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HAZOP/ PHA Leadership Training

Part (II)

Handouts of Presentations

Delivered and Complied by:

Said Mohamed Khalifa, CSP


EH&S and Loss Prevention Consultant

Egypt
2018
Lessons learned from Disasters Updated on: Jan. 2018

The Rising Case for Change


“Disasters are Man-made”

Said Khalifa, CSP


HSE and Loss Prevention Consultant
Updated Jan. 2018

Course Title 03.11.2011 1

The Rising Case for Change

 1984 – Bhopal, India – Toxic Material

 2,500
immediate
fatalities;
20,000+ total
 Many other
offsite injuries HAZARD:
Highly Toxic
Methyl Isocyanate

2
/
4
9

ARMC 1
Lessons learned from Disasters Updated on: Jan. 2018

The Rising Case for Change

 1984 – Mexico City, Mexico –Explosion


 300 fatalities
(mostly offsite)
 $20M damages

HAZARD:
Flammable LPG
in tank

3
/
4
9

The Rising Case for Change

 1988 – Norco, LA – Explosion


 7 onsite fatalities, 42 injured
 $400M+ damages

HAZARD:
Flammable
hydrocarbon vapors

4
/
4
9

ARMC 2
Lessons learned from Disasters Updated on: Jan. 2018

The Rising Case for Change

 1989 – Pasadena, TX – Explosion and Fire


 23 fatalities, 130 injured; damage $800M+

HAZARD:
Flammable
ethylene/isobutane
vapors in a 10” line

5
/
4
9

Lessons learnt from Disasters

 BP Texas Refinery and other refineries


 ..\..\..\Videos\CSB Videos\BP Texas\BP_Other Disasters
Anniversary Video.mov

 DuPont LaPorte

..\..\..\Videos\CSB Videos\LaPorte_DuPont_2014\EMBARGOED
Animation DuPont La Porte.mov

 Formosa Plastics Corporation


..\..\..\Videos\CSB Videos\Formosa_PVC Explosion_2004.wmv

Course Title 03.11.2011 6

ARMC 3
Overview of PSM

PHA/ HAZOP Leadership Training


Overview of PSM

:‫عرض وإعداد‬
‫سعيد محمد طه خليفة‬
Said Mohamed Khalifa, CSP
(Certified Safety Professional)
HSE and Loss Prevention Consultant
2018

1/29/2018 An Overview of PSM 2

Learning Objectives of this Overview


 Describe the hazard and accident-driven
stimulus for, and main components of
OSHA’s Process Safety Management
standard

 Define Process Hazard Analysis and related


terminology

 Describe major hazard analysis methods

 Assess applicability (via pros and cons) of


major hazard analysis methods

1/29/2018 An Overview of PSM 3

ARMC 1
Overview of PSM

The words HAZARD and RISK


Hazard and Risk unfortunately, are sometimes
used interchangeably.
This leads to confusion as to what is a hazard
versus a risk. Below are the definitions.
 Hazard: any source of potential damage,
harm or adverse health effects on something
or someone under certain work conditions.
Essentially, a hazard is something that can
cause harm or adverse effects.

1/29/2018 An Overview of PSM 4

1/29/2018 An Overview of PSM 5

ARMC 2
Overview of PSM

Hazards
 An inherent physical or chemical
characteristic that has the potential for
causing harm to people, the environment, or
property1
 Hazards are intrinsic to a material, or its
conditions of use.
 Examples
◦ Hydrogen sulfide – toxic by inhalation
◦ Gasoline – flammable
◦ Moving machinery – kinetic energy, pinch points
6
1 /
AICHE Center for Chemical Process Safety
4
1/29/2018 An Overview of PSM 9

Hazard Management:
The World as It Was Before

 Good people

 … doing good things

1/29/2018 An Overview of PSM 7

ARMC 3
Overview of PSM

What is a Process Safety Management


 Integral part of OSHA Occupational Safety and
Health Standards since 1992
 Known formally as: Process Safety Management of
Highly Hazardous Chemicals (29 CFR 1910.119)
 PSM applies to most industrial processes
containing 10,000+ pounds of hazardous
material

1/29/2018 An Overview of PSM 8

In a Few Words,What is PSM?


 The proactive and
systematic identification,
evaluation, and mitigation or
prevention of chemical
releases/ exposure that could
occur as a result of failures in
process, procedures, or
equipment.

1/29/2018 An Overview of PSM 9

ARMC 4
Overview of PSM

What’s Covered by PSM?


 Process Safety  Mechanical Integrity
Information  Hot Work
 Employee Involvement  Management of Change
 Process Hazard Analysis  Incident Investigation
 Operating Procedures  Emergency Planning and
 Training Response
 Contractors  Compliance Audits
 Pre-Startup Safety  Trade Secrets
Review

1/29/2018 An Overview of PSM 10

PSM at Glance
(example)

THE FOLLOWING EXAMPLE


SHOWS HOW THE PSM ELEMENTS
ARE INTEGRATED IN ACTUAL
PRACTICE

1/29/2018 An Overview of PSM 11

ARMC 5
Overview of PSM

PSM at Glance (example)


The following example shows how the PSM elements
are integrated in actual practice

The problem:
Pilot studies
indicate that
higher yields can
be obtained by
maintaining higher
temperatures in a
reaction vessel.

1/29/2018 An Overview of PSM 12

Example (contd.)
 A change in operating temperature must be
approved by all technical and support functions
(MOC).
 The impact of this change is assessed through
revision of the process hazard analysis (PHA),
which results in a recommendation to modify
the pressure relief system.
 The modifications in temperature and pressure
relief system mandate new steps for process
operators (Operating Procedures),
 Operators require training and verification in
the new procedures (Training).
1/29/2018 An Overview of PSM 13

ARMC 6
Overview of PSM

Example (contd.)
 The modifications to the pressure relief
system are made by the supplier
(Contractor Safety) and require that a
portion of the process be shut down for this
work.
 The work includes a brazing operation
requiring a Hot Work Permit (Nonroutine
Work Authorization).
 Potential impacts on the process require a
review of emergency response plans
(Emergency Planning)
1/29/2018 An Overview of PSM 14

Example (contd.)
 The new pressure relief system must be
inspected and tested (Mechanical
Integrity)
 and all factors for safe operation must be
reviewed (Pre-startup Safety Review [PSR])
before that portion of the process is
brought back on line.
 The piping and instrumentation diagrams
(P&IDs) and other engineering drawings
must be revised to show the as-modified
configuration of the system (PSI).
1/29/2018 An Overview of PSM 15

ARMC 7
Overview of PSM

Example (contd.)
 The rationale and information about the
changes must be available for review by
employees and their representatives
(Employee Involvement).
 Using this information, the PHA is updated
to account for potential hazards associated
with the new equipment.
 Also, inspection and maintenance
procedures and training must be updated
(Mechanical Integrity, Operating Procedures,
Training).

1/29/2018 An Overview of PSM 16

Simply, PHA allows the employer to:

 Determine locations of potential safety


problems

 Identify corrective measures to improve safety

 Preplan emergency actions to be taken if safety


controls fail

1/29/2018 An Overview of PSM 17

ARMC 8
Overview of PSM

PHA Requirements
 Use one or more established methodologies
appropriate to the complexity of the process,

 Performed by a team with expertise in


engineering and process operations,

 Includes personnel with experience and


knowledge specific to the process being
evaluated and the hazard analysis methodology
being used.

1/29/2018 An Overview of PSM 18

PHA Must Address …


 Hazards of the process

 Identification of previous incidents with likely


potential for catastrophic consequences

 Engineering and administrative controls


applicable to the hazards and their
interrelationships

1/29/2018 An Overview of PSM 19

ARMC 9
Overview of PSM

PHA Must Address … (cont’d)


 Consequences of failure of engineering and
administrative controls, especially those
affecting employees

 Facility siting; human factors

 The need to promptly resolve PHA findings and


recommendations
2
0
/
4
1/29/2018 An Overview of PSM 9

Hazard Analysis Methodologies

 What-If
 Checklist
 What-If/Checklist
 Hazard and Operability Study (HAZOP)
 Failure Mode and Effects Analysis (FMEA)
 Fault Tree Analysis
 Event Tree Analysis
 An appropriate equivalent methodology

1/29/2018 An Overview of PSM 21

ARMC 10
Overview of PSM

Accident Scenarios May Be Missed


by PHA
 No PHA method can identify all accidents that
could occur in a process
 A scenario may be excluded from the scope of
the analysis
 The team may be unaware of a scenario
 The team consider the scenario but judge it
not credible or significant
 The team may overlook the scenario

1/29/2018 An Overview of PSM 22

Summary
Despite the aforementioned issues with PHA:

 Companies that rigorously exercise PHA are


seeing a continuing reduction in frequency and
severity of industrial accidents

 Process Hazard Analysis will continue to play


an integral role in the design and continued
examination of industrial processes

1/29/2018 An Overview of PSM 23

ARMC 11
Overview of PSM

Using What You Learn


 The ideas and techniques of Process
Hazard Analysis will be immediately useful
in upcoming exercise on Hazard
Evaluation

 Expect to be part of a Process Hazard


Analysis Team early in your professional
career
2
4
/
4
1/29/2018 An Overview of PSM 9

Where to Get More Information


 Chemical Safety and Hazard Investigation
Board’s web site: www.csb.gov
 Crowl and Louvar – Chemical Process Safety:
Fundamentals with Applications
 Kletz – HAZOP & HAZAN: Notes on the Identification
and Assessment of Hazards

2
1/29/2018 An Overview of PSM 5

ARMC 12
Hazard Perception 1/29/2018

Certified PHA/ HAZOP Leadership

Hazard Perception and


Risk Evaluation Techniques
(Process Hazard Analysis)

Said Khalifa, CSP


HSE and Loss Prevention Consultant
2018

Definitions:
• Hazard.;
• Risk;
• Hazard identification;
• Risk assessment;
• Hazard analysis,

1/29/2018 HazPerception_PHA 2

ARMC 1
Hazard Perception 1/29/2018

1/29/2018 HazPerception_PHA 3

The words HAZARD and RISK unfortunately, are


sometimes used interchangeably. This leads to
confusion as to what is a hazard versus a risk.
Below are the definitions.
• Hazard: any source of potential damage,
harm or adverse health effects on something
or someone under certain work conditions.
Essentially, a hazard is something that can
cause harm or adverse effects.

1/29/2018 HazPerception_PHA 4

ARMC 2
Hazard Perception 1/29/2018

Risk
• Risk: the chance or probability that a person
will be harmed or experience an adverse
effect if exposed to a hazard. Factors that
influence the degree of risk are as follows.
– How frequent the person is exposed to the
hazard
– How the person is exposed (via skin contact,
inhalation, etc)
– How severe are the effects due to the exposure

1/29/2018 HazPerception_PHA 5

Risk Assessment or Hazard Analysis?

• Risk is considered to be related to the


consequences of a hazard potential being
realized and causing harm. Hence people,
property and the environment may be
considered "at risk" from a nearby hazard.
• Risk is sometimes expressed in mathematical
probability terms involving both failure and
consequences.

1/29/2018 HazPerception_PHA 6

ARMC 3
Hazard Perception 1/29/2018

Risk Assessment or Hazard Analysis?

• An analysis is considered to be a technical


procedure following an established pattern.
• An assessment is the consideration of the
results of the analysis in a wider context to
determine the significance of the analytical
findings.

