What If a Blast* Were to Happen on MY WATCH? by Bob Andrew (© 2005: these are my personal observations alone) ( * Or a Spill, or a Fall, or a Fire …. )
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“What If a Blast* Were to Happen on MY WATCH?”
by Bob Andrew (© 2005: these are my personal observations alone)
( * Or a Spill, or a Fall, or a Fire …. )
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 2
The “Texas City Refinery”our sole purpose: illuminate issues
WHAT happened & WHEN?
WHO was hurt, or impacted?
WHERE was / is impact felt?
WHO all, then, got involved?
WHAT can WE learn from it?
HOW/WHY did this happen?
How DO people handle this?
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 3
WHAT Happened, and WHEN?
1947: fertilizer ship blew up at Texas City docks ~ 600 killed, with damage several miles away Texas City docks leveled: a near total “re-build”
March 23, 2005: a blast during startup of a unit:(subsequent slides to detail key lessons learned)
July 28, 2005: Reside Hydrotreater unit on fire:nobody hurt this time, and the fire was contained
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 6
WHO was HURT, or IMPACTED?
Workers killed, mainly in “construction” trailer Workers injured & burnt, but NO-ONE offsite
Community: fear, then anger, and now mistrust Regulators: took strong action, with real “teeth” BP: significant re-investment in EVERY refinery Industry: raises the bar for all other turnarounds
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 7
WHERE was / is IMPACT felt?
A new BP Refinery Manager, but from the UK BP Texas City stayed down: weeks after “Rita” Refineries: Corporate Safety “culture”, spending
OSHA: $25 million fine, with ongoing scrutiny
Chemical Safety Board “findings” and “update” CSB statement to independent “BP Safety Panel”
Industry: impacting plant design & turnarounds
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 8
WHO All, then, Got Involved?
2005 Houston Chronicle special coverage:www.chron.com/content/chronicle/special/05/blast
“BP Response” web: www.bpresponse.org
Federal OSHA inflict official sanctions, and
U.S. appointed Chemical Safety Board e.g. CSB Issues Urgent Recommendations to U.S. Petr
ochemical Industry, Calls for Safer Placement of Trailers for Workers in Wake of BP Tragedy
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 11
WHAT can WE learn from it?
Turnaround Planning: Although needed to replace this atmospheric vent with flaring, work was deferred twice, despite being on OSHA list.
Unit Level Controls: The failure of liquid high level notification could happen in any system that does not promptly deal with outage of one component, be that the level sensor, DCS communications, or failure of control room to notice in timely manner during a busy startup.
Operations: During startup it is vital to have field staff watching local instrumentation in ADDITION to control room guys watching the panel, particularly if ANY part of DCS was worked on during the turnaround.
Work Site: Locating a modular building for the turnaround staff in between process units is in violation of the 1972 O.I.A. unit spacing guidelines: which enabled there to be enough space to fit a building!
The explosion happened when nearby workers were in this building.
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 12
How DO People Handle This?
Put your self in the shoes of one of these roles:
1) Turnaround planner: with safety list
2) Field operator: on startup of this unit
3) New unit engineer: did not know list
4) Refinery M’gmt: dealing with media
5) Corporate: dealing with US Congress
One comment on your role: once around room
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 13
Public, Published, References
CSB Issues Preliminary Findings in BP Texas City Refinery Accident; Investigators Present Data in Public Meeting
Update on Chemical Safety Board's findings: Alarms failed to sound before blast. 6/28/05. (Houston Chronicle)
Statement of CSB Chairman Merritt to BP Independent Refinery Safety Panel
CSB Issues Urgent Recommendations to U.S. Petrochemical Industry, Calls for Safer Placement of Trailers for Workers in Wake of BP Tragedy
OSHA warning about danger: Ventilation stack cited (2002)
BP Report on 2004 accident: Inadequate training and poor judgment cited. (Houston Chronicle)
BP's findings: Mistakes by staff outlined. 5/17/05 (Houston Chronicle)
Nov. 17, 2005 D*R*A*F*T: for Process Engineers 14
CSB Current Investigations
BP America “Refinery Explosion” Texas City, TX
Acetylene Service Co. “Gas Explosion” Perth Amboy, NJ
Marcus Oil & Chemical “Tank Explosion” Houston, TX
“Combustible Dust Hazard Investigation” ……………
Sterigenics “Ethylene Oxide Explosion” Ontario, CA
Formosa Plastics “Explosion” Illiopolis, IL
MFG Chemical Inc. “Toxic Gas Release” Dalton, GA
DPC Enterprises “Chlorine Release” Glendale, AZ
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