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    P. Lettieri

    Safety, Hazards and Risks

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    History

    Safety and Loss Prevention

    Hazards & Risk Analysis

    Properties of Materials

    Flammable

    Chemical - Toxicity

    Control of Chemical Reactions

    Content

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    Objectives

    Why do we study safety and loss prevention ?

    Why is it that in the final examination for this course,the question on safety is compulsory?

    Why does the IChemE make safety the only area in

    which corporate members MUST have training andexperience ?

    The history of accidents will answer these questions!

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    Safety

    HealthEnvironment

    Duration of exposure (time)

    Intensityofex

    posure

    sustainabledevelopment

    Safety and Sustainable Development

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    Historical Aspects of Safety

    1750BC: Code of Laws of Hammurabi

    Deuteronomy Chapter 22 verse 8

    1785: Count Morozzo

    1921: Oppau

    1966: Aberfan 1974: Flixborough

    1976: Seveso

    1984: Bhopal Mexico City

    1988: Piper Alpha

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    Early Health & Safety LawIf a builder build a house and do not

    make its construction firm, and the housewhich he has built collapse and causedeath of the owner of the house, thatbuilder shall be put to death

    Hammurabi Law 229 (circa 1750 BC)

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    1974: Flixborough

    4 5 6

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    Reactor4

    Reactor6

    originalconnections and

    flexible bellows

    temporary pipe

    with dog-leg

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    1988: Piper Alpha

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    Accident Pyramid

    ?000Critical situations

    Unsafe habits

    Near-misses

    Property Damage300

    Minor Injury

    Medical treatment30

    Disabling injury

    Lost time accident1

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    Cost of Top 10 Accidents in UKsince 1974 (1996 costs M)

    Company, Location Date CostTexaco/Gulf, Pembroke 1994 100MBP Oil, Grangemouth 1987 100MLaporte Chemicals, Warrington 1984 43M

    National Freight, Sheffield 1984 37MBASF, Wilton, Teeside 1995 20MJ Kelman Transport, Renfrew 1977 20MAmoco, Milford Haven 1983 18M

    RA Lister, Dursley, Glos 1983 16MMorganite Ceramic Fibres, Merseyside 1984 10MShell, Ellesmere Port 1990 10M

    Source: IChemE Loss Prevention Bulletin, No 140, April 1998

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    Cost of Top 10 Accidents Worldwidesince 1974 (1996 costs $M)

    LocationDate CostPasadena, Texas 1989 $1,456M

    La Mede, France 1992 $458MPampa, Texas 1987 $396M

    Antwerp, Belgium 1989 $356MThessaloniki, Greece 1986 $300MNorco, Louisiana 1988 $293MSweeny, Texas 1991 $264M

    Romeoville, Illinois 1984 $241MPort Neal, Iowa 1984 $182MSodegaura, Japan 1992 $172M

    Source: IChemE Loss Prevention Bulletin, No 140, April 1998

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    What causes an Accident?

    Deficient Procedures or documentation

    Lack of knowledge or training

    Failure to follow procedures

    Deficient planning or scheduling

    Miscommunication

    Deficient supervision Policy problems

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    Prime Responsibilities for Accidents

    (1981-83)

    Senior management %Local management %

    Workers %

    Management and Workers %

    Others %

    No one %TOTAL 100%

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    Fatalities Reported to HSE

    0

    200

    400

    600

    800

    1000

    1200

    1400

    1960 1970 1980 1990 2000

    H&SWA1974

    PiperAlpha

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    LOSS PREVENTION Code of Hammurabi

    Health and MoralsAct of 1802

    Factories Act 1844 Health and Safety

    at Work Act 1974

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    Health and Safety at Work Act 1974

