Accident Modeling and Analysis in Process Industries
Faisal Khan Centre for Risk, Integrity & Safety Engineering (CRISE) Faculty of Engineering & Applied Science Memorial University, St John’s, NL, Canada
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Outline • • • • • •
Accident Accident Modelling Approaches SHIP Methodology Dynamic Risk Case Studies Conclusion
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Introduction • • •
•
• •
Recent Process Accidents and losses On January 23, 2010, release of highly toxic phosgene, exposing an operator leading to death at the DuPont facility in Belle, West. On April 20, 2010, a sudden explosion and fire occurred on the BP/Transocean Deepwater Horizon oil rig. The accident resulted in the deaths of 11 workers and caused a massive oil spill into the Gulf of Mexico. On July 22, 2010, an explosion and fire killed two workers at the Horsehead Holding Company zinc recycling facility located in Monaca, PA. The facility recycles and purifies zinc through a high temperature distillation process On January 10, 2012, blowout in KS Endeavour (Nigeria) killing two personnel, fire and spill continued for 46 days. And list goes on...
Source: www.csb.gov SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Introduction • Are these Accidents Preventable? Yes! Most of the times. • How? Knowing their occurrence early (likelihood) and taking appropriate safety measure Predictive Accident Modeling (Occurrence Likelihood) SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
An Accident • Event or activity that is: Unwanted Uncertain Uncontrollable
An accident in process facility caused by process malfunction is termed as Process Accident SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Accident Concept What we see? Good
What we measure/monitor
Bad
What we must Model/Predict
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Process Accident Initiation
Propagation
Termination SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Accident Process Concept Safe (Normal) state Near Miss
Mishap
Incident COUSES Accident
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Accident Pyramid Catastrophic Accident (0)
Frequency increasing
Accident (1)
Incident (5)
Mishap (10)
Near miss (100) SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Consequence increasing
Accident Modeling Approaches • Accident Models Reviewed Domino Loss causation FRAM
Keltz Swiss cheese Daryl's model
Ren’s HOF model Kujath’s Model STAMP
• Observation: Focus on occupational accidents, and the models focusing on process hazards have been scant Unable to present a holistic picture of system safety, and are not capable of accommodating modeling of multiple causal factors. Descriptive models, not predictive models Not adopted comprehensive quantification (no updating mechanism to reduce the uncertainty)
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Proposed Approach & Model
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Layers of Protection
Active safety and effect Mitigating Measures Passive Protection Measures
Safety instrumented system Critical Alarms
System control
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
SHIPP MethodologySystem Hazard Identification, Prediction and Prevention Methodology
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Process Accident Model Initiation
Progression Layers of protection
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Termination
Occurrence frequency Consequence
WWW.ENGR.MUN.CA/RESEARCH/SREG
Increasing
Increasing
SAFETY AND RISK ENGINEERING GROUP
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Accident Risk Model Causes
Proactive Controls
Reactive Controls
Basic event
Consequences
Outcome
Basic event
Unwanted Event
Outcome
Basic event
Outcome
Safer
Accident Risk Accident Risk
Fault Tree
Event Tree
Accident Risk Modeling using “Bow-tie” diagram SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Risk Conceptual Design
• Risk
Risk= F{s(c, f)} FEED
Risk
• Risk
Detailed design Time
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
• Risk
Current Risk Assessment Approach ■ Limitations: 1.
Unable to capture the dynamic behavior of the process operation
2.
Unable to update the quantitative results
3.
Unable to take account of early into account
4.
Carry significant uncertainty of quantitative estimation
5.
No predictive capabilities
6.