1/29/2018 HazPerception_PHA 7

STANDARDS AND CODES


FOR HAZARD IDENTIFICATION AND
RISK ASSESSMENT

1/29/2018 Hazard Percption 8

ARMC 4
Hazard Perception 1/29/2018

Risk Management Process: ISO 31000

Risk Management Process: ISO 17776:2000(E)

1/29/2018 Hazard Percption 10

ARMC 5
Hazard Perception 1/29/2018

OVERALL PROCEDURE
FOR HAZARD ANALYSIS

1/29/2018 HazPerception_PHA 11

When do we carry Hazard Analysis?


P rojec t stage H azar d analyse s

C onc ept hazard survey


definition P re liminary risk a ssessment

P lanning
P e rmission

De ta iled design che cks


design Ha zard and Opera bility / FM E A
Fa ult Tre e Ana lysis

C onstruction c onstruction a udit

pre-c ommissioning che ck

C ommissioning

Opera tion sa fety a udits

1/29/2018 HazPerception_PHA 12

ARMC 6
Hazard Perception 1/29/2018

PROCESS HAZARD ANALYSIS


FLOW CHARTS

1/29/2018 HazPerception_PHA 13

1/29/2018 HazPerception_PHA 14

ARMC 7
Hazard Perception 1/29/2018

1/29/2018 HazPerception_PHA 15

A LIST OF RECOGNISED TECHNIQUES AND


THEIR APPLICATIONS
Hazard Survey/Hazard Identifies all stocks of hazardous materials or
Inventory energy, with relevant details of conditions of
storage. (Conceptual design stage)

Design Check List Used for audit of new design, or within design
process itself. (Detailed design stage).

Hazard and Operability For identifying failure modes that could occur
Study/Failure Modes and and might have undesirable consequences.
Effects Analysis (Detailed design stage).

Reliability Studies (single Usually a statistical analysis of failure rates on


equipment). a critical component (e.g. turbine) with a view
to optimizing redundancy or maintenance
provisions. (Detailed design or operational
stage).
1/29/2018 PHA Techniques 16

ARMC 8
Hazard Perception 1/29/2018

A LIST OF RECOGNISED TECHNIQUES AND


THEIR APPLICATIONS
Systems These techniques are used for estimating the
frequency of failures of a system involving many
Reliability/Fault components (e.g. pressure control of a liquefied
Tree Analysis gas storage tank). Dominant causes of failure are
identified. (Detailed design stage).

Event Tree Used to find the various possible outcomes of a


given initiating event (used in Risk Assessment -
Analysis see below).

Cause- A flexible method for presenting system reliability


problems, including features of both fault and
Consequence event trees, with allowance for time delay
Diagrams factors. (Detailed design stage).
1/29/2018 PHA Techniques 17

A LIST OF RECOGNISED TECHNIQUES AND THEIR


APPLICATIONS
Risk Assessment Quantification of the total risk (to life, property or
production) associated with a hazardous process.
(Preliminary analysis at conceptual stage, followed
by more detailed one during design). Risk
assessment is a general technique which can be
applied to general policy decisions as well as to
single projects.

Construction A check that the plant as built conforms to required


Audit/ Pre- standards and to recommendations made in earlier
safety studies. (Construction stage).
Commissioning
Check.

Safety Audit This normally refers to a check of the plant


hardware and operating procedures after some time
1/29/2018 in operation.
PHA Techniques 18

ARMC 9
Hazard Perception 1/29/2018

FEATURES AND STEPS OF A DETAILED PROCESS


SAFETY STUDY
Subsystem of * Line and valves, etc.
* Equipment
interest
Mode of operation * Normal operation
* Start-up mode
* Shutdown mode
* Maintenance/construction/inspection mode

Trigger event * Human failure


* Equipment/instrument/component failure
* Supply failure
* Emergency/environmental event
* Other cause of abnormal operation, including
instrument disturbance

Effect on * Change in chemical condition


* Change in quantity
subsystem * Change in physical condition
1/29/2018 PHA Techniques 19

FEATURES AND STEPS OF A DETAILED SAFETY STUDY

Effect on system * Change in chemical condition


* Change in quantity
* Change in physical condition
Hazardous * Release of material
condition * Change in material hazard
characteristics
* Operating limit reached
* Energy source exposed
* Other hazardous condition
Alter events by * Change of process design
* Change of operating limits
* Change of system reliability
* Improvement of material containment

1/29/2018 PHA Techniques 20

ARMC 10
Hazard Perception 1/29/2018

FEATURES AND STEPS OF A DETAILED SAFETY STUDY


Corrective action * Change control system
* Add/remove materials
How is hazardous * During normal operation
condition * Upon human failure
* Upon component failure
detected?
* In other circumstances

Contingency action * Improve isolation


* Improve protection
Hazard rating * Qualitative
* Quantitative
* Other ratings

1/29/2018 PHA Techniques 21

END OF INTRODUCTION
QUESTIONS?

1/29/2018 PHA Techniques 22

ARMC 11
Introduction to HAZOP 1/29/2018

Certified PHA/ HAZOP Leader

HAZOP STUDY TRAINING COURSE

INTRODUCTION TO
HAZOP
Presented by:
Said M. Khalifa
Certified Safety Professional, CSP (since 1997)
HSE and Loss Prevention Consultant
2018

Course Title 03.11.2011 1

DEFINITION OF HAZOP
• A procedure used to review design and
operations of hazardous process facilities.

• It was derived from:-


• Operability Study;
• Hazard Analysis.

1/29/2018 Introduction to HAZOP 2

ARMC 1
Introduction to HAZOP 1/29/2018

SNAP SHOT OF A
HAZOP

1/29/2018 Introduction to HAZOP 3

1/29/2018 Introduction to HAZOP 4

ARMC 2
Introduction to HAZOP 1/29/2018

Before

1/29/2018 Introduction to HAZOP 5

After

1/29/2018 Introduction to HAZOP 6

ARMC 3
Introduction to HAZOP 1/29/2018

Events that can lead to a HAZARD

Consequences from HAZARD


1/29/2018 Introduction to HAZOP 7

What happens if we don't?


• More accidents;
• Late modifications;
• Operability problems;
• Frustration.

1/29/2018 Introduction to HAZOP 8

ARMC 4
Introduction to HAZOP 1/29/2018

Why HAZOP, not Design review?


• It is a design review but is structured,
systematic and complete.

• But still requires a skilled team, with


relevant experience, operating together

1/29/2018 Introduction to HAZOP 9

Why HAZOp· not Process Safety Review"?

• PSR is an "expert" review but uses one or two


individuals working alone.

• It is not structured or systematic.

• HAZOP uses a team, which can include the


"expert"

1/29/2018 Introduction to HAZOP 10

ARMC 5
Introduction to HAZOP 1/29/2018

Engineering Codes For Hazard Control

• Simple' to understand

• Legally Enforced ;

• Apply to all.

1/29/2018 Introduction to HAZOP 11

Engineering Codes For Hazard Control


The Problem:
• Based on experience (no prediction);
• Consensus documents (min. standard
acceptable);
• Basis is arbitrary (no consequence analysis);
• No account of site details (e.g. topography',
procedures, land use);
• Not well enforced later;
• Don't consider cumulative risk.

1/29/2018 Introduction to HAZOP 12

ARMC 6
Introduction to HAZOP 1/29/2018

Safety Audits (Facility)


• Latest engineering standards.
• Code of practice.
• Pressure relieving systems.
• Blow down.
• ESD.
• Fire proofing;
• Safe guarding systems.

1/29/2018 Introduction to HAZOP 13

Safety Audits (Activity)


• Operating manuals;
• Working procedures;
• Control of work;
• Emergency preparedness and response plans.
• Organizational culture;
• Incident history,
• Training.

1/29/2018 Introduction to HAZOP 14

ARMC 7
Introduction to HAZOP 1/29/2018

Justification for HAZOP


“We do not need a system, we employ
good people and rely on their experience
and knowledge”.

“All HAZOP does is harness experience


and knowledge systematically, it is not a
sausage machine”

1/29/2018 Introduction to HAZOP 15

We don’t do HAZOP as:

• It takes too long time.

• It costs too much.

1/29/2018 Introduction to HAZOP 16

ARMC 8
Introduction to HAZOP 1/29/2018

Benefits of HAZOP Study


(8 years’ experience of ICI Mond Division in UK)
With
CRITERION HAZOP
WITHOUT

HAZOP

No. of major mods to 0 2-3


plant ~
No. of minor mods to 10-15
3
plant
Time from start-up to 1 3
design
flow sheets rates

1/29/2018 Introduction to HAZOP 17

ARMC 9
The need for a HAZOP 1/29/2018

the need for HAZOP


Overview of Flixborough
• An explosion at the Nypro plant at Flixborough on
June 1, 1974The
• Nypro factory was located on the east coast of
England.
• was the most serious to occur in the chemical industry
in Great Britain.
• 28 killed, 53 severely injured.
• Hundreds of public suffered from injuries.
• @ 2000 houses and 150 shops were damaged.
• Employment of a Court of Enquiry.

1/29/2018 The need for HAZOP_Flixborough 3

1/29/2018 The need for HAZOP_Flixborough 5

ARMC 1
The need for a HAZOP 1/29/2018

Description of the process:


• A small part of the site was dedicated to
caprolactam production, which involved the
oxidation of cyclohexane.
• The oxidation was carried out in a series of
six reactors, each reactor being set 14 inches
below its predecessor in the train so as to
permit gravity flow of liquid from reactor to
reactor.

1/29/2018 The need for HAZOP_Flixborough 9

What is Cyclohexane:
• Trade name: Benzene hexahydride, Hexahydrobenzene,
Hexamethylene, Hexanaphthene.
• Formula: C6H12
• Physical Description: Colorless liquid with a
sweet, chloroform-like odor.
• FP: 0°F (- 17 C) BP: 177°F (80 C); LEL: 1.3%;
• Class IB Flammable Liquid: Fl.P. below 73°F and
BP at or above 100°F.
• Incompatibilities & Reactivity: Oxidizers

1/29/2018 The need for HAZOP_Flixborough 10

ARMC 2
The need for a HAZOP 1/29/2018

What is caprolactam :
• Synonyms & Trade Names: Aminocaproic-lactam, epsilon-
Caprolactam, Hexahydro-2H-azepin-2-one, 2-
Oxohexamethyleneimine.
• Formula: C2H11NO.
• Physical Description: White, crystalline solid or flakes
with an unpleasant odor.
• Combustible Solid.
• Fl.P: 282°F; LEL: 1.4%, BP: 515°F;
• Incompatibilities & Reactivity: Strong oxidizers, (acetic
acid + dinitrogen trioxide)

1/29/2018 The need for HAZOP_Flixborough 11

1/29/2018 The need for HAZOP_Flixborough 12

ARMC 3
The need for a HAZOP 1/29/2018

Description of the process: (contd.)


• The product of the reaction contained largely
cyclohexane (94%) with cyclohexanone and
cyclohexanol.
• The cyclohexane was subsequently separated by
distillation and recycled.
• Under normal operating conditions, the
cyclohexane in the reactor was at a temperature
of 310°F and a pressure of 120 psig. It was
therefore above its boiling point at atmospheric
pressure.
1/29/2018 The need for HAZOP_Flixborough 13

Description of the process: (contd.)