    Duties of the employers:-

    Employers must safeguard so far as is reasonably practicable,

    the health, safety and welfare of the people who work for them

    Duties of the employees:-

    Employees have a duty to take reasonable care to avoid injury to

    themselves or to others by their work activities

    Duties of manufacturers and suppliers:-

    Designers, manufacturers, importers or suppliers of articles or

    substances for use at work must ensure that, so far as

    reasonably practical, they will be safe when used

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    Establishing a

    Safe System Of Work

    It is managements duty to:

    Define the safe system of work

    Train people in that safe system

    Observe that they are working in thismethod

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    LOSS PREVENTION

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    Loss Prevention

    Definition:- A systematic approach to

    preventing accidents or minimisingtheir effects

    Prevent the unwanted event fromhappening

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    Recent Approaches to Safety

    1950s 1960s 1970s 1980s 1990s 2000s

    Design standards

    Plant inspections

    Human factors

    Performance indicators

    TechnicalSafety

    SafetyAudits

    Management

    SystemsCulture

    ?

    Accidentrate

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    Safety Management

    Plan Organise

    Control Monitor

    Review

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    Policy Supporting Human Resource Development

    Minimising Financial Losses

    Recognising that accidents and ill health result fromfailings in management control

    Recoginsing that the development of a culturesupportive of H&S is necessary to achieve adequatecontrol over risks

    Ensuring a systematic approach to the identification

    of risks and allocation of resources to control them Supporting quality initiatives aimed at continuous

    improvement

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    Loss Prevention and TotalQuality Management

    Commitment to the customer, the employee and

    the community by the senior management team Commitment to the importance of human factors,

    covering the job, the individual and the

    organisation Commitment to prevention of loss whether it is ofproduct, of people or of customers

    Commitment to continuous improvement of theproduct as well as the work situation

    Commitment to setting standards and measuringthe performance of individuals or groups againststandards

    P L i i

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    Organising for Loss

    Prevention

    Operation Plan

    Safety Improvement Plans are

    developed Meetings are attended

    Decisions made are implemented

    P Lettieri

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    Human Factors Human Error

    Slips / Lapses of Attention

    Mistaken Actions Wrong Perceptions

    Violations

    Operator Response Routine operator action

    Operator intervention in an emergency Operator hears alarm

    Operator recognises what the alarm means

    Operator decides what action is required

    Operator performs the action

    P Lettieri

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    Controlling for Loss

    PreventionStandards Measure Compliance

    Evaluate

    Measurement

    Results

    Workcompleted

    satisfactorily

    Plan for LossPrevention

    P Lettieri

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    ReviewingPerformance

    Organising

    Planning andImplementing

    Measuring

    Performance

    Policy

    Auditing

    key elements of a safety

    management system

    P. Lettieri

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    . ett e

    Legislation

    Old-StyleLegislation Prescriptive

    Detailed rules andregulations

    What must be done

    Do it anyway

    New-Style Legislation Based on likelihood of harmdone

    Framework rules with

    guidelines How it must be managed

    Identify anything that causesharm and likelihood of itoccurring first,rank them and prioritise actionsaccordingly

    P. Lettieri

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    Safety Culture

    demonstrate commitment to safety and thus generate high levels ofmotivation and concern for health and safety throughout theorganisation

    adopt good communications between all levels of the workforce andthus provide a bridge across the management hierarchy boundaries

    accept that the promotion of safety culture is a long-term strategywhich requires sustained effort and interest

    adopt a formal health and safety policy, supported by adequate codesof practice and safety standards

    balance safety and production or service goals and stress that health

    and safety is equal to other business objectives evaluate safety systems to provide information feedback with a view

    to developing ideas for continuous improvement

    P. Lettieri

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    HAZARD and RISK HAZARD

    Anything that can cause harm A physical situation with a potential for human

    injury, damage to property, damage to theenvironment or some combination of these

    RISK

    The likelihood that someone will be harmed by thehazard

    The likelihood of a specified undesired eventoccurring within a specified period

    P. Lettieri

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    Safe Systems of Work we have to identify the hazard

    we evaluate the risk

    we establish a control system to

    minimise the risk

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    Risk Assessment each job may be broken down into tasks

    the potential for causing lossdetermined

    the method of working detailed.

