Creeping Change: Liquid Accumulation in a Flare System · 2019-05-28 · Creeping Change: Liquid...
Transcript of Creeping Change: Liquid Accumulation in a Flare System · 2019-05-28 · Creeping Change: Liquid...
2Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Agenda
• Introduction to CSL
• Event overview
• Consequence
• Timeline
• Investigation
• Causes
• Conclusions
3Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
CSL Locations
Woodland House,
Hull, East Yorkshire
Blocks 47 & 48 of the Southern North Sea
5Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
5PUK Dimlington Terminal
CSL Easington Terminal
PUK Easington Terminal
GASSCO Langeled Terminal
NGG Area AGI
EASINGTON TERMINALS HUB
6Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Event Description
13:48, January 17th 2018
Temp: 6oC
Wind: W, 37mph
POB 102
“Whilst lining out hot flash stabilisation route. A pulse of gas and liquid was
transferred to the ground flare which subsequently ignited, resulting in thick
black smoke and a small pool fire within the ground flare sterile area.”
7Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Liquid Storage
Gas Processing
Control Complex
NO
RT
HInlet Facilities
Cold Vent
Gas Metering /Outlet
Ground Flare
9Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Setting the scene
Unstabilised
condensate
from D-1502
E-2307
P2301A/B
Gas to ground
flare via vent
header
Liquid to
condensate
storage tanks
D-2
311
PCV-23351
PT
H-1501
D-1
50
3
P-1501A/B
FCV-1523
70oC
22oC
300 L/min
0.6 barg
10 barg
~180 kg/min
2 L/day
liquid
~120 kg/min
Flash gas
recovery (LTI)
10Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Consequences - Actual
Category Severity Coding ReasoningPeople (P) 0P Event happened but resulted in no
actual injury or health effect.Environment (E) 0E Event happened but resulted in no
actual environmental effect.External complaint and regulatory (R)
3L A schedule 5 form has been submitted to the Environmental regulator for combustion of liquids in ground flare (breach of permit conditions)
Asset Loss (L) 1L Little equipment damage in ground flare area (production losses not included)
11Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Consequences - PotentialCategory Severity Coding ReasoningPeople (P) 3P The ground flare has a restricted sterile area
which has controlled access limitations. Injury to personnel (LTI) could be sustained due to work parties escaping from work sites directly outside ground flare sterile area in the event of a large flare.
Environment (E) 1E Minor environmental damage.External complaint and regulatory (R)
3R Medium impact with potential to escalate to local media attention. Regulatory action for permit or licence breaches (e.g. Caution/Fine).
Asset Loss (L) 3L Significant damage where losses /restoration costs are £100k to £1m in a year
13Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Investigation
• Terms of Reference
• Team
• Root Cause Analysis
• Pre-startup safety review
• Recommendations/actions
14Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Problem solving -
5 step process
Gather data
• People, documents, hardware
Produce Problem
Statement
• Define issue, When, Where, Impact
Cause and Effect
Analysis
• Map of causes
Solutions• Potential
solutions to eliminate causes
Final Report
• Findings, share learning
15Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
CausesImmediate:
• Release to ground flare of gas and liquid (unstabilised condensate) that had
accumulated in vent header
• High forward flow to hot flash system
• H-1501 unreliability
Underlying:
• Condensation in wrong place
• Low points in vent header
• Normalisation of deviation
Root cause:
• Ineffective change management
16Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Causes – High Flow to Hot Flash
• Flow control valve (FCV) remaining in ‘auto’ set at 100% at start-up
• Flow transmitter goes off scale and into error, FCV remains at set point
• 2-3 minutes high flow
• Pressure surge, no vessel overfill
Recommendations (31 in total):
• Software limits on FCV – maximum output
• FCVs to hot and cold flash to fail closed on signal error
• Re-range and re-locate pressure instrumentation on hot flash system
17Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Causes – H-1501 unreliability
• 4 unsuccessful starts on heater on day of event
• Higher flowrate desired due to low flow trip and flow transmitter issues
• Normalisation of deviation
Recommendations:
• Flow transmitter recalibration
• Review multiple start attempts philosophy
• Remove group suppression alarms
• Review long term options for H-1501
18Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Causes – Condensation in wrong place
19Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Causes – Condensation in wrong place
• E-2307 was designed as a partial condenser for continuous duty
• One (out of two) fans on E-2307 was isolated
• Batch operation of hot flash at lower pressures
• Effective condensation in ground flare header pipework
Recommendations:
• Operate hot flash at higher pressure and low continuous flow
• Add running indication and temperature indication for E-2307 on DCS
• Routines required to remove and clear accumulated liquid in pipework
• Review condenser improvement options (water/brine cooled)
20Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Causes – Low points in vent header• 6” vapour line from hot flash out of top of D-2311
and down to grade level PCV before going up to pipe rack (10m elevation)
• Tie-in to 16” old export line which was changed to ground flare header
• Line runs 100m across process island & drains back to knock out drum D-2311
Recommendations:
• Provide low point drain from hot flash to tie into condensate removal pumps
• Provide level indication on pipework
• Relocate PCV to vent header level
21Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Root Cause – Management of Change (1)
• Creeping change within hot flash system (batch operation, connection of
ground flare vent header, removal of flash gas compressor system)
22Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Root Cause – Management of Change (2)
• Criticality of dual fan operation not appreciated
– 1 out of 2 fans on E-2307 found isolated
– No expectation that vapour would carryover from D-2311 and accumulate
in vent header
– System operating pressure reduction occurred over time
23Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Root Cause – Management of Change (3)
Full re-HAZOP of plant conducted 2017:
“Overfill of D-2311 with liquid which carries over into the vapour line off D-2311 to ground flare. Potential lute section downstream of D-2311 where discharge line rises into gantry before dropping back into ground flare. Upset flame conditions at ground flare and potential damage to burners. Smokey flame and possible injury at ground flare. Potential slugging flow through to ground flare.
Action raised:
“Review routing and design of line from D-2311 to ground flare and determine if there are operational and potential liquid slugging issues associated with this current design that may need to be resolved”
• Event occurred before action was closed.
• Recommendation priority and resource to complete actions from workstreams is key to combat changing risk picture.
24Creeping Change: Liquid Accumulation in a Flare System, Hazards 29, 23rd May 2019
Conclusions
• Event had no immediate process safety consequences but investigation provided
management team with opportunities to improve the safety and reliability of the
asset.
• Useful to combine ‘short’ term actions from RCA within a pre-startup safety review.
• Opportunities exist to implement further risk reduction options as part of longer
term plant upgrades.
• Challenges of creeping change are real as described in KP4. Creeping change
hazard identification (CCHAZID) methodology (Energy Institute Guidance) is
available to assist with future studies.
• Risk ranking of study recommendations and available resource to complete actions
remains fundamental to risk management activities.
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