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Process Safety and Environmental Protection

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The S2S training & assessment tool for unexpected reactors: structure
and knowledge base
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Journal: Process Safety and Environmental Protection

Manuscript ID: PSEP-07-028

Manuscript Type: Full Paper


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Date Submitted by the


26-Feb-2007
Author:
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Complete List of Authors: Weve, Diederik; Shell Global Solutions International B.V., Chemical
Process Development
Sales, Jaime; Institut Quimic de Sarria, Universitat Ramon Llull,
Chemical Engineering Department
Nomen, Rosa; Institut Quimic de Sarria - Universitat Ramon Llull,
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Chemical Engineering; Universitat Ramon Llull

unexpected reactors, chemical hazard, assessment tool, reaction


Keywords:
triangle
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6 The S2S training & assessment tool for unexpected reactors: structure and
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8 knowledge base.
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13 Diederik Weve1, Jaime Sales2 and Rosa Nomen2
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18 Shell Global Solutions International BV
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20 Postbus 541, 2501 CM Den Haag, Nederland
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22 Tel: +31 70 377 5343 Fax: +31 70 377 5400
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E-mail: Diederik.weve@shell.com
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27 URL: www.shell.com/globalsolutions
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32 Institut Quimic de Sarria, Universtitat Ramon Llull
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34 Via Augusta 390, 08017 Barcelona, Spain


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39 Abstract
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44 The S2S assessment tool for unexpected reactors aims to identify how reactive
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46 chemical hazards can exist in process units or plant equipment outside the reactors.
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51 concepts, combining the following items:
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56 • A reaction triangle that describes the factors necessary for triggering a
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58 chemical reaction. The factors considered are temperature, concentration and
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60 residence time.

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• Process streams with physical and chemical properties that can be mapped on
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6 the reaction triangle.
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8 • Equipment or unit operations, which determine how process streams are
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11 positioned and moved in the reaction triangle. The design of the plant should
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13 ensure that these moves are safe. Equipment will have failure modes and can
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15 exhibit side effects that cause a shift in the reaction triangle that enables a
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18 reaction and may pose a hazard.
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The tool is presented as a computer program that generates discrete questions to
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identify potential hazards and explains the likely mechanisms. It is applicable both to
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27 batch, semi-batch and continuous processes, and it assumes that the user has
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30 previously identified/characterized the reaction hazards through literature studies,
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32 experiments or other S2S assessment methods.
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The tool can be found at the S2S web portal http://www.s-2-s.org/
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Keywords: unexpected reactors, chemical hazard, assessment tool, reaction triangle
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46 Introduction
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51 Recent studies based on accident analyses (Sales et al., 2007) show that nearly 70% of
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53 the reactive chemical incidents take place in equipment or units other than the
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56 chemical reactor itself. When analysing such incidents in terms of causal effects
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58 (Murphy et al., 2004) reaches the conclusion that 60% of the reactive incidents are
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60 caused by inadequate recognition of reactive hazards. In the past many studies and

