG source tank truck TT no: ‘A’ and started to
burn with high intensity.
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
THE INCIDENT
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
OBSERVATIONS
Operability of Breakaway Coupling
Breakaway coupling/ emergency release couplings which have been
installed in this Plant are not designed to release in backward/ reverse
direction of the movement of the TT
Supervision of TLD
From the CCTV footage it is observed that the fitting of the unloading
arms and opening of the LPG valves from the TLD manifold LPG
pipelines is done by the drivers and no intervention from the TLD
operators or supervision of officer.
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
OBSERVATIONS
Violation of SOP’s
a) Wheel chokes are not positioned.
b) Checking of integrity of the LPG arms connection.
c) The operator was not available at his work spot.
Breakaway coupling of the TLD unloading arm did not get activated
in reverse motion of the tank truck.
Failure of IEFCV operation of the TT due to the bending of internal
shaft and housing of IEFCV.
Failure of shearing of IEFCV at the provided weak spot on the outer
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
QUESTIONS UNANSWERED
The identity of the person behind the wheel of the accidented TT could
not be traced because of the lack of CCTV footage of TLD.
Since the affected TT was the 1st of the second lot to enter the
premises, why did the driver choose to park behind TLD bay: 02 and
not TLD bay: 01 or TLD bay: 08 (towards extreme ends).
Why did the driver move the vehicle after fixing the loading arms inside
TLD.
Why the driver has not been traced, since he is the most critical
witness in this particular incident.
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD
58
AUTHOR:DEVENDRA M MAHAJAN,JOINT
DIRECTOR,OISD