d - failures
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D – Equipment Failure
How does equipmentfail?
How Can Equipment Fail?
• Internal Upset e.g.– High pressure
– High temperature
• Structural Failure
• Material Failure• Specific Equipment
(Component) Failure
• Human Error !
Some common immediate causes
• Non Return Valve doesn’t hold
• Closed valve passes fluid
• Level float sticks
• Freeze up in dead leg
• Deposit builds up on thermowell
- false temperature indication.
• Wear and tear
• Low point drain plugs when needed.
• Poor link between sensing element and controlpoint.
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Causes of Equipment Failure
OTHER
IMPROPER
PROCEDURES
IMPROPER
MAINTENANCE
OPERATING
ERRORS
INADEQUATE
INSPECTION
POOR DESIGN
Internal Upset - Pressure
Can you get hurt with low pressu re?
Force = Pressure multiplied times Area
Lets review the details.
It’s like many small weights
sitting on a surface which add
up to a big weight.
So at a given pressure,
the LARGER the area
The LARGER the force.
Example 1Force = pressure multiplied by area so:
0.7 bag pressure on a 300mm X 300mm square surface area (90,000mm 2) is 650
kg of force!
This is equivalent to an object that w eighs 650 kg or1,400 lbs.
300mm X
300mm Square
Door
0.7
barg
650 kilogrammes of Force
And as th e doo r wei ghs about 50 k g lb s -- if s udd enly releas ed it goes
flying!
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Be Aware
Can you get hurt with low pressure?
ABSOLUTELY !
Beware of large surfaces as even 0.05 bar which
may not even register on the pressure gauge but
it’s enough to send a hatch flying.
Vacuum Safety
• Same concepts
• In vacuum systems thepressure is pushinginward, not outward.
• The pressure comesfrom the atmosphere
– We don’t feel it but
a tank does when youpull a vacuum on it!
Vacuum
Atmospheric Pressure
Atmospheric Pressure (at sea level) is 1 bar g
(1 kg/cm2), therefore full vacuum is -1 kg/cm2.
Covered VentThis tank collapsed while being pumped out!
Painters had covered the vent with plastic sheeting.
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Materials of Construction Failure
Leading Contributors
Erosion / CorrosionPittingTemperature gradientCrackingStress fatigueStress impactStress corrosion
Materials of Construction Failure
Elbow Thinning
Humber Oil Refinery - UK
Case History – CH6
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Case History 6 - Humber Refinery
2001 – Humber Oil Refinery, UK
• Saturate Gas (C3/C4) Plant overheads pipe
• Catastrophic failure at a 6 in (152 mm) diameterelbow just downstream of water-into-gas injectionpoint
• Refinery shut down for several weeks
• Widespread damage to houses and businesseswithin a 1 kilometer (1.6 mi) radius of the site
The Incident
The Incident – Cont’dPiping Failure
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The Incident – Cont’d
Failed Elbow
What Happened
• The elbow failed due to “erosion-corrosion” damage.
• 180 te of LPG vapour escaped; ignited after c.20secs
• Fireballs 30 m (100ft) in height
• Wall thickness was reduced from 7-8 mm (0.25 in)
to 0.3 mm (0.01 in)• Water injection point returned to use (from
intermittent to permanent) without full MoC
• Failed elbow had not been inspected in 20 years
Damage Details
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Major Lessons Learned
• Management of changeprocedures must be robustand involve all functions
• Pipework integrity must bemanaged and critical pointsmonitored
• Corrosion data must bemanaged and trendsanalysed
M a n a g e m e n t o f C h a n g e P r o c e s s & M e c h a n i c a l I n t e g r i t y
A typical plant has miles of Piping• Transports large inventories
• Transmits pressure and temperature
Piping Design
• Size – Must accommodate range of flow rates• Orientation – Must disengage vapor from liquid
- Low points, dead legs, under roadcrossings• Support – Static and dynamic stress• Material – Must resist failure under range ofexposures• Wall thickness – Compatible with system designpressure
Piping System Failure Modes
• Material failure / Corrosion / Erosion
• Joint failure – insecure assembly• Blockage• Bending / stress• Incorrect closure of valves• Freezing and Expansion• Vibration• Local Eddy currents• Metallurgical defects• Human error / Complexity
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Oil Refinery - Alberta
Case History – CH7
Case History 7-Oil Refinery, Alberta
1984 - Large oil refinery, Alberta, Canada
The Process
Flow Schematic
M
M
M
M
M
INITIAL
FAILURE
G-2
RECYCLE SLURRY PUMPAROUND
G-3
HGO
FRACTIONATOR
G-1
BITUMEN FEED
FEED
RINGS
SCRUBBER
REACTOR
FEED
SURGE
DRUM
LGO
STRIPPER
BOTTOM
PUMPAROUND
M
TO GAS COMPRESSSOR
LGO
NATURAL GAS
BITUMEN
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The Incident
• Coker 8-2 was operating normally with noapparent problems. Feed rate 82 KB/SD.
• Line failed on overhead pipe rack betweenreactor structure and compressor house.
• Hot oil release accompanied by a large fire inunit and explosion in compressor house.
• Intense fire burned for 4 hours.
• Total physical damage $120 million. Fourmonths to rebuild.
Damage Details
What Happened• Initiating failure was in 18 in (0.5 m) section of 6
in (150 mm) carbon steel pipe that had beenwelded into 5Cr½ Mo line.