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methodologies have attempted to highlight the hazards at the chemical reactor
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6 (Nomen et al., 2004a, Nomen et al., 2004b), but many times the possible effects of
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8 chemical runaways at other process equipment are left unnoticed. Methodologies exist
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to determine reactive properties ranging from generally applicable to specialised for
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13 process upsets (CCPS, 1991, Legget 2006). We therefore believe that the inadequate
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15 recognition of reactive hazards outside reactors lies in the fact that the equipment
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18 types and process steps are diverse. The diversity makes it difficult to detect patterns
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20 and to transfer the knowledge to operators and engineers. Thus we set the task to
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22 develop a teaching concept based on commonality.
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27 The Safety2Safety (S2S) project is a European Commission sponsored network that
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aims at improving the safety of SMEs (Small and Medium sized Enterprises) that
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32 perform chemical processes. The project deliverables are knowledge bases, training
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34 modules and assessment tools on areas like toxicity, fires & explosions and reaction
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hazards. The project deliverables are freely available through the S2S web-portal
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39 http://www.s-2-s.org/. The project was active during the period 2002 - 2006.
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44 This paper describes the actual knowledge that is contained in the S2S training and
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46 assessment tool for unexpected reactors, including:
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51 • A training concept that helps recognizing how deviations from design
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53 intent will result in reaction hazards.
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56 • A method to generate general mechanisms for such deviations and channel
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58 user input in user specific, decisive questions.
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• A database containing the above knowledge in tables that was build from a
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6 limited number of incidents
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8 • A spreadsheet containing the logic programmed as Microsoft Excel
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11 macros to use the database.
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Training Concept
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20 For a reaction1 to occur at any part of a chemical plant, a combination of 3 factors
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needs to be fulfilled:
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27 • Concentration of reactants.
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30 • Temperature of reactants.
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32 • Time for reaction.
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This can be described in a triangle similar to the fire triangle as seen in Figure 1.
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42 <Figure 1>
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46 The reason why these three factors are chosen is that they also represent the most
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49 important degrees of freedom in process operation and design. As with the fire
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51 triangle, a reaction requires an appropriate combination of these three factors:
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reducing the contribution of concentration, temperature or residence time in the
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56 triangle will reduce the possibility of a reaction to take place.
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6 There are some special reactions that need a catalyst or high interfacial area between
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8 phases (V/L, L/L, S/L or V/S) in order to obtain sufficient reaction speed. These
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factors should be added to the Time-corner, in the sense that they ‘help’ the time
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13 factor. They both determine the speed of the reaction and can be varied independently
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15 of the concentration and temperature. More so, they are frequently used to reduce the
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18 time for reactions to complete and could rightfully take the place in the reaction
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20 triangle. The Time corner could then be replaced by the TIC corner
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22 (Time/Interface/Catalyst).
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27 Now let us apply the reaction triangle to equipment examples in a chemical process:
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32 Example 1: A reactor is evidently equipment somewhere near the middle of the
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34 triangle.
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39 Example 2: A feed pre-heater in a process with a fast reaction, for instance, can be
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41 considered as equipment on the temperature-time side of the triangle. This means that
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44 it is supposed to heat a substance to reaction conditions, and it cannot avoid


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46 substantial residence time (typically 1-5% of the reactor time), so it should have a low
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48 concentration of one of two reactants to prevent unintended reactions. So, what is


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51 needed to turn this equipment into an unintended reactor? The answer would be to
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53 increase the missing axis of the triangle, which is concentration. This situation would
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be generated by an unexpected event, maybe backflow from the reactor, maybe
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58 product remnants from another process step in a multipurpose plant.
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Example 3: A centrifugal pump for a thermally unstable liquid can be designed to
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6 operate in the concentration corner of the triangle. Then, two things are needed to turn
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8 the pump into an unexpected reactor: Temperature and Time. This situation can be
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achieved by a blocked inlet or outlet (time) and a pump motor that keeps running and
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13 generates heat (temperature).
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18 Like the feed pre-heater and the pump, all unit operations have been conceptualized
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20 with a specific task and are used with assumptions on their capabilities. Conceptually
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22 they can all be positioned on the sides of the reaction triangle, and will not pose
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hazards unless they move towards the middle. There are several ways in which
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27 equipment can vary their position in the reaction triangle: there are outside / process
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failures (like backflow), equipment failure modes (e.g. pipe bundles in heaters leak
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32 and foul) and equipment inherent side effects (e.g. pumps generate heat). Some of the
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34 equipment effects are specific to the product or process properties. For example, if a
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thermally unstable product is involved, it will reduce the temperature margin for
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39 safety operation; a heater or a system using an evaporative coolant / diluent can
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41 evaporate a product and therefore bring the equipment closer to the concentration
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48 Like the fire triangle, the main factors that contribute to the hazard are easily
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51 recognized and provide a simple concept to learn. Unlike the fire triangle which
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53 serves as a tool to solve a single situation, the reaction triangle is meant as a complete
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description of the process. It helps understanding how the process design intends to
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58 avoid reaction hazards and how deviations can break the design intentions.
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The goal of the method is therefore to provide a system that will allow the user to
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6 identify the possible ways in which the equipment used in an installation could
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8 ‘move’ process streams with their properties over the triangle map, hence generating a
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possible hazardous situation.
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15 General Mechanisms for Reaction Hazards
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20 A non-reactor equipment item has the potential to move its process stream from a
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22 reaction triangle side towards the centre, thereby creating a reaction hazard. This
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potential is not always recognised. However, the mechanisms involved in the move
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27 can be generalized. The benefit of generalization is that the knowledge can be applied
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in a wider range of cases than that from which the generalization derived. This is
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32 especially important when analyzing incidents, where there is a desire to derive as
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34 much learning as possible from a few cases. Generalizations require deep