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    IdentifyHazards

    EstimateRisks

    Control &Review

    AssessTolerability

    ManagementIntervention

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    Fatal, Serious,

    Minor

    A measure of the ConsequenceSEVERITY

    Explosion of gas

    cloud

    An outcome resulting from an

    accident

    CONSEQUENCE

    Pipeline dug up by

    excavator

    An unplanned, uncontrolled event

    giving rise to death injury,ill-health, damage or loss

    ACCIDENT

    Operating Pressure

    too high

    A situation with the potential to

    cause death, injury, damage,losses or liabilities

    HAZARD

    Defective WeldsDeviation from the normal design

    intent or operating standard

    FAILURE

    ExampleDefinitionTerm

    P. Lettieri

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    Assessment of a risk involves the rating of two factors

    which affect the risk

    1. the severity of the hazard

    2. the likelihood of an occurrence of

    harm from the hazard

    P. Lettieri

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    >110-2-110-4-10-210-6-10-4

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    = RiskFrequency Consequence

    How likely is itthat the hazardwill cause an

    accident?

    If an accidentoccurs, how

    severe are the

    consequences?

    x

    P. Lettieri

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    FARs: Fatal Accident Rates

    number of deaths per 1000 workforceduring a working lifetime 105 hours

    70

    62

    8

    4

    2

    FAR

    Rock Climbing

    Helicopter travel

    Car Travel

    Rail Travel

    Staying at home

    Other Activities

    4000Steel Erectors

    500Offshore Oil and Gas

    30Coal Mining

    4UK Industry

    (factory work)

    1Chemical

    FARIndustry

    P. Lettieri

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    Risk per 109 km traveled in UK, 1986-90

    104.0Motor cycle riders

    70.0Pedestrians

    50.0Pedal cyclists

    4.4Car drivers and passengers

    1.1Rail passengers

    0.2UK scheduled airlinepassengers

    P. Lettieri

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    1 Direct Costs

    Indirect Costs Management Time Compensation Claims Increased Insurance Costs

    Business Interruption Loss of Good Will

    TheCostIceberg

    8 - 36

    P. Lettieri

    ALARP

    ALARPLevel

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    ALARPAs Low As

    ReasonablyPossible

    ALARPAs Low As

    ReasonablyPossibleTolerability

    Intolerable Level

    Tolerable ifALARP

    Risk is undertakenonly if a benefit isdesired

    Broadly Acceptable

    Risk cannot be justified on any grounds

    TolerableOnly if risk reduction is impracticable or if itscost is grossly disproportionate to theimprovement gained

    TolerableIf cost of reduction would be

    disproportionate to the improvement gained

    Negligible Risk

    Level

    of Risk

    P. Lettieri

    ALARP

    ALARP

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    ALARPAs Low As

    ReasonablyPossible

    ALARPAs Low As

    ReasonablyPossible

    Intolerable Level

    Tolerable ifALARP

    Broadly Acceptable

    Risk Reduction regardless of cost

    Relevant Good Practice

    plus

    Risk Reduction Measures

    plus

    Gross Disproportionation

    Relevant GoodPractice

    TECHNOLOGY

    P. Lettieri

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    Objectives

    To identify the hazards

    To decide on the likelihood or damage To determine action to be taken to

    control adequately To comply with Health & SafetyLegislation

    P. Lettieri

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    Managing Risk

    Paint section off-site in acontrolled environment ifpossible

    Brush apply at site

    Ensure good ventilation area

    Use respirator and protectiveclothing

    CONTROLMEASURES

    Exposure to solventRISK

    Solvent base paint system(no alternative for particular

    application)

    HAZARD

    P. Lettieri

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    Identification of Hazards