• The reaction took place between this heated
cyclohexane under pressure and air in the
presence of a catalyst.
• The connecting sections of pipework between
the reactors are of special interest because of
expansions and contractions which occurred
during start-up and shutdown of the plant.
• A bellows section was introduced between each
pair of reactors. The correct operation for the
bellows in conditions of thrust was stress along
the center line of the bellows.

1/29/2018 The need for HAZOP_Flixborough 14

ARMC 4
The need for a HAZOP 1/29/2018

Events Leading to the Explosion


• On March 27, over two months before the explosion,
cyclohexane was found to be leaking from No.5
reactor. The reactors were constructed of mild steel
plate, with 0.12" stainless steel plate bonded to it on
the inside.
• It was decided to shut down the plant and remove the
reactor for inspection and repair. Calculations
indicated that the reactor section could be operated
satisfactorily with five reactors and efforts were
concentrated on getting the section and plant back on
line by bridging the gap between Nos. 4 and 6
reactors.

1/29/2018 The need for HAZOP_Flixborough 15

1/29/2018 The need for HAZOP_Flixborough 16

ARMC 5
The need for a HAZOP 1/29/2018

Events Leading to the Explosion, contd.


• It is noteworthy here that no attempt was
made to check whether any of the other
reactors were suffering from similar cracks.
• Some people appeared to believe that the
cracking in No.5 reactor was caused by the
application of cooling water to the outer mild
steel shell, and although this was
subsequently shown to be the case after
restarting the plant, no inspection of the
other reactors was made.
1/29/2018 The need for HAZOP_Flixborough 17

Events Leading to the Explosion, contd.


• A decision was made to bridge the gap
between Nos. 4 and 6 reactors as quickly as
possible.
• The openings to be connected were 28"
diameter, but the only pipe available on the
site was 20" diameter.
• Calculations showed that this pipework could
handle the flow of liquid required and that it
could withstand the internal pressure.

1/29/2018 The need for HAZOP_Flixborough 18

ARMC 6
The need for a HAZOP 1/29/2018

Events Leading to the Explosion, contd.


• The workshop foreman was asked to
fabricate a bypass pipe, using the 20" piping,
and he produced a design sketch in chalk on
the floor of the workshop.
• The difference in levels between successive
reactors required, however, that the
connecting pipe work be in the form of a
dog-leg.

1/29/2018 The need for HAZOP_Flixborough 19

Statement of the Court of Enquiry


"There was not any overall control or
planning of the design, construction,
testing or fitting of the assembly nor was
any check made that the operations had
been properly carried out."

1/29/2018 The need for HAZOP_Flixborough 20

ARMC 7
The need for a HAZOP 1/29/2018

At this stage the position was as follows:


• No design calculations,
• Did not comply either with the relevant British Standard
or with the bellows manufacturer's recommendations;
• The turning moment under pressure; which was wholly
unrestrained in an upward direction and inadequately
restrained in a downward direction.
• As a result the bellows were subjected to shear forces
for which they were not designed and the 20" pipe was
under high and unknown stresses resulting from the
end loads of 38 tons. This assembly, although
pneumatically tested to 130 psig had not been tested
Up to the reactor design pressure of 160 psig.
1/29/2018 The need for HAZOP_Flixborough 21

At this stage the position was as follows:

• No further checks of leakage were done from


the mild steel outer shell of the other
reactors.
• Nypro believed that the crack in Reactor No.5
was a unique incident in some way.
• Even up to the time of the disaster no one
was sure that the other reactors had not
been affected.

1/29/2018 The need for HAZOP_Flixborough 22

ARMC 8
The need for a HAZOP 1/29/2018

Events Leading to the Explosion, contd.


• The dog-leg pipe was subsequently lagged.
• From this time until May 29, the temporary
pipework gave no trouble.
• On May 29, the plant was shut down for
maintenance work and a leaking valve was
replaced. During the start-up of the plant on
June 1 the explosion occurred

1/29/2018 The need for HAZOP_Flixborough 23

1/29/2018 The need for HAZOP_Flixborough 25

ARMC 9
The need for a HAZOP 1/29/2018

1/29/2018 The need for HAZOP_Flixborough 26

The Explosion:
• The Court of Enquiry attributed the escape of
the cyclohexane to the collapse of the
temporary bypass pipe.
• The reactors contained a large inventory of
cyclohexane, 50 tons escaped, although the
extensive damage which was caused could
have been caused by the deflagration of 10
to 20 tons of cyc1ohexane.

1/29/2018 The need for HAZOP_Flixborough 27

ARMC 10
The need for a HAZOP 1/29/2018

The Explosion:
• Because the cyclohexane was above its
boiling point at atmospheric pressure, a
proportion of the liquid. would have flashed
off as the pressure was reduced to
atmospheric.
• 1/8 of the liquid was flashed over to vapor.
However, the remaining liquid sprayed over.
• Hence a large gas cloud would have formed,
lead to UCVE.

1/29/2018 The need for HAZOP_Flixborough 28

The Explosion:
• Another assumption was: “the Court could
find no specific reason for the failure of the
bypass pipe, and it has been suggested
subsequently that a sudden pressure surge
caused the pipe to fail. No.4 reactor was
fitted with a stirrer and some water would
have been left in the base of the reactor after
the shutdown”.

1/29/2018 The need for HAZOP_Flixborough 29

ARMC 11
The need for a HAZOP 1/29/2018

The Explosion:
• As the reactor contents were heated during
start-up, the temperature rose until boiling at
the hydrocarbon-water interface could have
taken place. The two phases would mix; there
would be a sudden evolution of vapour and a
pressure surge strong enough to rupture the
bypass pipe.
• This is only one of a number of possible reasons
for the explosion, but is one which makes sense
in terms of the known behaviour of the
substances in the process system.

1/29/2018 The need for HAZOP_Flixborough 30

What Could HAZOP Have Done?


• Process information about cyclohexane in the
reactor which could form vapor under an
adiabatic expansion in case of leakage.
• If the bypass modification had been subjected to
a HAZOP study, it would have been realized that
it rendered the plant unsafe.
• Engineering design change, calling for a design
study, safety testing, and proper reference to the
relevant British Standard and code of practice.

1/29/2018 The need for HAZOP_Flixborough 31

ARMC 12
The need for a HAZOP 1/29/2018

What Could HAZOP Have Done?


• A HAZOP study could have ensured that the
right standards and codes of practice had
been followed, that the correct materials of
construction had been used, and that there
were no unforeseen effects on the protective
systems, electrical classifications, or other
features of the plant design.

1/29/2018 The need for HAZOP_Flixborough 32

What Could HAZOP Have Done?


• A HAZOP study would have increased the
awareness of the personnel involved of the
consequences of a major leakage, and of the
fact that flashing would occur.
• Due to. the lack of this awareness; there was
no concern expressed about restarting the
plant without examining the other reactors
for cracks or trying to find the cause of the
crack in No.5 reactor. (pre-start up review)

1/29/2018 The need for HAZOP_Flixborough 33

ARMC 13
The need for a HAZOP 1/29/2018

What Could HAZOP Have Done?


• At the time of the bypass installation, the key
post of Works Engineer was vacant. It could
be argued that the qualified mechanical
engineer who should have occupied this post
would have appreciated the need for proper
design studies on any proposed bypass
system. This technique would have ensured
that the safety of the plant did not depend
on the staffing level at a particular time.

1/29/2018 The need for HAZOP_Flixborough 34

ARMC 14
HAZOP Methodology 1/29/2018

THE HAZOP METHODOLOGY


(IEC 61882:2001)

Said Khalifa, CSP


HSE and Loss Prevention Consultant
2018

03.11.2011 Course Title 1

Definition of a HAZOP

• A procedure used to review design and


operations of hazardous process facilities.
It was derived from:-
•HAZ Hazard Identification/ Analysis;
•OP Operability Issues/ Problems

25/10/2015 Introduction to HAZOP 2

ARMC 1
HAZOP Methodology 1/29/2018

Definition of a HAZOP, contd.

• A HAZOP study is a detailed hazard and


operability problem identification process,
carried out by a team. HAZOP deals with the
identification of potential deviations from the
design intent, examination of their possible
causes and assessment of their
consequences.

25/10/2015 Introduction to HAZOP 3

Key features of HAZOP examination


include the following
• The examination is a creative process. The
examination proceeds by systematically using
a series of guide words to identify potential
deviations from the design intent and
employing these deviations as “triggering
devices” to stimulate team members to
envisage how the deviation might occur and
what might be the consequences.

25/10/2015 Introduction to HAZOP 4

ARMC 2
HAZOP Methodology 1/29/2018

Key features of HAZOP examination


include the following, contd.

• The examination is carried out under the


guidance of a trained and experienced study
leader, who has to ensure comprehensive
coverage of the system under study, using
logical, analytical thinking. The study leader
is preferably assisted by a recorder who
records identified hazards and/or operational
disturbances for further evaluation and
resolution.

25/10/2015 Introduction to HAZOP 5

Key features of HAZOP examination


include the following, contd.
• The examination relies on specialists from
various disciplines with appropriate skills and
experience who display anticipation/
obviousness and good judgement.
• The examination should be carried out in a
climate of positive thinking and frank
discussion. When a problem is identified, it is
recorded for subsequent assessment and
resolution.

25/10/2015 Introduction to HAZOP 6

ARMC 3
HAZOP Methodology 1/29/2018

Key features of HAZOP examination


include the following, contd.
• Solutions to identified problems are not a
primary objective of the HAZOP examination,
but if made they are recorded for
consideration by those responsible for the
design.

25/10/2015 Introduction to HAZOP 7

HAZOP DEFINITIONS

25/10/2015 Introduction to HAZOP 8

ARMC 4
HAZOP Methodology 1/29/2018

HAZOP Definitions

• System or subsystem under study.


• Part: section of the system which is the
subject of immediate study.
– NOTE : A part may be physical (e.g. hardware) or
logical (e.g. step in an operational sequence).
• Characteristics: qualitative or quantitative
property of an element.

25/10/2015 Introduction to HAZOP 9

HAZOP Definitions
• Design intent: designer’s desired, or specified range
of behaviour for elements and characteristics
• Element: constituent of a part which serves to
identify the part’s essential features. The choice of
elements may depend upon the particular
application. (the choice is explained in the next slide)
• Guide word: word or phrase which expresses and
defines a specific type of deviation from an
element’s design intent.

25/10/2015 Introduction to HAZOP 10

ARMC 5
HAZOP Methodology 1/29/2018

But elements can include features such as:

The operational characteristics (P, T, L, etc.)


the material involved,
the activity being carried out,
the equipment employed etc.
Material should be considered in a general
sense and includes data, software, etc.