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understanding of the physics and the design intent, skills that are not usually
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39 accessible in the team that performs the risk analysis. Once they have been developed
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41 they can be applied by people with less experience.
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46 The generalized mechanisms developed for the preparation of the assessment tool
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53 • Failure: equipment specific failure is also related to the way the equipment is
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designed to accomplish its design intent. As an example, all coolers need a
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• Side effects: equipment inherent side effects are related to the way the
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6 equipment is designed to accomplish its design intent. For instance, a pump
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8 can also be considered a little mixer. Normally these side effects will focus on
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• External causes: mechanisms that are not caused by the equipment themselves
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18 but by general events in the process. As an example, solar radiation may
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Mechanisms can be developed from scratch using theoretical and practical knowledge
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27 of equipment and chemistry behaviour but it is also possible to develop them based on
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30 an incident. The mechanism will subsequently be tested for its potential to occur in
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32 other equipment. Sometimes it is found that the mechanism itself involves specific
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34 physico-chemical properties of the process or process materials. An example is shock-


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sensitivity.
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Example 4: A decomposition reaction was found to be triggered by the presence of
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51 • Triangle generalization: it was a move towards the Time
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53 (Time/Interface/Catalyst) corner.
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56 • Physical generalization: particles can accumulate by settling out in a stagnant
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58 zone with a low liquid velocity. The mechanism can therefore be expected in
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vessels, tanks and heat exchangers.

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• Process generalisation: There are many process materials that are incompatible
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Generating the ‘Decisive Question’
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does not constitute a training / assessment tool in itself, especially if a combination of
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general mechanisms and factors is needed to pose a hazard. There are two problems
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39 In the proposed method, both problems are handled through the so called ‘User
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specific, decisive Question’.
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51 Since the objective of the tool is to train people in recognizing reactive hazards, the
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53 entire mechanism will be split in just two parts: a condition and a consequence.
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The user will have to supply the ‘condition’ by answering a final Decisive Question in
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6 order to learn the ‘consequence’ of the potential hazard. This forces the user in an
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8 active role and regulates the flow of information. To stimulate thinking, the Decisive
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Question should preferably hint to the mechanism involved. To limit the amount of
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13 information, the user first selects from a list which equipment and process properties
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15 he/she wants to consider.
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20 Looking at example 4, if the user has selected the process property that rust may
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22 catalyse reactions and that he/she has a tank, then the following question will be
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generated:
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Is there equipment upstream that can form rust (e.g. made from carbon steel)?
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39 This equipment can accumulate rust and provide both a high temperature and a
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51 The set of generalized mechanisms for a standard set of equipment and process
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53 properties are broad enough to describe most potential hazards, but would generate
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too many false positives (identifying a potential hazard where the likelihood is very
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58 low). The risk of many false positives is that the attention of the user is diverted from
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60 the more realistic potential hazards. The accuracy can be improved by asking the user

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to supply additional information on the likelihood themselves. The information can
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6 come from the process design & control, construction materials, and so on, and
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8 essentially it moves a conditional aspect from the entire mechanism into the decisive
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question.
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15 Looking at example 3, if the user has selected a pump and a thermally unstable
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18 product, then the potential hazard can be described in the general mechanism as:
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22 IF product=unstable AND equipment=pump
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THEN potential-hazard=”If the flow can be blocked then the temperature rise due to
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27 dissipation of heat may be sufficiently high to initiate a decomposition
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reaction.”
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34 With a User-specific, Decisive Question “Is it possible to block flow through this
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equipment?” The user provides the unknown likelihood and the potential hazard
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39 becomes more relevant:
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46 THEN potential-hazard=”The temperature rise due to dissipation of heat during
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48 blocked flow may be sufficiently high to initiate a decomposition reaction.”