    HAZard and OPerability Study - HAZOP

    Fault Tree Analysis - FTA

    Safety Analysis Function Evaluation -

    SAFE Charts Check Lists / What if Analysis

    P. Lettieri

    Ri k A t

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    Risk Assessment

    1. Look for the hazards

    2. Decide who might beharmed, and how

    3. Evaluate the risks andimplement control measureswhere necessary

    4. Record you findings5. Review your assessment

    and revise it if necessary

    www.hse.gov.uk

    P. Lettieri

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    FAULT TREE ANALYSIS

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    Fault Tree Analysis

    LOGIC symbols

    OR gate

    AND gate

    EVENT symbols

    Basic Event

    Combination Event

    Fault Event - not required

    to be developed further

    Technique to find a sequence of faults

    and causes leading to a hazardousevent

    P. Lettieri

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    Flat

    Tyre onWay toUCL

    Miss start ofLecture

    DriverHits Bike with

    Door

    Collision

    Damage toBike

    Bikestolen

    Minor CollisionDamage to Bike

    RideBike toUCL

    PotentialCalamity

    CannotAvoid Car

    Driver cutsoff cyclist

    DriverDoes Not See

    Bike

    CarEncountered

    RideBike toUCL

    P. Lettieri

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    QUENCHTANK

    REACTOR

    Inlet L2

    L1

    V2

    T1

    T2

    L3

    Outlet

    V1

    M

    V2 open button

    V1 close button

    Temperature

    Alarm

    DAMAGE TOREACTOR DUETO HIGH

    TEMPERATURE

    P. Lettieri

    Th P bl

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    The Problem An unstable exothermic reaction is being carried out in a

    reactor protected against a runaway reaction with a quenchsystem as shown in Figure.

    Two independent sensors T1 and T2 continuously monitor thereaction temperature.

    The quench tank outlet valve V2 opens automatically when T1

    detects a certain increase in temperature.

    T2 activates an alarm in the control room independently to alert theoperator to a possible loss of control of the reaction.

    When the alarm sounds the operator should press a button to closevalve V1 to stop the reactor feed.

    When the operator hears the alarm he is also instructed to press thebutton that opens the quench tank outlet valve in the event thatsensor T1 fails to operate.

    P. Lettieri

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    Damage to Reactor due toHigh Temperature

    Valve V1 Remains open

    T1 fails to initiate V2

    Valve V2 does not open

    No Flow in L1

    QuenchTank Empty

    V2 Failsto Open

    Valve V2 not Initiated

    Operator fails to initiate V2

    T1 Failsto detect

    Temp riseOperator

    fails to obeyalarm andOpen V2

    Alarm fails to Alert Operator

    AlarmFailsOff

    T2 Failsto detect

    Temp rise

    P. Lettieri

    FLAMMABLE PROPERTIES

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    FLAMMABLE PROPERTIES

    All threeelements must

    be present atthe same timeto have a fire.

    Fuel

    He

    atOx

    ygen

    Take any ofthese away, and

    you will not havea fire or the firewill be

    extinguished.

    The Fire Triangle

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    Flash Point Temperature at which the material will just catch fire atatmospheric pressure if a source of ignition is applied.

    Temperature at which the vapour pressure of the materialequals the lower flammable limit.

    CTypical Values:-

    -38gasoline

    43 to 88diesel

    13n-octane

    -22n-hexane

    very lowmethane

    extremely lowhydrogen

    P. Lettieri

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    Flammable Limits Lower Flammable Limitis that concentration inair of a flammable material below which combustionwill not propagate. (lower explosion limit)

    Upper Flammable Limitis that concentration inair of a flammable material above which combustionwill not propagate.