25/10/2015 Introduction to HAZOP 11

HAZOP STUDIES CONSIST OF FOUR BASIC


SEQUENTIAL STEPS:

1/29/2018 HAZOP Mthedology 12

ARMC 6
HAZOP Methodology 1/29/2018

The HAZOP Study Procedure

Definition (6.1-3)
• Define scope and objectives
• Define responsibility
• Select team

Preparation (6.4)
• Plan the study
• Collect data
• Agree style of recording (6.6.2)
• Estimate the time
• Arrange a schedule

Examination (6.5)
• Divide system into parts
• Select a part and define design intent
• Identify deviation by using guide words on each element
• Identify consequences and causes
• Identify whether a significant problem exists
• Identify protection, detection, and indicating mechanisms
• Identify possible remedial/mitigating measures (optional)
• Agree actions
Repeat for each element and then each part of the system

Documentation and follow-up (6.6-7)


• Record the examination
• Sign off the documentation
• Produce the report of the study
• Follow up that actions are implemented
• Re-study any parts of system if necessary
• Produce final output report

1/29/2018 HAZOP Mthedology 13

Timing of a HAZOP Study


• “Concept" phase studies
• Design _phase studies
– on first P&IDs
– At design freeze
• Late design phase
• Operating phase studies
– Post start-up
– modifications
– periodic

1/29/2018 HAZOP Mthedology 14

ARMC 7
HAZOP Methodology 1/29/2018

HAZOP OBJECTIVES
• Identify all deviations, causes and problems
associated with deviations.
• Decide action to control hazard or operability
problem .
• If decision cannot be made immediately, decide
on what information or action is required.
• Ensure that actions decided upon are followed
through .

1/29/2018 HAZOP Mthedology 15

HAZOP Team
• Leader
• Secretary
• Team members
• '

– Design engineer(s)
– Process engineer(s)
– Operations representative
– Safety specialist
– Instrument engineer·
– Electrical engineer

1/29/2018 HAZOP Mthedology 16

ARMC 8
HAZOP Methodology 1/29/2018

HAZOP Team for an Exiting Plant


• Plant Manager
• Process supervisor I Engineer
• Plant Maintenance
• Instrument Engineer ·
• Safety Engineer
• Independent Chairman

1/29/2018 HAZOP Mthedology 17

HAZOP Team for new Plant


• Design Engineer
• Process Engineer
• Commissioning Manager
• Instrument Design Engineer
• Safety Engineer
• Independent Chairman

1/29/2018 HAZOP Mthedology 18

ARMC 9
HAZOP Methodology 1/29/2018

HAZOP Team
Chairman can also be secretary and
Safety Dept. Representative
Contractor(s) and the Client should
be involved
• Should have authority to decide
when and when, avoid deputies

1/29/2018 HAZOP Mthedology 19

HAZOP, when and how long?


• When:
– As the P&ID are available.
– Delay detailed design or accept
modifications?
• How long?
– old technology 2 to 3 hours per plant item.
– New invention 3 to 4 hours per main plant
item

1/29/2018 HAZOP Mthedology 20

ARMC 10
HAZOP Methodology 1/29/2018

Early HAZOP Guidewords


Guide word Process Deviations
No, Not, None The complete negation of the design intention

More of Quantitative increase of any physical property


Less of Quantitative decrease of any physical property
As Well As A qualitative increase in ……
Part of A qualitative decrease in …..
Reverse The logical opposite of the design intention.
Other than The complete substitute
Others Mode of operations, emergency, safety, etc.,

1/29/2018 HAZOP Mthedology 21

Deviations generated by each guideword


Guideword Deviations
No forward flow when there should be, i.e. no flow or reverse
NONE -
flow.
MORE OF More of any relevant physical proper ty than there should be,
e.g. higher flow (rate or total quantity ), higher tem pera ture,
higher pressure , higher viscosity , etc.
LESS OF Less of any releva nt ph ysical property than there should be,
e.g. lower flow (rate or tota] qu antity), lower tem perature,
Jower pressure , etc.
PART OF Composition of system diff erent from what it should be, e.g,.
change in ratio of components, component missing, etc.
MOR E THAN More components present in the system than there should be,
e.g. extra phase present (vapour, solid), impurities (air, wa ter,
acids, corrosion produc ts), etc.
OTHER What else cam happen apart from normal operation, e.g. start-
THAN up, shu tdown, uprating, low rate r un n in g ,, alternative operation
mode, failure of plant services maintenance, catalyst change, etc.
1/29/2018 HAZOP Mthedology 22

ARMC 11
HAZOP Methodology 1/29/2018

More Developed Guidewords


Guide
Process Deviation Comments
word
No, Not, The complete negation of No part of the design
None the design intention intention is achieved.
Quantitative increase of Refer to flow, temp.,
More of
any physical property pressure
Refer to flow, temp.,
Quantitative decrease of
Less of pressure
any physical property

All intentions are achieved


As Well As A qualitative increase in ……
+ something else.
A qualitative decrease in Some of the design
Part of
….. intentions not achieved.

1/29/2018 HAZOP Mthedology 23

Guide words relating to clock time and order or sequence

Guide word Meaning

EARLY Relative to the clock time

LATE Relative to the clock time

Relating to order or
BEFORE
sequence
Relating to order or
AFTER
sequence

10/25/2015 04-HAZOP Examination Process 24

ARMC 12
HAZOP Methodology 1/29/2018

PHA/HAZOP
ADNOC PRACTICE
CP-24

APPLY TO ALL PIPING SECTIONS

Wrong routing - blockage - incorrect slip plate - incorrectly fitted


check valve - burst pipe - large leak - equipment failure (C.V.,
NO FLOW
isolation valve, pump, vessel, etc.) - incorrect pressure
differential - isolation in error.

Line restrictions - filter blockage - defective pumps - fouling of


LESS FLOW
vessels, valves, orifice plates - density or viscosity changes.

Defective check valve - siphon effect - incorrect pressure


REVERSE FLOW differential - two-way flow - emergency venting - incorrect
operation - in-line spare equipment.

Increased pumping capacity - increased suction pressure -


reduced delivery head - greater fluid density - exchanger tube
MORE FLOW leaks - restriction orifice plates deleted - cross connection of
systems - control faults - control valve trim changed - running
two pumps.

August 2015 Opening Slide 26

ARMC 13
HAZOP Methodology 1/29/2018

APPLY TO VESSELS AND TANKS ONLY

MORE LEVEL Outlet isolated or blocked - inflow greater than outflow - control
failure - faulty level measurement - gravity liquid balancing.

LESS LEVEL Inlet flow stops - leak - outflow greater than inflow - control
failure - faulty level measurement - draining of vessel.

MORE MIXING Agitator set at wrong speed.

LESS MIXING Agitator set at wrong speed - drive stops - agitator blade drops
off.
Reverse REACTION Wrong reactant mix - high temperature - incompatible
chemical.
LESS REACTION Wrong reactant mix - low temperature - insufficient catalyst -
channeling.

August 2015 Opening Slide 27

HAZOP Deviations: Vessels and Tanks Only, apply once to the entire unit
Grounding arrangements - insulated vessels/equipment - low conductance
fluids - splash filling of vessels - insulated strainers and valve components -
IGNITION
dust generation - powder handling equipment - electrical classification -
SUPPRESSION
flame arresters - hot work - hot surfaces - auto-ignition - pyrophoric
materials.
Toxic properties of process materials - fire and gas detection
system/alarms - emergency shut-down arrangements - fire fighting
response time - emergency and major emergency training - contingency
plans - T.L.V.'s of process materials and methods of detection - noise levels
SAFETY
- security arrangements - knowledge of hazards of process materials - first
aid/medical resources -effluent disposal - hazards created by others
(adjacent storage areas/process plant etc.) - testing of emergency
equipment - compliance with local/national regulations.
Installed/non-installed spare equipment - availability of spares - modified
SPARE EQUIPMENT specifications - storage of spares - catalogue of spares - test running of
spare equipment.
The distance between various units for safety and fire exposure - "General
FACILITY LAYOUT Recommendations for Spacing" by Oil Insurance Association or Industrial
Risk Insurers - API - NFPA, OSHA 1910.119.
Control room layout - alarms - valve access and location - human error -
HUMAN FACTORS
OSHA 1910.119.

August 2015 Opening Slide 28

ARMC 14
HAZOP Methodology 1/29/2018

HAZOP Deviations: Batch Facilities

APPLY TO BATCH operations

Feed continues - agitation continues - reaction continues -


TIME TOO LONG pump runs dry - distillation passes end point - material added
too slowly - too much material added.

Purge cycle cut short - reaction dies - agitation stops - pump


TIME TOO SHORT out is stopped - distillation is stopped before end point -
component added too quickly - insufficient component added.

Incorrect step is initiated - step is accomplished too quickly -


WRONG TIME
step is permitted to lag.
Agitator started late - agitator stopped late - pump started late
STEP TOO LATE - pump stopped late - valve opened late - valve closed late -
component is charged late.
Agitator started early - agitator stopped early - pump started
STEP TOO EARLY early - pump stopped early - valve opened early - valve closed
early - component is charged too soon.

August 2015 Opening Slide 29

HAZOP Deviations: Batch Facilities

Pump is not started - pump is not stopped - agitation is not


started - agitation is not stopped - system is not purged -
STEP LEFT OUT
sample is not taken - equipment is not stowed away -
component is not charged.
STEP BACKWARDS A prior step is repeated - component is double charged.
PART OF STEP Sample not taken - some components not charged - batch is
LEFT OUT not cooled - vessel is not depressurized.

Both pumps are started - both pumps are stopped - additional


EXTRA ACTION
valves are opened - additional valves are closed - additional
INCLUDED
components are charged to the system.
Wrong piece of equipment is started - wrong piece of
equipment is stopped - equipment is started rather than
WRONG ACTION stopped - equipment is stopped rather than started - incorrect
TAKEN valve is opened - incorrect valve is closed - valve is opened
rather than closed - valve is closed rather than opened - wrong
component is charged.

1/29/2018 HAZOP Mthedology 30

ARMC 15
HAZOP Methodology 1/29/2018

NO LESS MORE REVERSE


FLOW X X X X
TEMPERATURE X X
PRESSURE X X
LEVEL X X
Chemical Others
Composition
Physical State X
Type of use:

Normal ops. X
Start up X
Shutdown X
1/29/2018 HAZOP Mthedology 31

HAZOP PROCESS MAP

1/29/2018 HAZOP Mthedology 32

ARMC 16
Start HAZOP Process Map
(Life-cycle based)
Updated 201510
Define Objectives of the Study (B&W)

Select System or Subsystem

Explain overall design

Select PART to study

Examine and agree design intent

Identify relevant elements


(use matrix)

Identify whether any of the elements can be


usefully sub-divided into characteristics

Select an element
(and characteristic if any)

Select a guide word

Apply the guide word to the selected elements


NO (and to each of its characteristics as relevant)
to obtain a specific interpretation

Investigate causes,
Move on to the next Is deviation consequences and
NO YES
deviation/ Guideword credibel? protection or indication, and
document NO

Is it hazardous or does it prevent efficient


operations? Yes
(Consequence Analysis)

Identify all Safeguards/ Protection


(will the operator know that there is deviation?)

What changes in the plant or method will prevent


deviation or make it less likely or protect againt adverse
consequences?

Consider other
Is the cost of the change jutified? NO changes or agree to
accept the HAZARD
Yes

Agree on necessary action (change(s)


or recommendation

Have all
Have all PARTS All Elements & Parts are
NO
examined
NO ELEMENTS been
examined? examined?
YES

Screen recommendations and action items to set priorities of implementation

Agree who is responsible for the action

Follow up to close open


Date Issued: 31/10/2015 action items
How to conduct HAZOP 1/29/2018

PHA/ HAZOP Leadership

How to conduct
HAZOP Study

Said Khalifa, CSP


HSE and Loss Prevention Consultant
2018

1/29/201
How to conduct HAZOP study 1
8

HAZOP OBJECTIVES

 Identify all deviations, causes and


problems associated with deviations.
 Decide action to control hazard or
operability problem .
 If decision cannot be made immediately,
decide on what information or action is
required.
 Ensure that actions decided upon are
followed through .