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53 Building a database from incidents
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58 A knowledge database was build using different sets of incident sources, both from
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60 open literature and proprietary information. The main source of information used has

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been the IChemE Accident database. A query was performed on the database as to
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6 identify incidents with unwanted chemical reactions as triggering causes of the events
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8 and yielded a total of 631 cases for analysis. From the public information of the
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accidents reported to the MARS database 68 useful cases were identified. Incident
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13 descriptions and summaries were interpreted and generalized using the concepts
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15 described previously. Some cases are also used as examples in the tool.
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20 The resulting database consists of tables for 16 equipment types (Table 1), 7 process
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22 properties (Table 2), 22 User Specific/Decisive Questions, 25 general mechanisms
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and 61 incident examples. Matrices are used to assign process properties to general
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27 mechanisms and to equipment Matrices and Decisive Questions to General
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Mechanisms. The complete tables are downloadable from the S2S website.
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34 <Table 1>
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39 <Table 2>
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48 The S2S training & assessment tool for unexpected reactors has been implemented as
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51 a Microsoft Excel® Worksheet included in the S2S web portal. It can be run either on-
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53 line at the S2S web portal or downloaded for use off-line. The tool has the following
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functionality:
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• Executing the knowledge contained in the database.
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6 • The knowledge database can be viewed / modified by specialists.
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8 • Language Portability.
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18 a) User interface.
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23 The tool developed is started from the S2S website by double-clicking on the
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corresponding link. This will automatically launch Excel to display & run the tool as
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27 shown in Figure 2. The User interface is a main screen with access to the main
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30 functions: Help, Assessment & Print. The Assessment itself cycles through the
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32 screens and displays tables to complete and results to view & print.
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<Figure 2>
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b) Execution of the knowledge.
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46 The knowledge of the database is executed using Visual Basic Macros to perform the
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49 following logic steps.
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53 1) Display an ‘Equipment Table’ and a ‘Process Properties Table’ in which the user
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56 selects which equipment and process properties combinations are to be assessed.
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3) Using the ‘Mechanism-Properties Matrix’, it removes mechanisms that need a
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6 process property that was not selected.
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8 4) For the remaining possible mechanisms, it builds a list of ‘Decisive Questions’
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from the ‘Mechanism-Question Matrix’.
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13 5) A ‘Decisive Questions’ list is displayed, which the user must answer with Yes or
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15 No. In order to facilitate the visualization of the hazards that the tool intends to
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18 identify, different examples based on real accidents triggered by such hazards are
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20 available for each of the ‘Decisive Questions’ generated.
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22 6) For each positively answered ‘Decisive Questions’, a table listing the relevant
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mechanisms will be displayed as well as the equipment, process properties and
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27 mechanism type that are involved in the mechanism.
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32 The macros are triggered by jumping to the next or previous page. Thus the list of
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34 Decisive Questions and Mechanisms is adjusted dynamically to changes in the user


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response.
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41 c) Customisation of the Database.
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46 The database can be customized to change the language of the assessment and to
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48 change the knowledge database (modify or extend equipment, process properties,


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51 mechanisms and so on). The excel sheet can be switched between a protected runtime
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53 (=user) mode and an unprotected maintenance mode. The switch is possible with two
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buttons that are located two pages down on the start screen. After the modifications,
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The language of the tool can be changed by replacing the English texts in the Excel
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6 tables. Furthermore, a new Assessment Case can be defined for a new potential
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8 reactive hazard. The user must provide definitions for new elements to be included in
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the Tables along with their relevant combinations for the new case. This is done by
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13 completing the 2 matrices that define the equipment and process properties for which
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15 the mechanism is valid: in the Equipment-Mechanism matrix, all Equipment that can
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18 exhibit the mechanism is defined by a 1; in the Property-Mechanism matrix, all
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20 Process Properties that are essential to exhibit the mechanism are defined by a 1.
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22 Table 3 shows the required information for each of the elements of a new Assessment
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Case.
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<Table 3>
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equipment that could have a similar mechanism and reconsider modification of
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39 Mechanism & Decisive Question in order to combine them in a more general
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41 mechanism. The advantage of fewer mechanisms is fewer questions for the same
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44 number of equipment-mechanisms. The disadvantage of too little general mechanisms