    13.0 17.03.8 - 6.5natural gas

    9.552propane

    14.05.3methane754hydrogen

    Upper LimitLower LimitVapour

    Volume % Vapour in AirTypical values:-

    P. Lettieri

    Variation of Flammability Characteristics

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    Variation of Flammability Characteristics

    with Change of Temperature

    Concent

    ration

    Temperature

    Flash point

    Flammability

    range

    Autoignition

    temperature

    Upperflammablelimit

    Lowerflammablelimit

    Autoignition

    Boiling point

    Vapourpressure

    curve

    P. Lettieri

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    Autoignition Temperature The minimum temperature at which that

    material will initiate and sustain in air acombustion process without the provision of asource of ignition.

    476pentane 7.65v/v%

    257diesel oil

    456

    502

    548(C)

    gasoline

    pentane 3.75v/v%

    pentane 1.5v/v%Typical values:-

    P. Lettieri

    Sources of Ignition

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    Sources of Ignition Mechanical

    Friction Missiles

    Electrical Electrical Current Electrostatic

    Lightning Stray Currents Radio frequency

    Thermal Hot surfaces Self-heating

    Flames Engines

    Chemical

    Peroxides Polymerisation Spontaneous Reactions with other

    substances Thermite reaction Unstable substances Decomposition

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    Types of Fire and Deflagration Pool Fire

    occurs when liquid is spilt

    onto a surface and thevapour ignites

    Jet Fire occurs when a vessel or

    pipe under pressure

    leaks from a small holecausing a jet of liquid orvapour to be emitted andwhich ignites

    Fire Ball

    a fire burning sufficientlyrapidly for the burningmass to rise into the airas a cloud or ball

    Unconfined VapourCloud Explosion

    An explosion in the openair of vapour which is notconfined by walls,vessels or otherequipment.

    BLEVE Boiling Liquid ExpandingVapour Explosion

    Occurs when a vesselcontaining a liquid at a

    temperature above itsatmospheric boiling pointruptures and ignites.

    P. Lettieri

    Water: reducesh i

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    Fire relief valve:set to operatebefore weakenedwalls rupture

    Remote operateddepressurising valve:reduces pressure invessel

    heat input

    Sloping ground:

    prevents liquid collecting

    Insulatedsupports

    Detector

    Insulation:reduces heat input

    Boiling liquidBoiling liquid

    absorbs heat,absorbs heat,

    keeps wallskeeps walls coolcool

    No liquid to absorbNo liquid to absorb

    heat, walls mayheat, walls may

    overheat and failoverheat and fail

    P. Lettieri

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    Dust Explosions A dust explosion is very similar to a gas or

    vapour cloud explosion, i.e. when a volume ofa flammable mixture is ignited, resulting in arapid pressure increase and fire movingthrough the cloud.

    A dust explosion occurs when a combustiblematerial is dispersed in the air forming aflammable cloud and a flame propagatesthrough it.

    P. Lettieri

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    Dust Explosions The dust must be combustible

    The dust must be capable of becomingairborne

    The dust must have a size distributioncapable of flame propagation

    The dust concentration must be within theexplosive range

    An ignition source must be present

    The atmosphere must contain sufficientoxygen to support and sustain combustion

    P. Lettieri

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    Material Safety Check List Flash Point

    Flammability Range Autoignition Temp

    Composition

    Stability & Reactivity

    Toxicity

    Corrosion Heat of Combustion

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    Material Safety Data Sheet1. Composition/ Information

    on ingredients

    2. Chemical Product

    3. Hazards Identification

    4. First Aid

    5. Fire Fighting Measures

    6. Accidental ReleaseMeasures

    7. Handling and Storage8. Exposure Controls/

    Personnel Protection

    9. Physical and ChemicalProperties

    10. Stability and Reactivity

    11. Toxicological Information

    12. Ecological Information

    13. Disposal Consideration

    14. Transport Information

    15. Regulatory Information

    MSDS Example: cyclohexane

    P. Lettieri

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    Chemical PropertiesChemical hazards

    Asphyxiant Narcotic

    Toxic

    Irritant

    Sensitising

    Corrosive

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    Chemical Properties Asphyxiant

    Asphyxia is caused by the lack of oxygen reaching theblood and hence the brain.