2
How to conduct HAZOP study 1/29/2018

ARMC 1
How to conduct HAZOP 1/29/2018

The Timing of Hazop Studies

 Concept Phase Studies


 process to be used
 storage inventories
 site selection
 site layout plant capacity
 Design Phase Studies
 before the piping and instrumentation diagrams
are complete.
 "detailed design freeze" stage

1/29/201
How to conduct HAZOP study 3
8

The Timing of Hazop Studies


 HAZOP Studies pre start-up
 change of intent occurred at-a very late stage
 If the operating instructions are very critical.
 If the new plant is a copy of an existing plant
 HAZOP Studies on Existing Plants

1/29/201
How to conduct HAZOP study 4
8

ARMC 2
How to conduct HAZOP 1/29/2018

Responsibility for HAZOP Studies


(the plant manager)
 Develop and use safe operating procedures.
 Ensure that HAZOP studies are conducted for
each unit on a periodic basis, and for
modifications.
 Provide for appropriate participation and
leadership for these HAZOP studies.
 Appoint a HAZOP coordinator at each plant
site to coordinate and facilitate the HAZOP
program.
 Follow up on action recommendations
developed by the HAZOP study.

1/29/201
How to conduct HAZOP study 5
8

Responsibility for HAZOP Studies


(the project manager)
 Appoint a secretary and team leader.
 Ensure that the study is scheduled at the proper time in the
design phase.
 Make available the appropriate personnel to participate in
the study as team members.
 Make certain that adequate time is allotted in the project
schedule for conducting and following up the HAZOP study
activities.
 Assist the HAZOP study leader in arranging for meeting
sites, outside, members and vendor representations.
 Include appropriate considerations in the design stage for
safety and loss prevention and ensure that all applicable
design checklists are reviewed &
 Ensure that normal safety design is not omitted just
because a HAZOP study is to be carried out.

1/29/201
How to conduct HAZOP study 6
8

ARMC 3
How to conduct HAZOP 1/29/2018

Team Functions

Team Leader
 The team leader must take the final
responsibility for ensuring that all the
tasks involved in planning, running,
recording, and implementing the study are
carried out during the study his main task
is to ensure that the team works together
towards a common goal.

1/29/201
How to conduct HAZOP study 7
8

Team Functions
Secretary
 The secretary should take notes of the study
and record recommendations in enough detail
for them to be understood. He should refrain
from taking part in the discussions.
Members
 The individual members should use their
experience, training and judgment to
identify any issue which should be
discussed by the team as a whole, and put
it forward. They should then assist the
team in resolving issues by suggesting
changes that may overcome the problem
they should be prepared to assist the team
in arriving at a consensus.
1/29/201
How to conduct HAZOP study 8
8

ARMC 4
How to conduct HAZOP 1/29/2018

The Detailed Procedure


for a HAZOP Study

1/29/201
How to conduct HAZOP study 9
8

Steps to carry out the study

1. Defining the objectives and scope.

2. Selecting the HAZOP team members.

3. Preparing for the study.

4. Undertaking the study.

5. Conducting the follow-up actions.

6. Recording the results.

1/29/201
How to conduct HAZOP study 10
8

ARMC 5
How to conduct HAZOP 1/29/2018

Factors which affect the study

 The nature and stage of the project.


 The requirement for full documentation.
 The availability of personnel for the HAZOP
team.
 The number of P&IDs.
 The timing and the duration allowed for the
study.
 The budget available for the study.
 The degree of authority given to the study
team.
1/29/201
How to conduct HAZOP study 11
8

Undertaking the study

1/29/201
How to conduct HAZOP study 12
8

ARMC 6
How to conduct HAZOP 1/29/2018

1/29/201
How to conduct HAZOP study 13
8

Undertaking the Study


There are seven stages which are repeated many
times during a HAZOP:
a) Apply a guideword
b) Develop a deviation
c) Examine possible causes
d) Examine consequences
e) Consider hazards, or operability problems
f) Decide upon action
g) make a record of the discussion and decision

1/29/201
How to conduct HAZOP study 14
8

ARMC 7
Start HAZOP Process Map
(Life-cycle based)
Updated 201510
Define Objectives of the Study (B&W)

Select System or Subsystem

Explain overall design

Select PART to study

Examine and agree design intent

Identify relevant elements


(use matrix)

Identify whether any of the elements can be


usefully sub-divided into characteristics

Select an element
(and characteristic if any)

Select a guide word

Apply the guide word to the selected elements


NO (and to each of its characteristics as relevant)
to obtain a specific interpretation

Investigate causes,
Move on to the next Is deviation consequences and
NO YES
deviation/ Guideword credibel? protection or indication, and
document NO

Is it hazardous or does it prevent efficient


operations? Yes
(Consequence Analysis)

Identify all Safeguards/ Protection


(will the operator know that there is deviation?)

What changes in the plant or method will prevent


deviation or make it less likely or protect againt adverse
consequences?

Consider other
Is the cost of the change jutified? NO changes or agree to
accept the HAZARD
Yes

Agree on necessary action (change(s)


or recommendation

Have all
Have all PARTS All Elements & Parts are
NO NO ELEMENTS been
examined? examined
examined?
YES

Screen recommendations and action items to set priorities of implementation

Agree who is responsible for the action

Follow up to close open


Date Issued: 31/10/2015 action items
Company XYZ
HAZOP Study
Guide word/ Element Matrix

Study Unit/ System : Document Sequential No.:

Drawing No.: Meeting Date :

Part Considered: Reported by:

Equipment/ line no. Team Leader:

Source: Destination
Design Intent:
Material: Activity/ Process

Elements
Characteristics Materials Other Elements

Corrosion/ Erosion

Knowledge_based
Pressure Relieving

Instrumentations

Spare Equipment
Control System
Contamination

Service Failure

Maintenance
Fire & Safety
Composition

Suppression

Operation
Pressure

Abnormal
Sampling

Checklist
Systems

Systems
Ignition
Change
Temp.

Level
Flow

x x x x x x x x x x x x x x
No, None x
Logical Guide Words

More x x x x
Less x x x x
Reverse x
As well As x x
As Part of x x

Early x x x
Clock Guidewords

Late x x x
Clock guide words
Before x x x
After x x x

Prepared by Said Khalifa 6/3/2018 Page 1


Company XYZ
HAZOP Worksheet
HAZOP Study Worksheet
Study Unit/ System : Sheet No./ No. of Sheets

Drawing No. Rev. Document Sequentioal no.

Part Considered: Meeting Date :

Equipment/ line no. Reported by:

Team Members: Study Team Leader:

Material: Process/ Activity:


Design Intent:
Source: Destination

Ref. No. Guideword/ Deviation Possible Cause Possible Consequences Existing Safeguards Comment Recommendation/ Action/ Discussion Action By

E:\HAZOP 2018\Figures\Hazop Worksheet_Revised 2015 11 14 Date Issued: 6/3/2018


Reporting HAZOP Study 1/29/2018

Reporting HAZAOP Study

Said Khalifa, CSP


HSE and Loss Prevention Consultant
2018

1/29/2018 Reporting Hazop 1

Recommendations Implementation

• Action by : for whom an individual or


department has been assigned by the
team leader to determine if the action
is correct , meaningful and necessary
according to he or they have the most
knowledge related to the suggested
action.

1/29/2018
Reference : System Reliability Theory (2nd ed), Wiley, 2004
Reporting Hazop 2

ARMC 1
Reporting HAZOP Study 1/29/2018

Reporting and review Report contents


Summary
• Introduction
• System definition and delimitation
• Documents (on which the analysis is based)
• Methodology
• Team members
• HAZOP results
– Reporting principles
– Classification of recordings
– Main results
• Appendix 1: HAZOP work-sheets
• Appendix 2: P&IDs (marked)

1/29/2018
Reference : System Reliability Theory (2nd ed), Wiley, 2004
Reporting Hazop 3

Management Flow sheet


• It is used for evaluating and implementing proposed
corrective actions.
• Through
1. The HAZOP team assign the corrective action a high,
medium, or low priority,
2. The HAZOP team prepare the recommended action
worksheet
3. Management review the completed forms
4. Management take final decision (ALARP)
5. Agreed action distributed according to priorities
6. Tracking document or system
7. Review meetings

1/29/2018 Reporting Hazop 4

ARMC 2
Reporting HAZOP Study 1/29/2018

Divide recommendation according to priority

• High priority for corrective action


• Is deviations with high risk index numbers of III (red)
• A high priority means immediate action is
necessary to mitigate the occurrence of an
accident or consequence.

1/29/2018 Reporting Hazop 5

risk-coding matrix

1/29/2018 Reporting
Reference : System Hazop
Reliability Theory (2nd ed), Wiley, 2004 6

ARMC 3
Reporting HAZOP Study 1/29/2018

Divide recommendation according to priority

• Medium priority for corrective actions


• Is deviations with Medium risk index numbers of II
(Yellow)
• A medium priority means action is recommended.
• Management should evaluate this recommended
action on a cost versus risk-reduction basis and
either take action or accept the risk.

1/29/2018 Reporting Hazop 7

Divide recommendation according to priority

• low priority for corrective action


• Deviations with low risk index numbers of I
(green)
• A low priority means corrective action would
further improve safety, but the facility can be
safely operated if the action is not implemented.
• Most low priority recommendations are
ultimately rejected

1/29/2018 Reporting Hazop 8

ARMC 4
Reporting HAZOP Study 1/29/2018

Recommended Action Worksheet


• Action worksheet is required to explain the
recommended actions to management for final
decision.
• The worksheet should describe
– The problem identified by the HAZOP,
– Recommended actions for mitigating the problem,
– The beneficial effects gained by implementing the
recommended action.
• The worksheet help keep track of the status of
recommendations.

1/29/2018 Reporting Hazop 9

HAZOP Study

Hazard Elimination Action Progress Report

Area/ Plant/ Unit Number:


System/ Subsystem / Area Affected:
HAZOP Recommendation Serial No.
Process deviation/ cause:

Summary of the Recommendation:

Assigned to (Department/ Discipline):


Priority: Potential impact and effect on:
High Public
Medium Personnel
Low Assets
Nice to have Process Safety
Productivity
Company Reputation

Existing Risk and control safety systems:

Risk Index Probability Severity

Progress in implementing Recommendation:

Residual Risk (if any):

Re-evaluation and assessment of residual risk:


Acceptable Not acceptable

References and support documents:

Reported by: Date:


Approved by (Responsible
1/29/2018 Department Manager) Reporting Hazop 10

ARMC 5
Cairo Oil Refining Company

HAZOP Study

Hazard Elimination Action Progress Report

Area/ Plant/ Unit Number:


System/ Subsystem / Area Affected:
HAZOP Recommendation Serial No.
Process deviation/ cause:

Summary of the Recommendation:

Assigned to (Department/ Discipline):

Priority: Potential impact and effect on:


High Public
Medium Personnel
Low Assets
Nice to have Process Safety
Productivity
Company Reputation

Existing Risk and control safety systems:

Risk Index Probability Severity

Progress in implementing Recommendation:

Residual Risk (if any):

Re-evaluation and assessment of residual risk:


Acceptable Not acceptable

References and support documents:

Reported by: Date:


Approved by (Responsible
Department Manager)
Reporting HAZOP Study 1/29/2018

HAZOP Implementation Tracking Management System


Crude Distillation Unit 4, (CDU 4)
Status
Sequential No. of Part under the Guideword/ Action By Updates on Progress of Implementation
Recommendation/ Action to be taken Target date (Open/
the Action Item study Deviation Depatment of the Actio Item/ Recommendation
Closed)

1.1 Apply Lock Out/ Tag Out, LOTO, procedure.


001-CDU4-01-001 That is to say, block valves should be car-sealed or
No flow chain and locked. Revise operating procedures.