Utilize for risk assessment in early stage of process life cycle (design stage not in operational, or modification stages)
Dynamic Risk Assessment will overcome these drawbacks SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Dynamic Risk Conceptual Design
• Risk FEED
• Risk
Dynamic Risk= F{s(c, f),t} Detailed design
Dynamic Risk
• Risk
Installation
• Risk
Operation
Time
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
• Risk
Symptoms of Accident- Accident Precursors
Regular Failure Statistics White Swan
Rare Event Grey Swan
Unpredictable Event Black Swan
Picture cursey: Rob Rutenbar CS@Illinois
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Operational Risk Assessment Step 1 Step 3-1
Step 2-1
Step 3-2
Step 2-2 Step 2-3
Step 3
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Step 2 23
Updating Mechanism Likelihood probabilities Accident precursor data
Prior probabilities FTA P( xi )
P(data / xi )
Bayesian Inference P(data / xi ) P( xi ) P(data / xi ) P( xi )
Posterior probabilities P( xi / data)
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Application of Operational Risk Assessment Methods
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Applications of ORA The accident modeling and dynamic risk assessment approach has been applied many case studies, few examples are: 1. Processing facility – BP Texas City Refinery Accident 2. LNG Facility – Liquefaction Unit
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
BP Texas city Refinery Accident ■ Background Information ■ On March 23, 2005, a series of explosions and fires at BP’s Texas City refinery killed 15 people and injured another 180, alarmed the community, and resulted in financial losses exceeding $1.5 billion ■ There had been a number of previous events in ISOM involving hydrocarbon leaks, vapor releases, and fires ■ BP Incident investigation observed two major incidents occurred just a few weeks prior to the March 23 fatal event: • February 2005 hydrocarbons leak • March 2005 fire
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
BP Texas city Refinery Accident
Overpressure in splitter (~63 psig) have opened the overhead relief valves to feed directly into unit F-20 (Knockout drum with stack)
This resulted in vapors and liquid emerging ~20 ft above the top of the stack ‘like a geyser’ and running down and pooling around the base of F-20) SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
■ Step 1: Scenario identification Three possible accident scenario states are identified. Process upset (A), Process Shutdown (B) and Fluid release (C)
■ Step 2: Prior function calculation
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Part of the event tree of ISOM unit Total events are 190 Prior end-state probabilities are estimated based on prior failure probability of safety barrier
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
■ Step 3: Formation of Likelihood function
■ Likelihood function is formulated based on accident precursor data ■ Based on conjugate property, Likelihood function is taken as binomial 1 distribution P(ck ) ( xi ) (1 xi ) i ,k
i SBk
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
i ,k
■ Step 4: Risk Estimation and Perdition Years
Probability of Release Linear Hazard Model
Probability of Release Poisson Process
Discrete
Cumulative
Discrete
Cumulative
1
0.0003
3.00×10-4
8.00×10-4
8.00×10-4
2
0.0003
6.00×10-4
8.00×10-4
1.60×10-3
3
0.0003
9.00×10-4
8.00×10-4
2.40×10-3
4
0.0011
2.00×10-3
1.60×10-3
4.00×10-3
5
0.0035
5.50×10-3
3.99×10-3
7.99×10-3
6
0.0043
9.80×10-3
4.79×10-3
1.28×10-2
7
0.0051
1.49×10-2
5.58×10-3
1.84×10-2
11
0.0083
2.32×10-2
8.76×10-3
2.71×10-2
12
0.0091
3.23×10-2
9.55×10-3 3.67×10-2
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
2004 2005 Predictive results based on 2004
Accident Modeling and Dynamic risk estimation of Liquefaction unit
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Fuel gas
Liquefied and Sub-cooled Fuel gas expander
Downstream and Storage End flash unit
HCHE
Heavy gas removal unit HP C3
MP C3
LNG expander
LNG storage LP C3
Mercury removal unit LP C3
Dehydration unit
Fractionation unit
HP C3
Compressor
Condensate storage Acid gas removal unit
Natural gas
Upstream Processing Purification SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
MP C3
HP C3
Accident Scenario Analysis No
Date
Scenarios
Severity Level
1
04.Jan 09
Steam hammering in the low pressure steam line caused a valve stem cover for a gear operated gate valve to loosen and fall approximately 15 m to the ground
Near miss
2
12.Jan 09
Upper master valve did not close as required during train three depressurization
Safe
3
13.Jan 09
Inadvertent flaring due to wrong opening of pressure control valve on flare line
Near miss
4
14.Jan 09
Gland leak from level control valve when open flame job was in progress inside low pressure knock-out-drum
Incident
5
15.Jan 09
Inadvertent flaring due to wrong opening of pressure control valve on flare line
Near miss
6
19.Jan 09
Flame noticed from main combustion chamber of sulphur recovery unit top side
Mishap
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Deviation from safe state
Release Prevention Barrier (RPB) Fail
Success
Dispersion Prevention Barrier (DPB) Fail
Success
Ignition Prevention Barrier (IPB) Fail
Escalation Prevention Barrier (EPB) Fail
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Success
Success
Safe
Near miss
Mishap
Incident
Accident
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
FT Results • FT are constructed using the proposed generic fault tree models Safety Barrier (xi)
Failure Probability p(xi)
Release Prevention Barrier (RPB)
0.0527
Dispersion Prevention Barrier (DPB)
0.0616
Ignition Prevention Barrier (IPB)
0.1060
Escalation Prevention Barrier (EPB)
0.0271
It is observed that estimated results show significant agreement to real plant data.