• Operators were unable to shutoff other hot oilpumps or isolate piping circuits to and from reactor.
• As fire spread, several other lines ruptured andthis further aggravated the fire.
• Abrasive solids in slurry was a contributing factor.However improper metallurgy made failureinevitable.
• Pipe wall thinning had pre-existed prior to fire.
• Initial failure attributed to hot sulphidationcorrosion.
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What Happened – Cont’d
Point of Failure
Major Lessons Learned
• Piping circuits which supply largequantities of highly hazardousmaterial must have remoteisolation capability.
• Systems must be in place toverify the material and quality of
all materials installed in the field.• Emergency shutdown procedures
are critical to avoidingcatastrophic losses and must bepracticed regularly.
P r o c e s s & M e c h a n i c a l I n t e g r i t y
E n g i n e e r i n g S y s t e m s
T r a i n i n g / C o m p e t e n c y
Pipe Failures
Pinhole leaks
Corrosion
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Pipe Failures – cont’d
Did you know that 60% of major accidents inplants involve piping system failures?
Pipe Failures – cont’d
Brittle fractureThinning
Pipe Failures – cont’d
Pitting
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Pipe Failures – cont’d
Stress crack
Fired Heaters
•Provides high level heat to processstreams or incinerate waste streams.•Critical operating parameters /hazardous conditions.
Major fuel release source in manyplants.
- high throughput- moderate to high pressure-high temperature
Source of major loss in many plants.
Fired Heaters – Common Incidents
• TUBE FAILURE– Metal creep, sustained high tube temperature.– Erosion on process side from solids or 2 phase flow.– Poor flow distribution or a blocked pass.– Direct flame impingement.– Mechanical stresses on coil assembly.
• FIREBOX EXPLOSION– Procedural error or inadequate monitoring.– Inadequate purging
• FURNACE TUBE FOULING– Contaminated fuel or inadequate flow in tubes.
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Tankage
Hazards• Largest inventory of hazardous material on sites.
• Significant vapor space and high confinement.
• Tank defects and upsets are difficult to detect.
• Tank incidents are difficult to isolate.
• Remedial action is usually only partly effective.
Often regarded as low to moderate in severity/riskand don’t receive prime attention.
Buncefield
Case History – CH8
Case History 8 - Buncefield
2005 – Buncefield Oil Storage Depot, UK
• Vapour cloud explosion caused massive damageand additional explosions.
• Resulting fire engulfed a high proportion ofthe site.
• No fatalities, more than 40 people injured
• Significant damage to both commercial andresidential properties in the vicinity.
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The Incident
What Happened
• Tank in Bund (containment dike) A was beingfilled with unleaded motor fuel at a rate of550 m3/hr (2,422 U.S. gpm)
• Level gauge recorded an unchanged reading,the tank continued for more than 2 hours.
• Continued pumping caused fuel (300tes
(661,380 lbs)) to cascade down the side of thetank.
• Escaping fuel formed a massive vapour cloudwhich eventually found an ignition source.
Overflowafter05:20 (appx300 t)
?
14’’ T/KSouth pipeline
Tank 912 (fittedwithInternalFloatingRoof)
Staticafter 03:00
Gasolinevapour clouddevelops
Ignition at06:01
BPA HOSL West
Open
Pumping rate intotank: 550 m3/h from19:00 to appx. 05:50890 m3/h from05:50 to incident
(Unleaded gasoline)
Graphicinterpretation of 3rd investigation report
SCADA: HighLevel Supervisory
Control andData Acquisition system
ATG: AutomaticTa nk Gauging
system
?: data not availablefromreport
HLA
LI
TI
ATG Alarm panel
Substation
SCADAOverride
switch
for tests
ESD Trip
?
?
T E S T
E D A F
T E R I N C I D
E N T : O
K
Buncefield summarised
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Notice car
(source Hertfordshire F&RS Report)
22 minutes later
(source Hertfordshire F&RS Report)
Picture credit: local Police website
Catherine House
Fuji
Source: 3rd investigation report
‘’Intensity of blast still unexplained’’
HSE level of overpressure for planning advice: BUNCEFIELD:
600 mill ibar = 50 per cent fatalit ieswithin occupiedbuildings 700 to 1,000 mbars
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Damage Details
Damage Details – Cont’d
Major Lessons Learned
• Instrumentation and control oftransfer systems is critical.Communication between remotelocations.
• Maintenance of levelinstrumentation and high leveltrips in tankage areas just asimportant as process areas.
• The location of commercial andresidential developmentsaround sites like Buncefieldmust be carefully analyzed.
P r o c e s s R i s k M a n a g e m e n t
P r o c e s s a n d M e c h a n i c a l I n t e g r i t y
E n g i n e e r i n g S y s t e m s
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Offshore Failure Mechanisms
• Vessels, Piping, Machinery• Structure
– Ship collisions– Sea states– Earthquakes
• Transport– Helicopter
• Sub Sea Operations• Wells
– SimOps
• Dropped Objects
Offshore Failure Mechanisms
Riser JtNo.1againstBOP
Lower Risersupported bydrill pipe
Mud fallingfrom brokenupper riser
Top of LowerMarine RiserPackage (BOP)
Riser Jts
resting onother wellhead
Riser Jt #1against BOPcontrols
This is not a drillThis is not a drill……
Riser Break