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46 is that the abstraction level increases and that the hazards may become too general.
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51 Conclusions
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The S2S training and assessment tool for unexpected reactors can be a useful method
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58 for SME’s engineers and operators to identify reactive hazards in plant equipment.
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60 The combination of simple reactivity concepts included in a user friendly Excel based

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system allows the user to perform an assessment of the chemical hazards that may be
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6 encountered during different unit operations of an industrial process. Moreover, the
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8 experience gained in the use of the tool and the possibility to adapt it to new
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assessment cases gives the user the possibility to adapt it to the specific needs of a
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13 particular establishment.
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18 The combination of concepts described has proven to be flexible enough to cover a
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20 wide range of incidents and process steps in an efficient knowledge representation.
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22 Thus it has the potential for maximising learning from a sparse number of typical
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incidents.
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It must be stressed that it is not the aim of the tool to cover all the hazards related to
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32 reactivity in a process plant, but to provide basic guidance towards commonly
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34 unnoticed hazards. At the same time, it is not intended to provide specific safety
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measures related to the hazards identified. It should be the user, by means of his / her
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39 knowledge of the particular process and plant possibilities, to come up with the most
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41 feasible solutions in order to perform the process under safe conditions.
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46 The assessment tool can be used by a person with some knowledge of the process
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48 chemistry and physics. However, in case any doubt should arise by the use of the
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51 method, the advice of an expert in the field of chemical reactivity and process safety
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53 should be asked. It must also be kept in mind that this method is a part of the S2S
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package of assessment tools that covers other aspects of chemical reactivity, as well
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58 as other hazards like fire or explosions. These tools should be used whenever
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60 necessary; particularly the reactivity assessment tool should be used in case of doubt

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regarding stability, compatibility and reactivity of the substances and mixtures
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15 Center for Chemical Process Safety (CCPS), 1991, Guidelines for hazard evaluation
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18 procedures, (American Institute for Chemical Engineers, New York, USA).
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22 Legget, D., Rapid Identification of Reactivity Hazards in a Multiuse facility, Process
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Safety Progress, 25(2): 108:115.
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Major Accident Reporting System, MARS database, 2007, Major Accident Hazards
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32 Bureau, Institute for the Protection and Security of the Citizen, European Commission
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34 - Joint Research Centre, Ispra, Italy.


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39 Murphy, J. and Holstrom, D., Understanding Reactive Chemical Incidents, Chemical
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41 Engineering Progress, March 2004: 31-33.
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46 Nomen, R. Sempere, J., Serra, E., Pey, A., Sales, J. & Ghinaglia, V., 2004, Check
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48 Cards for Runaway (CCR). An operative tool for the risk assessment of Highly
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51 reactive systems performed in small and medium enterprises. Trans IchemE, Part B,
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53 Process Safety and Environmental protection, 82(B1): 5-11 (a).
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Nomen, R. Sempere, J., Sales, J. & Ghinaglia, V., 2004, Development and validation
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6 of operative tools for the risk assessment of highly reactive systems: HarsMeth
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8 version 2. Journal of Loss Prevention in the Process Industries, 17(5), 365-371 (b).
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13 Safety 2 Safety web site, 2007, http://www.s-2-s.org.
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18 Sales, J, Mushtaq, F., Christou, M.D. and Nomen, R., 2007, Study of major accidents
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20 involving chemical reactive substances: analysis and lessons learned. Trans IChemE,
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22 Part B, Process Safety and Environmental Protection, 85(B3): 1-8.
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27 The IchemE Accident Database, 2007, Institution of Chemical Engineers, Davis
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6 Assessment Element Information Required
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8 Equipment A short (2 words max) description of the type, plus a help sentence
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12 Process type A short (2 words max) description of the type, plus a help sentence
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14 clarifying details of the Process, plus a multi-character abbreviation Id.
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16 Mechanism A paragraph of text explaining how external causes, equipment failure or
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