• The failure of barriers is assumed independent and mutually exclusive
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Event Tree Analysis RPB SB1
DPB SB2
IPB SB3
EPB SB4
Consequences
C1 - Safe
C2 – Near miss
Deviation from safe mode
C3 - Mishap
X1
C4 - Incident X2
The prior probability of consequence of severity level ( =1, 2, 3, 4, 5), denoted by , is given as;
p(ck )
i ,k x i (1 xi )
jSBk
X3 X4
C5 - Accident
C1(Safe)
9.4×10-1
C2(Near Miss)
4.9×10-2
C3 (Mishap)
2.9×10-3
C4(Incident)
3.3×10-4
C5(Accident)
9.3×10-6 SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Probability
Occurrence Probability p(ck)
Severity
Consequences (ck)
1i ,k
Prediction • The number of abnormal event In the first ten month of year 2009 has been estimated using the results of HAZOP study • Based on these data, λp can be estimated
• The mean value of the number of events is estimated as 22. This implies that the average number of events predicted in the eleventh month is 22. SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
Updated Probability of Abnormal Event Month
C1(Safe)
C2(Near miss)
1
9.27×10-1
6.90×10-2
3.20×10-3
1.90×10-4
0
2
9.14×10-1
8.30×10-2
2.60×10-3
8.00×10-5
0
3
9.09×10-1
8.80×10-2
2.60×10-3
1.00×10-4
0
4
8.64×10-1
1.32×10-1
3.80×10-3
2.80×10-4
7.68×10-7
5
8.51×10-1
1.44×10-1
4.00×10-3
2.70×10-4
6.24×10-7
6
8.50×10-1
1.46×10-1
3.90×10-3
2.70×10-4
5.69×10-7
7
8.54×10-1
1.42×10-1
3.70×10-3
2.90×10-4
1.14×10-6
8
8.55×10-1
1.41×10-1
3.80×10-3
2.80×10-4
1.03×10-6
9
8.51×10-1
1.45×10-1
3.80×10-3
2.70×10-4
9.42×10-7
10
8.50×10-1
1.45×10-1
4.00×10-3
3.00×10-4
9.21×10-7
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
C3 (Mishap) C4 (Incident)
C5 (Accident)
Conclusions • The SHIPP methodology help identifying process hazards, evaluate them, and model probable accident scenarios. • It provides precise information of how system is degrading with time and help to predict potential accidents • It helps to increase the overall safety and performance of the system by applying preventive measures with the knowledge of realistic prediction. • The dynamic risk assessment and management help to identify process risk early and invite to take appropriate safety action •
It has dynamic learning abilities that is effective in preventing accidents and enhancing the overall safety performance of the system
• Source-to-source uncertainty may be modelled using Bayesian analysis SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
References related to presentation • •
• •
•
• • • •
Al-Shanini, A. Ahmad, A., Khan, F. (2014). Accident modeling and safety measure design of a hydrogen station. International Journal of Hydrogen Energy, 39(35), 20362-20370. Rathnayaka, S., Khan, F., Amayotte, P. (2013). Accident modeling and risk assessment framework for safety critical decision-making: application to deepwater drilling operation. Proceedings of the Institution of Mechanical Engineers, Part O: Journal of Risk and Reliability, 227(1), 86–105. Rathnayaka, S., Khan, F., Amyotte, P. (2012). Accident modeling approach for safety assessment in an LNG processing facility. Journal of Loss Prevention in the Process Industries, 25(2), 414–423. Rathnayaka, S., Khan, F., Amyotte, P. (2011). SHIPP methodology: Predictive accident modeling approach, Part I: methodology and model description. Process Safety and Environmental Protection, 89(3), 151-164. Rathnayaka, S., Khan, F., Amyotte, P. (2011). SHIPP methodology: Predictive accident modeling approach, Part II: validation with case study. Process Safety and Environmental Protection, 89(2), 75-88. Kujath, M. F., Amyotte, P., and Khan, F. (2010). A Conceptual offshore oil and gas process accident model. Journal of Loss Prevention in the Process Industries, 23 (2). 323-330. Attwood, D., Khan, F. and Veitch, B. (2006). Occupational accident models-where have we been and where are we going?, Journal of Loss Prevention in the process industries, 19(6), 664-682. Attwood, D., Khan, F. and Veitch, B. (2006). Offshore oil and gas occupational accidents-What is important?, Journal of Loss Prevention in the Process Industries, 19(5), 386-398. Attwood, D., Khan, F. and Veitch, B. (2006). Can we predict process accident frequency?, Process Safety and Environmental Protection, 84(3B), 208-221. SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG
THANK YOU FOR YOUR ATTENTION!!!!!!!!
SAFETY AND RISK ENGINEERING GROUP WWW.ENGR.MUN.CA/RESEARCH/SREG