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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