    Narcotic

    When the oxygen has been displaced by hydrocarbonvapour, the physiological effect may be complicatedsince the effects of asphyxia may be combined withthe effects of narcotic, irritant and/or toxic vapour.

    P. Lettieri

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    Definition of terms Toxicity Acutely toxic- have an immediate effect on a person

    Chronically toxic -have an effect after prolongedexposure to small quantities.

    Very Toxic

    A substance which if it is inhaled or ingested or itpenetrates the skin may involve extremely seriousacute or chronic health risks and even death.

    Toxic

    A substance which if it is inhaled or ingested or itpenetrates the skin may involve serious acute orchronic health risks and even death.

    P. Lettieri

    Definition of terms

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    Irritant A non-corrosive substance which, through immediate,

    prolonged or repeated contact with the skin or mucousmembrane, can cause inflammation.

    Sensitiser Substances or agents which on firstexposure may or

    may not cause local skin effects.

    Initiates a defensive-type mechanism within the bodywhich is triggered to produce reactions on second orsubsequent exposure.

    Corrosive A substance which on contact with living tissues

    destroy them. Burning and/or blistering, i.e. direct chemical contact

    areas as in the nose and throat and on the skin.

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    Definition of terms Carcinogenic

    A substance which if it is inhaled or ingested or if it

    penetrates the skin may induce cancer in man orincrease its incidence.

    Teratogenic

    A substance which if it is inhaled or ingested or itpenetrates the skin may involve a risk of subsequentnon-hereditablebirth defects in offspring.

    Mutagenic

    A substance which if it is inhaled or ingested or itpenetrates the skin may involve a risk of hereditablegenetic defects.

    P. Lettieri

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    LD50

    Absorbed byinhalation

    in ratmg litre-1

    Absorbedpercutaneously in rat

    or rabbitmg kg-1

    Absorbed

    orally in ratmg kg-1 (4 hrs)

    2 - 20400 2000200 - 2000Harmful

    0.5 250 40025 200Toxic

    0.55025Very Toxic

    Median Lethal Concentration(LD50)

    Category

    LD50: Lethal dose for 50% fatality (usually on rats) within specifiedtime period - often 14 days.

    P. Lettieri

    Occupational Exposure Limits: OELs

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    Skin0.0470.02624-83-9Methyl isocyanate

    35601500178075067-64-1Acetone

    205--108-24-7Acetic Anhydride

    3715251064-19-7Acetic Acid

    Notes

    mg m-3ppmmg m-3ppm

    CAS NoSubstanceShort term limit

    15 minLong term limit

    8 hrs

    maximum concentrations in air averaged over a particular time periodLong term limit- used for substances producing chronic effectsShort term limit- for substances producing acute effects

    P. Lettieri

    USA: Threshold Limit Values: TLVs

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    TLV

    refers to airborne concentrations

    TLV-TWA Time Waited Average

    8 hour working day for 40 hours per week repeatedlyexposed without adverse effect.

    TLV-STEL

    Short Term Exposure Limit

    for 15 minutes max. with no more than 4 excursions

    during an 8 hour day without adverse effect.

    TLV-Ceiling

    The concentration which must not be exceeded.

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    COSHHControl

    OfSubstances

    Hazardous toHealth

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    To comply with COSHH:1. Assess the risks

    2. Decide what precautions are needed .

    3. Prevent or adequately control exposure.

    4. Ensure that control measures are used and maintained.

    5. Monitor the exposure6. Carry out appropriate health surveillance

    7. Prepare plans and procedures to deal with accidents,

    incidents and emergencies8. Ensure employees are properly informed, trained and

    supervised.

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    What is a substance hazardous

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    to health under COSHH? Substances or mixtures of substances classified

    as dangerous to health under the Chemicals(Hazard Information and Packaging for Supply)Regulations 2002 (CHIP).