001-CDU4-01-002 1.4 Enhance frequency of PM

001-CDU4-01-003 Less Flow 2.1 install PDI after and before filters

001-CDU4-01-004 Reverse flow 3.1 Install NRV downstream of 1/2" injection line.
Crude oil filters 4.1 Install closed drain system to avoid release of
001-CDU4-01-005 Sampling volatile vapors and decrease load on the API
separator.
5.1 Revise the operating procedure to drain the
001-CDU4-01-006 More Pressure
standby filter and keep the drain valve open.
6.1 Extend the gas detection system to cover this
001-CDU4-01-007 Less pressure
area.
Composition
001-CDU4-01-008
change
8.1 Fabricate drip bans underneath filter under
001-CDU4-01-009 Maintenance
maintenance to avoid pollution

1/29/2018 Reporting Hazop 11

Final decision
• Management should evaluate this
recommended action on a cost versus risk-
reduction basis and either take action or
accept the risk.
• ALARP (As Low As reasonable
Practices) principals

1/29/2018 Reporting Hazop 12

ARMC 6
Reporting HAZOP Study 1/29/2018

Priority for Implementation


• High priority recommendations are sent to
senior plant management to assure that these
managers are informed of significant safety
problems.
– Senior managers, after reviewing the worksheet,
assign it to the appropriate plant group for
implementation.
• Medium priority recommendations are sent to
the affected department manager for review.
• Low priority recommendations are forwarded
to plant area managers in the appropriate
department.
1/29/2018 Reporting Hazop 13

Recommended implementation
period
• Guidelines are suggested for implementation
of hazard analysis recommendations
according to
– High priority action (resolved within 4 months)
– Medium Priority action (resolved within 4-6
months
– Lower priority action (resolved following medium
priority)

1/29/2018 Reporting Hazop 14

ARMC 7
Reporting HAZOP Study 1/29/2018

tracking document
• The resolution of each recommendation
should be recording in a tracking document
• All recommended actions should be entered
into a computerized information management
system so that management can monitor the
progress of outstanding corrective action
requests.
• Management to assure progress .

1/29/2018 Reporting Hazop 15

Review meetings
• Review meetings should be arranged to monitor
completion of agreed actions that have been
recorded. The review meeting should involve the
whole HAZOP team. A summary of actions
should be noted and classified as:
– Action is complete
– Action is in progress
– Action is incomplete, awaiting further information

Based on Kyriakdis (2003)


1/29/2018 Reporting Hazop 16

ARMC 8
Reporting HAZOP Study 1/29/2018

Conclusions
• HAZOP Results
• Advantages
• Success factors
• Pitfalls and objections

1/29/2018
Reference : System Reliability Theory (2nd ed), Wiley, 2004
Reporting Hazop 17

HAZOP Results
• Improvement of system or operations
– Reduced risk and better contingency
– More efficient operations
• Improvement of procedures
– Logical order
– Completeness
• General awareness among involved parties
• Team building

1/29/2018 Reference : System Reliability Theory


Reporting Hazop(2nd ed), Wiley, 2004 18

ARMC 9
Reporting HAZOP Study 1/29/2018

Advantages
• Systematic examination
• Multidisciplinary study
• Utilizes operational experience
• Covers safety as well as operational aspects
• Solutions to the problems identified may be indicated
• Considers operational procedures
• Covers human errors
• Study led by independent person
• Results are recorded

1/29/2018
Reference : System Reliability Theory (2nd ed), Wiley, 2004
Reporting Hazop 19

Success factors
• Accuracy of drawings and data used as a basis for the
study
– the accuracy of the information used
– the quality of the design
• Experience and skills of the HAZOP team leader
• Technical skills and insights of the team
• Ability of the team to use the HAZOP approach as an
aid to identify deviations, causes, and consequences
• Ability of the team to maintain a sense of proportion,
especially when assessing the severity of the potential
consequences.

1/29/2018
Reference : System Reliability Theory (2nd ed), Wiley, 2004
Reporting Hazop 20

ARMC 10
Reporting HAZOP Study 1/29/2018

Pitfalls and objections


• Time consuming
• Focusing too much on solutions
• Team members allowed to divert into endless
discussions of details
• A few of the team members dominate the discussion
• “This is my design/procedure”
– Defending a design/procedure
– HAZOP is not an audit
• “No problem”
• “Wasted time”

1/29/2018 Reference : System Reliability Theory


Reporting Hazop(2nd ed), Wiley, 2004 21

ARMC 11
2/8/2018

WORKED EXAMPLE
Oil Vaporizer
what if/ checklist

Presented by:
Said M. Khalifa
Certified Safety Professional, CSP (since 1997)
HSE and Loss Prevention Consultant
2017

Interlock shuts

main valve TCV

I-5

TSH

FAL
Vaporized oil

Heating coil

TE FC

FE

FCV
Interlock shuts Liquid oil

main valve TCV

I-4 Firebox

Burners

PSHH
Pilot Main

valve valve TC
Natural
PRV PV TCV
gas

IEC 456/01

1
2/8/2018

DISCRIPTION OF THE PROCESS


 The oil vaporizer consists of a furnace containing a heating coil
and burners, which are fired by natural gas.
 The oil enters the heating coil as a liquid, is evaporated, and
leaves the coil as a superheated vapour.
 The natural gas entering the burners combines with external air
and burns in a hot flame. The combustion gases leave through
the stack.
 The oil flow is controlled by a flow control set which includes: a
flow control valve, FCV, a flow element, FE, that measures the
oil flow, a flow controller, FC, and a low flow alarm, FAL, which
alarms if the oil flow reduces below a set point.

DISCRIPTION OF THE PROCESS, CONTD.


 The natural gas flow passes through a self-actuating
pressure-reducing valve, PRV, to the main burner control
valve TCV, and a pilot valve PV. The main burner control
valve is actuated by the temperature controller TC which
receives the signal from the temperature element TE, which
measures the oil vapour discharge temperature.
 The high/high pressure switch, PSHH on the natural gas line
is interlocked, via I-4 to close the main burner control valve,
TCV, if the gas pressure is too high. There is also a high
temperature switch, TSH, on the vaporized oil outlet to close
the main burner control valve, TCV, if the oil is superheated
above a maximum temperature. Finally, there is a flame
detector device (not shown) which will close both gas valves
should the flame go out

2
2/8/2018

CHECKLIST APPLIED TO A FURNACE OIL HEATER

 What does the equipment actually do? In what


ways can the equipment actually fail?
 What are the major hazards associated with the
material being handled by the equipment?
 What potential interactions between upstream or
downstream equipment or conditions could lead
to problems?
 Could an external event give problems?
 Could supporting utility failure(s) give problems?

CHECKLIST APPLIED TO A FURNACE OIL HEATER

 Could environmental conditions give problems,


e.g., low temperatures?
 Could individual component failures, e.g.,
control valves, level switches, give problems?
 Any problems with start-up or shut down?

 Any problems maintaining equipment or


individual components?
 Sparing philosophy, equipment reliability?

3
2/8/2018

USING THE HAZOP METHODOLOGY

Guide
No. Element Deviation Possible causes Consequences Safeguards Comments Actions required Action by
word
Consider low flow element
Supply failure Vaporizer coil Low flow alarm FAL Safeguard FE to close main burner
depends on quick valve
operator response LB
Flow control valve
overheats and may fail High TCV
PCV closed
1 No Oil flow No oil flow temperature trip TSH
Plugging of coil Oil in vaporizer will boil: Low flow alarm FAL Check whether these
safeguards are adequate
Possible overheating and
Blockage down- High and the ease with which the NE
coking of
stream of vaporizer coil could be cleaned
heating coil temperature trip TSH
Investigate effect of liquid
Unvaporized liquid
oil on the process
Consider interlocking the
Flame out in the oil fed to the process furnace flame out signal
2 No Heat No heat None DH
furnace with closure of FCV

Consider providing a low oil


outlet temperature alarm

4
FTA/ ETA Analysis 2/8/2018

Certified PHA/ HAZOP Leadership

FAULT & EVENT TREE ANALYSIS


(combined Presentation)

Said Khalifa, CSP


HSE and Loss Prevention Consultant
2018

8/11/2017 FTA/ ETA Analysis 1

About Fault Tree Analysis


• Fault tree analysis (FTA) is concerned with the
identification and analysis of conditions and factors that
cause or may potentially cause or contribute to the
occurrence of a defined top event
• FTA is often applied to the safety analysis of systems
(such as transportation systems, power plants, or any
other systems that might require evaluation of safety of
their operation).
• Fault tree analysis can be also used for availability and
maintainability analysis.
• However, for simplicity, in the rest of this presentation,
the term “reliability” will be used to represent these
aspects of system performance.

8/11/2017 FTA/ ETA Analysis 2

ARMC 1
FTA/ ETA Analysis 2/8/2018

About FTA, contd.


• There are two types of FTA; qualitative or
quantitative .
• The qualitative one is called “traditional FTA”, no
concern on probability or occurrence of faults/
events.
• The quantitative one use probabilities of occurrence
of events or faults. In this case, the final result is the
probability of occurrence of a top event representing
reliability or probability of fault or a failure.

8/11/2017 FTA/ ETA Analysis 3

About FTA, contd.

• Fault Tree Analysis (FTA) is one of the most important logic


and probabilistic techniques used in Probabilistic Risk
Assessment (PRA) and system reliability assessment.

• Fault Trees are deductive method for identifying ways in


which hazards can lead to accident.

• The approach starts with a well defined accident , fault , or


top event, and works backwards towards the various
scenarios that can cause the accident.

8/11/2017 FTA/ ETA Analysis 4

ARMC 2
FTA/ ETA Analysis 2/8/2018

Why FTA is Carried Out?

• Identify causes of a failure.

• Monitor and control safety performance of a


complex system.

• To identify the effects of human errors on the


system.

• Minimize and optimize resources.

8/11/2017 FTA/ ETA Analysis 5

The Fault Tree


• Fault tree is the logical model of the relationship of the
undesired event to more basic events.

• The top event of the Fault tree is the undesired event.

• The middle events are intermediate events and the


basic events are at the bottom.

• The logic relationship of events are shown by logic


symbols or gates.

8/11/2017 FTA/ ETA Analysis 6

ARMC 3
FTA/ ETA Analysis 2/8/2018

Basic Fault Tree Structure

8/11/2017 FTA/ ETA Analysis 7

Events of a Fault tree


Basic Event: A lower most event that can not be
further developed.

Intermediate Event: This can be a intermediate


event (or) a top event. They are a result logical
combination of lower level events.

Undeveloped Event: An event which has scope


for further development but not done usually because of
insufficient data.

External Event: An event external to the system


which can cause failure.

