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Effective PSSR in Management of Change for Existing Plants
Presented by Sam Sanati, P.Eng , FS Eng.
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66th Canadian Chemical Engineering ConferenceOctober 18th, 2016
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Pre Startup Safety Review
Last chance to confirm the objectives of change have been met and potential risks are mitigated before energize the system.
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Case Study: Sweetening Unit Start-up• Gasket rupture of an Exchanger
during start-up. • Causes:o Material defecto Construction/installation error (misaligned
flanges)
• Findings:o PHA did not include this scenario for start-upo Gasket and flanges were not tested before
installation30 January 2017 3
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When we need PSSR?
CFR 1910.119(i)The employer shall perform a pre-startup safety review for new facilities and for modified facilities when the modification is significant enough to require a change in the process safety information.
Canadian PSM Guideline : Element 3 (Capital Project Review and Design Procedure)Element 6 (Process and Equipment Integrity)Pre-startup safety reviews should be conducted before commissioning a new or modifiedprocess, replacing equipment or recommissioning mothballed equipment. The review shouldcover both equipment and operating procedures to ensure that all elements are in place andfunctional.
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When we need PSSR?
CFR 1910.119(i)The employer shall perform a pre-startup safety review for new facilities and for modified facilities when the modification is significant enough to require a change in the process safety information.
Canadian PSM Guideline : Element 3 (Capital Project Review and Design Procedure)Element 6 (Process and Equipment Integrity)Pre-startup safety reviews should be conducted before commissioning a new or modifiedprocess, replacing equipment or recommissioning mothballed equipment. The review shouldcover both equipment and operating procedures to ensure that all elements are in place andfunctional.
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PSSR Requirement
Check:• PSIs (e.g. P&IDs) are updated• Design intent is met• Update of Procedures and instructions• Completion of training program• Review completion of incident
investigation recommendations,• Review compliance audits ,• Review PHA recommendations
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Further Items:• Human Factors• SCE List• SCE Performance Standards• PHA Recommendations are
implemented
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PSSR Team
• A multidisciplinary team is selected for PSSR.
• PSSR Lead should be Competent :o Good understanding of relevant PSIso Good knowledge about what regulation requiremento Preferably, good knowledge on the subject of the
change
• Independent from the change request or process
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PSSR: Have We Checked Human Factors Requirement?
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Sprinkler:- No mechanical handling is required.
- Only access to the valve is needed
Gaseous System:- Mechanical handling is required.
- Access for Replacement of cylinders
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MoC Risk Assessment
• Currently, What-if is a common used risk assessment method for management of change process in existing facilities.
• Concern: o What-if is not always the proper method to useo Competent facilitator is not chairing the meetingo Sometimes residual risks are not estimated
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PSSR : Risk Assessment Close-out
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• 35 recommendations made by the National Transportation Safety Board
• Only six have been successfully completed
• Fourteen of the recommendations issued to the Federal Aviation Administration and its European counterpart, EASA, are marked by the NTSB as “closed-unacceptable.”
• Recommendations that got an “unacceptable” response deal with:o Pilot training, o Directions for pilots facing the loss of power in both
engines, o Equipping planes with life rafts and vests and making
it easier for passengers to use them
[Reference: globalnews.com]
US Airways Flight 1549 Incident
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Risk Assessment Close-out
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• PSM Guideline Element 3: “Confirm that a process hazard analysis has been done and that recommendations have been resolved or implemented prior to start up”
• If a recommendation is unacceptable then ALARP demonstration and senior management approval is needed.
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Procedure Update
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Bayer Pesticide Explosion
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Change in Safety Critical Elements
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“The big accidents are just waiting for the little ones to get out of the way.”
Carolyn Merritt (Former CSB Chair)
• PSM Guideline Element 3: “Ensure critical equipment has been identified and incorporated into a preventative maintenance program.”
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Update Process Safety Information
• Some of the key documents (such as P&IDs) shall be authenticated and stamped by a professional engineer.
• Ensure the updated PSI have been reviewed by all stakeholders
• Ensure all PSIs are communicated and approved by the applicable regulators.
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PSSR Documentation
• Proper documentation is needed for future Investigation
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Summary
• Review of Human Factors requirements to ensure the mechanical change does not create an ergonomic hazard.
• Ensure a proper risk assessment method is selected and all the residual risks are reduced to an acceptable level.
• Closing out the recommendations of risk assessment study is not completed until their implementation is verified. If the recommendation is not feasible then ALARP demonstration and senior management approval is needed.
• Procedures should be updated and approved.• Change in a SCE should be highlighted in PSSR to ensure that the relevant
documents (performance standards, verification scheme, etc) have been updated.
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Thank you
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www.atkinsglobal.com
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