    Substances with occupational exposure limits Biological agents

    Any kind of dust

    Any other substance which creates a risk tohealth

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    Material Safety Data Sheet1. Composition/ Information

    on ingredients

    2. Chemical Product

    3. Hazards Identification

    4. First Aid

    5. Fire Fighting Measures

    6. Accidental ReleaseMeasures

    7. Handling and Storage

    8. Exposure Controls/Personnel Protection

    9. Physical and ChemicalProperties

    10. Stability and Reactivity

    11. Toxicological Information

    12. Ecological Information

    13. Disposal Consideration

    14. Transport Information

    15. Regulatory Information

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    Safety Symbols

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    Sa ety Sy bo s

    (Highly) Flammable

    Dangerous When Wet

    Harmful

    Biohazard

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    Sources of information

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    UK: Heath andSafety Executive www.hse.gov.uk

    source of safety data

    source of guidance

    e.g. OELs

    publications on

    specific hazards arsenic, asbestos

    USA: EnvironmentalProtection Agency www.epa.gov

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    RUNAWAY EXOTHERMIC

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    REACTIONS A chemical reaction invariably involves an energy

    change Heat is either absorbed or released

    If heat is given out the reaction is said to be exothermic

    An exothermic reaction can lead to thermal runaway,which begins when the heat produced by the reactionexceeds the heat removed

    The surplus heat raises the temperature of the reactionmass, which causes the rate of reaction to increase

    This in turn accelerates the rate of heat production

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    RUNAWAY EXOTHERMIC

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    REACTIONS

    Rates of

    Heat

    Generation&

    Heat

    Transfer

    Temperature

    heatgeneration

    heattransfer

    runaway

    stablecriticaltemperature

    Q = UAT

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    Causes for Runaway Reactions

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    y

    In batch and continuous operations

    Mixing wrong materials

    Contanimation

    Decomposition particulalrly becaused ofover-heating

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    The Essential Features for Planning

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    a Batch Chemical Reaction correct charging of materials

    reactor cooling agitation

    control

    temperature

    pressure

    training

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    Correct Charging of Materials

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    materials used must be charged in the correctamounts and in the correct order

    problems:-

    wrong material being added

    wrong amounts of material being added includingthe catalyst

    wrong order of charging may materially affect thereaction

    wrong temperature used for the charging period

    wrong rate of charging

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    Reactor Cooling

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    heat generated by the reaction must beremoved by the cooling system chosen

    problems: -

    The wrong temperature for the reaction is used sothat the rate of heat generation is greater than thecooling capacity. The critical temperature hasbeen exceeded

    The cooling capacity of the system is unable to

    cope with increased rate of heat generationThe failure of the cooling system

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    Agitation

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    maintains all materials in close contact withone another and assists in temperaturecontrol

    problems: -

    failure of agitation by power failure or agitatorfailure causing solids to settle and loss of coolingcapacity.

    agitator causing vortex and temperature probe

    coming out of liquid. failure to restart agitator after sampling etc.

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    Temperature and Pressure Control

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    Temperature

    control throughout thereaction is crucial

    problems: -

    wrong temperature due to

    probe not covered or tooshort

    wrong temperature due tocontrol misaligned or

    other instrument faultswrong strategy of reaction

    control

    Pressure

    pressure in the reactoris a result of thetemperature changeand/or the release of

    gases. problems: -

    the rate of pressure riseis greater than that which

    can be catered for by theventing system

    vent design inadequate

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    Training

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    one of the most important areas but onewhich the design engineer can influence byensuring the design philosophy is containedin the procedures for operating the plant

    problems: -

    operators are not properly trained

    operating instructions do no not reflect the designintent

    the combination of factors for the reaction involvedand simple failures of safety back-up systemscontributed to the severity of incidents

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    Literature

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    IChemE: Guide to Chemical Reaction Hazards

    IChemE: Relief Systems Handbook

    IChemE: provides also a list of consultants,experts active in this field