8/11/2017 FTA/ ETA Analysis 8

ARMC 4
FTA/ ETA Analysis 2/8/2018

Basic Gates Of a Fault tree


OR Gate: Either one of the bottom event
results in the occurrence of the top event.

AND Gate: For the top event to occur all the


bottom events should occur.

Inhibit Gate: The top event occurs


only if the bottom event occurs and
the inhibit condition is true.

8/11/2017 FTA/ ETA Analysis 9

STEPS IN CARRYING OUT A FAULT TREE ANALYSIS


1. Identify the objective for the FTA.
2. Define the top event of the FT.
3. Define the scope of the FTA.
4. Define the resolution of the FTA.
5. Define ground rules for the FTA.
* The first five steps involve the problem formulation for an
FTA.
6. Construct the FT.
7. Evaluate the FT.
8. Interpret and present the results.
• The remaining steps involve the actual construction of the
FT, the evaluation of the FT, and the interpretation of the FT
results.
8/11/2017 FTA/ ETA Analysis 10

ARMC 5
FTA/ ETA Analysis 2/8/2018

FAULT TREE CONSTRUCTION`

Consider the following block diagram. Let I/P and O/P be the
input And output terminals. There are two sub-systems A and B
that are connected in series.

X1 X3
INPUT OUTPUT

X2 X4

SUB - SYSTEM (A) SUB - SYSTEM (B)

For this the fault tree analysis diagram shown in next slide

8/11/2017 FTA/ ETA Analysis 11

F (S) Top event

OR

intermediate event
F (A) F (B)

AND AND

Basic event
F( X 1) F( X 2) F( X 3) F( X 4)

8/11/2017 FTA/ ETA Analysis 12

ARMC 6
FTA/ ETA Analysis 2/8/2018

FTA PROCEDURE

8/11/2017 FTA/ ETA Analysis 15

Procedure
Define Top Event:
• Use PHA, P&ID, Process description etc., to define the top event.

• If its too broad, overly large FTA will result. E.g. Fire in process.

• If its too narrow, the exercise will be costly. E.g. Leak in the valve.

• The boundaries for top event definition can be a System, Sub-system,


Unit, Equipment (or) a Function.

• Some good examples are: Overpressure in vessel V1, Motor fails to


start, Reactor high temperature safety function fails etc.,

8/11/2017 FTA/ ETA Analysis 16

ARMC 7
FTA/ ETA Analysis 2/8/2018

Procedure
•Define overall structure;
•Determine the intermediate events &
combination of failure that will lead to the top
event.
•Arrange them accordingly using logical relationship

8/11/2017 FTA/ ETA Analysis 17

Procedure, contd.
Solve the Fault Tree:
• Assign probabilities of failure to the lowest
level event in each branch of the tree.
• From this data the intermediate event
frequency and the top level event frequency
can be determined using Boolean Algebra
and Minimal Cut Set methods.

8/11/2017 FTA/ ETA Analysis 18

ARMC 8
FTA/ ETA Analysis 2/8/2018

Procedure
Perform corrections and make decisions:

 Application of Boolean Algebra and Minimal Cut Set


theory will result in identifying the basic events(A)
and combination of basic events(B.C.D) that have
major influence on the TOP event

 This will give clear insight on what needs to be


attended and where resources has to be put for
problem solving.
8/11/2017 FTA/ ETA Analysis 19

Example

8/11/2017 FTA/ ETA Analysis 20

ARMC 9
FTA/ ETA Analysis 2/8/2018

Specifications for the BPC FT


• Undesired top event : Motor does not start
when switch is closed.
• Boundary of the FT : The circuit containing the
motor, battery, and switch.
• Resolution of the FT: The basic components in
the circuit excluding the wiring.
• Initial State of System: Switch open, normal
operating conditions.

8/11/2017 FTA/ ETA Analysis 21

FTA worked Example


Motor does not start when switch is closed

Moto fails
to start
OR NO EMF applied to the motor
when EMF
applied

Wire from
battery to
OR No EMF from the battery
motor fails
open

Battery faild
to produce OR NO EMF to Battery
EMF

Wire from
switch to
OR NO EMF across switch
Battery fails
open

Start of Battery Wire from


switch to
OR
Wire from
switch to
Battery fails motor fails
Powered Circuit, BPC open open

8/11/2017 FTA/ ETA Analysis 22

ARMC 10
FTA/ ETA Analysis 2/8/2018

Advantages Of FTA
•Deals well with parallel, redundant or alternative fault
paths.

•Searches for possible causes of an end effect which


may not have been foreseen.

•The cut sets derived in FTA can give enormous insight


into various ways top event occurs.

•Very useful tool for focused analysis where analysis is


required for one or two major outcomes.

8/11/2017 FTA/ ETA Analysis 29

Disadvantages Of FTA
• Requires a separate fault tree for each top event and
makes it difficult to analyze complex systems.

• Fault trees developed by different individuals are


usually different in structure, producing different cut
set elements and results.

• The same event may appear in different parts of the


tree, leading to some initial confusion.

8/11/2017 FTA/ ETA Analysis 30

ARMC 11
FTA/ ETA Analysis 2/8/2018

Applications
• Used in the field of safety engineering and
Reliability engineering to determine the
probability of a safety accident or a particular
system level failure.
• Aerospace Engineering.

8/11/2017 FTA/ ETA Analysis 31

EVENT TREE ANALYSIS


ETA

ARMC 12
FTA/ ETA Analysis 2/8/2018

About ETA
• The Event Tree Analysis (ETA) is an inductive logic technique
to model a system with respect to dependability and risk
related measures as well as to identify and assess the
frequency of the various possible outcomes of a given
initiating event.
• According to the IEC 60050(191) the dependability of a system
is defined as the ability to meet success criteria, under given
conditions of use and maintenance.
• The core elements of dependability are the reliability,
availability and maintainability of the item considered.
• Starting from an initiating event the ETA deals with the
question "What happens if..." and thus constructs a tree of
the various possible outcomes.

8/11/2017 FTA/ ETA Analysis 33

STEPS INVOLVED IN AN ETA

1. Identify an initiating event of interest.


2. Identify the safety functions designed
to deal with the initiating event.

3. Construct the event tree.

4. Describe the resulting accident event


sequences
8/11/2017 FTA/ ETA Analysis 34

ARMC 13
FTA/ ETA Analysis 2/8/2018

8/11/2017 FTA/ ETA Analysis 35

Cooling Coils
Reactor Feed

Cooling Water Out

Cooling
Water In

Reactor
TIC
Temperature
Controller
TIA
Alarm Thermocouple
at
T > TA
High Temperature Alarm

Figure depicts Reactor with high temperature alarm and temperature controller

8/11/2017 FTA/ ETA Analysis 37

ARMC 14
FTA/ ETA Analysis 2/8/2018

Step 1 - Identify the initiating event

• system or equipment failure


• human error

• process upset

[Example]

“Loss of Cooling Water” to an Oxidation Reactor

8/11/2017 FTA/ ETA Analysis 38

Step 2 - Identify the Safety Functions Designed to


Deal with the Initiating Event

• Safety system that automatically respond to the initiating


event.

• Alarms that alert the operator when the initiating event


occurs and operator actions designed to be performed in
response to alarms or required by procedures.

• Barriers or Containment methods that are intended to limit


the effects of the initiating event.

8/11/2017 FTA/ ETA Analysis 39

ARMC 15
FTA/ ETA Analysis 2/8/2018

Step 3: Construct the Event Tree


a. Enter the initiating event and safety functions.

Oxidation reactor Operator Automatic


SAFETY high temperature Re-establishes shutdown system
FUNCTION alarm alerts operator cooling water flow stops reaction at
at temperature T1 to oxidation reactor temperature T2

INITIATING EVENT:
Loss of cooling water
to oxidation reactor

FIRST STEP IN CONSTRUCTING EVENT TREE

8/11/2017 FTA/ ETA Analysis 40

Step 3: Construct the Event Tree


b. Evaluate the safety functions
Oxidation reactor Operator Automatic
SAFETY high temperature reestablishes shutdown system
FUNCTION alarm alerts operator cooling water flow stops reaction at
at temperature T1 to oxidation reactor temperature T2

INITIATING EVENT:
Loss of cooling water
to oxidation reactor

Succes
s

Failure

REPRESENTATION OF THE
8/11/2017 FIRST
FTA/ ETA Analysis SAFETY FUNCTION 41

ARMC 16
FTA/ ETA Analysis 2/8/2018

Step 3: Construct the Event Tree


b. Evaluate the safety functions
Oxidation reactor Operator Automatic
SAFETY high temperature reestablishes shutdown system
FUNCTION alarm alerts cooling water flow stops reaction at
operator to oxidation temperature T2
at temperature T1 reactor

INITIATING EVENT:
Loss of cooling water
to oxidation reactor

Succes
s
If the safety function does not affect the course of the
accident, the accident path proceeds with no branch pt
Failure to the next safety function.
8/11/2017 FTA/ ETA Analysis 42
REPRESENTATION OF THE SECOND SAFETY FUNCTION

Step 3: b. Evaluate safety functions.


Oxidation reactor Operator Automatic
SAFETY high temperature reestablishes shutdown system
FUNCTION alarm alerts cooling water flow stops reaction at
operator to oxidation temperature T2
at temperature T1 reactor

INITIATING EVENT:
Loss of cooling water
to oxidation reactor

Succes
s
Completed !

Failure

8/11/2017
COMPLETED EVENT TREE
FTA/ ETA Analysis 43

ARMC 17
FTA/ ETA Analysis 2/8/2018

Step 4: Describe the Accident Sequence


Oxidation reactor Operator Automatic
SAFETY high temperature reestablishes shutdown system
FUNCTION alarm alerts operator cooling water flow stops reaction at
at temperature T1
to oxidation reactor temperature T2

B C D
A Safe condition,
return to normal
operation
AC Safe condition,
process shutdown
INITIATING EVENT:
ACD Unsafe condition,
Loss of cooling water runaway reaction,
to oxidation reactor operator aware of
A problem
AB
Unstable condition,
process shutdown
ABD Unsafe condition,
runaway reaction,
Succes operator unaware
s of problem

Failure

8/11/2017
ACCIDENT SEQUENCES
FTA/ ETA Analysis 44

ADVANTAGES

• Structured, rigorous, and methodical approach.

• Can be effectively performed on varying levels of design


detail.

• Permits probability assessment.

8/11/2017 FTA/ ETA Analysis 48

ARMC 18
FTA/ ETA Analysis 2/8/2018

DISADVANTAGES

• An ETA can only have one initiating event, therefore


multiple ETAs will be required to evaluate the consequence
of multiple initiating events.

• Partial successes/failures are not distinguishable.

• Requires an analyst with some training and practical


experience.

8/11/2017 FTA/ ETA Analysis 49

Open Discussion
End of Session

8/11/2017 FTA/ ETA Analysis 50

ARMC 19
FMEA 2/8/2018

Failure Modes
and
Effects Analysis, FMEA

Said Khalifa, CSP


HSE and Loss Prevention Consultant
2018

2/8/2018 1

What Is FMEA?
FMEA is a failure mode and effects analysis tool that is
used in various industries to:
• Identify failures,
• Evaluate the effects of the failures, and
• Prioritize the failures according to severity of effects.

Prioritization or risk ranking is done mainly using


• Risk Matrix (Risk Priority Number)
• Criticality Analysis (FMECA)

ARMC 1
FMEA 2/8/2018

Reasons for Using FMEA


• To identify specific accident situations
• To consider alternative safety improvements
• To obtain data for quantitative risk analysis (QRA)
• To evaluate hazards from preliminary designs and
operating procedures
• To improve reliability of the process
• To meet regulatory requirements
• To document a systematic process hazard evaluation
• To evaluate complex processes where perceived risks
are significant
• To identify single-point failures

When and Where to Use It?


• as soon as the preliminary designs
• it is usually done in the design phase when
the failure modes have not yet been built in
to the process.
• A good FMEA is an ongoing process
whereby it is continuously updated and
revised over the life of the process.

ARMC 2
FMEA 2/8/2018

It is performed on
• Mechanical equipment such as pumps,
compressors, etc. where there is a history of
component failures.
• Systems for which there are few drawings
or details but where individual components
are readily identifiable.
• Reliability studies or for input into
quantitative risk assessment studies.

Different Types of FMEAs


• The nature of the study and the stage of the process life
cycle it's conducted at, determines the type of the FMEA
to be used.
• There are 6 types of FMEAs namely, machinery-FMEA,
design-FMEA, system FMEA, process-FMEA, application-
FMEA, and product-FMEA.
• Each FMEA follows the same approach. The nature,
purpose, and the scope of the study dictates which type of
FMEA is used and to what extent of detail.
• Most processes, equipment, and designs can be broken
into levels of systems, sub-systems, assemblies, sub-
assemblies, components, parts, etc. Such a breakdown of
the subject study helps to define the scope.

ARMC 3
FMEA 2/8/2018

Methodology
1. Collect pertinent information
2. Establish the purpose, scope, depth of the study
3. Break the system into logical and manageable items
by function, or area location.
4. Identify all potential failure modes for each item.
5. Determine the causes of each failure mode.
6. Identify and list the current controls.
7. Assign a rating for severity, occurrence and detection
for each failure.
8. Determine appropriate corrective actions.
9. Carry out the recommended actions.

Risk Analysis (prioritizing risks)


• Sample of severity ranking:

Rank Description

1 No injury or health effects

2 Minor injury or minor health effects

Lost-time Injury or moderate health


3
effects

Death, multiple injuries or severe


4
health effects (occupational ill)

ARMC 4
FMEA 2/8/2018

Risk Analysis (prioritizing risks) , contd.


• Sample of Likelihood Ranking

Rank Description

1 Not expected to occur during the facility lifetime

2 Expected to occur no more than once during facility lifetime

3 Expected to occur several times during the facility lifetime

4 Expected to occur more than once in a year

Risk Analysis (prioritizing risks) , contd.

• Sample of Risk Ranking Categories


Number Category Description
Should be mitigated with engineering
I Unacceptable and/or administrative controls to a risk
ranking of III or less within a specified time
period such as six months
Should be mitigated with engineering and/or
II Undesirable administrative controls to a risk ranking of Ill
or less within a specified time period such as
l2 months
Should be verified that procedures or
Ill Acceptable with controls are in place
controls
IV Acceptable as is No mitigation required

ARMC 5
FMEA 2/8/2018

Effect Rank Criteria


Might be noticeable by the operator (Process). Improbable I
None 1 not noticeable by the user (Product).
Sample of Very No downstream effect (Process). Insignificant I negligible effect
slight 2 (Product).
Severity
Values User will probably notice the effect but the effect is slight (Process &
Slight 3
used in Product).
Risk Minor
Local and/or downstream processes might be affected (Process). User
4 will experience minor negative impact on the product (Product).
Priority
Impacts will be noticeable throughout operations (Process). Reduced
Number performance with gradual performance degradation. User
Moderate 5
Calculation dissatisfied (Product).
Disruption to downstream process (Process). Product operable and
Severe 6 safe but performance degraded. User dissatisfied (Product).
High Significant downtime (Process). Product performance severely
Severity 7 affected. User very dissatisfied (Product).

Very High Significant downtime and major financial impacts (Process). Product
Severity 8 inoperable but safe. User very dissatisfied (Product).
Extreme Failure resulting in hazardous effects highly probable. Safety and
Severity 9 regulatory concerns (Process and Product).

Injury or harm to operating personnel (Process). Failure resulting in


Maximum
10 hazardous effects almost certain. Non-compliance with government
Severity
regulations (Product).

Sample of Occurrence used in RPN


Occurrence Rank Criteria
Extremely Unlikely I Failure highly unlikely.

Remote Likelihood 2 Rare number of failures likely.

Very Low Likelihood 3 Very few failures likely.

Low Likelihood 4 Few failures likely.


Moderately Low Likelihood 5 Occasional failures like l y.

Medium Likelihood 6 Medium number of failures likely.

Moderately High Likelihood 7 Moderately high number of failures


likely.
High Likelihood 8 High number of failures likely.

Very High Likelihood 9 Very high number of failures likely.

Extremely Likely 10 Failure almost certain.

ARMC 6
FMEA 2/8/2018

Sample of Detection used in RPN


Detection Rank Criteria
Controls will almost certainly detect the existence of the defect.
Extremely Likely 1

Very High Controls have very high probability of detecting existence of


2
Likelihood failure.
High Likelihood 3 Has high effectiveness for detection.
Moderately High
4 Has moderately high effectiveness for detection.
Likelihood
Medium
5 Has medium effectiveness for detection.
Likelihood
Moderately Low
6 Has moderately low effectiveness for detection.
Likelihood
Low Likelihood 7 Has low effectiveness for detection.
Very Low
8 Has lowest effectiveness in each applicable category.
Likelihood
Remote Controls have very low probability of detecting existence of
9
Likelihood defect.
Extremely Controls will almost certainly not detect the existence of a
10
Unlikely defect.

FMEA Worksheet Format


 Potential Failure Modes
 Potential Causes of Failure Modes
 Potential Effects of Failure Modes
 Current Controls (Existing Safeguards)
 Severity
 Occurrence/Likelihood
 Detection (RPN),
 Risk Ranking, Risk Priority Number (RPN) or Criticality Analysis
 Recommendations/Corrective Actions
 Responsibility
 Target Completion Date
 Actions Taken
 New Risk Ranking, Risk Priority Number or Criticality Analysis results
 Comments

ARMC 7
FMEA 2/8/2018

25/1/2018 03-Process Hazard Analaysis 15

Benefits of FMEA
• Better company image and competitiveness
• Compliance with regulations, standards, and specifications
• Continuous improvement of product quality, reliability, and safety
• Defining corrective action.
• Documentation of the reasons for changes
• Improved reliability, productivity, quality, safety, and cost efficiency
• Increased liability prevention
• Increasing customer satisfaction
• Recognition and evaluation of potential failures and their effects
• Reduction of downtime
• Reduction of manufacturing process deviations
• Selection of alternative materials, parts, devices, components and tasks.
• Selection of optimal system design

ARMC 8
FMEA 2/8/2018

25/1/2018 03-Process Hazard Analaysis 17

25/1/2018 03-Process Hazard Analaysis 18

ARMC 9
2/8/2018

QRA Case Study


Failure of LPG Cylinder

Said M. Khalifa, CSP


EH&S and Loss Prevention Consultant
Egypt
2018

What is QRA?
 Quantitative Risk Assessment, QRA.
 After the hazard analysis, we might need to quantify the high risk
in mathematical modeling in order to assess the harm on people,
asset , reputation of the organization as well as the environment.
 It needs highly experienced professional with good knowledge of
process and the use of mathematical modeling software.
 It is highly expensive and time-consuming process.
 Used basically by the insurance agents and is required by legislative
authorities in early phase of the project basic design phase.

2 QRA_LPG Cylinder 2/8/2018

1
2/8/2018

What is LPG?
 Liquefied Petroleum Gas, LPG.
 Mixture of propane and butane gases.
 Used in cooking and heating.
 Stored as liquefied gas under normal temperature.
 Vapor pressure is a function of the ambient temperature.
 Domestic cylinder has a capacity of 12 Kg.

3 QRA_LPG Cylinder 2/8/2018

Let us see how a LPG cylinder can


fail ?

Event Analysis of LPG Release

2
Failure Case Definition Tree

Define Inventory and Storage


Conditions of Hazardous
Materials

Flammable Toxic
Nature of Hazard

Gas Liquid or Tow-Phase Gas Liquid or Tow-Phase


Phase in the
process or storage
vessel

Bleve Other Cases

Release case

Event tree Flammable Gas Flammable Liquid Toxic Gas Event Toxic Liquid
or model Bleve Model
Event Tree Event Tree Tree Event Tree
Failure Liquid Event Tree
Is the
release Is there immediate Does pool
Does the pool ignite?
instantaneo ignition? form?
us?

Fireball
Yes Assess fire damage

Adiabatic Expansion Pool fire


Yes Yes Assess fire damage

Calculate spread
and Vaporisation
Yes
Assess pollution
No use gas event trees
No to model gas
behavior

Release Use gas event


No trees to model gas
case behavior

Jet flame
Yes Assess fire damage

Estimate Duration
No Calculate release rate Pool fire
Assess fire damage
Calculate spread Yes
and Vaporisation
Yes
Assess pollution
No use gas event trees
to model gas
No
behavior

Use gas event


No trees to model gas
behavior
2/8/2018

Consequence Analysis of Release


of LPG

7 QRA_LPG Cylinder 2/8/2018

Adiabatic Expanion

8 QRA_LPG Cylinder 2/8/2018

4
2/8/2018

Fireball/ BLEVE

9 QRA_LPG Cylinder 2/8/2018

Radiation from fireball/ BLEVE


Radiation Intensity Vs. Distance
1.2

1
1
Radiation (KW/m2)

0.8 0.75

0.6
0.5

0.4

0.2
0.1

0 Distance (m)
0 20 40 60 80 100 120 140 160

10 QRA_LPG Cylinder 2/8/2018

5
2/8/2018

The following have given as the heat flux levels that might be
considered critical in any hazard analysis:

Heat Flux Effect


(KW/m2)
0.7 Exposed skin redness and burns on prolonged exposure
1.75 Pain threshold reached after 60 seconds
2 PVC insulated cables damage
5 Pain threshold reached after 15 seconds
6.4 Pain threshold reached after 8 seconds,
second degree burns after 20 seconds
9.5 Pain threshold reached after 6 seconds
12.5 Wood ignites after prolonged exposure in the presence of pilot flame
15 Limit of class 2 buildings materials
16 Severe burns after 5 seconds
25 Wood ignites on prolonged exposure without piolt flame
30 Limit of class 1 building materials
11 2/8/2018

Fatal Radiation Exposure Levels


Radiation Level Exposure in seconds for % Fatality Levels
(kW/sq. meter)
1% 50% 99%
1.6 500 1300 3200
4 150 370 930
12.5 30 80 200
37.5 8 20 50

12 QRA_LPG Cylinder 2/8/2018

6
2/8/2018

13 QRA_LPG Cylinder 2/8/2018

Effect of overpressure from explosion on the nearby buildings


Extent of Damage vs. Distance
1.2

1 Heavy plant damage


1

0.8 0.75 Repairable plant damage

0.6
0.5
Major glass damage
0.4

0.2
0.1
10% glass damage
0
0 20 40 60 80 100 120 140 160

14 QRA_LPG Cylinder 2/8/2018

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